NURS 6521 - Advanced Pharmacology
Final Exam
Question 1
1 out of 1 points
A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the
patient receive in one dose?
Selected Answer:
2000 mg
Question 2
1 out of 1 points
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam
reveals trichomonas vaginalis. The nurse practitioner is aware that
Selected Answer: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear.
Question 3
1 out of 1 points
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 Answer: magnesium sulfate toxicity.
Question 4
1 out of 1 points
A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of
the following assessment findings would the nurse expect?
Selected Answer: Increased cardiac conduction
Question 5
1 out of 1 points
A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse
practitioner understands that these foods are considered
Selected Answer: phytoestrogens.
Question 6
,1 out of 1 points
A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has
failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the
presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will
anticipate that this patient will likely require intravenous administration of what antibiotic?
Selected Answer: Vancomycin
Question 7
1 out of 1 points
A Nurse Practitioner 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
Selected Answer: marijuana.
Question 8
1 out of 1 points
A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The
nurse will instruct the parents to administer the drug
Selected Answer: with a glass of water 1 hour before or 2 hours after a meal.
Question 9
1 out of 1 points
A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted
following a motor vehicle accident. Among the many drugs that the patient has received in the
previous year is rituximab. The nurse would be justified insuspecting the patient may have received
treatment for which of the following diseases?
Selected Answer: Non-Hodgkin's lymphoma
Question 10
1 out of 1 points
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help
prevent gastrointestinal distress, the nurse will advise the patient to
Selected Answer: stand or sit upright for at least 30 minutes after taking alendronate..
Question 11
1 out of 1 points
,A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenousleukemia. The
treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the
following?
Selected Answer: Leukopenia
Question 12
The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosanol
(Abreva) is ordered. Before applying the medication, the nurse would first
Selected Answer: assess the area and make sure that there are no open lesions or abrasions.
Question 13
1 out of 1 points
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 14
1 out of 1 points
A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline
(Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the
nurse take to decrease the risk of hypotension and promote circulation to the fetus?
Selected Answer: Instruct the patient to lie on her left side during the infusion.
Question 15
1 out of 1 points
A Nurse Practitioner works at a weight management clinic. To which of the following overweight
patients could the nurse safely administer dextroamphetamine?
Selected Answer: A 48-year-old Caucasian man who has adult-onset diabetes
Question 16
1 out of 1 points
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 Answer: use sterile technique when applying the medication.
Question 17
1 out of 1 points
, 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 18
1 out of 1 points
A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When
planning this patient's care, what nursing diagnosis should the nurse prioritize?
Selected Answer: Risk for Infection related to suppressed bone marrow function
Question 19
1 out of 1 points
A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of
hookworm infection and will be sent home with a prescription for mebendazole. When provided
patient and family education, the nurse should teach the mother with which of the following
measures to avoid reinfection following treatment?
Selected Answer: The importance of vigilant hygiene for the boy and the other members of the family
Question 20
1 out of 1 points
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for
recurring headaches. The nurse should recommend
Selected Answer: tylenol.
Question 21
1 out of 1 points
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 22
1 out of 1 points
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor
which of the following?
Final Exam
Question 1
1 out of 1 points
A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the
patient receive in one dose?
Selected Answer:
2000 mg
Question 2
1 out of 1 points
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam
reveals trichomonas vaginalis. The nurse practitioner is aware that
Selected Answer: asymptomatic women are diagnosed with trichomoniasis by a routine pap smear.
Question 3
1 out of 1 points
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 Answer: magnesium sulfate toxicity.
Question 4
1 out of 1 points
A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of
the following assessment findings would the nurse expect?
Selected Answer: Increased cardiac conduction
Question 5
1 out of 1 points
A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse
practitioner understands that these foods are considered
Selected Answer: phytoestrogens.
Question 6
,1 out of 1 points
A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has
failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the
presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will
anticipate that this patient will likely require intravenous administration of what antibiotic?
Selected Answer: Vancomycin
Question 7
1 out of 1 points
A Nurse Practitioner 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
Selected Answer: marijuana.
Question 8
1 out of 1 points
A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The
nurse will instruct the parents to administer the drug
Selected Answer: with a glass of water 1 hour before or 2 hours after a meal.
Question 9
1 out of 1 points
A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted
following a motor vehicle accident. Among the many drugs that the patient has received in the
previous year is rituximab. The nurse would be justified insuspecting the patient may have received
treatment for which of the following diseases?
Selected Answer: Non-Hodgkin's lymphoma
Question 10
1 out of 1 points
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help
prevent gastrointestinal distress, the nurse will advise the patient to
Selected Answer: stand or sit upright for at least 30 minutes after taking alendronate..
Question 11
1 out of 1 points
,A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenousleukemia. The
treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the
following?
Selected Answer: Leukopenia
Question 12
The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosanol
(Abreva) is ordered. Before applying the medication, the nurse would first
Selected Answer: assess the area and make sure that there are no open lesions or abrasions.
Question 13
1 out of 1 points
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 14
1 out of 1 points
A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline
(Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the
nurse take to decrease the risk of hypotension and promote circulation to the fetus?
Selected Answer: Instruct the patient to lie on her left side during the infusion.
Question 15
1 out of 1 points
A Nurse Practitioner works at a weight management clinic. To which of the following overweight
patients could the nurse safely administer dextroamphetamine?
Selected Answer: A 48-year-old Caucasian man who has adult-onset diabetes
Question 16
1 out of 1 points
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 Answer: use sterile technique when applying the medication.
Question 17
1 out of 1 points
, 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 18
1 out of 1 points
A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When
planning this patient's care, what nursing diagnosis should the nurse prioritize?
Selected Answer: Risk for Infection related to suppressed bone marrow function
Question 19
1 out of 1 points
A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of
hookworm infection and will be sent home with a prescription for mebendazole. When provided
patient and family education, the nurse should teach the mother with which of the following
measures to avoid reinfection following treatment?
Selected Answer: The importance of vigilant hygiene for the boy and the other members of the family
Question 20
1 out of 1 points
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for
recurring headaches. The nurse should recommend
Selected Answer: tylenol.
Question 21
1 out of 1 points
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 22
1 out of 1 points
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor
which of the following?
