NURS 6521-Final exam Advanced-Pharmacology -2024-2025-100% verified.docx, Exams of Nursing

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NURS 6521-Final

exam Advanced-

Pharmacology -2024-

2025-100% verified

WITH 101 Q&A Question 1^1 out^ of^1 points A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose? Selecte d Answer :

mg

• Question

2 1 out of 1

points A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that Selecte d Answer : asymptomatic women are diagnosed with trichomoniasis by a routine pap smear.

• Question

3 1 out of 1

points A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as Selecte d Answer : magnesium sulfate toxicity.

• Question

4 1 out of 1

points A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect? Selecte d Answer:

I

n creased cardiac conduction

- Question

5 1 out of 1

points A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered Selecte d Answer : phytoestrogens.

- Question

6 1 out of 1

points A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic?

Selecte d Answer : Vancomycin

- Question

7 1 out of 1

points A Nurse Practitioner is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that he or she is taking an oral form of Selecte d Answer : marijuan a.

- Question

8 1 out of 1

points A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug Selecte d Answer : with a glass of water 1 hour before or 2 hours after a meal.

- Question

9 1 out of 1

points A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? Selecte d Answer : Non-Hodgkin's lymphoma

- Question

10 1 out of 1

points Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to Selecte d Answer:

s t and or sit upright for at least 30 minutes after taking alendronate..

- Question

11 1 out of 1

points A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following? Selecte d Answer : Leukope n ia

- Question

12 1 out of 1

points

The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first Selecte d Answer : assess the area and make sure that there are no open lesions or abrasions.

- Question

13 1 out of 1

points 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? Selecte d Answer : Discard the unused portion of the drug.

- Question

14 1 out of 1

points A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Selecte d Answer : Instruct the patient to lie on her left side during the infusion.

- Question

15 1 out of 1

points A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? Selecte d Answer: A 48-year-old Caucasian man who has adult- onset diabetes

- Question

16 1 out of 1

points 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 Selecte d Answer

:

u s e sterile technique when applying the medication.

- Question

17 1 out of 1

points A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Selected Anxiety related to perceived danger of drug therapy to fetus or

Answer: infant

- Question 18 1 out of 1 points A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize? Selecte d Answer : Risk for Infection related to suppressed bone marrow function - Question

19 1 out of 1

points A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment? Selecte d Answer : The importance of vigilant hygiene for the boy and the other members of the family

- Question

20 1 out of 1

points A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend Selecte d Answer: tyleno l.

- Question

21 1 out of 1

points A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? Selecte d Answer : Fetal heart rate (FHR)

- Question

22 1 out of 1

points

A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Selecte d Answer: Creatinin e clearanc e

- Question

23 1 out of 1

points A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug?

Selecte d Answer : Lid margin crusting and pruritus

- Question

24 1 out of 1

points The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during Selecte d Answer : the first 2 months of pregnancy.

- Question

25 1 out of 1

points A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life- threatening infection. Which of the following would be most important for the nurse to monitor? Selecte d Answer : Infiltration, edema, or phlebitis at the infusion site

- Question

26 1 out of 1

points 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? Selecte d Answer : Salicyla t es

- Question

27 1 out of 1

points 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? Selecte d Answer : Prostatic neoplasia

- Question

28 1 out of 1

points A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? Selecte d Answer : Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.

- Question

29 1 out of 1

points

A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause Selecte d Answer : ototoxicity or nephrotoxicity.

- Question

30 1 out of 1

points A Nurse Practitioner is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Selecte d Answer : Keep the bed in a low position and the side rails up at all times.

- Question

31 1 out of 1

points A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow- spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? Selecte d Answer : The use of broad-spectrum antibiotics can create a risk for a superinfection.

- Question

32 1 out of 1

points A 36-year-old patient comes to the clinic and tells the nurse practitioner that she suspects that she is pregnant. During the initial assessment, the nurse practitioner learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications? Selecte d Answer : Phenytoi n (Dilantin )

- Question

33 0 out of 1

points The Nurse Practitioner has established peripheral IV access and begun an

infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient? Selecte d Answer : The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air

- Question

34 1 out of 1

points A Nurse Practitioner is providing patient education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary?

Selecte d Answer : "I am on the middle school track team."

