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NURS 6521 FINAL Exam Week 11 2024 ORIGINAL GRADED A+ 100% Verified (100 QUESTIONS)
Typology: Exams
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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?
corticosteroi ds
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following?
- @QUESTI ON# 5 Creatinine clearance
- @QUESTI ON# 6
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?
- @QUESTI ON# 7 weight and height The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be
- @QUESTI ON# 8 Ciprofloxac in Ms. Shackleford Has been placed on Ambien to help for her insomnia. The NP must educate the patient regarding the rapid onset of Ambien. Which statement below is correct?
- @QUESTI ON# 9 Zolpidem should be taken just before going to bed
- @QUESTION# 10
- @QUESTION# 11
- @QUESTIO N# 12
- @QUESTIO N# 13
- @QUESTIO N# 14
Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is?
- @QUESTIO N# 15 Ototoxici ty A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy?
- @QUESTIO N# 16 Increased drug distribution resulting from hemodynamic changes
- @QUESTION# 17
- @QUESTION# 18
- @QUESTION# 19 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
- @QUESTIO N# 20 whether the pregnant woman uses illegal substances.
- @QUESTIO N# 21
A Nurse Practitioner is caring for a 64 - year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered?
- @QUESTIO N# 22 Protamine sulfate The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is:
- @QUESTIO N# 23 Absorbed rapidly Which adverse reaction is common in the patient taking buspirone?
- @QUESTION# 24 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
- @QUESTIO N# 25 body surface area.
- @QUESTIO N# 26
- @QUESTIO N# 27
- @QUESTIO N# 28
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?
- @QUESTIO N# 29 Instruct the patient to lie on her left side during the infusion. 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?
- @QUESTIO N# 30
Dietary habits
- @QUESTIO N# 31
A Nurse Practitioner is caring for a 10 - year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate?
- @QUESTIO N# 32 Hepatic function A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the NP should :
- @QUESTIO N# 33 perform a pregnancy test
- @QUESTIO N# 34
- @QUESTIO N# 35
A Nurse Practitioner is having difficulty administering a bitter drug to a 5 - year-old child. The nurse should
- @QUESTIO N# 36 offer the child a flavored ice chip or ice pop prior to administering the drug.
- @QUESTIO N# 37
- @QUESTIO N# 38
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?
- @QUESTIO N# 39 "I am on the middle school track team." When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the patient should be screened for use of?
- @QUESTIO N# 40 Nitrate s
- @QUESTIO N# 41
A 38 - year-old pregnant patient admits to the Nurse Practitioner that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with
- @QUESTIO N# 42 microcepha ly. A Nurse Practitioner who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem?
- @QUESTIO N# 43
Ms. LW is on hyrdroxychloroquine (Plaquenil) for rheumatoid arthritis. Certain tests are recommended before a patient starts this medication. Which of the following is NOT recommended before starting Hydroxychoroquine (Plaquenil)?
- @QUESTIO N# 44 24 hour urine
- @QUESTION# 45 Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol?
- @QUESTIO N# 46 Fomepizo le
- @QUESTION# 47 Mr. Samuels has been prescribed olanzapine (Zyprexa). The NP know that he should be monitored for:
- @QUESTIO N# 48 Weight gain
- @QUESTIO N# 49
Morphine has been prescribed for a 28 - year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid
- @QUESTIO N# 50 alcohol. A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?
- @QUESTIO N# 51 A 48 - year-old Caucasian man who has adult- onset diabetes A contraindication to the use of combined contraceptives is:
- @QUESTIO N# 52 A history of a clotting disorder A Nurse Practitioner is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following?
- @QUESTIO N# 53 Neurotoxici ty
- @QUESTIO N# 54
- @QUESTIO N# 55
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
- @QUESTIO N# 56 110 mg tid 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
- @QUESTIO N# 57 weekly subcutaneous injections.
- @QUESTIO N# 58
- @QUESTIO N# 59
How do bisphosphonates Treat osteoporosis?
- @QUESTIO N# 60 By reducing bone resorption and inhibiting osteoclastic activity What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy?
- @QUESTIO N# 61 Alpha blockers A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend
- @QUESTIO N# 62 tyleno l.
A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?
- @QUESTIO N# 63 Liver function tests Which antibiotic requires administration of a loading dose?
- @QUESTIO N# 64 Erythromyc in What is the minimum inhibitory concentration (MIC)
- @QUESTIO N# 65 The lowest concentration of a chemical drug need it to inhibit the growth of bacteria A Nurse Practitioner is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate?
- @QUESTIO N# 66 Low bone density and a family history of osteoporosis
- @QUESTIO N# 67
The NP is considering a medication to treat Ms. Robert's Urinary Tract Infection. The NP knows that Trimethoprim sulfamethazole (Bactrim) Is contra indicated in which of the following conditions:
- @QUESTIO N# 68 B12 deficiency anemia Which of the following medication classes should be avoided and men with BPH
- @QUESTIO N# 69 Nasal decongestants Lily, the nurse practitioner is seeing Mr. Reynolds today. She would recognize that which
of the following is a potential adverse side effects of autonomic-anticholinergic agents?
- @QUESTIO N# 70 Reduced GM motility The NP is prescribing A medication for six month old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication?
- @QUESTIO N# 71 Rectal suppository
- @QUESTIO N# 72
- @QUESTIO N# 73
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
- @QUESTIO N# 74 use an alternative form of birth control, if taking an oral contraceptive. How is hydrocodone eliminated from the body?
- @QUESTIO N# 75 Kidne y All insects have an FDA black box warning regarding
- @QUESTIO N# 76 Increase risk of developing systemic arthritis with prolonged use
- @QUESTION# 77 Some drugs are given to patients using other routes such as sublingual or topical to avoid movement through the liver and possible side effects. Which of the following effects is the Nurse Practitioner attempting to avoid by administering certain medications via alternative routes?
- @QUESTIO N# 78 First-Pass effect A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication
- @QUESTIO N# 79 with high-fat meals. Which step in the clotting cascade allows prothrombin to be converted to thrombin?
- @QUESTIO N# 80 Activation of factor X to factor Xa LIsa , age 25, has just been placed on Minocycline. The NP should tell this pt to:
- @QUESTIO N# 81 Use a backup form of contraception if currently taking oral contraceptive pills The anticoagulant drug that acts as a vitamin K antagonist is:
- @QUESTIO N# 82 coumad in
- @QUESTIO N# 83
A Nurse Practitioner is working with a 57 - year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this
patient?
- @QUESTIO N# 84 Drink plenty of water every day
- @QUESTIO N# 85
- @QUESTIO N# 86
- @QUESTION# 87 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?
- @QUESTIO N# 88 A 19 - year-old male receiving radiotherapy 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?
- @QUESTIO N# 89 Keep the bed in a low position and the side rails up at all times. 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?
- @QUESTIO N# 90 Salicylat es
- @QUESTIO N# 91
- @QUESTIO N# 92
- @QUESTION# 93
- @QUESTIO N# 94
The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents?
- @QUESTIO N# 95 Give the medication through a straw to decrease the staining of the teeth. Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication?
- @QUESTIO N# 96
Which test should the NP order for monitoring effectiveness of the patient receiving heparin?
- @QUESTIO N# 97
Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following?
- @QUESTIO N# 98 complete blood count
- @QUESTIO N# 99
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?
A drug harms microbes without harming human cells.
- @QUESTION# 100
When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
- @QUESTION# 101