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

Download NURS-6521N-35-Advanced Pharmacology Test Exam - Week 11 and more Exams Health sciences in PDF only on Docsity! Review Test Submission: Exam - Week 11 Course NURS-6521N-35-Advanced Pharmacology Test Exam - 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 Displayed Submitted Answers  Question 1 Women who are prescribed progestin-only contraception need education regarding which common adverse drug effect? Selected 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? Selected 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? Selected Answer: Hepari n  Question 4 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 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? Selected Answer: Elevated prothrombin time  Question 6 A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered Selected Answer: phytoestroge ns.  Question 7 A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should Selected Answer: use adequate contraception.  Question 8 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 9 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: Vancomyc in  Question 10 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 11 A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Which of the following medications will not increase the likelihood of photosensitivity? Selected Answer: Amoxicilli n  Question 25 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 Selected Answer: both the boy and his mother regarding all medication issued.  Question 26 I did not make drugs have a little effect when administered: Selected Answer: Intramuscula rly  Question 27 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 28 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: Selected Answer: Clonazepam (Klono pin)  Question 29 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 30 Which antibiotic requires administration of a loading dose? Selected Answer: Zithrom ax  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 Selected 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.) 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 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 Selected Answer: Osteoporo sis  Question 34 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 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? Selected Answer: Prime 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 Selected Answer: the patient is at greater risk for high serum levels of the drug.  Question 37 A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to Selected Answer: schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks.  Question 38 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: PM S.  Question 39 The Nurse Practitioner knows that Buproprion use (wellbutrin, zyban) is contraindicated in which of the following instances? Selected Answer: Body dysmorphic disorder  Question 40 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug? Selected Answer: Vitamin B  Question 41 A 21-year-old has been placed on risperidone. Monitoring for risperidone includes Selected Answer: Bradykinesia, akathisia and agitation  Question 42 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 43 Jacob was eating cheese and drinking beer. Thirty minutes Later, he developed severe what action when administering this medication? Selected Answer: Cleanse the wound of debris prior to applying the silver sulfadiazine  Question 56 The nurse practitioner, Jill, is deciding what medication to put her patient on. She recognizes that the mechanism of action of triptans is as: Selected Answer: a Selective serotonin receptor agonist  Question 57 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? Selected Answer: Estrogen replacement  Question 58 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 59 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 peripheral edema.  Question 60 Black cohosh is an herb that is commonly used for Selected Answer: Menopausal 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? Selected Answer: A 48-year-old Caucasian man who has adult- onset diabetes  Question 62 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 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)? Selected 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 Selected 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 Selected 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? Selected 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? Selected 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 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 69 The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during Selected Answer: the first 2 months of pregnancy.  Question 70 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 71 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? Selected Answer: Impairment of renal function  Question 72 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 with Selected Answer: microcepha ly.  Question 73 A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child. The nurse should Selected Answer: offer the child a flavored ice chip or ice pop prior to administering the drug.  Question 74 An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The  Question 87 Which test should the NP order for monitoring effectiveness of the patient receiving heparin? Selected Answer: PTT  Question 88 What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy? Selected Answer: Alpha blockers  Question 89 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 90 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 91 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? Selected Answer: Liver function  Question 92 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: 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 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 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 Selected 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? Selected Answer: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.  Question 96 Combination OCs prevent pregnancy primarily by: Selected 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? Selected Answer: Serum alanine transaminase, aspartate transaminase, and bilirubin  Question 98 Autonomic Drugs are often using topical form for what purpose? Selected Answer: To treat respiratory conditions  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? Selected Answer: Cardiovascular complications  Question 100 Tetracyclines are contraindicated in children younger than eight years old because of? Selected Answer: Risk of developing cartilage problems