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Advanced Pharmacology. NURS-6521N-56,Exam
Questions With Answers Tested And Verified Solutions
• Question 1
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 2
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 3
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 4
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 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: phytoestrogens. - Question 6 1 out of 1 points 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 - Question 7 1 out of 1 points 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. - Question 8 1 out of 1 points
- Question 13 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 14 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 15 0 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Selected Answer: before a meal. - Question 16 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 17 1 out of 1 points A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selected Answer: ventrogluteal muscle. - Question 18 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 19 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 20 1 out of 1 points The recommended treatment for trichomoniasis is Selected Answer: Flagyl. - Question 21 1 out of 1 points A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannot
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 26 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 27 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 28 1 out of 1 points 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 - Question 29 1 out of 1 points A Nurse Practitioner is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Selected Answer: Neurotoxicity
- Question 30 0 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: Hypoglycemia - Question 31 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 32 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 33 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 38 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 39 1 out of 1 points 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 Selected Answer: staining of permanent teeth. - Question 40 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 41 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 42 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 43 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 44 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 45
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 50 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 51 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 52 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: uterine tachysystole. - Question 53 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: both the boy and his mother regarding all medication issued.
- Question 54 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 55 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 56 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: The use of ciprofloxacin is contraindicated in pregnancy. - Question 57 1 out of 1 points A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child. The nurse should
appropriate? Selected Answer: "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"
- 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 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: Blood counts - Question 64 1 out of 1 points A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to Selected Answer: stop using creams, ointments, and oils on the child's skin and scalp. - Question 65 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 66 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 67 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? Selected Answer: Risk for Injury related to loss of vision or thrombotic events - Question 68 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: stay well hydrated by drinking at least eight 8-oz glasses of water daily. - Question 69 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 73 0 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: after meals. - Question 74 1 out of 1 points 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 Selected Answer: with high-fat meals. - Question 75 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 76 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 77 0 out of 1 points 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 inhibiting platelet aggregation on vessel walls and promoting fibrinolysis - Question 78 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 79 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 80 1 out of 1 points
