2024/2025 Advanced Pharm Final Exam Questions with Correct Answers Updates , Exams of Nursing

Download 2024/2025 Advanced Pharm Final Exam Questions with Correct Answers Updates and more Exams Nursing in PDF only on Docsity! 2024/2025 Advanced Pharm Final Exam Questions with Correct Answers Updates Question 1 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? Selected Answer: Prime the IV tubing with an approved IV solution rather than with the drug itself. Question 2 Which adverse reaction is common in the patient taking buspirone? Selected Answer: headache Question 3 A Nurse Practitioner is going to administer medication to an infant using a medicine dropper. The best method is to open the child's mouth by gently squeezing the cheeks and placing the drops Selected Answer: in the buccal pouch. Question 4 A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug Selected Answer: first thing in the morning. Question 5 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 6 A Nurse Practitioner is discussing with a 58-year-old male patient the causes of erectile dysfunction in men over 50 years of age. Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction of men in this age group? Selected Answer: Atherosclerosis of the penile artery Question 7 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: corticosteroids Question 8 A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? Selected Answer: Drink a lot of water Question 9 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: Infiltration, edema, or phlebitis at the infusion site Question 10 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: Hepatic function place the patch on the back, abdomen, upper arms, or thighs. Question 21 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 22 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 23 Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following? Selected Answer: blood pressure Question 24 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 25 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 26 Which of the following medications will not increase the likelihood of photosensitivity? Selected Answer: Doxycycline Question 27 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 Selected Answer: with a glass of water 1 hour before or 2 hours after a meal. Question 28 Ms. TW is a 47 year old female with known rheumatoid arthritis (RA). She was s placed on prednisone 5 mg PO qd. In teaching the patient about her medication, it would be important for the nurse practitioner to include what information? Selected Answer: It is important to take the medication as prescribed, even after the redness and swelling decrease Question 29 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 30 A patient with bipolar disorder is on divalproex sodium (Depakote) for mania. What test(s) would the family nurse practitioner monitor? Selected Answer: Liver function test and CBC. Question 31 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: Selected Answer: Take special precautions around women of childbearing age Question 32 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? Selected Answer: The tumor responding to treatment Question 33 A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic? Selected Answer: Vancomycin Question 34 Off label prescribing is: Selected Answer: Legal if there is scientific evidence for the use Question 35 Selected Answer: Bupropion Question 45 An NP is seeing a child who weights 25 pounds, 2 oz and needs a medication. The NP learns that the recommended dosing for this drug is 30-35 mg per kg per day in three divided doses. The NP should order Selected Answer: 110 mg tid Question 46 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? Selected Answer: By inactivating clotting factors and thus stopping the coagulation cascade Question 47 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 a day 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: combination ipratropium/albuterol inhaler twice a day Question 48 Which of the following medication classes should be avoided and men with BPH Selected Answer: Nasal decongestants Question 49 What is the best initial treatment plan for a sleep disorder in the older adult patient? Selected Answer: Decrease noise and light in the environment Question 50 A 45-year-old woman with acute leukemia is going to begin chemotherapy with vincristine. The nurse is aware that vincristine must always be administered Selected Answer: through a central line. Question 51 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 Selected Answer: antacids not less than 1 hour before or 2 hours after taking INH. Question 52 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 53 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 54 The maximum amount of acetaminophen that can be taken per day is Selected Answer: 4 grams Question 55 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 most safely recommend? Selected Answer: Acetaminophen Question 56 A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Selected Answer: Hypertensive crisis Question 57 A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause Selected Answer: staining of permanent teeth. Question 58 A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is Selected Answer: an allergic response. Question 59 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 Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby. Question 70 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? Selected Answer: Leukopenia Question 71 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 72 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 73 Gold compounds are contraindicated in patients with all of the following conditions except: Selected Answer: Rheumatoid arthritis Question 74 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 Answer: Drink plenty of water every day Question 75 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 Selected Answer: take the vitamins at least 2 hours before or after taking ciprofloxacin. Question 76 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? Selected Answer: Phenytoin (Dilantin) Question 77 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 Selected Answer: with high-fat meals. Question 78 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 drug therapy is proving to be ineffective. Question 79 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 80 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? Selected Answer: Discard the unused portion of the drug. Question 81 Phenytoin decreases folic acid absorption by Selected Answer: Inhibiting intestinal enzymes require for folic acid absorption Question 82 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: Cleanse the wound of debris prior to applying the silver sulfadiazine Question 92 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 Selected Answer: food containing iron or calcium. Question 93 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: "Do you feel like you're having any pain in your bones?" Question 94 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 correct? Selected Answer: Zolpidem should be taken just before going to bed Question 95 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.) 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. Question 96 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 97 What schedule class of drug is Hydrocodone? Selected Answer: II Question 98 All insects have an FDA black box warning regarding Selected Answer: Potential for causing life-threatening G.I. bleed Question 99 A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize? Selected Answer: Risk for Infection related to suppressed bone marrow function Question 100 A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend Selected Answer: tylenol.