NURS 6521 COMPREHENSIVE EXAM STUDY GUIDE 2026 TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
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.
>Answer: "You might find that your face becomes flushed, or you get a headache after taking
Viagra." . Answer.
>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.
>Answer: Elevated prothrombin time . Answer.
>Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The
nurse will instruct the patient . Answer.
>Answer: to complete the entire course of drug therapy. . Answer.
>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.
>Answer: Schedule II . Answer.
, >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.
>Answer: Take the drug for one whole week before coming in contact with allergens. . Answer.
>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.
>Answer: Magnesium Sulfate toxicity. . Answer.
>Question 7: 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.
>Answer: The patient's bone marrow function is significantly depressed. . Answer.
>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.
>Answer: clomiphene. . Answer.
>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.
>Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. . Answer.
,>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.
>Answer: Body Surface Area . Answer.
>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.
>Answer: The patient has chronic heart failure resulting in significant peripheral edema .
Answer.
>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.
>Answer: Prostatic neoplasia . Answer.
>Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose .
Answer.
>Answer: After a meal. . Answer.
>Question 14: 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.
>Answer: place the patch on the back, abdomen, upper arms, or thighs. . Answer.
, >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.
>Answer: weekly subcutaneous injections . Answer.
>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.
>Answer: food containing iron or calcium with the woman. . Answer.
>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.
>Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. . Answer.
>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.
>Answer: offer a choice between liquid and chewable medications, if possible. . Answer.
>Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking
polymyxin B systemically? . Answer.
>Answer: Nephrotoxicity and hepatotoxicity . Answer.
AND SOLUTIONS GRADED A+
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.
>Answer: "You might find that your face becomes flushed, or you get a headache after taking
Viagra." . Answer.
>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.
>Answer: Elevated prothrombin time . Answer.
>Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The
nurse will instruct the patient . Answer.
>Answer: to complete the entire course of drug therapy. . Answer.
>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.
>Answer: Schedule II . Answer.
, >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.
>Answer: Take the drug for one whole week before coming in contact with allergens. . Answer.
>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.
>Answer: Magnesium Sulfate toxicity. . Answer.
>Question 7: 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.
>Answer: The patient's bone marrow function is significantly depressed. . Answer.
>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.
>Answer: clomiphene. . Answer.
>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.
>Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. . Answer.
,>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.
>Answer: Body Surface Area . Answer.
>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.
>Answer: The patient has chronic heart failure resulting in significant peripheral edema .
Answer.
>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.
>Answer: Prostatic neoplasia . Answer.
>Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose .
Answer.
>Answer: After a meal. . Answer.
>Question 14: 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.
>Answer: place the patch on the back, abdomen, upper arms, or thighs. . Answer.
, >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.
>Answer: weekly subcutaneous injections . Answer.
>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.
>Answer: food containing iron or calcium with the woman. . Answer.
>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.
>Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. . Answer.
>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.
>Answer: offer a choice between liquid and chewable medications, if possible. . Answer.
>Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking
polymyxin B systemically? . Answer.
>Answer: Nephrotoxicity and hepatotoxicity . Answer.
