NURS 6521 Final Exam Answers

NURS 6521 Final Exam Answers (3 Versions, 300 Q & A, 2020) / NURS 6521N Final Exam: (100% Correct Answers)

Course                   NURS-6521D-6/NURS-6521F-6/NURS-6521N-6-Advanced

Pharmacology2019 Winter Qtr 11/25-02/16-PT27

Test                         Exam – Week 11

Started 2/9/20 9:40 AM Submitted 2/9/20 11:23 AM Due Date 2/10/20 1:59 AM

Status                     Completed

Attempt Score    100 out of 100 points

Time Elapsed      1 hour, 42 minutes out of 2 hours

Instructions         Please answer each question below and click Submit when you have completed the Exam.

 

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A nurse practitioner 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?

 

Selected Answer: Respiratory difficulty

A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi’s sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by

Selected Answer: inhibiting tumor growth by enhancing inflammation.

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 Answer: Dental hygiene practices

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 Answer: Elevated prothrombin time

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?

Selected Answer: The patient will experience complete bladder emptying

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.

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

Selected Answer: caffeine.

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

Selected Answer: Creatinine clearance

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 Answer: marijuana.

A 38-year-old pregnant patient admits to the Nurse Practitioner 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

Selected Answer: microcephaly.

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?

Selected Answer: Protamine sulfate

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?

Selected Answer: Liver function

A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend?

 

Selected Answer:

Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby.

 

 

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 Answer:

Infuse the drug over 2 to 4 hours into a central line using an infusion pump

 

 

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?

Selected                “Smoking marijuana is just as bad, or worse, for your lungs

 

 

Answer:                 as smoking cigarettes.”

A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?

Selected Answer: Drink plenty of water every day

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: Keep the bed in a low position and the side rails up at all times.

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

 

 

Selected Answer: once a day.

An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions?

 

Selected Answer:

Prime the IV tubing with an approved IV solution rather than with the drug itself.

 

 

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 Answer:

Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.

 

 

 

 

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

Selected Answer: ventrogluteal muscle.

The recommended treatment for trichomoniasis is

Selected Answer: Flagyl.

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.

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?

Selected Answer: Cardiovascular complications

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?”

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

Selected Answer: first thing in the morning.

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 Answer:

 

stand or sit upright for at least 30 minutes after taking alendronate..

 

 

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

 

 

A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take

 

Selected Answer:

antacids not less than 1 hour before or 2 hours after taking INH.

 

 

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

Selected Answer: use sterile technique when applying the medication.

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?

 

Selected Answer:

The patient has unstable angina and uses a nitroglycerin patch

 

 

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.

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

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

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 Answer:

Risk for Injury related to loss of vision or thrombotic events

 

 

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.

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?

 

Selected Answer:

Cleanse the wound of debris prior to applying the silver sulfadiazine

 

·        Question 38

 

 

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

 

 

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

 

Selected Answer: Phenytoin (Dilantin)

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 Answer: Fetal heart rate (FHR)

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 Answer: Hepatotoxicity

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

Selected Answer: uterine tachysystole.

 

 

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 Answer:

Having nurses check their math calculations with a colleague before administering a drug.

 

 

A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will

Selected Answer: monitor the patient for bleeding gums.

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

 

 

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 Answer:

Anxiety related to perceived danger of drug therapy to fetus or infant

 

 

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

Selected Answer: A 62-year-old male with cancer

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

Selected Answer: food containing iron or calcium.

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

Selected Answer: A drug harms microbes without harming human cells.

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?

 

Selected Answer:

Risk for Infection related to suppressed bone marrow function

 

 

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 Answer: Increased drug distribution resulting from hemodynamic changes

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 Answer:

That the infant’s skin has greater permeability than that of an adult

 

 

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 Answer: stay well hydrated by drinking at least eight 8-oz glasses of water daily.

 

 

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

 

 

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

Selected Answer: perform light-weight exercises and go for walks.

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?

Selected Answer: Hypertensive crisis

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

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 Answer:

“You might find that your face becomes flushed or you get a headache after you take Viagra.”

 

 

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?

 

 

Selected Answer: Dietary habits

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 Answer: The use of ciprofloxacin is contraindicated in pregnancy.

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.

 

 

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 greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects.

 

 

A Nurse Practitioner is going to administer medication to an infant using a medicine dropper. The best method is to open the child’s mouth by gently squeezing the cheeks and placing the drops

 

 

Selected Answer: in the buccal pouch.

A Nurse Practitioner 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?

Selected Answer:   “I am on the middle school track team.”

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.

 

 

A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug

 

Selected Answer:

on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs.

 

 

The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day?

Selected Answer: 1500 mg

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

A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse’s evaluation of the increase is that

 

 

Selected Answer: the increase in the neutrophil count is only transient.

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?

Selected Answer: Acetaminophen

A Nurse Practitioner 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

Selected Answer: immature liver and kidney function in infants and children.

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

Selected Answer: an allergic response.

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?

Selected Answer: Discard the unused portion of the drug.

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?

Selected Answer: Risk for Injury related to allergic reactions

 

 

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.

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: Vaginal burning

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 48-year-old Caucasian man who has adult-onset diabetes

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

Selected Answer: use an alternative form of birth control, if taking an oral contraceptive.

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 Answer: Systolic blood pressure readings in excess of 190 mmHg

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?

 

Selected Answer:

The patient has chronic heart failure resulting in significant peripheral edema.

 

·        Question 81

 

 

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

 

 

Selected Answer: alcohol.

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 Answer: avoid the small veins in the dorsum of the hand or the wrist.

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: clomiphene.

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.

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.

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 Answer: cardiac arrhythmias.

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 Answer:

“Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision.”

 

 

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

 

Selected Answer:

the patient is at greater risk for high serum levels of the drug.

 

 

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 Answer: weekly subcutaneous injections.

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?

 

Selected Answer:

The patient’s bone marrow function is significantly depressed.

 

 

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                     The patient will not develop an infection.

 

 

Answers:

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.

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

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?

Selected Answer: Drink a lot of water

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

Selected Answer: the first 2 months of pregnancy.

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

Selected Answer: whether the pregnant woman uses illegal substances.

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 97

 

 

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?

Selected Answer: Leukopenia

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

Selected Answer: The peak and trough blood levels

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 Answer: Hepatic function

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

Selected Answer: a baseline complete blood count.

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

 

Selected Answer: Yes

Sunday, February 9, 2020 11:23:28 AM EST

 

 

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

Answer: clomiphene.

 

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?

Answer: Headaches and chest pain

 

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

Answer: A 48-year-old Caucasian man who has adult-onset diabetes

 

 

 

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?

Answer: “Lately, I have to get up three or four times a night to go to the bathroom.”

 

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

Answer: microcephaly.

 

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

Answer: once a day.

 

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?

Answer: Cells that have a rapid mitotic rate

 

 

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?

“It’s important that you let us know if you develop any significant swelling or

 

Answer:    puffiness.”

 

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

Answer: both the boy and his mother regarding all medication issued.

 

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

Answer: ototoxicity or nephrotoxicity.

 

 

 

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

Answer: perform relaxation techniques after the treatments.

 

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

Answer: marijuana.

 

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?

Answer: Infiltration, edema, or phlebitis at the infusion site

 

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

Answer: that serum levels of the drug are being monitored.

 

 

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?

Answer: Vaginal burning

 

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?

Answer: Phenytoin (Dilantin)

 

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?

Answer: “Natural testosterone undergoes a high first-pass effect and is not used orally.”

 

 

 

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?

Answer: Prostatic neoplasia                                                                                     Prostatic neoplasia

 

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?

Answer: Where the medications will be stored

 

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?

Answer: Vasoconstriction leading to reduced placental blood flow

 

A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a

 

 

·       Question 22

 

0 out of 1 points

local disease flare. The nurse interprets this as an indication of which of the following? Answer: The tumor responding to treatment

 

 

 

 

 

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?

Answer: Weight gain

 

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?

Having nurses check their math calculations with a colleague before

 

Answer:   administering a drug.

 

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?

Answer: The patient’s hemoglobin level is 11 gdL

 

 

 

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

Answer: specific antigens on the surface of malignant B cells.

 

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?

Answer: “Do you ever use alcohol or drugs?”

