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Walden University - NURS 6521 - FINAL EXAM 2022
Walden University - NURS 6521 - FINAL EXAM 2022
NURS 6521-Final exam
Advanced-Pharmacology
-2022
WITH 101 Q&A
Question 1
1 out of 1
points
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
• Question 2
1 out of 1 points
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A
microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware
that
Selected
Answer:
asymptomatic women are diagnosed with trichomoniasis by a
routine pap smear.
• Question 3
1 out of 1 points
A woman is receiving magnesium sulfate for intrapartum eclampsia. 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 4
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 5
1 out of 1 points
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 Answer:
phytoestrog ens.
• Question 6
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 7
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:
marijuan
a.
• Question 8
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:
with a glass of water 1 hour before or 2 hours after a
meal.
• Question 9
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 10
1 out of 1 points
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..
• Question 11
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:
Leukopen
ia
• Question 12
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:
assess the area and make sure that there are no open
lesions or abrasions.
• Question 13
1 out of 1 points
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.
• Question 14
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 15
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 adultonset diabetes
• Question 16
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 17
1 out of 1 points
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 18
1 out of 1 points
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
• Question 19
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:
The importance of vigilant hygiene for the boy and the other
members of the family
• Question 20
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:
tyleno
l.
• Question 21
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 22
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 23
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 24
1 out of 1 points
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.
• Question 25
1 out of 1 points
A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a lifethreatening 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 26
1 out of 1 points
A Nurse Practitioner is providing patient education to a 50-year-old woman who is
taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to
avoid which of the following drugs?
Selected
Answer:
Salicylat
es
• Question 27
1 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 28
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:
Targeted therapies have the potential to damage cancerous cells
while leaving normal body cells less affected.
• Question 29
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 30
1 out of 1 points
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.
• Question 31
1 out of 1 points
A Nurse Practitioner has questioned why a patient's physician has prescribed a narrowspectrum 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:
The use of broad-spectrum antibiotics can create a risk for a
superinfection.
• Question 32
1 out of 1 points
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)
• Question 33
0 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:
The presence of rales and rhonchi and oxygen saturation less than
or equal to 80% on room air
• Question 34
1 out of 1 points
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."
• Question 35
1 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:
that serum levels of the drug are being monitored.
• Question 36
1 out of 1 points
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
Answer:
The patient's hemoglobin level is 11
g/dL
• Question 37
1 out of 1 points
A patient with chronic heart failure has begun treatment with epoetin alfa, 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:
iron-rich foods such as beans and leafy green
vegetables.
• Question 38
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:
The patient has chronic heart failure resulting in significant
peripheral edema.
• Question 39
1 out of 1 points
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.
• Question 40
1 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:
Dietary habits
• Question 41
1 out of 1 points
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
• Question 42
1 out of 1 points
A patient reports to a clinic with complaints of breast tenderness, a right lumpy
breast, and no breast discharge. The breast tenderness occurs primarily during
her menstrual cycle. The nurse practitioner probably suspects
Selected
Answer:
PMS.
• Question 43
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:
Serum alanine transaminase, aspartate transaminase, and
bilirubin
• Question 44
0 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:
take a pregnancy test every
month.
• Question 45
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:
antacids not less than 1 hour before or 2 hours after taking
INH.
• Question 46
1 out of 1 points
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
• Question 47
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 48
1 out of 1 points
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
• Question 49
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:
Cleanse the wound of debris prior to applying the silver
sulfadiazine
• Question 50
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 51
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 52
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 53
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:
place the patch on the back, abdomen, upper arms, or
thighs.
• Question 54
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 55
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:
"Lately, I have to get up three or four times a night to go to the
bathroom."
• Question 56
1 out of 1 points
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
• Question 57
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 58
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 59
1 out of 1 points
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.
• Question 60
A 29-year-old woman who is morbidly obese has recently begun a
1 out of 1 points
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.
• Question 61
1 out of 1 points
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
• Question 62
1 out of
1 points
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
• Question 63
0 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:
weigh
t.
• Question 64
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 65
1 out of 1 points
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.
• Question 66
1 out of 1 points
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
Answer:
Where the medications will be
stored
• Question 67
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 68
1 out of 1 points
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 shortacting morphine available for breakthrough pain
• Question 69
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:
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.
• Question 70
1 out of 1 points
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.
• Question 71
The recommended treatment for trichomoniasis is
1 out of 1 points
Selected
Answer:
Flagyl.
• Question 72
0 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.
T
h
e
p
a
t
i
e
n
t
w
i
l
l
n
o
t
e
x
p
e
r
i
ence bone pain.
The patient will not develop febrile
neutropenia.
• Question 73
0 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:
Knowledge Deficit
• Question 74
0 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:
Meticulous monitoring during drug
administration
• Question 75
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 76
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 77
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:
Take the drug for one full week before coming in contact with
allergens
• Question 78
1 out of 1 points
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
Answer:
Presence of blood in urine or stools
• Question 79
1 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:
Liver function
tests
• Question 80
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:
offer a choice between liquid and chewable medications, if
possible.
• Question 81
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:
take the vitamins at least 2 hours before or after taking
ciprofloxacin.
• Question 82
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 83
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 Increased drug distribution resulting from
hemodynamic changes
Answer:
• Question 84
1 out of 1 points
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.
• Question 85
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 86
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:
Prime the IV tubing with an approved IV solution rather than
with the drug itself.
• Question 87
1 out of 1 points
A Nurse Practitioner will instruct a patient taking allopurinol to take each dose
Selected
Answer:
after a
meal.
• Question 88
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 89
1 out of 1 points
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?
Selected
Answer:
"Both classes of drugs have adverse effects, but targeted
therapies tend to have less of an effect on healthy body cells."
• Question 90
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 91
1 out of 1 points
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."
• Question 92
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 93
1 out of 1 points
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
• Question 94
0 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 C
• Question 95
0 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:
prostate cancer.
• Question 96
1 out of 1 points
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.
• Question 97
1 out of 1 points
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.
• Question 98
1 out of 1 points
A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa.
The nurse will instruct the patient to
Selected
Answer:
schedule an appointment to measure hemoglobin twice a week
for at least 2 to 6 weeks.
• Question 99
1 out of 1 points
A male patient is taking finasteride for BPH. Which of the following will the nurse
evaluate at each clinic visit?
Selected
Answer:
Urinary elimination patterns
• Question 100
1 out of 1 points
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:
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• Question 101
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 Ye
Answer: s
Sunday, February 9, 2020 9:05:02 PM EST
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| Version | latest |
| Included files | |
| Authors | qwivy.com |
| Pages | 28 |
| Language | English |
| Tags | Walden University - NURS 6521 - FINAL EXAM 2022 |
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