NURS 6521N 55 ADVANCED PHARMACOLOGY FINAL EXAM QUESTIONS AND ANSWERS, Exams of Nursing

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QUESTIONS AND ANSWERS 2023

Started 5/5/20 4:28 PM Submitted 5/5/20 5:51 PM Due Date 5/11/20 1:59 AM Status Completed Attempt Score 93 out of 100 points Time Elapsed 1 hour, 23 minutes out of 2 hours Instructions Please answer each question below and click^ Submit^ when you have completed the Exam. Results Displayed

Submitted Answers, Incorrectly Answered Questions

• Question 1

1 out of 1 points A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education tothis 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 2 1 out of 1 points

A patient is taking etoposide for a testicular tumor refractory to treatment. Thenursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? Selected Answer:

Elevated prothrombin time

• Question 3 1 out of 1 points

A man is prescribed ciprofloxacin to treat a sexually transmitted infection. Thenurse will instruct the patient to Selected Answer:

complete the entire course of drug therapy.

• Question 4

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 wordsauthorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time.

QUESTIONS AND ANSWERS 2023

Examples include certain amphetamines and barbiturates. This is scheduleddrug Selected Answer:

Schedule 2

• Question 5 1 out of 1 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? Selected Answer:

Take the drug for one full week before coming in contact with allergens

• Question 6 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 Selected Answer:

magnesium sulfate toxicity.

• Question 7 1 out of 1 points

A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment ofleukemia? Selected Answer:

The patient's bone marrow function is significantly depressed.

• Question 8 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 theiroptions. A nurse at the clinic should recognize that the woman may benefit from Selected Answer:

clomiphene.

• Question 9 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 aregular basis. The nurse will instruct the patient to take Selected Answer:

antacids not less than 1 hour before or 2 hours after takingINH.

QUESTIONS AND ANSWERS 2023

Answer: injections.

• Question 16

1 out of 1 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 nursewould be sure to discuss with the woman the use of Selected Answer:

food containing iron or calcium.

• Question 17 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? Selected Answer:

The use of broad-spectrum antibiotics can create a risk for a superinfection.

• Question 18 1 out of 1 points

A 3-year-old boy has developed otitis media and requires antibiotics. In order toincrease the chance that the boy will take his prescribed medication, the nurse should Selected Answer:

offer a choice between liquid and chewable medications, if possible.

• Question 19 1 out of 1 points

Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selected Answer:

Nephrotoxicity and hepatotoxicity

• Question 20 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 Selected Answer:

that serum levels of the drug are being monitored.

• Question 21 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

QUESTIONS AND ANSWERS 2023

patient to do which of the following? Selected Answer:

Drink a lot of water

• Question 22 1 out of 1 points

A pregnant patient who has diabetes has been admitted to the hospital to beginlabor. Since the patient has diabetes, the physician has decided to use oxytocin(Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most commonadverse effects of the drug include Selected Answer:

uterine tachysystole.

• Question 23 1 out of 1 points

A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following?

Selected Answer:

Respiratory difficulty

• Question 24 1 out of 1 points

A patient has been admitted to the critical care unit with a diagnosis of peritonitisthat has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that maycause Selected Answer:

ototoxicity or nephrotoxicity.

• Question 25 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 fortadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? Selected Answer:

The patient has unstable angina and uses a nitroglycerin patch

• Question 26

A 29-year-old woman who is morbidly obese has recently begun a

0 out of 1 points

comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be

QUESTIONS AND ANSWERS 2023

1 out of 1 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? Selected Answer:

The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients.

• Question 33 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?

Selected Answer:

Non-Hodgkin's lymphoma

• Question 34 1 out of 1 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 followingactions? Selected Answer:

Prime the IV tubing with an approved IV solution rather thanwith the drug itself.

• Question 35 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 Selected Answer:

a baseline complete blood count.

• Question 36 1 out of 1 points

A 45-year-old woman with acute leukemia is going to begin chemotherapy withvincristine. The nurse is aware that vincristine must always be administered Selected Answer:

through a central line.

• Question 37 1 out of 1 points

A patient is taking rifampin (Rifadin) for active TB. When discussing this drugwith the patient, the nurse should stress that

QUESTIONS AND ANSWERS 2023

Selected Answer:

body fluids such as urine, saliva, tears, and sputum may become discolored.

• Question 38 1 out of 1 points

A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that iscrusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? Selected Answer:

The use of ciprofloxacin is contraindicated in pregnancy.

• Question 39 1 out of 1 points

A male patient is taking finasteride for BPH. Which of the following will the nurseevaluate at each clinic visit? Selected Answer:

Urinary elimination patterns

• Question 40 1 out of 1 points

A 62-year-old patient taking tamoxifen exhibits increased bone and tumor painalong with a local disease flare. The nurse interprets this as an indication of which of the following? Selected Answer:

The tumor responding to treatment

• Question 41 1 out of 1 points

A nurse practitioner orders a single dose of 2 g Metronidazole orally. How manymilligrams will the patient receive in one dose? Selected Answer:

mg

• Question 42 1 out of 1 points

A 56-year-old woman will soon begin treatment of her overactive bladder withtolterodine (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 thisdrug, but this does not mean it has to be discontinued."

