ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM - WEEK 11 Exam Elaborations Questions & Answe, Exams of Nursing

Download ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM - WEEK 11 Exam Elaborations Questions & Answe and more Exams Nursing in PDF only on Docsity! ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM - WEEK 11 Exam Elaborations Questions & Answers • Question 1 1 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.) 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 2 0 out of 1 points A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile dysfunction (ED)? Selected Answer: Sildenafil (Viagra) • Question 3 0 out of 1 points Joe . 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 their options. A nurse at the clinic should recognize that the woman may benefit from Selected Answer: conjugated estrogen. • Question 4 0 out of 1 points A Nurse Practitioner is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Selected Answer: Reduce the drug dosage • Question 5 0 out of 1 points A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Selected Answer: Urinary elimination patterns • Question 6 0 out of 1 points 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? Selected Answer: Protamine sulfate • Question 7 Joe . 1 out of 1 points 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: Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby. • Question 16 1 out of 1 points 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: "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke" • Question 17 1 out of 1 points 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 18 1 out of 1 points The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first Selected Answer: assess the area and make sure that there are no open lesions or abrasions. • Question 19 Joe . 1 out of 1 points A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose? Selected Answer: 2000 mg • Question 20 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 21 0 out of 1 points Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Selected Answer: Low blood pressure • Question 22 1 out of 1 points An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? Selected Answer: Cells that have a rapid mitotic rate • Question 23 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 patient to do which of the following? Joe . Selected Answer: Drink a lot of water • Question 24 1 out of 1 points 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: ADHD • Question 25 1 out of 1 points 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 26 1 out of 1 points 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 • Question 27 Joe . A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect? Selected Answer: Increased cardiac conduction • Question 36 1 out of 1 points 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 drug? Selected Answer: "Lately, I have to get up three or four times a night to go to the bathroom." • Question 37 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 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 38 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 39 1 out of 1 points Joe . 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: A 19-year-old male receiving radiotherapy • Question 40 1 out of 1 points 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 avoid reinfection following treatment? Selected Answer: The importance of vigilant hygiene for the boy and the other members of the family • Question 41 1 out of 1 points 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 Selected Answer: weekly subcutaneous injections. • Question 42 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? Joe . Selected Answer: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 43 1 out of 1 points 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? Selected Answer: Twice-daily doses of long-acting morphine, with short- acting morphine available for breakthrough pain • Question 44 1 out of 1 points 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 or the wrist. • Question 45 0 out of 1 points A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also Selected Answer: stop using artificial sweeteners while taking alendronate. Joe . • Question 53 1 out of 1 points 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: Prostatic neoplasia • Question 54 1 out of 1 points 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 55 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 56 1 out of 1 points 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 Joe . monitor? Selected Answer: Infiltration, edema, or phlebitis at the infusion site • Question 57 1 out of 1 points 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 58 1 out of 1 points A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Selected Answer: place the patch on the back, abdomen, upper arms, or thighs. • Question 59 1 out of 1 points 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 60 1 out of 1 points A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to Joe . Selected Answer: both the boy and his mother regarding all medication issued. • Question 61 1 out of 1 points 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: Neurotoxicity • Question 62 1 out of 1 points 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 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: marijuana. • Question 64 1 out of 1 points Joe . make is Selected Answer: whether the pregnant woman uses illegal substances. • Question 72 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 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 73 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 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? Selected Answer: The use of ciprofloxacin is contraindicated in pregnancy. • Question 74 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 75 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 the following Joe . before administering the drug? Selected Answer: That the infant's skin has greater permeability than that of an adult • Question 76 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 77 1 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 aware that Selected Answer: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. • Question 78 1 out of 1 points Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Selected Answer: Headaches and chest pain • Question 79 1 out of 1 points 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? Joe . Selected Answer: Vancomycin • Question 80 1 out of 1 points A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her 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 81 1 out of 1 points 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 82 1 out of 1 points During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following? Selected Answer: Consult the prescriber for discontinuation of the drug • Question 83 1 out of 1 points 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? Joe . 1 out of 1 points Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? Selected Answer: Cleanse the wound of debris prior to applying the silver sulfadiazine • Question 92 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 of osteoporosis • Question 93 1 out of 1 points A Nurse Practitioner who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to Selected Answer: immature liver and kidney function in infants and children. • Question 94 1 out of 1 points 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 Joe . 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 95 0 out of 1 points A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Selected Answer: Serum albumin level • Question 96 1 out of 1 points A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to Selected Answer: perform relaxation techniques after the treatments. • Question 97 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. Joe . • Question 98 0 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Selected Answer: first thing in the morning. • Question 99 0 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: Other patient medications • Question 100 1 out of 1 points 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 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 Answer: [None Given] Joe .