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NURS 676 MIDTERM EXAM 2023 - 2024
LATEST VERSION 1 (QUESTIONS &
ANSWERS)|100% PASS
@QSN 1
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 ANSWER: Prime the IV tubing with an approved IV solution rather than with the drug itself. @QSN 2 Which adverse reaction is common in the patient taking buspirone? CORRECT ANSWER: headache @QSN 3 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 CORRECT ANSWER: in the buccal pouch. @QSN 4 A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug CORRECT ANSWER:
first thing in the morning. @QSN 5 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
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? CORRECT ANSWER: Atherosclerosis of the penile artery @QSN 7 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? CORRECT ANSWER: corticosteroids @QSN 8 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 ANSWER: Drink a lot of water @QSN 9 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? CORRECT ANSWER: Infiltration, edema, or phlebitis at the infusion site @QSN 10 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? CORRECT ANSWER: Hepatic function
@QSN 16
The Nurse Practitioner knows that Buproprion use (wellbutrin, zyban) is contraindicated in which of the following instances? CORRECT ANSWER: Body dysmorphic disorder @QSN 17 Which antibiotic is most frequently associated with "Red man Syndrome" CORRECT ANSWER: Vancomycin @QSN 18 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 ANSWER: that serum levels of the drug are being monitored. @QSN 19 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 @QSNing, the motherstates that she has been removing the PIC dressing daily and washing the site with warm waterand a cloth. What nursing diagnosis is most appropriate in this situation? CORRECT ANSWER: Knowledge Deficit @QSN 20 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 CORRECT ANSWER:
place the patch on the back, abdomen, upper arms, or thighs.@QSN 21 A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to CORRECT ANSWER: complete the entire course of drug therapy. @QSN 22 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 @QSN the physician'sorder if the patient has a history of CORRECT ANSWER: cardiac arrhythmias. @QSN 23 Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following? CORRECT ANSWER: blood pressure @QSN 24 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 ANSWER: Take the drug for one full week before coming in contact with allergens@QSN 25 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? CORRECT ANSWER: Respiratory difficulty
CORRECT ANSWER:
Liver function test and CBC. @QSN 31 Finasteride (Proscar) is prescribed for a 50 - year-old man who is experiencing a problem with urination secondary to an enlarged prostate. The practitioner would teach the patient that while he is taking this medication, it is important to: CORRECT ANSWER: Take special precautions around women of childbearing age @QSN 32 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 ANSWER: The tumor responding to treatment @QSN 33 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? CORRECT ANSWER: Vancomycin @QSN 34 Off label prescribing is: CORRECT ANSWER: Legal if there is scientific evidence for the use @QSN 35
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? CORRECT ANSWER: The use of dexrazoxane in conjunction with doxorubicin@QSN 36 A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will CORRECT ANSWER: monitor the patient for bleeding gums. @QSN 37 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? CORRECT ANSWER: Cardiovascular complications @QSN 38 Ms. LW is on hyrdroxychloroquine (Plaquenil) for rheumatoid arthritis. Certain tests are recommended before a patient starts this medication. Which of the following is NOT recommended before starting Hydroxychoroquine (Plaquenil)? CORRECT ANSWER: 24 hour urine @QSN 39 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 CORRECT ANSWER: microcephaly.
CORRECT ANSWER:
Bupropion @QSN 45 An NP is seeing a child who weights 25 pounds, 2 oz and needs a medication. The NP learns that the recommended dosing for this drug is 30-35 mg per kg per day in three divided doses. The NP should order CORRECT ANSWER: 110 mg tid @QSN 46 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? CORRECT ANSWER: By inactivating clotting factors and thus stopping the coagulation cascade@QSN 47 Jessica, the NP is seeing an asthmatic child in the clinic today to evaluate the child's response to their prescribed therapy. The child uses an ICS (Inhaled Corticosteroid) twice a day and an albuterol mdi as needed. The child's symptoms are well controlled, However the Nurse Practitioner notes some slowing of the child's linear growth on a standardized growth chart. The NP should change this medication regimen to: CORRECT ANSWER: combination ipratropium/albuterol inhaler twice a day @QSN 48 Which of the following medication classes should be avoided and men with BPH CORRECT ANSWER: Nasal decongestants
@QSN 49
What is the best initial treatment plan for a sleep disorder in the older adult patient? CORRECT ANSWER: Decrease noise and light in the environment @QSN 50 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 CORRECT ANSWER: through a central line. @QSN 51 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 CORRECT ANSWER: antacids not less than 1 hour before or 2 hours after taking INH.@QSN 52 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? CORRECT ANSWER: Risk for Injury related to allergic reactions @QSN 53 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 ANSWER: Elevated prothrombin time @QSN 54 The maximum amount of acetaminophen that can be taken per day is
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 ANSWER: The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. @QSN 60 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? CORRECT ANSWER: "Lately, I have to get up three or four times a night to go to the bathroom."@QSN 61The recommended treatment for trichomoniasis is CORRECT ANSWER: Flagyl. @QSN A 21 - year-old has been placed on risperidone. Monitoring for risperidone includes CORRECT ANSWER: Excessive weight gain @QSN 63 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? CORRECT ANSWER: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. @QSN 64 A Nurse Practitioner is having difficulty administering a bitter drug to a 5 - year-old child. The nurse should
CORRECT ANSWER:
offer the child a flavored ice chip or ice pop prior to administering the drug. @QSN 65 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 CORRECT ANSWER: the first 2 months of pregnancy. @QSN 66 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? CORRECT ANSWER: The patient has chronic heart failure resulting in significant peripheral edema.@QSN 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 CORRECT ANSWER: use adequate contraception. @QSN 68 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 CORRECT ANSWER: hypercholesterolemia. @QSN 69 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? CORRECT ANSWER:
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? CORRECT ANSWER: Drink plenty of water every day @QSN 75 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 CORRECT ANSWER: take the vitamins at least 2 hours before or after taking ciprofloxacin. @QSN 76 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? CORRECT ANSWER: Phenytoin (Dilantin) @QSN 77 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 CORRECT ANSWER: with high-fat meals. @QSN 78
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 CORRECT ANSWER: the drug therapy is proving to be ineffective. @QSN 79 Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? CORRECT ANSWER: ethanol withdrawal @QSN 80 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 ANSWER: Discard the unused portion of the drug. @QSN 81 Phenytoin decreases folic acid absorption by CORRECT ANSWER: Inhibiting intestinal enzymes require for folic acid absorption @QSN 82 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 CORRECT ANSWER:
