Advanced Pharmacology Summer Qtr Test Exam, Exams of Nursing

Download Advanced Pharmacology Summer Qtr Test Exam and more Exams Nursing in PDF only on Docsity! ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Question 1 1 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.) 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 2 0 out of 1 points 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: Sildenafil (Viagra) • Question 3 0 out of 1 points ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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 Selected Answer: conjugated estrogen. • Question 4 0 out of 1 points A Nurse Practitioner is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Selected Answer: Reduce the drug dosage • Question 5 0 out of 1 points A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Selected Answer: Urinary elimination patterns • Question 6 0 out of 1 points A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM • Question 10 1 out of 1 points A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: uterine tachysystole. • Question 11 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 Selected Answer: take the vitamins at least 2 hours before or after taking ciprofloxacin. • Question 12 1 out of 1 points A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selected Answer: complete the entire course of drug therapy. • Question 13 1 out of 1 points The recommended treatment for trichomoniasis is Selected Answer: Flagyl. • Question 14 1 out of 1 points ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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 Selected Answer: body surface area. • Question 15 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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? Selected Answer: 2000 mg • Question 20 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? Selected Answer: Take the drug for one full week before coming in contact with allergens • Question 21 0 out of 1 points Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Selected Answer: Low blood pressure • Question 22 1 out of 1 points 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM chemotherapeutic drugs? Selected Answer: Cells that have a rapid mitotic rate • Question 23 1 out of 1 points A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: Drink a lot of water • Question 24 1 out of 1 points A Nurse Practitioner who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem? Selected Answer: ADHD • Question 25 1 out of 1 points A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? Selected Answer: By inactivating clotting factors and thus stopping the coagulation cascade • Question 26 1 out of 1 points A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM for the first time. What advice should the nurse provide to this patient? Selected Answer: "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision." • Question 31 1 out of 1 points ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause Selected Answer: ototoxicity or nephrotoxicity. • Question 32 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? Selected Answer: The tumor responding to treatment • Question 33 1 out of 1 points 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 Selected Answer: plasma concentrations regularly. • Question 34 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? Selected Answer: A child has a greater body surface area, creating ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. • Question 35 1 out of 1 points ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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? Selected Answer: A 19-year-old male receiving radiotherapy • Question 40 1 out of 1 points 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 41 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: weekly subcutaneous injections. • Question 42 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? ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. • Question 43 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? Selected Answer: Twice-daily doses of long-acting morphine, with short- acting morphine available for breakthrough pain • Question 44 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Respiratory difficulty • Question 49 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM risk of the patient developing this adverse effect, the nurse will advise him to Selected Answer: stay well hydrated by drinking at least eight 8-oz glasses of water daily. • Question 50 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 Selected Answer: tylenol. • Question 51 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? Selected Answer: The use of dexrazoxane in conjunction with doxorubicin • Question 52 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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? Selected Answer: Instruct the patient to lie on her left side during the infusion. ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM monitor? Selected Answer: Infiltration, edema, or phlebitis at the infusion site • Question 57 1 out of 1 points 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? Selected Answer: "Do you feel like you're having any pain in your bones?" • Question 58 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 Selected Answer: place the patch on the back, abdomen, upper arms, or thighs. • Question 59 1 out of 1 points 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? ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: Leukopenia • Question 60 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: both the boy and his mother regarding all medication issued. • Question 61 1 out of 1 points A Nurse Practitioner is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Selected Answer: Neurotoxicity • Question 62 1 out of 1 points 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: PMS. • Question 63 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: Dietary habits • Question 67 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: an allergic response. • Question 68 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 Selected Answer: acute urethral obstruction. • Question 69 1 out of 1 points 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 Selected Answer: Schedule 2 • Question 70 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? Selected Answer: The patient has unstable angina and uses a nitroglycerin patch • Question 71 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 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM before administering the drug? Selected Answer: That the infant's skin has greater permeability than that of an adult • Question 76 1 out of 1 points Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selected Answer: Nephrotoxicity and hepatotoxicity • Question 77 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 Selected Answer: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. • Question 78 1 out of 1 points Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? Selected Answer: Headaches and chest pain ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM • Question 79 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? ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Selected Answer: Vancomycin • Question 80 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? Selected Answer: Lid margin crusting and pruritus • Question 81 1 out of 1 points 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 Selected Answer: with high-fat meals. • Question 82 1 out of 1 points 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? Selected Answer: Consult the prescriber for discontinuation of the drug ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM height, and weight, the nurse will prepare the patient for an Selected Answer: electrocardiogram (ECG). • Question 87 1 out of 1 points ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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 Selected Answer: through a central line. • Question 88 1 out of 1 points 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? Selected Answer: Liver function tests • Question 89 1 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? Selected Answer: Ineffective Family Therapeutic Regimen Management • Question 90 0 out of 1 points ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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 38-year-old Caucasian woman with glaucoma • Question 91 ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM 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 95 0 out of 1 points A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Selected Answer: Serum albumin level • Question 96 1 out of 1 points A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to Selected Answer: perform relaxation techniques after the treatments. • Question 97 1 out of 1 points ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and 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? Selected Answer: The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. ADVANCED PHARMACOLOGY SUMMER QTR TEST EXAM • Question 98 0 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Selected Answer: first thing in the morning. • Question 99 0 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? Selected Answer: Other patient medications • Question 100 1 out of 1 points 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 101 0 out of 0 points When completing this exam, did you comply with Walden