 

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?

Answer: “Take this drug once each day on an empty stomach.”

 

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?

Answer: Electrolytes, blood urea nitrogen, and creatinine

 

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?

Answer: Risk for Infection related to bone marrow suppression

 

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?

Answer: Risk for Injury related to allergic reactions

 

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

Answer: Monitor serum drug level

 

 

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.

·       Question 33

What analgesic can the nurse most safely recommend? Answer: Acetaminophen

 

 

 

 

 

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?

Answer: Consuming chocolates

 

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

Answer: use sterile technique when applying the medication.

 

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?

Answer: Knowledge Deficit

 

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.

Answer: Monophasic

 

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

Answer: offer a choice between liquid and chewable medications, if possible.

 

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

 

 

·       Question 39

special instructions regarding insulin are necessary? Answer: “I am on the middle school track team.”

 

 

 

 

 

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

Answer: continue using birth control for at least 12 months.

 

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

Answer: perform light-weight exercises and go for walks.

 

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?

Answer: Low bone density and a family history of osteoporosis

 

 

 

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

“Make sure to seek care quickly if you experience bad headaches, calf pain, or

 

Answer:   changes in vision.”

 

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?

Answer: Salicylates

 

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

Answer: use an alternative form of birth control, if taking an oral contraceptive.

 

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?

Answer: Leukopenia

 

 

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?

Answer: “Do you feel like you’re having any pain in your bones?”

 

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

Answer: Bloody stools

 

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

Answer: Muscle pain or tingling

 

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

 

 

Answer: staining of permanent teeth.

 

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

Answer: once a day.

 

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?

Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection.

 

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?

Answer: Breakthrough bleeding

 

A nurse is discussing oprelvekin therapy with a male patient. Which of the following will the

 

 

·       Question 54

nurse tell the patient is the most common adverse effect of the drug? Answer: Fluid retentionweight gain

 

 

 

 

 

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)?

Answer: Exogenous testosterone

 

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?

Answer: Bleeding

 

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?

Answer: A 19-year-old male receiving radiotherapy

 

 

 

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?

Answer: A drug harms microbes without harming human cells.

 

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?

“You might find that your face becomes flushed or you get a headache after you

 

Answer:   take Viagra.”

 

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?

Answer: Non-Hodgkin’s lymphoma

 

A patient asks the nurse practitioner about food sources such as soybeans and soy products.

 

 

·       Question 61

The nurse practitioner understands that these foods are considered Answer: phytoestrogens.

 

 

 

 

 

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

Answer: on the day her menstrual period begins.

 

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

Answer: stay well hydrated by drinking at least eight 8-oz glasses of water daily.

 

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

Answer: A 62-year-old male with cancer

 

 

 

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

Answer: use adequate contraception.

 

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

Answer: the first 2 months of pregnancy.

 

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?

“It’s important to balance the possible benefits of HRT with the fact that it might

 

Answer: increase your risk of heart disease and stroke”

 

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?

 

Answer: Take the drug for one full week before coming in contact with allergens

 

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

Answer: immature liver and kidney function in infants and children.

 

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?

Answer: ADHD

 

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?

 

 

Answer: Protamine sulfate

 

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

Answer: height and weight.

 

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?

The importance of vigilant hygiene for the boy and the other members of the

 

Answer:    family

 

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?

Answer: Serum alanine transaminase, aspartate transaminase, and bilirubin

 

 

 

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?

Answer: Consult the prescriber for discontinuation of the drug

 

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?

Answer: Atherosclerosis of the penile artery

 

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?

Answer: Vancomycin

 

A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect.

 

 

·       Question 78

Which of the following should be included in the nurse’s teaching? Answer: Penicillin interferes with synthesis of the bacteria cell wall.

 

 

 

 

 

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?

Answer: Cardiovascular complications

 

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?

Answer: Respiratory difficulty

 

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

Answer: complete the entire course of drug therapy.

 

 

 

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?

Answer: The patient has unstable angina and uses a nitroglycerin patch

 

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?

Answer: Fetal heart rate (FHR)

 

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?

Answer: Risk for Infection related to suppressed bone marrow function

 

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

Answer: body fluids such as urine, saliva, tears, and sputum may become discolored.

 

 

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?

Answer: 400 mghour

 

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?

Answer: By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis

 

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?

“Both classes of drugs have adverse effects, but targeted therapies tend to have

 

 

Answer: less of an effect on healthy body cells.”

 

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?

Answer: Elevated prothrombin time

 

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

Answer: a baseline complete blood count.

 

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

Answer: on an empty stomach.

 

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

Answer: caffeine.

 

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

“Insulin is usually the drug of choice for controlling blood glucose levels during

 

Answer: pregnancy because it does not cross into the placenta.”

 

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?

A child has a greater body surface area, creating greater permeability resulting in

 

 

Answer:

an increase in absorption of topical agents, which may result in more adverse effects.

 

 

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?

Epoetin alfa is normally contraindicated in patients who are receiving

 

Answer: radiotherapy or chemotherapy.

 

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?

Answer: Oral administration of imatinib in a home setting

 

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 gently squeezing the cheeks and placing the drops

Answer: in the buccal pouch.

 

A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose?

 

 

Answer: 2000 mg

 

A patient is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the patient that she will need to take the capsule

Answer: on an empty stomach.

 

A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because

Answer: drugs compete with the hormones of pregnancy for albumin-binding sites.

 

A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug

on an empty stomach 1 hour before or 2 hours after taking any meals or other

 

Answer:    drugs.

 

 

Course               NURS-6521C-1/NURS-6521D-1/NURS-6521N-1-Advanced

Pharmacology2019 Winter Qtr 11/25-02/16-PT27

Test                   Exam – Week 11

Started 2/4/20 4:37 PM Submitted 2/4/20 6:07 PM Due Date 2/10/20 1:59 AM

Status                Completed

Attempt Score 94 out of 100 points

Time Elapsed    1 hour, 29 minutes out of 2 hours

Instructions       Please answer each question below and click Submit when you have completed the Exam.

 

Results Displayed

·       Question 1 NURS 6521 Final Exam Answers

Submitted Answers, Incorrectly Answered Questions

 

 

  • 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:    Blood sugar levels

·       Question 2

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 Answer:    weekly subcutaneous injections.

·       Question 3

1 out of 1 points

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?

 

Selected Answer:

·       Question 4

Cleanse the wound of debris prior to applying the silver sulfadiazine

 

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

 

Selected Answer:

·       Question 5

offer a choice between liquid and chewable medications, if possible.

 

 

 

  • out of 1 points

 

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

 

Selected Answer:

·       Question 6 NURS 6521 Final Exam Answers

schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks.

 

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

Selected Answer:    Protamine sulfate

·       Question 7

1 out of 1 points

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 Answer:    Hepatotoxicity

·       Question 8

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

Selected Answer:    whether the pregnant woman uses illegal substances.

·       Question 9

 

 

The recommended treatment for trichomoniasis is

Selected Answer:    Flagyl.

·       Question 10

1 out of 1 points

 

 

 

 

1 out of 1 points

 

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 Answer:    Fetal heart rate (FHR)

·       Question 11

1 out of 1 points

A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take

 

Selected Answer:

·       Question 12 NURS 6521 Final Exam Answers

antacids not less than 1 hour before or 2 hours after taking INH.

 

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?

 

Selected Answer:

·       Question 13

The patient has chronic heart failure resulting in significant peripheral edema.

 

 

 

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:

·       Question 14

The importance of vigilant hygiene for the boy and the other members of the family

 

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

Selected Answer: Hepatic function

·       Question 15

1 out of 1 points

A patient with chronic heart failure has begun treatment with epoetinalfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in

 

 

 

 

Selected Answer:

·       Question 16 NURS 6521 Final Exam Answers

iron-rich foods such as beans and leafy green vegetables.

 

 

 

1 out of 1 points

 

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?

 

Selected Answer:

·       Question 17

The patient’s bone marrow function is significantly depressed.

 

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 18

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?

Selected Answer: Infiltration, edema, or phlebitis at the infusion site

·       Question 19

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?

 

Selected Answer:

·       Question 20

Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.

 

 

1 out of 1 points

 

A 15-year-old patient has meningitis caused by Haemophilusinfluenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor

Selected Answer:    plasma concentrations regularly.

