NURS 6521 ADV. PHARMACOLOGY
FINAL EXAM
Question01:0A059-year-
old0man0with0a0recent0history0of0erectile0dysfunction0has0been0assessed0and0prescrib
ed0sildenafil0(Viagra).0When0providing0patient0education0to0this0man,0the0nurse0should
0tell0him0which0of0the0following?0-0ans✔
Answer:0"You0might0find0that0your0face0becomes0flushed,0or0you0get0a0headache0after
0taking0Viagra."0-0ans✔
Question02:0A0patient0takes0etoposide0for0a0testicular0tumor0refractory0treatment.0The0
nursing0assessment0reveals0that0he0is0also0taking0warfarin.0The0nurse0must0carefully0
monitor0which0of0the0following?0-0ans✔
Answer:0Elevated0prothrombin0time0-0ans✔
Question03:0A0man0is0prescribed0ciprofloxacin0to0treat0a0sexually0transmitted0infection.
0The0nurse0will0instruct0the0patient0-0ans✔
Answer:0to0complete0the0entire0course0of0drug0therapy.0-0ans✔
Question04:0Drugs0have0a0valid0medical0use0but0a0high0potential0for0psychological0an
d0physiologic0abuse.0In0an0emergency,0a0Schedule0II0drug0may0be0prescribed0by0tele
phone0if0a0written0prescription0cannot0be0provided0at0the0time.0However,0a0written0pre
scription0must0be0provided0within0720hours0with0the0words0authorization0for0emergenc
y0dispensing0written0on0the0prescription.0These0prescriptions0cannot0be0refilled.0A0new
0prescription0must0be0written0each0time.0Examples0include0certain0amphetamines0and0
barbiturates.0These0are0scheduled0drugs0-0ans✔
Answer:0Schedule0II0-0ans✔
Question05:0A016-year-
old0boy0has0been0prescribed0cromolyn0sodium0nasal0spray0to0treat0a0nasal0allergy.0To
0maximize0the0drug's0therapeutic0effects,0which0of0the0following0will0the0nurse0include0
in0instructions0to0the0patient?0-0ans✔
,Answer:0Take0the0drug0for0one0whole0week0before0coming0in0contact0with0allergens.0-
0ans✔
Question06:0A0woman0is0receiving0magnesium0sulfate0for0intrapartum0eclampsia.0The0
patient0is0sweating,0and0her0BP0is088/50.0The0serum0magnesium0level0is0100mg/
dL.0The0nurse0will0interpret0these0manifestations0as0-0ans✔
Answer:0Magnesium0Sulfate0toxicity.0-0ans✔
Question07:0A0patient0with0a0recent0diagnosis0of0chronic0myelogenous0leukemia0(CML
)0discusses0treatment0options0with0his0care0team.0What0aspect0of0the0patient's0conditi
on0would0contraindicate0the0use0of0cyclophosphamide0to0treat0leukemia?0-0ans✔
Answer:0The0patient's0bone0marrow0function0is0significantly0depressed.0-0ans✔
Question08:0After0six0months0of0unsuccessfully0trying0to0conceive,0a031-year-
old0woman0and0her0husband0have0sought0a0referral0to0a0fertility0specialist0to0explore0t
heir0options.0A0nurse0at0the0clinic0should0recognize0that0the0woman0may0benefit0from0
-0ans✔
Answer:0clomiphene.0-0ans✔
Question09:0A034-year-
old0male0has0been0diagnosed0with0TB0and0will0be0started0on0INH0therapy.0The0medic
ation0history0reveals0that0he0currently0takes0antacids0regularly.0The0nurse0will0instruct0
the0patient:0-0ans✔
Answer:0to0take0antacids0not0less0than010hour0before0or020hours0after0taking0INH.0-
0ans✔
Question010:0A0Nurse0Practitioner0working0in0a0cancer0center0is0preparing0to0administ
er0medication0to0a05-year-
old0child.0The0nurse0will0calculate0the0drug0dosage0by0using0-0ans✔
Answer:0Body0Surface0Area0-0ans✔
Question011:0An0older0adult0woman0has0been0diagnosed0with0acute0lymphoblastic0leu
kemia0(ALL),0and0her0care0team0has0identified0potential0benefits0of0imatinib.0Which0of0
the0following0characteristics0of0this0patient's0current0health0status0may0preclude0the0us
e0of0imatinib?0-0ans✔
Answer:0The0patient0has0chronic0heart0failure0resulting0in0significant0peripheral0edema
0-0ans✔
, Question012:0A0male0patient0is0trying0to0decide0if0he0should0use0finasteride0(Proscar)0t
o0treat0benign0prostatic0hypertrophy0(BPH).0When0providing0information0about0the0dru
