NURS 6521NN6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden Uni, Exams of Nursing

Download NURS 6521NN6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden Uni and more Exams Nursing in PDF only on Docsity! NURS 6521NN6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University • Question 1 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 Selecte d Answer : • Question 2 staining of permanent teeth. 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 : • Question 3 through a central line. 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 : • Question 4 Discard the unused portion of the drug. • Which Of the following pharmacologic agents can be used to treat nicotine dependence/ smoking cessation? NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Answer: • Question 6 Which of the following is a true statement about aspirin and its action on platelets Selecte d Answer : • Question 7 It is used for prophylaxis against strokes and acute myocardial infarction Which of the following medications will not increase the likelihood of photosensitivity? Selecte d Answer : • Question 8 Amoxi ci lli n • 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? • Select e d Answe r: • Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 9 Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Selecte d Answer : • Question 10 Reduce dose by 50% for 3 to 4 days 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 Selecte d Answer : • Question 11 the permeability of fungal cell walls. 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 : • Question 12 The use of dexrazoxane in conjunction with doxorubicin 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 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? Selecte d Answer : The potential benefits of epoetin alfa must be weighed NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University carefully against the potential adverse effects in cancer patients. • Question 16 A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor Selecte d Answer : • Question 17 plasma concentrations regularly. A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? Selecte d Answer : • Question 18 Liver functio n tests 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 : • Question 19 G6PD deficienc y anemia Which of the following agents would not be expected to cause nausea, vomiting, Flushing, NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Selecte d Answer : Suppressing ovulation. • Question 23 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 : • Question 24 Fetal heart rate (FHR) 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 : • Question 25 Anxiety related to perceived danger of drug therapy to fetus or infant 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 magnesium sulfate toxicity. NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Answer: • Question 26 An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with Selecte d Answer : • Question 27 vancomycin. 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 : • Question 28 the increase in the neutrophil count is only transient. • 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? • Select e d Answe r: NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Answer: drug • Question 33 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selecte d Answer : • Question 34 1500 mg Which antibiotic requires administration of a loading dose? Selecte d Answer : • Question 35 Erythrom y c in 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? Selecte d Answer : "You might find that your face becomes flushed or you get a headache after you take Viagra." • Question 36 A contraindication to the use of combined contraceptives is: Selecte d Answer: • Question 37 A h istory of a clotting disorder Gold compounds are contraindicated in patients with all of the following conditions except: NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Selecte d Answer: Question 41 A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? Selecte d Answer : • Question 43 Where the medications will be stored Off label prescribing is: Selecte d Answer : • Question 44 Regulated by the FDA NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University All insects have an FDA black box warning regarding Selecte d Answer : • Question 45 Potential for causing life-threatening G.I. bleed 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 : • Question 46 corticost e roi ds 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 : • Question 47 once a day. 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? NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug Selecte d Answer : • Question 52 Schedule 2 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 : • Question 53 Respirat or y difficulty A pregnant patient asks the Nurse Practitioner what over-the- counter medication she can take for recurring headaches. The nurse should recommend Selecte d Answer : • Question 54 tyle n o l. 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 NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Selecte d Answer : • Question 55 microcep h a ly. 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 : • Question 56 perform light-weight exercises and go for walks. 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 : • Question 57 A 48-year-old Caucasian man who has adult- onset diabetes A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted 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? th ey could feel a bit of nausea, but this will resolve in about a week or so NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is? Selecte d Answer : • Question 62 Ototo xi ci ty 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 Selecte d Answer : • Question 63 PMS. 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 : • Question 64 "I will take this medication with food " 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? Selecte d Answer : • Question 65 The tumor responding to treatment NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University 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 Selecte d Answer : • Question 69 weekly subcutaneo us injections. 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? Selecte d Answer : • Question 70 Excess fluid volume related to potential effects of drug therapy Autonomic Drugs are often using topical form for what purpose? Selecte d Answer : • Question 71 T o s hrink mucous membran es How is hydrocodone eliminated from the body? NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Selecte d Answer : • Question 72 Kid n e y Which of the following drugs is most likely to cause sexual dysfunction and males? Selecte d Answer : • Question 73 Selective serotonin reuptake inhibitors 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 : • Question 74 The patient has chronic heart failure resulting in significant peripheral edema. 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: • Question 79 weig h t. A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because Selecte d Answer : • Question 80 drugs compete with the hormones of pregnancy for albumin- binding sites. 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 Selecte d Answer : • Question 81 avoid the small veins in the dorsum of the hand or the wrist. 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 : • Question 82 acute urethral obstruction. A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University c o • Question 87 uma d in 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 : • Question 88 Ineffective Family Therapeutic Regimen Management Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selecte d Answer : • Question 89 Nephrotoxici ty and hepatotoxicit y What is the minimum inhibitory concentration (MIC) NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University Selecte d Answer : • Question 90 The lowest concentration of a chemical drug need it to inhibit the growth of bacteria 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 : • Question 91 Estrogen replacem e nt 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? Selecte d Answer : • Question 92 A 19-year-old male receiving radiotherapy • Question 96 110 mg tid NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University The clinical nurse educator who oversees the emergency department in a 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 97 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 : • Question 98 place the patch on the back, abdomen, upper arms, or thighs. 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 Selecte d Answer : • Question 99 both the boy and his mother regarding all medication issued. A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child's annual well-child checkup, the NP should carefully review what? Selecte d Answer : weight NURS 6521N N6521 Final Exam (answers)100 % CORRECT LATEST UPDATE RATED/GRADED A+ Walden University