·       Question 21

1 out of 1 points

 

 

A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug

 

Selected Answer:

·       Question 22 NURS 6521 Final Exam Answers

on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs.

 

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:

·       Question 23

“Do you feel like you’re having any pain in your bones?”

 

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

 

 

Selected Answer:    alcohol.

·       Question 24

1 out of 1 points

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 Answer:    slowing the infusion.

·       Question 25

1 out of 1 points

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

Selected Answer:    perform light-weight exercises and go for walks.

·       Question 26

1 out of 1 points

A 38-year-old pregnant patient admits to the Nurse Practitioner 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

 

 

 

Selected Answer:    microcephaly.

·       Question 27 NURS 6521 Final Exam Answers

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:

·       Question 28

with a glass of water 1 hour before or 2 hours after a meal.

 

1 out of 1 points

 

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?

 

Selected Answer:

·       Question 29

“Lately, I have to get up three or four times a night to go to the bathroom.”

 

1 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:    Creatinine clearance

·       Question 30

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:

·       Question 31

The use of dexrazoxane in conjunction with doxorubicin

 

 

 

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?

Selected Answer:    The peak and trough blood levels

·       Question 32

1 out of 1 points

 

 

A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi’s sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by

Selected Answer:    inhibiting tumor growth by enhancing inflammation.

·       Question 33

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:

·       Question 34

Take the drug for one full week before coming in contact with allergens

 

1 out of 1 points

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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:    Vaginal burning

·       Question 35 NURS 6521 Final Exam Answers

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?

 

Selected Answer:

 

·       Question 36

“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.”

 

  • 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

Selected Answer:    grapefruit juice.

·       Question 37

  • 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 38

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

 

Selected Answer:

·       Question 39

both the boy and his mother regarding all medication issued.

 

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

Selected Answer:    uterinetachysystole.

·       Question 40

1 out of 1 points

A Nurse Practitioner is going to administer medication to an infant using a medicine dropper. The best method is to open the child’s mouth by gently squeezing the cheeks and placing the drops

Selected Answer:    in the buccal pouch.

·       Question 41

1 out of 1 points

A nurse practitioner 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?

 

Selected Answer:    Respiratory difficulty

·       Question 42 NURS 6521 Final Exam Answers

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 43

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:

·       Question 44

take the vitamins at least 2 hours before or after taking ciprofloxacin.

 

1 out of 1 points

 

A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse’s evaluation of the increase is that

Selected Answer:    the increase in the neutrophil count is only transient.

·       Question 45

1 out of 1 points

A patient has completed 4 weeks of treatment with epoetinalfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?

Selected Answer:    The patient’s hemoglobin level is 11 g/dL

·       Question 46

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

Selected Answer:    use an alternative form of birth control, if taking an oral contraceptive.

·       Question 47

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.

 

 

 

 

 

 

 

·       Question 48

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.

 

1 out of 1 points

 

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

Selected Answer:    the permeability of fungal cell walls.

·       Question 49 NURS 6521 Final Exam Answers

 

 

An elderly woman is slated for a hemiarthroplasty (hip

1 out of 1 points

 

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:

 

·       Question 50

Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain

 

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?

Selected Answer:    Vancomycin

·       Question 51

0 out of 1 points

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

 

Selected Answer:

to check the drug’s FDA pregnancy category to determine safety.

 

 

 

·       Question 52

 

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

Selected Answer:    after a meal.

·       Question 53

1 out of 1 points

 

 

 

 

1 out of 1 points

 

The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day?

Selected Answer:    1500 mg

·       Question 54

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 55

1 out of 1 points

A 13-year-old female took a weight loss drug that activated the

sympathetic nervous system. Which of the following assessment findings would the nurse expect?

Selected Answer:    Increased cardiac conduction

·       Question 56

1 out of 1 points

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:

·       Question 57

Serum alanine transaminase, aspartate transaminase, and bilirubin

 

1 out of 1 points

 

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 58 NURS 6521 Final Exam Answers

1 out of 1 points

 

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

Selected Answer:    A drug harms microbes without harming human cells.