g,0the0nurse0will0include0which0of0the0following0as0a0risk0associated0with0finasteride0th
erapy?0-0ans✔
Answer:0Prostatic0neoplasia0-0ans✔
Question013:0A0Nurse0Practitioner0will0instruct0a0patient0taking0allopurinol0to0take0each
0dose0-0ans✔
Answer:0After0a0meal.0-0ans✔
Question014:0A0patient0has0acquired0primary0hypogonadism0and0was0prescribed0testo
sterone0transdermal0(Androderm)0patches.0When0educating0the0patient0on0administeri
ng0the0drug,0the0nurse0will0instruct0him0to0-0ans✔
Answer:0place0the0patch0on0the0back,0abdomen,0upper0arms,0or0thighs.0-0ans✔
Question015:0A066-year-
old0woman0has0experienced0a0significant0decline0in0her0quality0of0life0due0to0worsenin
g0rheumatoid0arthritis.0Her0physician0has0prescribed0etanercept0and0the0APRN0is0resp
onsible0for0facilitating0this0new0aspect0of0the0patient's0drug0regimen0involving0the0admi
nistration0of0-0ans✔
Answer:0weekly0subcutaneous0injections0-0ans✔
Question016:0A054-year-
old0woman0with0a0history0of0osteoporosis0has0been0prescribed0ciprofloxacin0for0recurr
ent0cystitis.0Because0of0the0patient's0history,0the0nurse0would0be0sure0to0discuss0the0u
se0of0-0ans✔
Answer:0food0containing0iron0or0calcium0with0the0woman.0-0ans✔
Question017:0A0Nurse0Practitioner0has0questioned0why0a0patient's0physician0has0pres
cribed0a0narrow-spectrum0antibiotic0rather0than0a0broad-
spectrum0drug0to0treat0a0patient's0infection.0Which0of0the0following0facts0provides0the0
best0rationale0for0using0narrow-spectrum0antibiotics0whenever0possible?0-0ans✔
Answer:0The0use0of0broad-
spectrum0antibiotics0can0create0a0risk0for0a0superinfection.0-0ans✔
Question018:0A03-year-
old0boy0has0developed0otitis0media0and0requires0antibiotics.0In0order0to0increase0the0c
hance0that0the0boy0will0take0his0prescribed0medication,0the0nurse0should0-0ans✔
Answer:0offer0a0choice0between0liquid0and0chewable0medications,0if0possible.0-0ans✔
FINAL EXAM
Question01:0A059-year-
old0man0with0a0recent0history0of0erectile0dysfunction0has0been0assessed0and0prescrib
ed0sildenafil0(Viagra).0When0providing0patient0education0to0this0man,0the0nurse0should
0tell0him0which0of0the0following?0-0ans✔
Answer:0"You0might0find0that0your0face0becomes0flushed,0or0you0get0a0headache0after
0taking0Viagra."0-0ans✔
Question02:0A0patient0takes0etoposide0for0a0testicular0tumor0refractory0treatment.0The0
nursing0assessment0reveals0that0he0is0also0taking0warfarin.0The0nurse0must0carefully0
monitor0which0of0the0following?0-0ans✔
Answer:0Elevated0prothrombin0time0-0ans✔
Question03:0A0man0is0prescribed0ciprofloxacin0to0treat0a0sexually0transmitted0infection.
0The0nurse0will0instruct0the0patient0-0ans✔
Answer:0to0complete0the0entire0course0of0drug0therapy.0-0ans✔
Question04:0Drugs0have0a0valid0medical0use0but0a0high0potential0for0psychological0an
d0physiologic0abuse.0In0an0emergency,0a0Schedule0II0drug0may0be0prescribed0by0tele
phone0if0a0written0prescription0cannot0be0provided0at0the0time.0However,0a0written0pre
scription0must0be0provided0within0720hours0with0the0words0authorization0for0emergenc
y0dispensing0written0on0the0prescription.0These0prescriptions0cannot0be0refilled.0A0new
0prescription0must0be0written0each0time.0Examples0include0certain0amphetamines0and0
barbiturates.0These0are0scheduled0drugs0-0ans✔
Answer:0Schedule0II0-0ans✔
Question05:0A016-year-
old0boy0has0been0prescribed0cromolyn0sodium0nasal0spray0to0treat0a0nasal0allergy.0To
0maximize0the0drug's0therapeutic0effects,0which0of0the0following0will0the0nurse0include0
in0instructions0to0the0patient?0-0ans✔
,Answer:0Take0the0drug0for0one0whole0week0before0coming0in0contact0with0allergens.0-
0ans✔
Question06:0A0woman0is0receiving0magnesium0sulfate0for0intrapartum0eclampsia.0The0