• Question 43 1 out of 1 points

QUESTIONS AND ANSWERS 2023

Selected Answer:

perform light-weight exercises and go for walks.

• Question 48 1 out of 1 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? Selected Answer:

Low bone density and a family history ofosteoporosis

• Question 49 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? Selected Answer:

Salicyla t es

• Question 50 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? Selected Answer:

Fetal heart rate (FHR)

• Question 51 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? Selected Answer:

Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.

• Question 52 1 out of 1 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 Selected Answer:

cardiac arrhythmias.

• Question 53

0 out of 1 points

When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.)

QUESTIONS AND ANSWERS 2023

Selected Answers:

The patient will not develop an infection.

The patient will not experience bone pain. The patient will be able to self-administer filgrastim at home. The patient will not develop febrile neutropenia.The patient will not retain fluid.

• Question 54

1 out of 1 points

A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa.The nurse will instruct the patient to Selected Answer:

schedule an appointment to measure hemoglobin twice a weekfor at least 2 to 6 weeks.

• Question 55 1 out of 1 points

A 12-year-old boy is being discharged from the hospital after major surgery. Theboy 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 Answer:

both the boy and his mother regarding all medication issued.

• Question 56 1 out of 1 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? Selected Answer:

Increased drug distribution resulting from hemodynamic changes

• Question 57 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? Selected Answer:

The peak and trough blood levels

• Question 58 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? Selected Answer:

Instruct the patient to lie on her left side during the infusion.

QUESTIONS AND ANSWERS 2023

Selected Answer:

Consult the prescriber for discontinuation of the drug

• Question 65 1 out of 1 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 Selected Answer:

whether the pregnant woman uses illegal substances.

• Question 66 1 out of 1 points

A patient will soon begin targeted therapy as a component of her treatment planfor 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? Selected Answer:

"Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells."

• Question 67 1 out of 1 points

A 20-year-old female patient is receiving topical clindamycin for acne vulgaris.She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient? Selected Answer:

Risk for Injury related to allergic reactions

• Question 68 0 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 awarethat Selected Answer:

trichomoniasis discharge is typically thin and clear.

• Question 69

1 out of 1 points

A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year- old child. The nurse should Selected Answer:

offer the child a flavored ice chip or ice pop prior to administering the drug.

• Question 70 1 out of 1 points

QUESTIONS AND ANSWERS 2023

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 thenurse provide? Selected Answer:

"Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes."

• Question 71 1 out of 1 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 thefollowing before administering the drug? Selected Answer:

That the infant's skin has greater permeability than that of anadult

• Question 72 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? Selected Answer:

A 48-year-old Caucasian man who has adult- onset diabetes

• Question 73 1 out of 1 points

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

Selected Answer:

alcohol.

• Question 74 1 out of 1 points

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 shehas been removing the PIC dressing daily and washing the site with warm waterand a cloth. What nursing diagnosis is most appropriate in this situation? Selected Answer:

Ineffective Family Therapeutic Regimen Management

• Question 75 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?

QUESTIONS AND ANSWERS 2023

dysfunction (ED)? SelectedAnswer:

Exogenous testosterone

• Question 82 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 Selected Answer:

marijuan a.

• Question 83 1 out of 1 points

Which of the following patients will be at the greatest risk for anemia and wouldbe the most likely candidate for epoetin alfa therapy? Selected Answer:

A 62-year-old male with cancer

• Question 84 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 mostsafely recommend? Selected Answer:

Acetaminophen

• Question 85 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 Selected Answer:

tyleno l.

• Question 86 1 out of 1 points

An immunocompromised cancer patient has developed cryptococcal meningitisand 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 87 0 out of 1 points

QUESTIONS AND ANSWERS 2023

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:

a high- pitched cry.

• Question 88 1 out of 1 points

A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by Selected Answer:

inhibiting tumor growth by enhancing inflammation.

• Question 89 1 out of 1 points

A 7-year-old child has been taking tetracycline for a bacterial infection. The nursewill be sure to inform the parents that this drug could cause Selected Answer:

staining of permanent teeth.

• Question 90 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 hasbeen effective? Selected Answer:

The patient's hemoglobin level is 11 g/dL

• Question 91 1 out of 1 points

The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drugerrors. What measure addresses the most common cause of incorrect doses inthe care of infants and children? Selected Answer:

Having nurses check their math calculations with a colleague before administering a drug.

• Question 92 1 out of 1 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? Selected Answer:

"Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."

• Question 93

QUESTIONS AND ANSWERS 2023

Selected Answer:

The use of dexrazoxane in conjunction with doxorubicin

• Question 99 1 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? Selected Answer:

Systolic blood pressure readings in excess of 190 mmHg

• Question 100 1 out of 1 points

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 101 0 out of 0 points

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

Selected Ye Answer: s Tuesday, May 5, 2020 11:54:15 PM EDT