NURS 6521 PHAM Final Exam Review Questions and Answers

NURS-6521F-9/NURS-6521N-9/NURS-6521C-9-Advanced Pharmacology Fall Quarter

Question 1

JC is a 13 year old female to be seen in your clinic today.You review JC's medication and realize that which medication is a potential risk of growth suppression in prepubescent children?

Selected corticosteroi

Answer:ds

Question 2

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 Cleanse the wound of debris prior to applying the silver

Answer:sulfadiazine

Question 3

Related Exam:NURS 6521 Final Exam, Advanced Pharmacology

A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is?

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

Answer:infant

Question 4

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

Selected Creatinine

Answer:clearance

Question 5

A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to

Selected perform relaxation techniques after the treatments. Answer:

Question 6

A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child's annual well-child checkup, the NP should carefully review what?

Selected weight and

Answer:height

Question 7

The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be

Selected Ciprofloxac

Answer:in

Question 8

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

Selected Zolpidem should be taken just before

Answer:going to bed

Question 9

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?

Selected "It's important to balance the possible benefits of HRT with the fact Answer: that it might increase your risk of heart disease and stroke"

Question 10

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

Selected phytoestrogens.

Answer:

Question 11

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 use adequate Answer: contraception.

Question 12

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 caffeine. Answer:

Question 13

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 the permeability of fungal cell walls. Answer:

Question 14

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

Selected Ototoxici

Answer:ty

Question 15

A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy?

Selected Increased drug distribution resulting from

Answer:hemodynamic changes

Question 16

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 hypercholesterolemia

Answer:.

Question 17

A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa.

The nurse will instruct the patient to

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

Question 18

A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?

Selected "You might find that your face becomes flushed or you get a Answer: headache after you take Viagra."

Question 19

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 whether the pregnant woman uses illegal

Answer:substances.

Question 20

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 Risk for Infection related to suppressed bone marrow

Answer:function

Question 21

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 Protamine

Answer:sulfate

Question 22

The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is:

Selected Absorbed

Answer:rapidly

Question 23

Which adverse reaction is common in the patient taking buspirone?

Selected headac

Answer:he

Question 24

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 body surface

Answer:area.

Question 25

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 the first 2 months of pregnancy. Answer:

Question 26

A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur?

Selected Presence of blood in urine or stools Answer:

Question 27

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 plasma concentrations regularly. Answer:

Question 28

A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus?

Selected Instruct the patient to lie on her left side during

Answer:the infusion.

Question 29

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 Dietary habits Answer:

Question 30

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?

Selected Where the medications will be stored Answer:

Question 31

A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate?

Selected Hepatic

Answer:function

Question 32

A woman has a Chlamydia infection.Before initiating treatment with a tetracycline antibiotic, the NP should :

Selected perform a pregnancy

Answer:test

Question 33

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 Headaches and chest pain Answer:

Question 34

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

Selected The patient's hemoglobin level is 11

Answer:g/dL

Question 35

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

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

Question 36

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 food containing iron or calcium. Answer:

Question 37

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 Hypertensive

Answer:crisis

Question 38

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 "I am on the middle school track

Answer:team."

Question 39

When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the patient should be screened for use of?

Selected Nitrate

Answer:s

Question 40

Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to

Selected stand or sit upright for at least 30 minutes after taking

Answer:alendronate..

Question 41

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 microcepha Answer: ly.

Question 42

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?

Which test should the NP order for monitoring effectiveness of the patient receiving heparin?

Selected PTT

Answer:

Question 97

Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following?

Selected complete blood

Answer:count

Question 98

During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following?

Selected Consult the prescriber for discontinuation of the

Answer:drug

Question 99

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 A drug harms microbes without harming Answer: human cells.

Question 100

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

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

Question 101

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

Selected Ye

Answer:s

Sunday, November 15, 2020 10:13:36 PM EST