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2025 - NURS 676 (ADVANCED PHARMACOLOGY) FINAL EXAM
WITH 100% CORRECT ANSWERS WITH RATIONALE AND
GRADED A+ (WEST COAST UNIVERSITY)
Quiz 1^1 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? Correct Feedba ck: "You might find that your face becomes flushed or you get a headache after you take Viagra."
Quiz 2^1 out^ of^1 points
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 Correct Feedba ck: Elevated prothrombin time
• Quiz 3
1 out of 1 points A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Correct Feedba ck: complete the entire course of drug therapy.
• Quiz 4
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
Correct Feedba ck: Schedule 2
- Quiz 5 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? Correct Feedba ck: Take the drug for one full week before coming in contact with allergens
- Quiz 6^1 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 Correct Feedba ck: magnesium sulfate toxicity.
- Quiz 7 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? Correct Feedba ck: The patient's bone marrow function is significantly depressed.
- Quiz 8^1 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 Correct Feedba ck: clomiphene.
- Quiz 9
testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Correct Feedba ck: place the patch on the back, abdomen, upper arms, or thighs.
- Quiz 15 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 Correct Feedback: weekly subcutaneous injections.
- Quiz 16 1 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 Correct Feedba ck: food containing iron or calcium.
- Quiz 17 1 out of 1 points A Nurse Practitioner has quized 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? Correct Feedbac k: The use of broad-spectrum antibiotics can create a risk for a superinfection.
- Quiz 18^1 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 Correct Feedback:
o fer a choice between liquid and chewable medications, if f possible.
- Quiz 19^1 out^ of^1 points Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Correct Feedback: Nephrotoxicity and hepatotoxicity
- Quiz 20 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 Correct Feedba ck: that serum levels of the drug are being monitored.
- Quiz 21 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? Correct Feedba ck: Drink a lot of water
- Quiz 22 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 Correct Feedba ck: uterine tachysystole.
- Quiz 23 1 out of 1 points
- Quiz 27 2 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? Correct Feedba ck: The patient will experience complete bladder emptying
- Quiz 28^1 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? Correct Feedback: Discard the unused portion of the drug.
- Quiz 29 1 out of 1 points 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? Correct Feedba ck: Risk for Injury related to loss of vision or thrombotic events
- Quiz 30 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? Correct Feedback: Dietary habits
- Quiz 31 1 out of 1 points A Nurse Practitioner is obtaining baseline physical data from a 7 - year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an Correct Feedback: electrocardiogram (ECG).
Quiz 32
1 out of 1 points 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? Correct Feedba ck: The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients.
- Quiz 33^1 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? Correct Feedback: Non-Hodgkin's lymphoma
- Quiz 34 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? Correct Feedba ck: Prime the IV tubing with an approved IV solution rather than with the drug itself.
- Quiz 35^1 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 Correct Feedback:
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 A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that Correct Feedba ck: body fluids such as urine, saliva, tears, and sputum may become discolored.
- Quiz 38^1 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? Correct Feedba ck: The use of ciprofloxacin is contraindicated in pregnancy.
- Quiz 39^1 out^ of^1 points A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Correct Feedba ck: Urinary elimination patterns
- Quiz 40 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? Correct Feedba ck: The tumor responding to treatment
- Quiz 41 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? Correct Feedback:
2000 mg
- Quiz 42^1 out^ of^1 points
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?
- Quiz 47 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 Correct Feedba ck: perform light-weight exercises and go for walks.
- Quiz 48 1 out of 1 points A Nurse Practitioner 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? Correct Feedback: Low bone density and a family history of osteoporosis
- Quiz 49 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? Correct Feedback: Salicylates
- Quiz 50 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? Correct Feedback: Fetal heart rate (FHR)
- Quiz 51^1 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?
- Quiz 52^1 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 quiz the physician's order if the patient has a history of Correct Feedba ck: cardiac arrhythmias.
- Quiz 53 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.) Correct Feedbac ks: The patient will not develop an infection. 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. The patient will not retain fluid.
- Quiz 54^2 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 Correct Feedba ck: schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks.
- Quiz 55^1 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 Correct Feedba ck: both the boy and his mother regarding all medication issued.
- Quiz 56 1 out of 1 points
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 Correct Feedback: immature liver and kidney function in infants and children.
- Quiz 62 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? Correct Feedback: "I am on the middle school track team."
- Quiz 63 1 out of 1 points A Nurse Practitioner 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 Correct Feedbac k: drugs compete with the hormones of pregnancy for albumin- binding sites.
- Quiz 64^1 out^ of^1 points 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? Correct Feedba ck: Consult the prescriber for discontinuation of the drug
- Quiz 65 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 Correct Feedback: whether the pregnant woman uses illegal substances.
- Quiz 66
