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Nurs6521 Final Exam Questions with Answers Tested and Verified Updates 2023/20224, Exams of Nursing

Nurs6521 Final Exam Questions with Answers Tested and Verified Updates 2023/20224

Typology: Exams

2023/2024

Available from 12/03/2023

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Download Nurs6521 Final Exam Questions with Answers Tested and Verified Updates 2023/20224 and more Exams Nursing in PDF only on Docsity!

electrocardiogram (ECG). electromyelogram (EMG). electroencephalogram (EEG). electrophysiologic study (EPS). Coumadin

Nurs6521 Final Exam Questions with Answers Tested and

Verified Updates 2023/

Question 1

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 osteoporosis or low bone density. chronic obstructive pulmonary disease (COPD). diabetes mellitus. cardiac arrhythmias.

Question 2

A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend aspiri n. advil. tyleno l. motri n. 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 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?

Alteplase Ticlopidine Protamine sulfate

Question 5

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 breast cancer. cancerous breast tenderness. pain in the heart. PMS.

Question 6

A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug at bedtime. after meals. at any time of the day with tea or coffee. first thing in the morning.

Question 7

Which test should the NP order for monitoring effectiveness of the patient receiving heparin? Arterial blood gas levels PTT Complete blood count Hemoglobin level

Question 8

Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem with urination secondary to an enlarged prostate. The practitioner would teach the patient that while he is taking this medication, it is important to: Increase his fluid intake. Restrain from sexual activity Take special precautions around women of childbearing age Begin folic acid

Question 9

A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor blood sugar levels daily. liver enzymes monthly. plasma concentrations regularly. urine output daily.

Question 10

A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for treatment of BPH. He returns to the clinic and is complaining of feeling dizzy when he stands up. Which action would the family nurse practitioner take? Order urinalysis (UA) to determine hematuria and presence of bacteria. Determine blood pressure (BP) with patient lying down, standing, and sitting. Review with patient his symptoms over the past 3 weeks. Perform digital rectal exam to determine if prostate is smaller than previously noted.

Question 11

A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the deltoid muscle. rectus femoris muscle. ventrogluteal muscle.

dorsogluteal muscle.

Question 12

A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following? Visual function Blood counts Pap test results Liver function

Question 13

A 21-year-old^ has^ been^ placed^ on^ risperidone.^ Monitoring^ for^ risperidone^ includes Bradykinesia, akathisia and agitation Excessive weight gain Hypertension Potentially fatal agranulocytosis

Question 14

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 Aspirin Hepari n Dabiga tr an Warfarin

Question 15

When a NP chooses a benzodiazepine to treat anxiety the prescriber needs to be aware of the possibility of dependence. The Benzodiazepine associated with the greatest likelihood of causing rapid dependence is: Chlordiazepoxide (Libri um) Clonazepam (Klonopin)

Alprazolam (Xanax) Oxazepam (serax)

Question 17

A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Serum cholesterol levels Bone growth Hemoglobin levels Urinary elimination patterns

Question 18

What schedule^ class^ of^ drug^ is^ Hydrocodone? I II III I V

Question 19

Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Peripheral neuropathy Nephrotoxicity and hepatotoxicity Hyperkalemia and hyponatremia Endocarditis and hypertension

Question 20

A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with

part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide? "Most people don't know that marijuana can be just as addictive as heroin or cocaine over time." "Marijuana can easily interact with other drugs and cause potentially fatal reactions." "Every year, thousands of Americans end up in emergency departments with marijuana overdoses." "Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes."

Question 21

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 take the vitamins at least 2 hours before or after taking ciprofloxacin. alternate the dosage of ciprofloxacin and vitamin supplements. reduce the dosage of vitamin supplements. reduce the dosage of vitamin supplements and double the dosage of ciprofloxacin.

Question 22

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 tapering off antidepressants Reduce dose by 50% for 3 to 4 days Reduce dose by 50% every other day Change Dose to every other day dosing for a week Lexapro can be stopped abruptly due to its long half life

Question 23

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)? Comprehensive Eye Exam CBC (Complete Blood

Count) Liver Function profile 24 hour urine

Question 24

Terazosin (Hytrin) is classified under which of the following drug class: beta blockers tricyclic blockers alpha blockers calcium channel blockers

Question 25

Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the slowing the infusion. decreasing the volume used for dilution. decreasing the total volume of the primary IV infusion. administering a dose of 2 units of bleomycin before carmustine.

Question 26

Drugs have a valid medical use but a high potential for abuse, both 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 Schedule 1 Schedule 2 Schedule 3 Schedule 4

Question 27

The NP is reviewing Mrs. Oglethorpe's medication list and recognizes that which drug listed below has been associated with increased risk for MI in women? Aspirin Beta blockers Lipid lowering agents Estrogen replacement

Question 28

Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of Cefotetan Chlorpropa mi de Metronidaz ol e Fomepizole

Question 29

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 dairy products. fatty foods. alcohol. vitamin C.

Question 30

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?

Rebound headaches Neuropathy Pancreatic failure Impairment of renal function

Question 31

A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should alcohol. trans fat. caffeine. grapefruit juice.

