Showing Page:
1/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
Question 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?
Selected
Answer:
"You might find that your face becomes flushed or you get a
headache after you take Viagra."
Question 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?
Selected
Answer:
Elevated prothrombin time
Question 3
1 out of 1 points
A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The
nurse will instruct the patient to
Selected
Answer:
complete the entire course of drug therapy.
Question 4
Drugs have a valid medical use but a high potential for abuse, both
1 out of 1 points
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.
Showing Page:
2/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
Examples include certain amphetamines and barbiturates. This is scheduled
drug
Selected
Answer:
Schedule 2
Question 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?
Selected
Answer:
Take the drug for one full week before coming in contact with
allergens
Question 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
Selected
Answer:
magnesium sulfate toxicity.
Question 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?
Selected
Answer:
The patient's bone marrow function is significantly
depressed.
Question 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
Selected
Answer:
clomiphene.
Question 9
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
Showing Page:
3/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
Selected
Answer:
antacids not less than 1 hour before or 2 hours after taking
INH.
Showing Page:
4/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
Question 10
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 11
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 12
0
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:
Sexual dysfunction related to erectile dysfunction
Question 13
1
out of 1 points
A
Nurse Practitioner
will instruct a patient taking allopurinol to take each dose
Selected
Answer:
after a
meal.
Question 14
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 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
Showing Page:
5/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
facilitating this new aspect of the patient's drug regimen. This will
involve the administration of
Selected
weekly subcutaneous
Showing Page:
6/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
Answer:
injections.
Question 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
Selected
Answer:
food containing iron or
calcium.
Question 17
1 out of 1 points
A
Nurse Practitioner
has questioned 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?
Selected
Answer:
The use of broad-spectrum antibiotics can create a risk for a
superinfection.
Question 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
Selected
Answer:
offer a choice between liquid and chewable medications, if
possible.
Question 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?
Selected
Answer:
Nephrotoxicity and
hepatotoxicity
Question 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
Selected
Answer:
that serum levels of the drug are being monitored.
Question 21
1 out of 1 points
Showing Page:
7/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
A female patient is taking oral cyclophosphamide therapy for breast cancer.
Because of possible adverse effects of the drug, the nurse will instruct the
Showing Page:
8/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
patient to do which of the following?
Selected
Answer:
Drink a lot of water
Question 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
Selected
Answer:
uterine tachysystole.
Question 23
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 24
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 25
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 26
A 29-year-
old woman
who is
Showing Page:
9/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
morbidly obese has recently begun a
0
out of 1 points
comprehensive, medically-supervised program of weight reduction. Prior to
adding dextroamphetamine (Dexedrine) to her regimen, the patient should be
Showing Page:
10/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
questioned about her intake of
Selected
Answer:
alcohol.
Question 27
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 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?
Selected
Answer:
Discard the unused portion of
the drug.
Question 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?
Selected
Answer:
Risk for Injury related to loss of vision or thrombotic events
Question 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?
Selected
Answer:
Dietary habits
Question 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
Selected
Answer:
Showing Page:
11/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
e
l
e
c
trocardiogram (ECG).
Question 32
Showing Page:
12/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
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?
Selected
Answer:
The potential benefits of epoetin alfa must be weighed carefully
against the potential adverse effects in cancer patients.
Question 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?
Selected
Answer:
Non-Hodgkin's
lymphoma
Question 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?
Selected
Answer:
Prime the IV tubing with an approved IV solution rather than
with the drug itself.
Question 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
Selected
Answer:
a baseline complete blood count.
Question 36
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 37
Showing Page:
13/36
NURS_6521N_55__Advanced_Pharmacology
(101 Q&A)100%CORRECT Latest
update.2021/2022_FINAL_EXAM SOLUTION
GRADED A+
1 out of 1 points
A patient is taking rifampin (Rifadin) for active TB. When discussing this drug
with the patient, the nurse should stress that
Showing Page:
14/36