N6521 Final Exam (questions & answers), Exams of Nursing

Download N6521 Final Exam (questions & answers) and more Exams Nursing in PDF only on Docsity! [Date] 1 N6521 Final Exam (questions & answers) Question 1 A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause Selected staining of permanent teeth. Answer: • Question 2 A 45-year-old woman with acute leukemia is going to begin chemotherapy with vincristine. The nurse is aware that vincristine must always be administered Selected through a central line. Answer: • Question 3 A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39-year-old woman who is being treated for chemotherapy-induced anemia. Which of the following will the nurse do with the unused portion of the drug? Selected Discard the unused portion of Answer: the drug. • Question 4 Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim? Selected "Do you feel like you're having any pain in your bones?" Answer: • Question 5 A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should Selected use sterile technique when applying the medication. Answer: • Question 6 Which of the following is a true statement about aspirin and its action on platelets Selected It is used for prophylaxis against strokes and acute Answer: myocardial infarction • Question 7 Which of the following medications will not increase the likelihood of photosensitivity? Selected Amoxicilli Answer: n • Question 8 Combination OCs prevent pregnancy primarily by: Selected Suppressing ovulation. Answer: • Question 9 Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants Selected Reduce dose by 50% for 3 to Answer: 4 days • Question 10 An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on Selected the permeability of fungal cell walls. Answer: • Question 11 A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? Selected The use of dexrazoxane in conjunction with doxorubicin Answer: • Question 12 JC is a 13 year old female to be seen in your clinic today. You review JC's medication and realize that which medication is a potential risk of growth suppression in prepubescent children? Selected corticosteroi Answer: ds • Question 13 A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The NP should expect that this patient will use which of the following anticoagulant medications? Selected Hepari Answer: n • Question 14 A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. [Date] 5 • Question 27 A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection.The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that Selected the increase in the neutrophil count is only Answer: transient. • Question 28 Which Of the following pharmacologic agents can be used to treat nicotine dependence/ smoking cessation? Selected Sertrali Answer: ne • Question 29 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Selected Dental hygiene practices Answer: • Question 30 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug? Selected Vitamin B Answer: • Question 31 A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selected whether the pregnant woman uses illegal Answer: substances. • Question 32 During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following? Selected Consult the prescriber for discontinuation of the Answer: drug • Question 33 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selected 1500 mg Answer: • Question 34 Which antibiotic requires administration of a loading dose? Selected Erythromyc Answer: in • Question 35 A 59-year-old man with a recent history of erectile dysfunction has been assessed andprescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? Selected "You might find that your face becomes flushed or you get a headache Answer: after you take Viagra." • Question 36 A contraindication to the use of combined contraceptives is: Selected A history of a clotting Answer: disorder • Question 37 Gold compounds are contraindicated in patients with all of the following conditions except: Selected Rheumatoid Answer: arthritis • Question 38 A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? Selected Cardiovascular complications Answer: • Question 39 A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? Selected Take the drug for one full week before coming in contact with Answer: allergens • Question 40 A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to 7 [Date] Selected Answer:  use an alternative form of birth control, if taking an oral contraceptive. Question 41 Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? Selected ethanol Answer: withdrawal • Question 42 A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? Selected Where the medications will be stored Answer: • Question 43 Off label prescribing is: Selected Regulated by the Answer: FDA • Question 44 All insects have an FDA black box warning regarding Selected Potential for causing life-threatening Answer: G.I. bleed • Question 45 JC is a 13 year old female to be seen in your clinic today. You review JC's medication and realize that which medication is a potential risk of growth suppression in prepubescent children? Selected corticosteroi Answer: ds • Question 46 A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication Selected once a day. Answer: • Question 47 Selected Answer:  Answer: teeth. • Question 60 The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should be reviewed with the patient who is newly prescribed this class of medication? Selected they could feel a bit of nausea, but this will resolve in about Answer: a week or so • Question 61 Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is? Selected Ototoxici Answer: ty  Question 62 A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects Selected PMS. Answer: • Question 63 The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. Which statement by the patient indicates a need for further teaching? Selected "I will take this medication with Answer: food " • Question 64 A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following? Selected The tumor responding to treatment Answer: • Question 65 Jessica, the NP is seeing an asthmatic child in the clinic today to evaluate the child's response to their prescribed therapy. The child uses an ICS (Inhaled Corticosteroid) twice a day and an albuterol mdi as needed. The child's symptoms are well controlled, However the Nurse Practitioner notes some slowing of the child's linear growth on a standardized growth chart. The NP should change this medication regimen to: Selected short-acting Beta agonist (SABA) with oral corticosteroids when Answer: symptomatic • Question 66 A Nurse Practitioner is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? Selected Salicylat Answer: es • Question 67 Black cohosh is an herb that is commonly used for Selected Menopausal  Answer: symptoms • Question 68 A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of Selected weekly subcutaneous Answer: injections.  Question 69 A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy? Selected Excess fluid volume related to potential effects of drug therapy Answer: • Question 70 Autonomic Drugs are often using topical form for what purpose? Selected To shrink mucous Answer: membranes • Question 71 How is hydrocodone eliminated from the body? Selected Kidne Answer: y • Question 72 Which of the following drugs is most likely to cause sexual dysfunction and males? Selected Selective serotonin reuptake Answer: inhibitors • Question 73 An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may preclude the use of imatinib? Selected The patient has chronic heart failure resulting in significant peripheral Answer: edema. • Question 74  for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of Selected food containing iron or calcium. Answer: Question 83 A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? Selected Drink a lot of water Answer:  Question 84 A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to Selected perform relaxation techniques after the treatments. Answer: • Question 85 A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selected complete the entire course of drug therapy. Answer: • Question 86 The anticoagulant drug that acts as a vitamin K antagonist is: Selected coumad Answer: in • Question 87 An immunocompromised 7-year-old child was recently discharged home with a peripherally- inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? Selected Ineffective Family Therapeutic Regimen Management Answer: • Question 88 Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selected Nephrotoxicity and Answer: hepatotoxicity • Question 89 What is the minimum inhibitory concentration (MIC)  Selected The lowest concentration of a chemical drug need it to inhibit the Answer: growth of bacteria Question 90 The NP is reviewing Mrs. Oglethorpe's medication list and recognizes that which drug listed below has been associated with increased risk for MI in women? Selected Estrogen Answer: replacement • Question 91 A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? Selected A 19-year-old male receiving Answer: radiotherapy • Question 92 Ms. Lewis Is in 74-year-old female who presents to your clinic for routine visit today. You review her medical record and notice she is prescribed aspirin therapy. You provide patient education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is: Selected Vomitin Answer: g • Question 93 A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug Selected on an empty stomach 1 hour before or 2 hours after taking any meals Answer:or other drugs. • Question 94 A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide? Selected "Smoking marijuana is just as bad, or worse, for your lungs as Answer: smoking cigarettes." • Question 95 An NP is seeing a child who weights 25 pounds, 2 oz and needs a medication. The NP learns that the recommended dosing for this drug is 30-35 mg per kg per day in three divided doses. The NP should order Selected 110 mg Answer: tid [Date] 17 • Question 96 The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? Selected Having nurses check their math calculations with a colleague before Answer: administering a drug. • Question 97 A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Selected place the patch on the back, abdomen, upper arms, or Answer: thighs. • Question 98 A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to Selected both the boy and his mother regarding all medication issued. Answer: • Question 99 A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child's annual well-child checkup, the NP should carefully review what? Selected weight and Answer: height  Question 100 A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? Selected Dietary habits Answer: • Question 101 When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Friday, November 13, 2020 10:50:30 AM EST