Question 32

A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa By inhibiting the action of vitamin K at its sites of action By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis By inactivating clotting factors and thus stopping the coagulation cascade

Question 33

A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to The importance of vigilant hygiene for the boy and the other members of the family The need for the boy to provide serial stool samples for 6 months following treatment The need to supplement the anthelminthic drug with prophylactic

antibiotics The need to use prescription skin cleansers during treatment and for 6 weeks after

Question 34

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 witha high-pitched cry. microcephaly. an electrolyte imbalance. thrombocytopenia.

Question 35

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 ciprofloxacin. clindamycin. vancomycin. an antistaphylococcic penicillin.

Question 36

A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Potassium level Creatinin e clearance Serum albumin level Prothrombin time

Question 37

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? That the infant's skin has greater permeability than that of an adult That there is less body surface area to be concerned about

That there is decreased absorption rates of topical drugs in infants

That there is a lower concentration of water in an infant's body compared with an adult

Question 38

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 Excess fluid volume related to potential effects of drug therapy Hypercalcemia related to drug therapy, immobility, and breast cancer Sexual dysfunction related to erectile dysfunction Prostatic neoplasia

Question 39

Baby Jasmine is a 5 mth old breastfed infant with a fever. Treatment for her fever may include: Acetaminophen suppository "baby" aspirin Ibuprofen suppository Alternating acetaminophen and ibuprofen

Question 40

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 weekly subcutaneous injections. daily, oral administration. weekly administration of an enteric coated tablet. daily, outpatient intravenous therapy.

Question 41

Phenytoin decreases^ folic^ acid^ absorption^ by Altaring in the pH of the stomach

Increasing gastric emptying time Inhibiting intestinal enzymes require for folic acid absorption Chelation of the folic acid into inactive ingredients

Question 42

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 Tremor s Vomitin g Tinnitus Black, tarry stools

Question 43

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 a regular basis. The nurse will instruct the patient to take antacids during the day and INH only at night. antacids before meals and INH 1 or 2 hours after meals. INH before meals and antacids 1 or 2 hours after meals. antacids not less than 1 hour before or 2 hours after taking INH.

Question 44

The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should be reviewed with the patient who is newly prescribed this class of medication? They will no longer have dreams they could feel a bit of nausea, but this will resolve in about a week or so They Will have excessive flatus

They may have insomnia but only for about a week

Question 45

The nurse practitioner, Jill, is deciding what medication to put her patient on. She recognizes that the mechanism of action of triptans is as: a Selective serotonin receptor agonist A dopamine antagonist A vasoconstrictor An inhibitor of leukotriene synthesis

Question 46

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.) 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 47

What is^ the^ best^ initial^ treatment^ plan^ for^ a^ sleep^ disorder^ in^ the^ older^ adult Medicate with amitriptyline (Elavil). Medicate with trazodone (Desyrel). Decrease noise and light in the environment Discuss the importance of naps daily.

Question 48

A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should cool the medication prior to administration.

use sterile technique when applying the medication.

allow the child to apply the medication if possible. use clean technique only when applying the medication.

Question 49

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 Increased heart rate Breathlessness Infiltration, edema, or phlebitis at the infusion site Nausea and vomiting

Question 50

A Nurse Practitioner will instruct a patient taking allopurinol to take each dose at night. first thing in the morning. after a meal. before a meal.

Question 51

A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following? Diabete s mellitus Hypertensio n Leukopenia Hypoglycem ia

Question 52

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?

Alternating doses of long-acting morphine with short-acting morphine A large long-acting dose of morphine at 8 a.m. with smaller doses at 12 p.m., 5 p.m., and 10 p.m. Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain Scheduled doses of short-acting morphine q1h around the clock

Question 53

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 methampheta m ine. cocaine. marijuana. nicotine.

Question 54

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? Chronic diarrhea Dental hygiene practices Headaches Diet

Question 55

Steady state is: The point on the drug concentration current absorption exceeds excretion With the amount of drug in the body stays below the minimum toxic concentration (MTC) When the amount of drug in the body remains constant All of the above

Question 56

I did^ not^ make^ drugs have^ a^ little^ effect^ when^ administered: Orally Intramuscul a rly Intravenousl y By inhalation

Question 57

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 Zolpidem should be taken just before going to bed Zolpidem may cause dry mouth and constipation They may need to double the dose for effectiveness They should stop drinking alcohol at least 30 minutes before taking zolpidem

Question 58

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 "My urine is extremely concentrated lately and it smells strong." "To be honest, I find that I can't get an erection for the past few months." "My urine's been cloudy for the last little while and it burns when I go to the bathroom." "Lately, I have to get up three or four times a night to go to the bathroom."

Question 59

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 is crusted 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? Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a nonpregnant patient.

The use of ciprofloxacin is contraindicated in pregnancy.

It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic. The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult patient.

Question 60

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 Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy. Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first round of chemotherapy and continue indefinitely. The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed.

Question 61

A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to wash her hair daily with a good shampoo. increase her daily intake of milk. maximize the child's fluid intake. stop using creams, ointments, and oils on the child's skin and scalp.

Question 62

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? Prodrug effect Plasma concentration-time curve effect First-Pass effect Drug-receptor interaction effect