NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Review Test Submission, Exams of Health sciences

Download NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Review Test Submission and more Exams Health sciences in PDF only on Docsity! NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Review Test Submission: Exam - Week 11Cours NURS-6521N-35-Advanced Pharmacology TestExam - Week 11 Status Completed Attempt Score 93 out of 100 points Instructions Please answer each question below and click Submit when you have completed the Exam. Results Displaye d Submitted Answers • Question 1 Women who are prescribed progestin-only contraception need education regarding which common adverse drug effect? Selecte d Answer : Irregular vaginal bleeding for the first few months • Question 2 The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is? Selecte d Answer : No Laboratory monitoring required • Question 3 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 medications? Selecte d Answer : Hepar i n • Question 4 The NP student knows that which statement below accurately describes the activity of naloxone? Selecte d Answer : NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 It ma y induce immediate withdrawal symptoms and chronic opiate users • Question 5 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? NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Selecte d Answer : complete the entire course of drug therapy. • Question 12 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 Selecte d Answer : clomiph e ne. • Question 13 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? Selecte d Answer : Fetal heart rate (FHR) • Question 14 A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should Selecte d Answer : offer a choice between liquid and chewable medications, if possible. • Question 15 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? Selecte d Answer : Systolic blood pressure readings in excess of 190 mmHg • Question 16 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 Selecte d Answer : NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 with high-fat meals. • Question 17 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 The use of ciprofloxacin is contraindicated in • Question 18 NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Answer: pregnancy. All of the following systemic drugs interfere with metabolism of oral contraceptives except Selecte d Answer : Corticoster oi ds • Question 19 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? Selecte d Answer : Salicyla t es • Question 20 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 Selecte d Answer : place the patch on the back, abdomen, upper arms, or thighs. • Question 21 What schedule class of drug is Hydrocodone? Selecte d Answer : III • Question 22 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 she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? Selecte d Answer : Ineffective Family Therapeutic Regimen Management • Question 23 The anticoagulant drug that acts as a vitamin K antagonist is: NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 I n creased cardiac conduction • Question 30 Which antibiotic requires administration of a loading dose? Selecte d Answer : Zithro m ax NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 • Question 31 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 Selecte d Answer : with a glass of water 1 hour before or 2 hours after a meal. • Question 32 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.) Selecte d 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 33 Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg of prednisone per day for the past six months. He should be assessed for Selecte d Answer : Osteopor o sis • Question 34 Finasteride(Proscar)isprescribedfora50-year- oldmanwhoisexperiencingaproblem withurination secondarytoanenlargedprostate.Thepractitionerwou ldteachthepatienthatwhileheistakingthis medication,itisimportanto: Selecte d Answer : Take special precautions around women of childbearing age • Question 35 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? Selecte d Answer : NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Pri me the IV tubing with an approved IV solution rather than with the drug itself. • Question 36 A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient's care to include close monitoring of the drug therapy because NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 hypertension, diaphoresis, Flushing, and muscle rigidity. He may have been taken which drug? Selecte d Answer : Phenel zi ne • Question 44 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? Selecte d Answer : Increased drug distribution resulting from hemodynamic changes • Question 45 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 Selecte d Answer : that serum levels of the drug are being monitored. • Question 46 Ms. TW is a 47 year old female with known rheumatoidarthritis(RA).Shewassplacedon prednisone5mgPOqd.Inteachingthepatientaboutherme dication,itwouldbeimportantforthenurse practitionertoincludewhatinformation? Selecte d Answer : It is important to take the medication as prescribed, even after the redness and swelling decrease • Question 47 A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman's care should prioritize which of the following potential nursing diagnoses? Selecte d Answer : Risk for Injury related to loss of vision or thrombotic events • Question 48 The clinical nurse educator who oversees the emergency department in a NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? Selecte d Answer : Having nurses check their math calculations with a colleague before administering a drug. • Question 49 A child with chronic allergic symptoms uses an intranasal steroid for control of NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 symptoms. At this child's annual well-child checkup, the NP should carefully review what? Selecte d Answer : weight and height • Question 50 A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication Selecte d Answer : once a day. • Question 51 A contraindication to the use of combined contraceptives is: Selecte d Answer : A history of a clotting disorder • Question 52 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? Selecte d Answer : Leukopen ia • Question 53 A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? Selecte d Answer : The patient's hemoglobin level is 11 g/dL • Question 54 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: NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 M e nopausal symptoms • Question 61 A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? Selecte d Answer : A 48-year-old Caucasian man who has adult- onset diabetes • Question 62 NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 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? Selecte d Answer : Discard the unused portion of the drug. • Question 63 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)? Selecte d Answer : Exogenous testosterone • Question 64 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 Selecte d Answer : electrocardiogram (ECG). • Question 65 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 Selecte d Answer : antacids not less than 1 hour before or 2 hours after taking INH. • Question 66 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The APRN will monitor for which of the following? Selecte d Answer : Hepatotoxicity • Question 67 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? NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Selecte d Answer : The importance of vigilant hygiene for the boy and the other members of the family • Question 68 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 NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 nurse is aware that this drug achieves a therapeutic effect by way of its influence on Selecte d Answer : the permeability of fungal cell walls. • Question 75 The NP is considering a medication to treat Ms. Robert's Urinary Tract Infection. The NP knows that Trimethoprim sulfamethazole (Bactrim) Is contra indicated in which of the following conditions: Selecte d Answer : G6PD deficiency anemia • Question 76 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 of aspirin toxicity is: Selecte d Answer : Tinnit u s • Question 77 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? Selecte d Answer : Dental hygiene practices • Question 78 A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? Selecte d Answer : The use of dexrazoxane in conjunction with doxorubicin • Question 79 NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Mr. Samuels has been prescribed olanzapine (Zyprexa). The NP know that he should be monitored for: Selecte d Answer : Weigh t gain • Question 80 The NP is prescribing A medication for six month old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 distribution of the medication? Selecte d Answer : Elix i r • Question 81 Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to Selecte d Answer : stand or sit upright for at least 30 minutes after taking alendronate.. • Question 82 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 Selecte d Answer : assess the area and make sure that there are no open lesions or abrasions. • Question 83 The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Selecte d Answer : Azithromyc in • Question 84 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? Selecte d Answer : Lid margin crusting and pruritus • Question 85 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? Selecte d Answer : NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 Selecte d Answer : perform light-weight exercises and go for walks. • Question 93 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 NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 will the nurse include in an explanation? Selecte d 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 94 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 Selecte d Answer : the increase in the neutrophil count is only transient. • Question 95 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? Selecte d Answer : Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 96 CombinationOCspreventpregnancyprimarilyby: Selecte d Answer : Suppressing ovulation. • Question 97 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? Selecte d Answer : Serum alanine transaminase, aspartate transaminase, and bilirubin • Question 98 Autonomic Drugs are often using topical form for what purpose? Selecte d Answer : To treat respiratory conditions NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 • Question 99 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? Selecte d Answer : Cardiovascular complications