NURS 6521 Final Exam / NURS6521 Final Exam (Latest): Advanced Pharmacology: Walden University

Walden NURS 6521 Final Exam / Walden NURS6521 Final Exam (Latest): Advanced Pharmacology

· Question 1


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 2


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?

· Question 3


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


· Question 4



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 5


A 38-year-old pregnant patient   admits to the nurse that she is an alcoholic and has been consuming alcohol   during her pregnancy. The nurse knows that using alcohol during pregnancy may   result in a child who presents with


· Question 6


A nurse practitioner orders 150 mg   of oral fluconazole for a patient with vulvovaginal candidiasis. The patient   should expect to take medication


· Question 7


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 8


A middle-aged patient has received   a diagnosis of GI stromal tumor following an extensive diagnostic workup.   Imatinib has been recommended as a component of the patient’s drug regimen.   What patient education should the nurse provide to this patient?


· Question 9


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 10


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 11


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 12


A nurse 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 13


A 46-year-old man is receiving a   quinupristindalfopristin IV infusion for a life-threatening infection. Which   of the following would be most important for the nurse to monitor?


· Question 14


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


· Question 15


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 16


A 36-year-old patient comes to the   clinic and tells the nurse that she suspects that she is pregnant. During the   initial assessment, the nurse learns 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?


· Question 17


A male patient with a medical   background tells the nurse that he is not satisfied with the oral synthetic   testosterone that has been prescribed for him and he would like to try a   natural form of oral testosterone. Which of the following would be an   appropriate response by the nurse?


· Question 18


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?


· Question 19


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?


· Question 20


A 22-year-old woman has given   birth to an infant who exhibits the signs and symptoms of maternal cocaine   use during pregnancy. These signs and symptoms are a result of what   pathophysiological effect of opioid use during pregnancy?


· Question 21


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 22


A female patient is prescribed   oprelvekin therapy to treat thrombocytopenia. Which of the following should   the nurse continuously monitor to determine the efficacy and duration of the   oprelvekin therapy?


· Question 23


The clinical nurse educator who   oversees the emergency department in a children’s hospital has launched an   awareness program aimed at reducing drug errors. What measure addresses the   most common cause of incorrect doses in the care of infants and children?


· Question 24


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?


· Question 25


A patient has been scheduled to   begin treatment with rituximab for non-Hodgkin’s lymphoma. The nurse who will   administer this drug should understand that it targets


· Question 26


A 15-year-old boy has been   diagnosed with bone cancer after several months of fatigue and pain. What   question should the nurse include in an assessment when trying to minimize   the potential for adverse drug reactions?


· Question 27


A 30-year-old man with a BMI of 59   has recently been diagnosed with type 2 diabetes mellitus. In light of the   man’s lack of success with weight loss programs in the past, his care   provider has prescribed sibutramine (Meridia). What instructions should the nurse   consequently provide to this patient?


· Question 28


A 49-year-old farmer who normally   enjoys good health has become seriously ill in recent days and the results of   an extensive diagnostic work up have resulted in a diagnosis of histoplasmosis.   The patient has been admitted to the hospital and has begun treatment with   amphotericin B. The nurse who is providing care for the patient should   prioritize which of the following diagnostic results during his course of   treatment?


· Question 29


A patient has just received her   first dose of imatinib and the nurse on the oncology unit is amending the   patient’s care plan accordingly. What nursing diagnosis is most appropriate   in light of this addition to the patient’s drug regimen?


· Question 30


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?


· Question 31


Which of the following nursing   actions is most important in achieving successful antimicrobial therapy with   vancomycin?


· Question 32


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?


· Question 33


A patient receiving high-dose   cisplatin therapy exhibits symptoms of hypomagnesemia. Which of the following   should the nurse suggest to help offset the magnesium losses from the   cisplatin therapy?


· Question 34


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


· Question 35


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 36


A 21-year-old female has a history   of irregular menses. She recently became sexually active, and would like to   begin taking oral contraceptives (OCs). The nurse practitioner recognizes   that most likely this patient would benefit from taking which category of   OCs.


· Question 37


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


· Question 38


A nurse 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?


· Question 39


A 28-year-old woman has completed   rituximab therapy for an autoimmune disease. She tells the nurse that she and   her husband would like to start a family. The nurse will advise her to


· Question 40


A 73-year-old woman has   osteoporosis and is prescribed alendronate. She takes calcium and vitamin D   supplements, drinks lots of water, and has just quit smoking. The nurse   should advise the patient to also


· Question 41


A nurse 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 42


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 43


A nurse 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 44


A nurse is instructing a   19-year-old female patient on the use of fluconazole for candida vaginitis. A   teaching priority will be to


· Question 45


A nurse 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?


