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NURS-6521N,Advanced Pharmacology. Exam
Verified Questions with Answers
Question 1 Black cohosh is an herb that is commonly used for Selected Menopausal Answer: symptoms Question 2 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? Selected That the infant's skin has greater permeability than that of an Answer: adult Question 3 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? Selected Hepatic Answer: function Question 4 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 A 19-year-old male receiving Answer: radiotherapy
Question 5 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 The use of dexrazoxane in conjunction with Answer: doxorubicin Question 6 Women who are prescribed progestin-only contraception need education regarding which common adverse drug effect? Selected Irregular vaginal bleeding for the first few Answer: months Question 7 A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Selected Potassium Answer: level Question 8 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 asymptomatic women are diagnosed with trichomoniasis by a Answer: routine pap smear. Question 9 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? Selected "You might find that your face becomes flushed or you get a Answer: headache after you take Viagra."
Selected uterine tachysystole. Answer: Question 16 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 Selected avoid the small veins in the dorsum of the hand or Answer: the wrist. Question 17 A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? Selected A 48-year-old Caucasian man who has adult- Answer: onset diabetes Question 18 All insects have an FDA black box warning regarding Selected Potential for causing life-threatening Answer: G.I. bleed Question 19 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 Selected stay well hydrated by drinking at least eight 8-oz glasses of Answer: water daily. Question 20 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? Selected Increased drug distribution resulting from Answer: hemodynamic changes
Question 21 What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy? Selected Alpha Answer: blockers Question 22 Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? Selected ethanol Answer: withdrawal Question 23 Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Selected Impairment of renal Answer: function Question 24 The Nurse Practitioner knows that Buproprion use (wellbutrin, zyban) is contraindicated in which of the following instances? Selected In conjunction with a MAOI) monoamine oxidase Answer: inhibitor Question 25 How is hydrocodone eliminated from the body? Selected Live Answer: r Question 26 The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is?
Answer: Question 32 Terazosin (Hytrin) is classified under which of the following drug class: Selected alpha Answer: blockers Question 33 A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient? Selected "Make sure to seek care quickly if you experience bad headaches, Answer: calf pain, or changes in vision." Question 34 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 The importance of vigilant hygiene for the boy and the other Answer: members of the family Question 35 Which of the following medications will not increase the likelihood of photosensitivity? Selected Amoxicilli Answer: n Question 36 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? Selected Presence of blood in urine or stools Answer: Question 37 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? Selected The use of ciprofloxacin is contraindicated in pregnancy. Answer: Question 38 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 ADH Answer: D Question 39 Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to Selected stand or sit upright for at least 30 minutes after taking Answer: alendronate.. Question 40 Gold compounds are contraindicated in patients with all of the following conditions except: Selected Rheumatoid Answer: arthritis Question 41 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 Selected slowing the infusion. Answer:
Question 48 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 Selected cardiac Answer: arrhythmias. Question 49 A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to Selected stop using creams, ointments, and oils on the child's Answer: skin and scalp. Question 50 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 Selected marijuan Answer: a. Question 51 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? Selected Elevated prothrombin time Answer: Question 52 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? Selected Risk for Injury related to loss of vision or thrombotic Answer: events
Question 53 Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selected Nephrotoxicity and Answer: hepatotoxicity Question 54 Some drugs are given to patients using other routes such as sublingual or topical to avoid movement through the liver and possible side effects. Which of the following effects is the Nurse Practitioner attempting to avoid by administering certain medications via alternative routes? Selected First-Pass Answer: effect Question 55 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Selected Dental hygiene practices Answer: Question 56 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: Selected Alprazolam (Xan Answer: ax) Question 57 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? Selected Estrogen Answer: replacement
Selected "You might find that you get a dry mouth or a headache from this Answer: drug, but this does not mean it has to be discontinued." Question 63 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 Neurotoxici Answer: ty Question 64 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: Selected Vomitin Answer: g Question 65 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? Selected Increased symptoms of benign prosthetic Answer: hypertrophy Question 66 The NP student knows that which statement below accurately describes the activity of naloxone? Selected It may induce immediate withdrawal symptoms and chronic Answer: opiate users Question 67 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 Instruct the patient to lie on her left side during Answer: the infusion. Question 68 Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent Selected once a day. Answer: Question 69 A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selected ventrogluteal Answer: muscle. Question 70 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? Selected Fetal heart rate Answer: (FHR) Question 71 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 place the patch on the back, abdomen, upper arms, or thighs. Answer:
Question 77 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? Selected Having nurses check their math calculations with a colleague before Answer: administering a drug. Question 78 Which of the following drugs can a person with G6PD deficiency take safely? Selected Acetaminoph Answer: en Question 79 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The APRN will monitor for which of the following? Selected Hepatotoxicity Answer: Question 80 Which antibiotic is most frequently associated with "Red man Syndrome" Selected Vancomyc Answer: in Question 81 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 Selected electrocardiogram Answer: (ECG).
Question 82 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 A child has a greater body surface area, creating greater permeability Answer: resulting in an increase in absorption of topical agents, which may result in more adverse effects. Question 83 Which of the following drugs is most likely to cause sexual dysfunction and males? Selected Selective serotonin reuptake Answer: inhibitors Question 84 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? Selected Systolic blood pressure readings in excess of Answer: 190 mmHg Question 85 Which step in the clotting cascade allows prothrombin to be converted to thrombin? Selected Activation of factor X to Answer: factor Xa Question 86 What schedule drug is alprazolam? Selected I Answer: V
Question 92 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? Selected The patient's hemoglobin level is 11 Answer: g/dL Question 93 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? Selected Anxiety related to perceived danger of drug therapy to fetus or Answer: infant Question 94 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 Selected offer a choice between liquid and chewable medications, if Answer: possible. Question 95 Which adverse reaction is common in the patient taking buspirone? Selected headac Answer: he Question 96 The nurse practitioner, Jill, is deciding what medication to put her patient on. She recognizes that the mechanism of action of triptans is as: Selected A Answer: vasoconstricto r
Question 97 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? Selected Infuse the drug over 2 to 4 hours into a central line using an Answer: infusion pump Question 98 Which of the following should not be taken with a selective serotonin reuptake inhibitor? Selected Alcoh Answer: ol Question 99 Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is? Selected Ototoxici Answer: ty Question 100 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? Selected Targeted therapies have the potential to damage cancerous cells while Answer: leaving normal body cells less affected. Question 101 When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Sunday, February 14, 2021 12:32:34 PM EST
