NURS 6521 FINAL EXAMS 2024 (7 LATEST FINAL EXAM VERSIONS) NURS 6521 ADVANCED PHARMACOLOGY, Exams of Pharmacology

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NURS 6521 FINAL EXAMS 2024 (7 LATEST FINAL EXAM

VERSIONS) NURS 6521 ADVANCED PHARMACOLOGY

WITH ALL 700 QUESTIONS AND 100% CORRECT

ANSWERS GRADED A+ WALDEN UNIVERSITY

(GUARANTEED A)

VERSION 1

• Question 1

Black cohosh is an herb that is commonly used for Selected Answer:

• Question 2

Menopausal symptoms 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? Selected Answer:

• Question 3

That the infant's skin has greater permeability than that of an adult 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? Selected Answer:

• Question 4

Hepatic function 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 Answer:

• Question 5

A 19 - year-old male receiving radiotherapy 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 Answer:

- Question 6 The use of dexrazoxane in conjunction with doxorubicin Women who are prescribed progestin-only contraception need education regarding which common adverse drug effect? Selected Answer: - Question 7 Irregular vaginal bleeding for the first few months A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Selected Answer: - Question 8 Potassium level 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 Selected Answer: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. - Question 9 A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? Selected Answer: "You might find that your face becomes flushed or you get a headache after you take Viagra." - Question 10 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 Selected Answer: iron-rich foods such as beans and leafy green vegetables. - Question 11 A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining Selected Answer: a baseline complete blood count. - Question 12

Selected Answer: Potential for causing life-threatening G.I. bleed

- Question 19 A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to Selected Answer: stay well hydrated by drinking at least eight 8 - oz glasses of water daily. - Question 20 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? Selected Answer: Increased drug distribution resulting from hemodynamic changes - Question 21 What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy? Selected Answer: Alpha blockers - Question 22 Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? Selected Answer: ethanol withdrawal - Question 23 Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Selected Answer: Impairment of renal function - Question 24 The Nurse Practitioner knows that Buproprion use (wellbutrin, zyban) is contraindicated in which of the following instances? Selected Answer: In conjunction with a MAOI) monoamine oxidase inhibitor - Question 25 How is hydrocodone eliminated from the body?

Selected Answer: Live r

- Question 26 The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is? Selected Answer: No Laboratory monitoring required - Question 27 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? Selected Answer: Elixi r - Question 28 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 Answer: the permeability of fungal cell walls. - Question 29 A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selected Answer: The peak and trough blood levels - Question 30 A 21 - year-old has been placed on risperidone. Monitoring for risperidone includes Selected Answer: Excessive weight gain - Question 31 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? Selected Drink plenty of^ water every day

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? Selected Answer: ADH D

- Question 39 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 Selected Answer: stand or sit upright for at least 30 minutes after taking alendronate.. - Question 40 Gold compounds are contraindicated in patients with all of the following conditions except: Selected Answer: Rheumatoid arthritis - Question 41 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 Selected Answer: slowing the infusion. - Question 42 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 Answer: magnesium sulfate toxicity. - Question 43 Off label prescribing is: Selected Answer: Legal if there is scientific evidence for the use - Question 44 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 Selected Answer: vancomycin.

- Question 45 How do bisphosphonates Treat osteoporosis? Selected Answer: By reducing bone resorption and inhibiting osteoclastic activity - Question 46 The anticoagulant drug that acts as a vitamin K antagonist is: Selected Answer: coumad in - Question 47 A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selected Answer: complete the entire course of drug therapy. - Question 48 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 Selected Answer: cardiac arrhythmias. - Question 49 A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to Selected Answer: stop using creams, ointments, and oils on the child's skin and scalp. - Question 50 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 Selected Answer: marijuan a. - Question 51 A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? Selected Answer: Elevated prothrombin time - Question 52 A 36 - year-old woman with a history of dysmenorrhea has begun treatment with

testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Selected Answer: acute urethral obstruction.

