Download NURS-6521N Advanced Pharmacology Final Exam (2025 Version) - Complete Answers and more Exams Nursing in PDF only on Docsity!
FINAL EXAM:2025 LATEST VERSION
"NURS-6521N ADVANCED
PHARMACOLOGY FINAL EXAM (
VERSION) - COMPLETE WITH ANSWERS
AND RATIONALES"
Question 1 Black cohosh is an herb that is commonly used for Selected Menopausal Answer: symptoms Question 2 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 That the infant's skin has greater permeability than that of an Answer: adult Question 3 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 4 A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? Selected A 19-year-old male receiving Answer: radiotherapy Question 5 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 The use of dexrazoxane in conjunction with Answer: doxorubicin Question 6 Women who are prescribed progestin-only contraception need education regarding which common adverse drug effect? Selected Irregular vaginal bleeding for the first few Answer: months
Question 11 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 a baseline complete blood count. Answer: Question 12 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 13 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 "Lately, I have to get up three or four times a night to go to the Answer: bathroom." Question 14 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? Selected Advise her to discard her breast milk in a biohazard container, as it Answer: is unsafe for the baby.
Question 15 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 uterine tachysystole. Answer: Question 16 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 avoid the small veins in the dorsum of the hand or Answer: the wrist. Question 17 A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? Selected A 48-year-old Caucasian man who has adult- Answer: onset diabetes Question 18 All insects have an FDA black box warning regarding Selected Potential for causing life-threatening Answer: G.I. bleed
Question 23 Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Selected Impairment of renal Answer: function Question 24 The Nurse Practitioner knows that Buproprion use (wellbutrin, zyban) is contraindicated in which of the following instances? Selected In conjunction with a MAOI) monoamine oxidase Answer: inhibitor Question 25 How is hydrocodone eliminated from the body? Selected Live Answer: r Question 26 The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is? Selected No Laboratory monitoring Answer: required Question 27 The NP is prescribing A medication for six month old infant. That medication comes in the following
formulations. Which one should the NP select to improve absorption and distribution of the medication? Selected Elixi Answer: r Question 28 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 29 A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selected The peak and trough blood levels Answer: Question 30 A 21-year-old has been placed on risperidone. Monitoring for risperidone includes Selected Excessive weight Answer: gain Question 31 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
Question 35 Which of the following medications will not increase the likelihood of photosensitivity? Selected Amoxicilli Answer: n Question 36 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 37 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 The use of ciprofloxacin is contraindicated in pregnancy. Answer: Question 38 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? Selected ADH
Answer: D Question 39 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 40 Gold compounds are contraindicated in patients with all of the following conditions except: Selected Rheumatoid Answer: arthritis Question 41 Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by Selected slowing the infusion. Answer: Question 42 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 magnesium sulfate toxicity. Answer:
Question 48 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 cardiac Answer: arrhythmias. Question 49 A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to Selected stop using creams, ointments, and oils on the child's Answer: skin and scalp. Question 50 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 marijuan Answer: a. Question 51 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? Selected Elevated prothrombin time Answer:
Question 52 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 Risk for Injury related to loss of vision or thrombotic Answer: events Question 53 Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selected Nephrotoxicity and Answer: hepatotoxicity Question 54 Some drugs are given to patients using other routes such as sublingual or topical to avoid movement through the liver and possible side effects. Which of the following effects is the Nurse Practitioner attempting to avoid by administering certain medications via alternative routes? Selected First-Pass Answer: effect Question 55 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Selected Dental hygiene practices Answer:
the symptoms of menopause. Which of the following responses by the nurse is most appropriate? Selected "Actually, most of the current research is suggesting that HRT may Answer:not be all that effective in treating the symptoms of menopause." Question 60 The NP is considering a medication to treat Ms. Robert's Urinary Tract Infection. The NP knows that Trimethoprim sulfamethazole (Bactrim) Is contra indicated in which of the following conditions: Selected G6PD deficiency Answer: anemia Question 61 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 Ineffective Family Therapeutic Regimen Management Answer: Question 62 A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman?
Selected "You might find that you get a dry mouth or a headache from this Answer: drug, but this does not mean it has to be discontinued." Question 63 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 Neurotoxici Answer: ty Question 64 Ms. Lewis Is in 74-year-old female who presents to your clinic for routine visit today. You review her medical record and notice she is prescribed aspirin therapy. You provide patient education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is: Selected Vomitin Answer: g Question 65 Lily, the nurse practitioner is seeing Mr. Reynolds today. She would recognize that which of the following is a potential adverse side effects of autonomic- anticholinergic agents? Selected Increased symptoms of benign prosthetic Answer: hypertrophy
Question 70 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 Fetal heart rate Answer: (FHR) Question 71 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 place the patch on the back, abdomen, upper arms, or thighs. Answer: Question 72 Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants Selected Reduce dose by 50% for 3 to Answer: 4 days Question 73 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 74 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selected 1500 Answer: mg Question 75 The NP recognizes that these medications are useful when taken during early symptoms of a migraine. (Select all that apply) Selected Acetaminoph Answers: en Question 76 All of the following systemic drugs interfere with metabolism of oral contraceptives except Selected Corticosteroi Answer: ds Question 77 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 Having nurses check their math calculations with a colleague before Answer: administering a drug. Question 78 Which of the following drugs can a person with G6PD deficiency take safely?
