NURS6521 Week 11 Final Exam Latest 2020 October

NURS6521 Advanced Pharmacology

Week 11 Final Exam  

Question 1

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

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?

Question 3

A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to

Question 4

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?

Question 5

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

Question 6

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

Question 7

Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by

Question 8

Which antibiotic requires administration of a loading dose?

Question 9

Baby Jasmine is a 5 mth old breastfed infant with a fever.  Treatment for her fever may include:

Question 10

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

Question 11

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?

Question 12

A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug

Question 13

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 times a day. Which of the following will the nurse work with the physician to evaluate?

Question 14

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?

Question 15

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

Question 16

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?

Question 17

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?

Question 18

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?

Question 19

The NP is prescribing A medication for six month old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication?

Question 20

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.

Question 21

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate?

Question 22

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?

Question 23

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?

Question 24

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 and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered?

Question 25

What is the best initial treatment plan for a sleep disorder in the older adult patient?

Question 26

The anticoagulant drug that acts as a vitamin K antagonist is:

Question 27

The NP student knows that which statement below accurately describes the activity of naloxone?

Question 28

All of the following systemic drugs interfere with metabolism of oral contraceptives except

Question 29

Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg of prednisone per day for the past six months. He should be assessed for

Question 30

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?

Question 31

Which step in the clotting cascade allows prothrombin to be converted to thrombin?

Question 32

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?

Question 33

A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to

Question 34

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?

Question 35

A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?

Question 36

When a NP chooses a benzodiazepine to treat anxiety the prescriber needs to be aware of the possibility of dependence. The Benzodiazepine associated with the greatest likelihood of causing rapid dependence is:

Question 37

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

Question 38

A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to

Question 39

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?

Question 40

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?

Question 41

A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia?

Question 42

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?

Question 43

A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize?

Question 44

A patient with bipolar disorder is on divalproex sodium (Depakote) for mania. What test(s) would the family nurse practitioner monitor?

Question 45

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?

Question 46

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:

Question 47

Gold compounds are contraindicated in patients with all of the following conditions except:

Question 48

 Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem with urination secondary to an enlarged prostate. The  practitioner would teach the patient that while he is taking this medication, it is important to:

Question 49

A Nurse Practitioner will instruct a patient taking allopurinol to take each dose.

Question 50

Which of the following medications will not increase the likelihood of photosensitivity?

Question 51

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?

Question 52

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

Question 53

A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient?

Question 54

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?

Question 55

Jessica, the NP is seeing an asthmatic child in the clinic today to evaluate the child's response to their prescribed therapy.  The child uses an ICS (Inhaled Corticosteroid) twice a day and an albuterol mdi as needed.  The child's symptoms are well controlled, However the Nurse Practitioner notes some slowing of the child's linear growth on a standardized growth chart.  The NP should change this medication regimen to:

Question 56

A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the

Question 57

A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results?

Selected Answer:           

Serum alanine transaminase, aspartate transaminase, and bilirubin

Question 58

Ms. Lewis Is in 74-year-old female who presents to your clinic for routine visit today. You review her medical record and notice she is prescribed aspirin therapy. You provide patient education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is

Question 59

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?

Question 60

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?

Question 61

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

Question 62

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

Question 63

Ms. Shackleford Has been placed on Ambien to help for her insomnia.  The NP must educate the patient regarding the rapid onset of Ambien. Which statement below is correct?

Question 64

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

Question 65

All insects have an FDA black box warning regarding

Question 66

The  nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents?

Question 67

A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following?

Question 68

Phenytoin decreases folic acid absorption by

Question 69

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.

Question 70

The nurse practitioner, Jill, is deciding what medication to put her patient on. She recognizes that the mechanism of action of triptans is as:

Question 71

Which of the following drugs is most likely to cause sexual dysfunction and males?

Question 72

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?

Question 73

What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy?

Question 74

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?

Question 75

A Nurse Practitioner is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate?

Question 76

A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should

Question 77

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

Question 78

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

Question 79

Which of the following drugs can a person with G6PD deficiency take safely?

Question 80

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?

Question 81

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?

Question 82

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

Question 83

Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy?

Question 84

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)?

Question 85

Which adverse reaction is common in the patient taking buspirone?

Question 86

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?

Question 87

The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is?

Question 88

A contraindication to the use of combined contraceptives is:

Question 89

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?

Question 90

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?

Question 91

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?

Question 92

Ms. Carter, a 48 year old female was placed on an aminoglycoside.  The NP knows that an adverse reaction to aminoglycosides is?

Question 93

A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following?

Question 94

What schedule class of drug is Hydrocodone?

Question 95

Tetracyclines are contraindicated in children younger than eight years old because of?

Question 96

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?

Question 97

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?

Question 98

Black cohosh is an herb that is commonly used for

Question 99

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?

Question 100

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?

Question 101

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?