- Question 59 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? Selected Answer: "Actually, most of the current research is suggesting that HRT may not be all that effective in treating the symptoms of menopause." - Question 60 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: Selected Answer: G6PD deficiency anemia - Question 61 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 Answer: Ineffective Family Therapeutic Regimen Management - Question 62 A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman? Selected Answer: "You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued." - Question 63 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? Selected Answer: Neurotoxici ty - Question 64 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 Answer: Vomitin g

- Question 65 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? Selected Answer: Increased symptoms of benign prosthetic hypertrophy - Question 66 The NP student knows that which statement below accurately describes the activity of naloxone? Selected Answer: It may induce immediate withdrawal symptoms and chronic opiate users - Question 67 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? Selected Answer: Instruct the patient to lie on her left side during the infusion. - Question 68 Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent Selected Answer: once a day. - Question 69 A 5 - year-old boy needs an IM injection. The least painful and most effective injection site would be the Selected Answer: ventrogluteal muscle. - Question 70 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?

- Question 77 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 Answer: Having nurses check their math calculations with a colleague before administering a drug. - Question 78 Which of the following drugs can a person with G6PD deficiency take safely? Selected Answer: Acetaminoph en - Question 79 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The APRN will monitor for which of the following? Selected Answer: Hepatotoxicity - Question 80 Which antibiotic is most frequently associated with "Red man Syndrome" Selected Answer: Vancomyc in - Question 81 A Nurse Practitioner is obtaining baseline physical data from a 7 - year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an Selected Answer: electrocardiogram (ECG). - Question 82 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? Selected 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 83 Which of the following drugs is most likely to cause sexual dysfunction and males? Selected Answer: Selective serotonin reuptake inhibitors

- Question 84 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? Selected Answer: Systolic blood pressure readings in excess of 190 mmHg - Question 85 Which step in the clotting cascade allows prothrombin to be converted to thrombin? Selected Answer: Activation of factor X to factor Xa - Question 86 What schedule drug is alprazolam? Selected I Answer: V - Question 87 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? Selected Answer: Serum alanine transaminase, aspartate transaminase, and bilirubin - Question 88 Tetracyclines are contraindicated in children younger than eight years old because of? Selected Answer: Adverse effects on Bone growth - Question 89 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 Answer: Hepari n - Question 90 Combination OCs prevent pregnancy primarily by: Selected Suppressing^ ovulation.

- Question 97 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? Selected Answer: Infuse the drug over 2 to 4 hours into a central line using an infusion pump - Question 98 Which of the following should not be taken with a selective serotonin reuptake inhibitor? Selected Answer: Alcoh ol - Question 99 Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is? Selected Answer: Ototoxici ty - Question 100 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? Selected Answer: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. - 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 - Question 1 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 Answer: - Question 2 Excess fluid volume related to potential effects of drug therapy All of the following systemic drugs interfere with metabolism of oral contraceptives except Selected Answer: - Question 3

C

o r ticosteroids The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Selected Answer:

- Question 4 Azithromyc in Whatisthebestinitialtreatmentplanforasl e pdisorderintheolderadultpatient? Selected Answer: - Question 5 Decrease noise and light in the environment A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend?

Selected Answer:

- Question 12 once a day. 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? Selected Answer: - Question 13 Liver function tests 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? Selected Answer: - Question 14 Infiltration, edema, or phlebitis at the infusion site 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 Selected Answer: - Question 15 microcepha ly. The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selected Answer: - Question 16

mg A quinolone used to treat a urinary tract infection would be contraindicated in : Selected Answer:

- Question 17 pregnant patient 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 Answer:

- Question 18 A 19 - year-old male receiving radiotherapy 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 Selected Answer: - Question 19 cardiac arrhythmias. 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 Selected Answer: - Question 20 vancomyc in. 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 Answer: Anxiety related to perceived danger of drug therapy to fetus or infant - Question 21 The NP student knows that which statement below accurately describes the activity of naloxone? Selected Answer: It may induce immediate withdrawal symptoms and chronic opiate users - Question 22 Mr. Singh is a 66 - year-old man who is receiving chemotherapy for the