patient0is0sweating,0and0her0BP0is088/50.0The0serum0magnesium0level0is0100mg/
dL.0The0nurse0will0interpret0these0manifestations0as0-0ans✔
Answer:0Magnesium0Sulfate0toxicity.0-0ans✔
Question07:0A0patient0with0a0recent0diagnosis0of0chronic0myelogenous0leukemia0(CML
)0discusses0treatment0options0with0his0care0team.0What0aspect0of0the0patient's0conditi
on0would0contraindicate0the0use0of0cyclophosphamide0to0treat0leukemia?0-0ans✔
Answer:0The0patient's0bone0marrow0function0is0significantly0depressed.0-0ans✔
Question08:0After0six0months0of0unsuccessfully0trying0to0conceive,0a031-year-
old0woman0and0her0husband0have0sought0a0referral0to0a0fertility0specialist0to0explore0t
heir0options.0A0nurse0at0the0clinic0should0recognize0that0the0woman0may0benefit0from0
-0ans✔
Answer:0clomiphene.0-0ans✔
Question09:0A034-year-
old0male0has0been0diagnosed0with0TB0and0will0be0started0on0INH0therapy.0The0medic
ation0history0reveals0that0he0currently0takes0antacids0regularly.0The0nurse0will0instruct0
the0patient:0-0ans✔
Answer:0to0take0antacids0not0less0than010hour0before0or020hours0after0taking0INH.0-
0ans✔
Question010:0A0Nurse0Practitioner0working0in0a0cancer0center0is0preparing0to0administ
er0medication0to0a05-year-
old0child.0The0nurse0will0calculate0the0drug0dosage0by0using0-0ans✔
Answer:0Body0Surface0Area0-0ans✔
Question011:0An0older0adult0woman0has0been0diagnosed0with0acute0lymphoblastic0leu
kemia0(ALL),0and0her0care0team0has0identified0potential0benefits0of0imatinib.0Which0of0
the0following0characteristics0of0this0patient's0current0health0status0may0preclude0the0us
e0of0imatinib?0-0ans✔
Answer:0The0patient0has0chronic0heart0failure0resulting0in0significant0peripheral0edema
0-0ans✔
, Question012:0A0male0patient0is0trying0to0decide0if0he0should0use0finasteride0(Proscar)0t
o0treat0benign0prostatic0hypertrophy0(BPH).0When0providing0information0about0the0dru
g,0the0nurse0will0include0which0of0the0following0as0a0risk0associated0with0finasteride0th
erapy?0-0ans✔
Answer:0Prostatic0neoplasia0-0ans✔
Question013:0A0Nurse0Practitioner0will0instruct0a0patient0taking0allopurinol0to0take0each
0dose0-0ans✔
Answer:0After0a0meal.0-0ans✔
Question014:0A0patient0has0acquired0primary0hypogonadism0and0was0prescribed0testo
sterone0transdermal0(Androderm)0patches.0When0educating0the0patient0on0administeri
ng0the0drug,0the0nurse0will0instruct0him0to0-0ans✔
Answer:0place0the0patch0on0the0back,0abdomen,0upper0arms,0or0thighs.0-0ans✔
Question015:0A066-year-
old0woman0has0experienced0a0significant0decline0in0her0quality0of0life0due0to0worsenin
g0rheumatoid0arthritis.0Her0physician0has0prescribed0etanercept0and0the0APRN0is0resp
onsible0for0facilitating0this0new0aspect0of0the0patient's0drug0regimen0involving0the0admi
nistration0of0-0ans✔
Answer:0weekly0subcutaneous0injections0-0ans✔
Question016:0A054-year-
old0woman0with0a0history0of0osteoporosis0has0been0prescribed0ciprofloxacin0for0recurr
ent0cystitis.0Because0of0the0patient's0history,0the0nurse0would0be0sure0to0discuss0the0u
se0of0-0ans✔
Answer:0food0containing0iron0or0calcium0with0the0woman.0-0ans✔
Question017:0A0Nurse0Practitioner0has0questioned0why0a0patient's0physician0has0pres
cribed0a0narrow-spectrum0antibiotic0rather0than0a0broad-
spectrum0drug0to0treat0a0patient's0infection.0Which0of0the0following0facts0provides0the0
best0rationale0for0using0narrow-spectrum0antibiotics0whenever0possible?0-0ans✔
Answer:0The0use0of0broad-
spectrum0antibiotics0can0create0a0risk0for0a0superinfection.0-0ans✔
Question018:0A03-year-
old0boy0has0developed0otitis0media0and0requires0antibiotics.0In0order0to0increase0the0c
hance0that0the0boy0will0take0his0prescribed0medication,0the0nurse0should0-0ans✔
Answer:0offer0a0choice0between0liquid0and0chewable0medications,0if0possible.0-0ans✔