- Question

35 1 out of 1

points A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure Selecte d Answer : that serum levels of the drug are being monitored.

- Question

36 1 out of 1

points A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? Selecte d Answer : The patient's hemoglobin level is 11 g/dL

- Question

37 1 out of 1

points A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in Selecte d Answer : iron-rich foods such as beans and leafy green vegetables.

- Question

38 1 out of 1

points 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? Selecte d Answer:

T

h e patient has chronic heart failure resulting in significant peripheral edema.

- Question

39 1 out of 1

points A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The APRN will be sure to Selecte d Answer : avoid the small veins in the dorsum of the hand or the wrist.

- Question

40 1 out of 1

points

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? Selecte d Answer : Dietary habits

- Question

41 1 out of 1

points 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? Selecte d Answer : Drink a lot of water

- Question

42 1 out of 1

points 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 Selecte d Answer :

PMS.

- Question

43 1 out of 1

points A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results? Selecte d Answer : Serum alanine transaminase, aspartate transaminase, and bilirubin

- Question

44 0 out of 1

points A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are

obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should Selecte d Answer : take a pregnancy test every month.

- Question

45 1 out of 1

points A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take

Selecte d Answer : antacids not less than 1 hour before or 2 hours after taking INH.

- Question

46 1 out of 1

points A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? Selecte d Answer : Acetaminophen

- Question

47 1 out of 1

points 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 Selecte d Answer : the permeability of fungal cell walls.

- Question

48 1 out of 1

points A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? Selecte d Answer : The patient will experience complete bladder emptying

- Question

49 1 out of 1

points Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and

plastics unit of the hospital should perform what action when administering this medication? Selecte d Answer : Cleanse the wound of debris prior to applying the silver sulfadiazine

- Question

50 1 out of 1

points Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selecte d Answer: Nephrotoxicity and hepatotoxicity

- Question 51

1 out of 1 points A Nurse Practitioner is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity? Selecte d Answer : A drug harms microbes without harming human cells.

- Question

52 1 out of 1

points 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? Selecte d Answer : The tumor responding to treatment

- Question

53 1 out of 1

points 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 Selecte d Answer : place the patch on the back, abdomen, upper arms, or thighs.

- Question

54 1 out of 1

points A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Selecte d Answer : Hypertensi ve crisis

- Question 55

1 out of 1 points A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug? Selecte d Answer : "Lately, I have to get up three or four times a night to go to the bathroom."

- Question

56 1 out of 1

points 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?

Selecte d Answer : Cardiovascular complications

- Question

57 1 out of 1

points A Nurse Practitioner is going to administer medication to an infant using a medicine dropper. The best method is to open the child's mouth by gently squeezing the cheeks and placing the drops Selecte d Answer : in the buccal pouch.

- Question

58 1 out of 1

points 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 Selecte d Answer : through a central line.

- Question

59 1 out of 1

points A Nurse Practitioner who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to Selecte d Answer : immature liver and kidney function in infants and children.

- Question 60 A 29-year-old woman who is morbidly obese has recently begun a 1 out of 1 points comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of Selecte d Answer : caffeine.

- Question

61 1 out of 1

points A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? Selecte d Answer : The patient has unstable angina and uses a nitroglycerin patch

- Question

62 1 out of 1

points

Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug Selecte d Answer : Schedule 2

- Question

63 0 out of 1

points A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using Selecte d Answer: weigh t.

- Question

64 1 out of 1

points A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selecte d Answer : The peak and trough blood levels

- Question

65 1 out of 1

points A patient is receiving long-term clindamycin therapy for a life- threatening infection. The nurse will begin by monitoring this drug therapy by obtaining Selecte d Answer : a baseline complete blood count.

- Question

66 1 out of 1

points

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? Selecte d Answer : Where the medications will be stored

- Question

67 1 out of 1

points

After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from Selecte d Answer : clomiphene.

- Question

68 1 out of 1

points An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain? Selecte d Answer : Twice-daily doses of long-acting morphine, with short- acting morphine available for breakthrough pain

- Question

69 1 out of 1

points A Nurse Practitioner is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation? Selecte d Answer : A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects.

- Question

70 1 out of 1

points A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor Selecte d Answer : plasma concentrations regularly.

- Question 71 The recommended treatment for trichomoniasis is 1 out of 1 points Selecte d Answer: