NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+, Exams of Nursing

Download NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ and more Exams Nursing in PDF only on Docsity! DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ • Questio 1 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? Selec ted Answ er: 2000 mg • Question 2 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 Selec ted Answ er: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. • Question 3 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 Selec ted Answ er: magnesium sulfate toxicity. • Question 4 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 1 out of 1 point 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 Selec ted Answ er: with a glass of water 1 hour before or 2 hours after a meal. • Question 5 1 out of 1 points A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered Selec ted Answ er: phytoestrogens. • Question 6 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? NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ patient for which of the following? Selec ted Answ er: Leuk open ia • Question 12 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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 Selec ted Answ er: assess the area and make sure that there are no open lesions or abrasions. • Question 13 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? Selec ted Answ er: Discard the unused portion of the drug. • Question 14 1 out of 1 points 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? Selec ted Answ er: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ I n s truct the patient to lie on her left side during the infusion. • Question 15 1 out of 1 points A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? Select ed Answ er: A 48-year-old Caucasian man who has adult- onset diabetes • Question 16 1 out of 1 points A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should Selec ted Answ er: use sterile technique when applying the medication. • Question 17 1 out of 1 points 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 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ t y len o l. • Question 21 1 out of 1 points 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? Selec ted Answ er: Fetal heart rate (FHR) • Question 22 1 out of 1 points A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Select ed Answ er: Creat inine clear ance • Question 23 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? NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Selec ted Answ er: Lid margin crusting and pruritus • Question 24 1 out of 1 points 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 Selec ted Answ er: the first 2 months of pregnancy. • Question 25 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 monitor? Selec ted Answ er: Infiltration, edema, or phlebitis at the infusion site • Question 26 1 out of 1 points 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? NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Selec ted Answ er: Salic ylat es • Question 27 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? Selec ted Answ er: Prostatic neoplasia • Question 28 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? Selec ted Answ er: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 29 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 1 out of 1 points A Nurse Practitioner is providing patient education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary? NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Selec ted Answ er: "I am on the middle school track team." • Question 35 1 out of 1 points 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 Selec ted Answ er: that serum levels of the drug are being monitored. • Question 36 1 out of 1 points 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? Selec ted Answ er: The patient's hemoglobin level is 11 g/dL • Question 37 1 out of 1 points 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 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ should teach the patient to supplement this treatment with a diet that is high in Selec ted Answ er: iron-rich foods such as beans and leafy green vegetables. • Question 38 1 out of 1 points 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? Selec ted Answ er: The patient has chronic heart failure resulting in significant peripheral edema. • Question 39 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 Selec ted Answ er: avoid the small veins in the dorsum of the hand or the wrist. • Question 40 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Selec ted Answ er: antacids not less than 1 hour before or 2 hours after taking INH. • Question 46 1 out of 1 points 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? Selec ted Answ er: Acetaminophen • Question 47 1 out of 1 points 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 Selec ted Answ er: the permeability of fungal cell walls. • Question 48 1 out of 1 points A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? Selec ted Answ er: The patient will experience complete bladder emptying • Question 49 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? Selec ted Answ er: Cleanse the wound of debris prior to applying the silver sulfadiazine • Question 50 1 out of 1 points Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Select ed Answ er: Nephrotoxicity and hepatotoxicity • Question 51 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 1 out of 1 points A Nurse Practitioner is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity? Selec ted Answ er: A drug harms microbes without harming human cells. • Question 52 1 out of 1 points 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? Selec ted Answ er: The tumor responding to treatment • Question 53 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 Selec ted Answ er: place the patch on the back, abdomen, upper arms, or thighs. • Question 54 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Selec ted Answ er: immature liver and kidney function in infants and children. • Question 60 A 29-year-old woman who is morbidly obese has recently begun a 1 out of 1 points comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of Selec ted Answ er: caffeine. • Question 61 1 out of 1 points A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient? Selec ted Answ er: "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision." • Question 62 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 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by Selec ted Answ er: inhibiting tumor growth by enhancing inflammation. • Question 63 1 out of 1 points Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy? Selec ted Answ er: A 62-year-old male with cancer • Question 64 0 out of 1 points 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? Selec ted Answ er: Vitamin C • Question 65 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 0 out of 1 points 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 Selec ted Answ er: prostate cancer. • Question 66 1 out of 1 points 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 Selec ted Answ er: the patient is at greater risk for high serum levels of the drug. • Question 67 1 out of 1 points Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent Select ed Answer: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ The patient will not develop febrile neutropenia. • Question 73 0 out of 1 points 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? Selec ted Answ er: Knowledge Deficit • Question 74 0 out of 1 points 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? Selec ted Answ er: Meticulous monitoring during drug administration • Question 75 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 1 out of 1 points 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? Selec ted Answ er: Atherosclerosis of the penile artery • Question 76 1 out of 1 points A Nurse Practitioner is working with a 16-year- old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selec ted Answ er: whether the pregnant woman uses illegal substances. • Question 77 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? Selec ted Answ er: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Ta ke th e dr ug for on e ful l we ek be for e co mi ng in co nt ac t wi th all er ge ns NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Selected Increased drug distribution resulting from hemodynamic changes NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Answer: • Question 84 1 out of 1 points A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is Selec ted Answ er: an allergic response. • Question 85 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 Select ed Answ er: alcohol. • Question 86 1 out of 1 points 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? Selec ted Answer: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Pr i m e the IV tubing with an approved IV solution rather than with the drug itself. • Question 87 1 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Select ed Answ er: afte r a me al. • Question 88 1 out of 1 points 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? Selec ted Answ er: Drink plenty of water every day • Question 89 1 out of 1 points 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 NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 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 Selec ted Answ er: Schedule 2 • Question 93 0 out of 1 points 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 Select ed Answ er: wei gh t. • Question 94 1 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? Selec ted Answer: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ The peak and trough blood levels • Question 95 1 out of 1 points A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining Selec ted Answ er: a baseline complete blood count. • Question 96 1 out of 1 points 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? Selec ted Answ er: Where the medications will be stored • Question 97 1 out of 1 points NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ DO NO T COP Y NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+ 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 Selec ted Answ er: clomiphene. • Question 98 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? Selec ted Answ er: Twice-daily doses of long-acting morphine, with short- acting morphine available for breakthrough pain • Question 99 1 out of 1 points 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? Selec ted Answ er: NURS6521 Finals Advanced Pharmacology 100Q & As BEST EXAM SOLUTION latest update 2022/2023 Graded A+