·       Question 59

1 out of 1 points

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 60

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

·       Question 61

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 62

1 out of 1 points

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

Selected Answer:    use sterile technique when applying the medication.

·       Question 63

1 out of 1 points

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?

Selected Answer:    Atherosclerosis of the penile artery

·       Question 64

1 out of 1 points

 

 

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

Selected Answer:    first thing in the morning.

·       Question 65

1 out of 1 points

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

 

Selected Answer:

·       Question 66

assess the area and make sure that there are no open lesions or abrasions.

 

 

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?

Selected Answer:    A 48-year-old Caucasian man who has adult-onset diabetes

·       Question 67

1 out of 1 points

A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child. The nurse should

 

Selected Answer:

·       Question 68

offer the child a flavored ice chip or ice pop prior to administering the drug.

 

 

1 out of 1 points

 

An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions?

 

Selected Answer:

·       Question 69

Prime the IV tubing with an approved IV solution rather than with the drug itself.

 

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?

Selected Answer:    Increased drug distribution resulting from hemodynamic changes

·       Question 70 NURS 6521 Final Exam Answers

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?

Selected Answer:    Systolic blood pressure readings in excess of 190 mmHg

·       Question 71

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 72

1 out of 1 points

A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will

Selected Answer:    monitor the patient for bleeding gums.

·       Question 73

1 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:    hypercholesterolemia.

·       Question 74

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?

 

Selected Answer:

·       Question 75

The use of ciprofloxacin is contraindicated in pregnancy.

 

 

 

1 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:    Exogenous testosterone

·       Question 76

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 advise her to take which of the following vitamin supplements while taking the drug?

Selected Answer:    Vitamin B

·       Question 77

1 out of 1 points

An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with

Selected Answer:    vancomycin.

·       Question 78 NURS 6521 Final Exam Answers

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?

Selected Answer:    Leukopenia

·       Question 79

  • out of 1 points

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

Selected Answer:    alcohol.

·       Question 80

  • 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?

Selected Answer:    Prostatic neoplasia

 

 

 

·       Question 81

1 out of 1 points

 

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

 

Selected Answer:

·       Question 82

body fluids such as urine, saliva, tears, and sputum may become discolored.

 

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?

Selected Answer:    Hypertensive crisis

·       Question 83

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

Selected Answer: marijuana.

·       Question 84

1 out of 1 points

A Nurse Practitioner 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?

 

Selected Answer:    Non-Hodgkin’s lymphoma

·       Question 85

  • 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

Selected Answer:    weight.

·       Question 86 NURS 6521 Final Exam Answers

  • 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 chemotherapeutic drugs?

Selected Answer:    Cells that have a rapid mitotic rate

·       Question 87

1 out of 1 points

A woman is receiving magnesium sulfate for intrapartumeclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as

Selected Answer:    magnesium sulfate toxicity.

·       Question 88

1 out of 1 points

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

Selected Answer:    use adequate contraception.

·       Question 89

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?

 

Selected Answer:

·       Question 90

“You might find that your face becomes flushed or you get a headache after you take Viagra.”

 

1 out of 1 points

 

A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?

Selected Answer:    Drink plenty of water every day

·       Question 91

1 out of 1 points

A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetinalfa 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?

 

 

 

Selected Answer:    Discard the unused portion of the drug.

·       Question 92

1 out of 1 points

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?

 

Selected Answer:

·       Question 93

“Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.”

 

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?

 

Selected Answer:

·       Question 94 NURS 6521 Final Exam Answers

The use of broad-spectrum antibiotics can create a risk for a superinfection.

 

 

 

1 out of 1 points

 

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:    clomiphene.

·       Question 95

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:

 

·       Question 96

A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects.

 

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

 

 

 

Selected Answer:    cardiac arrhythmias.

·       Question 97

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.

·       Question 98

1 out of 1 points

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

Selected Answer:    once a day.

·       Question 99

0 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?

 

 

Selected Answer:    Typical daily fluid intake

·       Question 100

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:

·       Question 101 NURS 6521 Final Exam Answers

place the patch on the back, abdomen, upper arms, or thighs.

 

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 Answer:    Yes

Tuesday, February 4, 2020 6:07:42 PM EST