NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED, Exams of Nursing

Download NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED and more Exams Nursing in PDF only on Docsity! NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED • Question 1 1 out of 1 points 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 2 1 out of 1 points 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? Selecte d Answer : Elevated prothrombin time • Question 3 1 out of 1 points 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. • Question 4 Drugs have a valid medical use but a high potential for abuse, both 1 out of 1 points NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED 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. NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED • Question 10 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 Selecte d Answer: weigh t. • Question 11 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? Selecte d Answer : The patient has chronic heart failure resulting in significant peripheral edema. • Question 12 0 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? Selecte d Answer : Sexual dysfunction related to erectile dysfunction • Question 13 1 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Selecte d Answer: after a meal. • Question 14 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 Selecte d Answer : place the patch on the back, abdomen, upper arms, or thighs. • Question 15 1 out of 1 points 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 Selected weekly subcutaneous NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Answer: injections. • Question 16 1 out of 1 points A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of Selecte d Answer : food containing iron or calcium. • Question 17 1 out of 1 points A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow- spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? Selecte d Answer : The use of broad-spectrum antibiotics can create a risk for a superinfection. • Question 18 1 out of 1 points 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 19 1 out of 1 points NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Selecte d Answer : ototoxicity or nephrotoxicity. • Question 25 1 out of 1 points A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? Selecte d Answer : The patient has unstable angina and uses a nitroglycerin patch • Question 26 A 29-year-old woman who is morbidly obese has recently begun a 0 out of 1 points comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED questioned about her intake of Selecte d Answer : alcohol. • Question 27 1 out of 1 points A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? Selecte d Answer : The patient will experience complete bladder emptying • Question 28 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? Selecte d Answer : Discard the unused portion of the drug. • Question 29 1 out of 1 points 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: NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Risk for Injury related to loss of vision or thrombotic events • Question 30 1 out of 1 points A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? Selecte d Answer : Dietary habits • Question 31 1 out of 1 points 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 32 NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Selecte d Answer : body fluids such as urine, saliva, tears, and sputum may become discolored. • Question 38 1 out of 1 points 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 39 1 out of 1 points A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Selecte d Answer : Urinary elimination patterns • Question 40 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? Selecte d Answer : NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED The tumor responding to treatment • Question 41 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? Selecte d Answer : 2000 mg • Question 42 1 out of 1 points A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman? Selecte d Answer : "You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued." • Question 43 1 out of 1 points NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED 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 Selecte d Answer : an allergic response. • Question 44 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 the most appropriate nursing diagnosis for this patient is? Selecte d Answer : Anxiety related to perceived danger of drug therapy to fetus or infant • Question 45 1 out of 1 points A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Selecte d Answer: NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED 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? Selecte d Answer : Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 52 1 out of 1 points Laboratory testing has confirmed that a patient has chloroquine- resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of Selecte d Answer : cardiac arrhythmia s. • Question 53 0 out of 1 points 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.) NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Selecte d Answer s: 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. The patient will not retain fluid. • Question 54 1 out of 1 points A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to Selecte d Answer : schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. • Question 55 1 out of 1 points 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 : both the boy and his mother regarding all medication issued. • Question 56 1 out of 1 points 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? NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Selecte d Answer : Increased drug distribution resulting from hemodynamic changes • Question 57 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? Selecte d Answer : The peak and trough blood levels • Question 58 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? Selecte d Answer : Instruct the patient to lie on her left side during the infusion. NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Selecte d Answer : Consult the prescriber for discontinuation of the drug • Question 65 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 Selecte d Answer : whether the pregnant woman uses illegal substances. • Question 66 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 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 67 1 out of 1 points A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient? Selecte d Answer : NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED R i sk for Injury related to allergic reactions • Question 68 0 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 Selecte d Answer : trichomoniasis discharge is typically thin and clear. • Question 69 1 out of 1 points A Nurse Practitioner is having difficulty administering a bitter drug to a 5- year-old child. The nurse should Selecte d Answer: offer the child a flavored ice chip or ice pop prior to administering the drug. • Question 70 1 out of 1 points NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED 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 : "Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes." • Question 71 1 out of 1 points A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Selecte d Answer : That the infant's skin has greater permeability than that of an adult • Question 72 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? Selecte d Answer: A 48-year-old Caucasian man who has adult- onset diabetes • Question 73 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 Selecte d Answer: NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED gynecoma stia. • Question 79 1 out of 1 points 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 80 1 out of 1 points A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug Selecte d Answer : first thing in the morning. • Question 81 A man has a demonstrated history of androgen deficiency and the 1 out of 1 points consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED dysfunction (ED)? Selected Answer: Exogenous testosterone • Question 82 1 out of 1 points 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 : marijuan a. • Question 83 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? Selecte d Answer : A 62-year-old male with cancer • Question 84 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? Selecte d Answer : Acetaminophen NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED • Question 85 1 out of 1 points 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: tyleno l. • Question 86 1 out of 1 points 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 87 0 out of 1 points NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED 1 out of 1 points A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to Selecte d Answer : take the vitamins at least 2 hours before or after taking ciprofloxacin. • Question 94 1 out of 1 points A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur? Selecte d Answer : Presence of blood in urine or stools • Question 95 1 out of 1 points 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 • Question 96 1 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 NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED advise her to take which of the following vitamin supplements while taking the drug? Selecte d Answer : Vitamin B • Question 97 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? Selecte d Answer : Infiltration, edema, or phlebitis at the infusion site • Question 98 1 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? NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED Selecte d Answer : The use of dexrazoxane in conjunction with doxorubicin • Question 99 1 out of 1 points 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 100 1 out of 1 points A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year- old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to Selecte d Answer : stay well hydrated by drinking at least eight 8-oz glasses of water daily. • Question 101 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Tuesday, May 5, 2020 11:54:15 PM EDT NURS6521N 55 Advanced Pharmacology.2023 FINAL EXAM UPDATED