NURS 6521 Advanced Pharmacology Final Exam| Questions with 100% Verified Answers

NURS 6521 Advanced Pharmacology Final
Exam| Questions with 100% Verified Answers
Question 1:
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?
- ANSWER: "You might find that your face becomes flushed, or you get a headache
after taking Viagra."

Question 2:
A patient takes etoposide for a testicular tumor refractory treatment. The nursing
assessment reveals that he is also taking warfarin. The nurse must carefully monitor
which of the following?
- ANSWER: Elevated prothrombin time
Question 3:
A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will
instruct the patient
- ANSWER: to complete the entire course of drug therapy.

Question 4:
Drugs have a valid medical use but a high potential for psychological and physiologic
abuse. In an emergency, a Schedule II drug may be prescribed by telephone if a written
prescription cannot be provided at the time. However, a written prescription must be
provided within 72 hours with the words authorization for emergency dispensing written
on the prescription. These prescriptions cannot be refilled. A new prescription must be
written each time. Examples include certain amphetamines and barbiturates. These are
scheduled drugs
- ANSWER: Schedule II

Question 5:
A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal
allergy. To maximize the drug's therapeutic effects, which of the following will the nurse
include in instructions to the patient?
- ANSWER: Take the drug for one whole week before coming in contact with
allergens.

Question 6:
A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is
sweating, and her BP is 88/50. The serum magnesium level is 10 mg/dL. The nurse will
interpret these manifestations as
- ANSWER: Magnesium Sulfate toxicity.
Question 7:

,NURS 6521 Advanced Pharmacology Final
Exam| Questions with 100% Verified Answers
A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusses
treatment options with his care team. What aspect of the patient's condition would
contraindicate the use of cyclophosphamide to treat leukemia?
- ANSWER: The patient's bone marrow function is significantly depressed.

Question 8:
After six months of unsuccessfully trying to conceive, a 31-year-old woman and her
husband have sought a referral to a fertility specialist to explore their options. A nurse at
the clinic should recognize that the woman may benefit from
- ANSWER: clomiphene.
Question 9:
A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The
medication history reveals that he currently takes antacids regularly. The nurse will
instruct the patient:
- ANSWER: to take antacids not less than 1 hour before or 2 hours after taking INH.
Question 10:
A Nurse Practitioner working in a cancer center is preparing to administer medication to
a 5-year-old child. The nurse will calculate the drug dosage by using
- ANSWER: Body Surface Area

Question 11: An older adult woman has been diagnosed with acute lymphoblastic
leukemia (ALL), and her care team has identified potential benefits of imatinib. Which of
the following characteristics of this patient's current health status may preclude the use
of imatinib?
- ANSWER: The patient has chronic heart failure resulting in significant peripheral
edema

Question 12:
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

Question 13:
A Nurse Practitioner will instruct a patient taking allopurinol to take each dose
- ANSWER: After a meal.

Question 14:

, NURS 6521 Advanced Pharmacology Final
Exam| Questions with 100% Verified Answers
A patient has acquired primary hypogonadism and was prescribed testosterone
transdermal (Androderm) patches. When educating the patient on administering the
drug, the nurse will instruct him to
- ANSWER: place the patch on the back, abdomen, upper arms, or thighs.

Question 15:
A 66-year-old woman has experienced a significant decline in her quality of life due to
worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN
is responsible for facilitating this new aspect of the patient's drug regimen involving the
administration of
- ANSWER: weekly subcutaneous injections
Question 16:
A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin
for recurrent cystitis. Because of the patient's history, the nurse would be sure to
discuss the use of
- ANSWER: food containing iron or calcium with the woman

Question 17:
A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-
spectrum antibiotic rather than a broad-spectrum drug to treat a patient's infection.
Which of the following facts provides the best rationale for using narrow-spectrum
antibiotics whenever possible?
- ANSWER: The use of broad-spectrum antibiotics can create a risk for a
superinfection.

Question 18:
A 3-year-old boy has developed otitis media and requires antibiotics. In order to
increase the chance that the boy will take his prescribed medication, the nurse should
- ANSWER: offer a choice between liquid and chewable medications, if possible.

Question 19:
Which of the following would a Nurse Practitioner assess for in a patient taking
polymyxin B systemically?
- ANSWER: Nephrotoxicity and hepatotoxicity

Question 20:
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; The RN should
ensure that
- ANSWER: Drug serum levels are being monitored.