NURS 6521 Final Exam Questions With Answers | Latest Update 2023/2024 | Graded A+

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 Selected Answer: staining of permanent teeth.  Question 2 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 3 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 4 Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim? Selected Answer: "Do you feel like you're having any pain in your bones?"  Question 5 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 Selected use sterile technique when applying the medication. Answer:  Question 6 Which of the following is a true statement about aspirin and its action on platelets Selected Answer: It is used for prophylaxis against strokes and acute myocardial infarction  Question 7 Which of the following medications will not increase the likelihood of photosensitivity? Selected Answer: Amoxicilli n  Question 8 Combination OCs prevent pregnancy primarily by: Selected Answer: Suppressing ovulation.  Question 9 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 Selected Answer: Reduce dose by 50% for 3 to 4 days  Question 10 An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on Selected Answer: the permeability of fungal cell walls.  Question 11 A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? Selected Answer: The use of dexrazoxane in conjunction with doxorubicin  Question 12 JC is a 13 year old female to be seen in your clinic today. You review JC's medication and realize that which medication is a potential risk of growth suppression in prepubescent children? Selected Answer: corticosteroi ds  Question 13 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? Selected Answer: Hepari n  Question 14 A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? Selected Answer: By inactivating clotting factors and thus stopping the coagulation cascade  Question 15 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 16 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 Selected Answer: plasma concentrations regularly.  Question 17 A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? Selected Answer: Liver function tests  Question 18 The NP is considering a medication to treat Ms. Robert's Urinary Tract Infection. The NP knows that Trimethoprim sulfamethazole (Bactrim) Is contra indicated in which of the following conditions: Selected Answer: G6PD deficiency anemia  Question 19 Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol? Selected Answer: Fomepizo le  Question 20 When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) Selected Answers: The patient will be able to self-administer filgrastim at home. The patient will not develop febrile neutropenia. The patient will not retain fluid.  Question 21 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 Selected Answer: iron-rich foods such as beans and leafy green vegetables.  Question 22 A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? Selected Answer: Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.  Question 23 A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? Selected Answer: Fetal heart rate (FHR)  Question 24 A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Selected Answer: Anxiety related to perceived danger of drug therapy to fetus or infant  Question 25 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 magnesium sulfate toxicity. Answer:  Question 26 An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with Selected Answer: vancomycin.  Question 27 A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that Selected Answer: the increase in the neutrophil count is only transient.  Question 28 Which Of the following pharmacologic agents can be used to treat nicotine dependence/ smoking cessation? Selected Answer: Sertrali ne  Question 29 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Selected Answer: Dental hygiene practices  Question 30 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug? Selected Answer: Vitamin B  Question 31 A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selected Answer: whether the pregnant woman uses illegal substances.  Question 32 During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following? Selected Consult the prescriber for discontinuation of the Answer: drug  Question 33 The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selected Answer: 1500 mg  Question 34 Which antibiotic requires administration of a loading dose? Selected Answer: Erythromyc in  Question 35 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 36 A contraindication to the use of combined contraceptives is: Selected Answer: A history of a clotting disorder  Question 37 Gold compounds are contraindicated in patients with all of the following conditions except: Selected Answer: Rheumatoid arthritis