· Question 46


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?


· Question 47


A preterm neonate received   caffeine for the treatment of apnea. The nurse should monitor the neonate for   which of the following?


· Question 48


A patient has been prescribed   daptomycin for a complicated skin infection. Which of the following will the   nurse advise the patient to report immediately?


· Question 49


A 7-year-old child has been taking   tetracycline for a bacterial infection. The nurse will be sure to inform the   parents that this drug could cause


· Question 50


Sulconazole has been prescribed   for a patient with tinea pedis. The nurse will instruct the patient to use   the topical agent


· Question 51


A nurse 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?


· Question 52


A female patient has been   prescribed estrogen therapy. Which of the following will the nurse advise the   patient is a common adverse effect of estrogen therapy?


· Question 53


A nurse is discussing oprelvekin   therapy with a male patient. Which of the following will the nurse tell the   patient is the most common adverse effect of the drug?


· Question 54


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 55


A female patient has follicular   non-Hodgkin’s lymphoma and is receiving thalidomide (Thalomid). It will be   most important for the nurse to monitor this patient for which of the   following?


· Question 56


A nurse 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 57


A nurse is aware that the concept   of selective toxicity is foundational to antimicrobial therapy. Which of the   following statements most accurately describes selective toxicity?


· Question 58


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 59


A nurse has completed a medication   reconciliation of a patient who has been admitted following a motor vehicle   accident. Among the many drugs that the patient has received in the previous   year is rituximab. The nurse would be justified in suspecting the patient may   have received treatment for which of the following diseases?


· Question 60


A patient asks the nurse   practitioner about food sources such as soybeans and soy products. The nurse   practitioner understands that these foods are considered


· Question 61


A nurse is providing patient   education to a 23-year-old woman who is starting the norelgestrominethinyl estradiol   transdermal system (Ortho Evra). Because this is the patient’s first time to   use the birth control patch, the nurse will instruct her to apply the patch


· Question 62


A nurse 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


· Question 63


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 64


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 65


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


· Question 66


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 67


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 68


A nurse who provides care on a   pediatric unit of a hospital is aware that the potential for harm as a result   of drug errors is higher among infants and children than adults. This fact is   primarily due to


· Question 69


A nurse 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?


· Question 70


A nurse 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 71


A 10-year-old boy is taking   dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the   nurse’s priority assessment would be


· Question 72


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 73


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?


· Question 74


During ongoing assessment of a   patient receiving 5-FU therapy, the nurse finds the patient’s platelet count   to be 92,000 cellsmm3. The nurse should do which of the following?


· Question 75


A nurse 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 76


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?


· Question 77


A nurse is instructing a colleague   on how an antimicrobial produces a therapeutic effect. Which of the following   should be included in the nurse’s teaching?


· Question 78


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 79


A nurse has been assigned to a   55-year-old woman who has a malignant brain tumor. The patient is receiving   her first dose of carmustine. It will be critical for the nurse to observe   for which of the following?


· Question 80


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


· Question 81


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?


· Question 82


A nurse 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?


· Question 83


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?


· Question 84


A patient is taking rifampin   (Rifadin) for active TB. When discussing this drug with the patient, the   nurse should stress that


· Question 85


A nurse is administering rituximab   to a patient via the IV route. The nurse will set the IV pump at 50 mghour   for the first half hour of the initial infusion. If there are not apparent   reactions after 30 minutes of the infusion, the nurse will increase the   dosage every 30 minutes by 50 mghour until the maximum infusion rate reaches   which of the following?


· Question 86


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?


· Question 87


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 88


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 89


A patient is receiving long-term   clindamycin therapy for a life-threatening infection. The nurse will begin by   monitoring this drug therapy by obtaining


· Question 90


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


· Question 91


A 29-year-old woman who is   morbidly obese has recently begun a comprehensive, medically-supervised program   of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her   regimen, the patient should be questioned about her intake of


· Question 92


A patient is pregnant and is at 7   weeks’ gestation. She has type 1 diabetes and has been taking insulin since   she was 13 years old. She asks the nurse if the insulin will be harmful to   her baby. The best response to the patient by the nurse would be


· Question 93


A nurse 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?


· Question 94


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?


· Question 95


A patient with a diagnosis of   chronic myeloid leukemia has met with her oncologist, who has recommended treatment   with the kinase inhibitor imatinib. What route of administration should the   nurse explain to the patient?


· Question 96


A nurse is going to administer   medication to an infant using a medicine dropper. The best method is to open the   child’s mouth by g