NURS6521 FINAL EXAM SCRIPT 2026 COMPLETE QUESTIONS AND SOLUTIONS
VERIFIED GRADED A+
>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 . Answer. clomiphene.
>Which of the following would the nurse include in a teaching plan about the signs and
symptoms of thrombophlebitis and thromboembolism that should be reported by a patient
taking estrogen? . Answer. Headaches and chest pain
>A 38-year-old pregnant patient admits to the nurse 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 . Answer. microcephaly
>A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal
candidiasis. The patient should expect to take medication . Answer. Once a day
>An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a
colleague the factors that contribute to the success or failure of a patient's chemotherapy.
Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic
drugs? . Answer. Cells that have a rapid mitotic rate
>A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive
diagnostic workup. Imatinib has been recommended as a component of the patient's drug
regimen. What patient education should the nurse provide to this patient?"It's important that
you let us know if you develop any significant swelling or . Answer. Puffiness
>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 . Answer. both the boy and his
mother regarding all medication issued.
>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 . Answer. ototoxicity or
nephrotoxicity
>A nurse works at a weight management clinic. To which of the following overweight patients
could the nurse safely administer dextroamphetamine? . Answer. A 48-year-old Caucasian man
who has adult-onset diabetes
>A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each
treatment, the patient has acute nausea and vomiting accompanied by a slightly increased
heart rate. The nurse will advise her to . Answer. perform relaxation techniques after the
treatments.
>A nurse 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 . Answer. marijuana
>A 46-year-old man is receiving a quinupristindalfopristin IV infusion for a life-threatening
infection. Which of the following would be most important for the nurse to monitor? . Answer.
Infiltration, edema, or phlebitis at the infusion site
>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. . Answer. The nurse should make
sure that serum levels of the drug are being monitored
, >Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-
year-old patient. When providing education to the patient and his wife, the nurse should
inform the wife about which of the following adverse effects? . Answer. Vaginal burning
>A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is
pregnant. During the initial assessment, the nurse 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? . Answer. Phenytoin (Dilantin)
>A male patient with a medical background tells the nurse that he is not satisfied with the oral
synthetic testosterone that has been prescribed for him and he would like to try a natural form
of oral testosterone. Which of the following would be an appropriate response by the nurse? .
Answer. "Natural testosterone undergoes a high first-pass effect and is not used orally."
>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? . Answer. Prostatic
neoplasia
>A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at
home for 2 weeks. The child lives with his mother, grandmother, and four other children
between the ages of 14 months and 7 years. The home health nurse is asked to assess the home
environment to determine if it is appropriate for the child to take his medication at home.
Which of the following will have the greatest impact on the nurse's assessment? . Answer.
Where the medications will be stored
>A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms of
maternal cocaine use during pregnancy. These signs and symptoms are a result of what
pathophysiological effect of opioid use during pregnancy? . Answer. Vasoconstriction leading to
reduced placental blood flow
VERIFIED GRADED A+
>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 . Answer. clomiphene.
>Which of the following would the nurse include in a teaching plan about the signs and
symptoms of thrombophlebitis and thromboembolism that should be reported by a patient
taking estrogen? . Answer. Headaches and chest pain
>A 38-year-old pregnant patient admits to the nurse 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 . Answer. microcephaly
>A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal
candidiasis. The patient should expect to take medication . Answer. Once a day
>An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a
colleague the factors that contribute to the success or failure of a patient's chemotherapy.
Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic
drugs? . Answer. Cells that have a rapid mitotic rate
>A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive
diagnostic workup. Imatinib has been recommended as a component of the patient's drug
regimen. What patient education should the nurse provide to this patient?"It's important that
you let us know if you develop any significant swelling or . Answer. Puffiness
>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 . Answer. both the boy and his
mother regarding all medication issued.
>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 . Answer. ototoxicity or
nephrotoxicity
>A nurse works at a weight management clinic. To which of the following overweight patients
could the nurse safely administer dextroamphetamine? . Answer. A 48-year-old Caucasian man
who has adult-onset diabetes
>A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each
treatment, the patient has acute nausea and vomiting accompanied by a slightly increased
heart rate. The nurse will advise her to . Answer. perform relaxation techniques after the
treatments.
>A nurse 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 . Answer. marijuana
>A 46-year-old man is receiving a quinupristindalfopristin IV infusion for a life-threatening
infection. Which of the following would be most important for the nurse to monitor? . Answer.
Infiltration, edema, or phlebitis at the infusion site
>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. . Answer. The nurse should make
sure that serum levels of the drug are being monitored
, >Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-
year-old patient. When providing education to the patient and his wife, the nurse should
inform the wife about which of the following adverse effects? . Answer. Vaginal burning
>A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is
pregnant. During the initial assessment, the nurse 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? . Answer. Phenytoin (Dilantin)
>A male patient with a medical background tells the nurse that he is not satisfied with the oral
synthetic testosterone that has been prescribed for him and he would like to try a natural form
of oral testosterone. Which of the following would be an appropriate response by the nurse? .
Answer. "Natural testosterone undergoes a high first-pass effect and is not used orally."
>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? . Answer. Prostatic
neoplasia
>A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at
home for 2 weeks. The child lives with his mother, grandmother, and four other children
between the ages of 14 months and 7 years. The home health nurse is asked to assess the home
environment to determine if it is appropriate for the child to take his medication at home.
Which of the following will have the greatest impact on the nurse's assessment? . Answer.
Where the medications will be stored
>A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms of
maternal cocaine use during pregnancy. These signs and symptoms are a result of what
pathophysiological effect of opioid use during pregnancy? . Answer. Vasoconstriction leading to
reduced placental blood flow
