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NURS 6521 -Final Exam-with 100% verified answers-2024-2025.docx
Typology: Exams
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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 : Excess fluid volume related to potential effects of drug therapy
points A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Selecte d Answer : hypercholesterolemia .
points 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? Selecte d Answer : Low bone density and a family history of osteoporosis
points 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? Selecte d Answer : Take the drug for one full week before coming in contact with allergens
- Question
points 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? Selecte d Answer : Increased drug distribution resulting from hemodynamic changes
- Question
points
Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by Selecte d Answer : slowing the infusion.
- Question
points 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 Selecte d Answer : whether the pregnant woman uses illegal substances.
- Question
points 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? Selecte d Answer: Liver function tests
- Question
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? Selecte d Answer : Anxiety related to perceived danger of drug therapy to fetus or infant
- Question
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
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
points On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate? Selecte d Answer : "HRT might be quite beneficial to you, and it carries the additional benefit of modest protection against breast cancer."
- Question 13 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 14 Drugs have a valid medical use but a high potential for abuse, both 1 out of 1 points 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
points
An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? Selecte d Answer : Prime the IV tubing with an approved IV solution rather than with the drug itself.
- Question
points
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? Selecte d Answer : "Do you feel like you're having any pain in your bones?"
- Question
points A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Selecte d Answer : That there is less body surface area to be concerned about
- Question
points Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Selecte d Answer : Headaches and chest pain
- Question
points Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Selecte d Answer : Vaginal burning
- Question
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 smaller body surface area, resulting in an increase in topical absorption, which can cause more adverse effects.
- Question
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 : Phenytoin (Dilantin)
- Question
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
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
points 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? Selecte d Answer : A 19-year-old male receiving radiotherapy
- Question
points 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 Selecte d Answer : on an empty stomach.
- Question 26 A man has a demonstrated history of androgen deficiency and the 1 out of 1 points consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile dysfunction (ED)?
Selecte d Answer : Exogenous testosterone
- Question
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
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
points A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? Selecte d Answer : "Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells."
- Question
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
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 32
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
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
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
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 : Systolic blood pressure readings in excess of 190 mmHg
- Question
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
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 Selected magnesium sulfate toxicity.
Answer:
- Question 38 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
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
points Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse's response to Mr. Lepp? Selecte d Answer : The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients.
- Question
points Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent Selecte d Answer: once a day.
- Question
points An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? Selecte d Answer : Cells that have a rapid mitotic rate
- Question 43
1 out of 1 points The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selecte d Answer :
mg
- Question
points A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because Selecte d Answer : drugs compete with the hormones of pregnancy for albumin- binding sites.
- Question
points 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 Selecte d Answer : perform relaxation techniques after the treatments.
- Question
points A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selecte d Answer : ventroglut eal muscle.
- Question
points 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
Selecte d Answer: use an alternative form of birth control, if taking an oral contraceptive.
- Question
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 49
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
points Laboratory testing has confirmed that a patient has chloroquine- resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of Selecte d Answer : cardiac arrhythmia s.
- Question
points A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient's care to include close monitoring of the drug therapy because Selecte d Answer : the patient is at greater risk for high serum levels of the drug.
- Question
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 53
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
points
A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of Selecte d Answer : grapefruit juice.
- Question
points A Nurse Practitioner is having difficulty administering a bitter drug to a 5- year-old child. The nurse should Selecte d Answer: offer the child a flavored ice chip or ice pop prior to administering the drug.
- Question
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
points An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? Selecte d Answer : Place the patient on a constant infusion of amphotericin B at a rate determined by the patient's body weight.
- Question
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
points
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? Selecte d Answer : Neurotoxi ci ty
- Question
points 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? Selecte d Answer : Drink plenty of water every day
- Question
points A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should Selecte d Answer : offer a choice between liquid and chewable medications, if possible.
- Question
points A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient? Selecte d Answer : "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."
- Question
points 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 Selecte d Answer:
m i crocepha ly.
- Question
points 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? Selecte d Answer : Consult the prescriber for discontinuation of the drug
- Question 65
1 out of 1 points An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with Selecte d Answer : vancomycin.
- Question
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
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
points A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to Selecte d Answer : take the vitamins at least 2 hours before or after taking ciprofloxacin.
- Question
points A male patient is receiving heparin by continuous intravenous