NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED, Exams of Nursing

Download NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED and more Exams Nursing in PDF only on Docsity! NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ • Question 1 A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5- year-old child. The nurse will calculate the drug dosage by using Selecte d Answer: body surface area. • Question 2 Black cohosh is an herb that is commonly used for Selecte d Answer: Menopaus al symptoms • Question 3 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? Selecte d Answer: Consult the prescriber for discontinuation of the drug • Question 4 The recommended treatment for trichomoniasis is Selecte d Answer: Flagy l. • Question 5 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 6 A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ the following assessment findings would the nurse expect? Selecte d Answer: Increased cardiac conduction • Question 7 What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy? Selecte d Answer: Alpha blocker s • Question 8 All of the following systemic drugs interfere with metabolism of oral contraceptives except Selecte d Answer: Corticoster oi ds • Question 9 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? Selecte d Answer: Acetaminoph en • Question 10 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: with high-fat meals. • Question 11 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 Selecte d Answer: microceph a ly. NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ • Question 1 A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5- year-old child. The nurse will calculate the drug dosage by using Selecte d Answer: body surface area. • Question 2 Black cohosh is an herb that is commonly used for Selecte d Answer: Menopaus al symptoms • Question 3 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? Selecte d Answer: Consult the prescriber for discontinuation of the drug • Question 4 The recommended treatment for trichomoniasis is Selecte d Answer: Flagy l. • Question 5 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 6 A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ the following assessment findings would the nurse expect? Selecte d Answer: Increased cardiac conduction • Question 7 What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy? Selecte d Answer: Alpha blocker s • Question 8 All of the following systemic drugs interfere with metabolism of oral contraceptives except Selecte d Answer: Corticoster oi ds • Question 9 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? Selecte d Answer: Acetaminoph en • Question 10 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: with high-fat meals. • Question 11 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 Selecte d Answer: microceph a ly. NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ A 29-year-old pregnant patient is extremely upset about having to take medication for a pre- existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Selecte d Answer: Anxiety related to perceived danger of drug therapy to fetus or infant A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selecte d Answer: complete the entire course of drug therapy. NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ • Question 21 NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ • Question 22 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 23 A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to Selecte d Answer: use an alternative form of birth control, if taking an oral contraceptive. • Question 24 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: put gloves on to protect herself. • Question 25 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 Selecte d Answer: marijua n a. • Question 26 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? Selecte d Answer: "Lately, I have to get up three or four times a night to go to the bathroom." • Question 27 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 Selecte d Answer: NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ t h rough a central line. • Question 28 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? Selecte d Answer: "I will take this medication with food " • Question 29 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? Selecte d Answer: Risk for Infection related to suppressed bone marrow function NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? Selecte d Answer: Non-Hodgkin's lymphoma • Question 38 The maximum amount of acetaminophen that can be taken per day is Selecte d Answer: 4 grams • Question 39 A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Selecte d Answer: Creatinin e clearanc e • Question 40 The NP student knows that which statement below accurately describes the activity of naloxone? Selecte d Answer: It may induce immediate withdrawal symptoms and chronic opiate users • Question 41 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? Selecte d Answer: The use of ciprofloxacin is contraindicated in pregnancy. • Question 42 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: NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ S a licylat es • Question 43 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 44 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? NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ Selecte d Answer: The use of dexrazoxane in conjunction with doxorubicin • Question 45 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 Selecte d Answer: inhibiting tumor growth by enhancing inflammation. • Question 46 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? Selecte d Answer: Cells that have a rapid mitotic rate • Question 47 A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide? Selecte d Answer: "Every year, thousands of Americans end up in emergency departments with marijuana overdoses." • Question 48 A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? Selecte d Answer : "Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells." • Question 49 Which Of the following pharmacologic agents can be used to treat nicotine dependence/ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ Selecte d Answer: Vitamin A • Question 58 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? Selecte d Answer: Estrogen replaceme nt • Question 59 A contraindication to the use of combined contraceptives is: NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ Selecte d Answer: A history of a clotting disorder • Question 60 A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Selecte d Answer: Instruct the patient to lie on her left side during the infusion. • Question 61 Which of the following medication classes should be avoided and men with BPH Selecte d Answer: Beta blocker s • Question 62 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 Selecte d Answer: 110 mg tid • Question 63 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: Leukope n ia • Question 64 Phenytoin decreases folic acid absorption by Selecte d Answer: Inhibiting intestinal enzymes require for folic acid absorption • Question 65 The NP recognizes that these medications are useful when taken during early symptoms of a NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ migraine. (Select all that apply) Selecte d Answers : Acetaminoph en • Question 66 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? Selecte d Answer: The patient has chronic heart failure resulting in significant peripheral edema. • Question 67 The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ • Question 75 NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ Answer: 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 76 A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at a significantly higher risk of Selecte d Answer: hypercholesterole mia. • Question 77 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selecte d Answer: 1500 mg • Question 78 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? Selecte d Answer: Respiratory difficulty • Question 79 Lily, the nurse practitioner is seeing Mr. Reynolds today. She would recognize that which of the following is a potential adverse side effects of autonomic-anticholinergic agents? Selecte d Answer: Reduced GM motility • Question 80 NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ 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? Selecte d Answer: The importance of vigilant hygiene for the boy and the other members of the family • Question 81 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 NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ • Question 82 A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in Selecte d Answer: iron-rich foods such as beans and leafy green vegetables. • Question 83 A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the NP should : Selecte d Answer: perform a pregnancy test • Question 84 An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? Selecte d Answer: Infuse the drug over 2 to 4 hours into a central line using an infusion pump • Question 85 Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selecte d Answer: Nephrotoxicity and hepatotoxicity • Question 86 Which of the following medications will not increase the likelihood of photosensitivity? Selecte d Answer: Fluoroquinol on es • Question 87 All insects have an FDA black box warning regarding Selecte d Answer: NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Selecte d Answer: Headaches and chest pain • Question 96 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 Selecte d Answer: perform light-weight exercises and go for walks. • Question 97 Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy? Selected A 62-year-old male with NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ • Question 98 NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+ Answer: cancer A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to Selecte d Answer: maximize the child's fluid intake. • 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 • Question 100 CombinationOCspreventpregnancyprimarilyby: Selecte d Answer: Suppressing ovulation. • Question 101 When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s NURS 6521N-39 FINAL EXAM WEEK 11 Q & AS BEST EXAM SOLUTION GUARANTEED SUCCESS 2023 RATED A+