NURS 6521N ADVANCED PHARMACOLOGY (Newly Updated Exam Elaborations Questions with Answers), Exams of Nursing

Download NURS 6521N ADVANCED PHARMACOLOGY (Newly Updated Exam Elaborations Questions with Answers) and more Exams Nursing in PDF only on Docsity! NURS 6521N ADVANCED PHARMACOLOGY (Newly Updated Exam Elaborations Questions with Answers) • Question 1 A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse willbe sure to inform the parents that this drug could cause Selected Answer: • Question 2 staining of permanent teeth. 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: • Question 3 through a central line. A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a39- 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? Selected Answer: • Question 4 Discard the unused portion ofthe drug. 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? Selected Answer: • Question 5 "Do you feel like you're having any pain in your bones?" A child is admitted to the burn unit with second and third degree burns on both armsand part of his or her face. When administering topical medications to the burned areas, the nurse should Selected use sterile technique when applying the medication. Answer: • Question 6 Which of the following is a true statement about aspirin and its action on platelets Selected Answer: • Question 7 It is used for prophylaxis against strokes and acute myocardial infarction Which of the following medications will not increase the likelihood of photosensitivity? Selected Answer: • Question 8 Amoxicilli n Combination OCs prevent pregnancy primarily by: Selected Answer: • Question 9 Suppressing ovulation. Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when taperingoff antidepressants Selected Answer: Reduce dose by 50% for 3 to4 days • Question 10 An immunocompromised patient with a diagnosis of candidiasis has failed to respondto 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 influenceon Selected Answer: the permeability of fungal cell walls. • Question 11 A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and acumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures wouldhelp limit the severity of the cardiomyopathy in this patient? Selected Answer: The use of dexrazoxane in conjunction with doxorubicin • Question 12 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? Answer: • Question 26 An immunocompromised patient in a critical care setting has developed a respiratoryinfection 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 27 A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection.The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that Selected Answer: the increase in the neutrophil count is only transient. • Question 28 Which Of the following pharmacologic agents can be used to treat nicotine dependence/smoking cessation? Selected Answer: Sertrali ne • Question 29 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Selected Answer: Dental hygiene practices • Question 30 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will adviseher to take which of the following vitamin supplements while taking the drug? Selected Answer: Vitamin B • Question 31 A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behaviorthat may put the baby at risk. The most important assessment the nurse can make is Selected Answer: whether the pregnant woman uses illegalsubstances. • Question 32 During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds thepatient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following? Selected Consult the prescriber for discontinuation of the Answer: drug • Question 33 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount ofmedication patient will take per day? Selected Answer: 1500 mg • Question 34 Which antibiotic requires administration of a loading dose? Selected Answer: Erythromycin • Question 35 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 headacheafter you take Viagra." • Question 36 A contraindication to the use of combined contraceptives is: Selected Answer: A history of a clotting disorder • Question 37 Gold compounds are contraindicated in patients with all of the following conditions except: Selected Answer: Rheumatoid arthritis • Question 38 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? Selected Answer: Cardiovascular complications • Question 39 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 nurseinclude in instructions to the patient? Selected Answer: Take the drug for one full week before coming in contact with allergens • Question 40 A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole forcandida vaginitis. A teaching priority will be to Selected Answer: use an alternative form of birth control, if taking an oralcontraceptive. • Question 41 Donald is a nurse practitioner student. He recognizes Which option below could be asecondary use for an anxiolytic medication? Selected Answer: ethanol withdrawal • Question 42 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 thechild to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? Selected Answer: Where the medications will be stored • Question 43 Off label prescribing is: Selected Answer: Regulated by the FDA • Question 44 All insects have an FDA black box warning regarding Selected Answer: Potential for causing life-threatening G.I. bleed • Question 45 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? Selected Answer: corticosteroi ds • Question 46 A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication Selected Answer: once a day. • Question 47 A 13-year-old female took a weight loss drug that activated the sympathetic nervoussystem. Which of the following assessment findings would the nurse expect? Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that anadverse reaction to aminoglycosides is? Selected Answer: Ototoxici ty • Question 62 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 Selected Answer: PMS. • Question 63 The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. Which statement by the patient indicates a need for further teaching? Selected Answer: "I will take this medication with food " • Question 64 A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain alongwith a local disease flare. The nurse interprets this as an indication of which of the following? Selected Answer: The tumor responding to treatment • Question 65 Jessica, the NP is seeing an asthmatic child in the clinic today to evaluate the child's response to their prescribed therapy. The child uses an ICS (Inhaled Corticosteroid) twice aday and an albuterol mdi as needed. The child's symptoms are well controlled, However the Nurse Practitioner notes some slowing of the child's linear growth on a standardized growth chart. The NP should change this medication regimen to: Selected Answer: short-acting Beta agonist (SABA) with oral corticosteroids when symptomatic • Question 66 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 ofthe following drugs? Selected Answer: Salicylat es • Question 67 Black cohosh is an herb that is commonly used for Selected Answer: Menopausal symptoms • Question 68 A 66-year-old woman has experienced a significant decline in her quality oflife as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this newaspect of the patient's drug regimen. This will involve the administrationof Selected Answer: weekly subcutaneous injections. • Question 69 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 willinclude which of the following as a risk associated with finasteride therapy? Selected Answer: Excess fluid volume related to potential effects of drug therapy • Question 70 Autonomic Drugs are often using topical form for what purpose? Selected Answer: To shrink mucous membranes • Question 71 How is hydrocodone eliminated from the body? Selected Answer: Kidne y • Question 72 Which of the following drugs is most likely to cause sexual dysfunction and males? Selected Answer: Selective serotonin reuptake inhibitors • Question 73 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? Selected Answer: The patient has chronic heart failure resulting in significant peripheraledema. • Question 74 A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection inher right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Selected Answer: Lid margin crusting and pruritus • Question 75 What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy? Selected Answer: Alpha blockers • Question 76 The NP student knows that which statement below accurately describes the activity ofnaloxone? Selected Answer: It may induce immediate withdrawal symptoms and chronicopiate users • Question 77 Which of the following patients will be at the greatest risk for anemia and would be themost likely candidate for epoetin alfa therapy? Selected Answer: A 62-year-old male with cancer • Question 78 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 Selected Answer: weight. • Question 79 A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannotcontinue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depictingdrug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because Selected Answer: drugs compete with the hormones of pregnancy for albumin-binding sites. • Question 80 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 Selected Answer: avoid the small veins in the dorsum of the hand orthe wrist. • Question 81 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 ata significantly higher risk of Selected Answer: acute urethral obstruction. • Question 82 A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin