NURS 676 FINAL EXAM Questions and Answers Latest Updated 2024/2025 (100% Correct)

NURS 676 FINAL EXAM Questions and Answers Latest Updated 2024/2025 (100% Correct)A contraindication to the use of combined contraceptives is: CORRECT ANSWER: A history of a clotting disorder • Question 2 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? CORRECT ANSWER: Headaches and chest pain • Question 3 A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in CORRECT ANSWER: iron-rich foods such as beans and leafy green vegetables. • Question 4 The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be NURS 676 FINAL EXAM Questions and Answers Latest Updated 2024/2025 | 100% Correct NURS 676 Advanced Pharmacology - APRN CORRECT ANSWER: Ciprofloxacin • Question 5 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? CORRECT ANSWER: A 19-year-old male receiving radiotherapy • Question 6 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 rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? CORRECT ANSWER: Drink plenty of water every day • Question 7 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 CORRECT ANSWER: Reduce dose by 50% for 3 to 4 days • Question 8 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 CORRECT ANSWER: cardiac arrhythmias. • Question 9 A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining CORRECT ANSWER: a baseline complete blood count. • Question 10 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? CORRECT ANSWER: Impairment of renal function NURS 676 Advanced Pharmacology - APRN • Question 11 The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents? CORRECT ANSWER: Give the medication through a straw to decrease the staining of the teeth. • Question 12 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 CORRECT ANSWER: perform relaxation techniques after the treatments. • Question 13 A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause CORRECT ANSWER: staining of permanent teeth. • Question 14 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? CORRECT ANSWER: Rectal suppository • Question 15 Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? CORRECT ANSWER: ethanol withdrawal • Question 16 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? CORRECT ANSWER: Discard the unused portion of the drug. NURS 676 Advanced Pharmacology - APRN • Question 17 A Nurse Practitioner is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate? CORRECT ANSWER: Low bone density and a family history of osteoporosis • Question 18 A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should CORRECT ANSWER: use sterile technique when applying the medication.