NURS 6521 Final Exam 2021/2022

NURS 6521 Final Exam 2021/2022. Advanced Pharmacology. 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 electrocardiogram (ECG). electromyelogram (EMG). electroencephalogram (EEG). electrophysiologic study (EPS). A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered? Coumadin Alteplase Ticlopidine Protamine sulfate Question 5 A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects breast cancer. cancerous breast tenderness. pain in the heart. PMS. Question 6 A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug at bedtime. after meals. at any time of the day with tea or coffee. first thing in the morning. Question 7 Which test should the NP order for monitoring effectiveness of the patient receiving heparin? Arterial blood gas levels PTT Complete blood count Hemoglobin level Question 8 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: Increase his fluid intake. Restrain from sexual activity Take special precautions around women of childbearing age Begin folic acid Question 9 A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor blood sugar levels daily. liver enzymes monthly. plasma concentrations regularly. urine output daily. Question 10 A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for treatment of BPH. He returns to the clinic and is complaining of feeling dizzy when he stands up. Which action would the family nurse practitioner take? Order urinalysis (UA) to determine hematuria and presence of bacteria. Determine blood pressure (BP) with patient lying down, standing, and sitting. Review with patient his symptoms over the past 3 weeks. Perform digital rectal exam to determine if prostate is smaller than previously noted. Question 11 A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the deltoid muscle. rectus femoris muscle. ventrogluteal muscle. dorsogluteal muscle. Question 12 A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following? Visual function Blood counts Pap test results Liver function Question 13 A 21-year-old has been placed on risperidone. Monitoring for risperidone includes Bradykinesia, akathisia and agitation Excessive weight gain Hypertension Potentially fatal agranulocytosis Question 14 A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The NP should expect that this patient will use which of the following anticoagulant medications? Aspirin Heparin Dabigatr an Warfarin Question 15 When a NP chooses a benzodiazepine to treat anxiety the prescriber needs to be aware of the possibility of dependence. The Benzodiazepine associated with the greatest likelihood of causing rapid dependence is: Chlordiazepoxide (Libri um) Clonazepam (Klonopin) Alprazolam (Xanax) Oxazepam (serax) Question 17 A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Serum cholesterol levels Bone growth Hemoglobin levels Urinary elimination patterns