NURS 6521 / NURS6521 Advanced Pharmacology Final Exam
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Question 1 d
Laboratory testing has confirmed that a patient has chloroquine-resistant
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malaria and the patient's physician has prescribed quinine along with an
d d d d d d d d d d d
adjunctive drug. The nurse should question the physician's order if the
d d d d d d d d d d d
osteoporosis or low bone density. d d d d
chronic obstructive pulmonary d d
disease (COPD).
d d
diabetes mellitus. d
cardiac arrhythmias. d
Question 2 d
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she
d d d d d d d d d d
can take for recurring headaches. The nurse should recommend
d d d d d d d d d
aspir
i d n.
advil.
dtyleno
l.
motri
n.
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is
d d d d d d d d d d d d d
to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and
d d d d d d d d d d d d d
weight, the nurse will prepare the patient for an
d d d d d d d d d
electrocardiogram (ECG). d
electromyelogram (EMG).
d d
electroencephalogram (EEG). d
electrophysiologic study (EPS). d d
A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV
d d d d d d d d d d d d d
heparin and reports bleeding from her gums. The nurse checks the patient's
d d d d d d d d d d d d
dlaboratory test results and finds that she has a very high aPTT. The nurse
d d d d d d d d d d d d d
anticipates that which of the following drugs may be ordered?
d d d d d d d d d d
,Coumadin
Alteplase
Ticlopidine
d
Protamine sulfate d
Question 5 d
A patient reports to a clinic with complaints of breast tenderness, a right
d d d d d d d d d d d d
lumpy breast, and no breast discharge. The breast tenderness occurs
d d d d d d d d d d
primarily during her menstrual cycle. The nurse practitioner probably
d d d d d d d d d
breast cancer. d
cancerous
breast d
tenderness. d
pain in the heart. d d d d
PMS.
Question 6 d
A postmenopausal patient is prescribed bisphosphonates to treat
d d d d d d d
osteoporosis. The nurse will instruct the patient to take the drug
d d d d d d d d d d d
at
bedtime.
d d
after
meals.
d
at any time of the day with tea or
d d d d d d d d
coffee.
d d first thing in the morning.
d d d d
Question 7 d
Which test should the NP order for monitoring effectiveness of the patient receiving
d d d d d d d d d d d d
heparin?
d
Arterial blood d
d gas d levels
PTT
Complete
d blood count
d
Hemoglobin level d
,Question 8
d
, Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem with
d d d d d d d d d d d d d
durination secondary to an enlarged prostate. The practitioner would teach the patient that
d d d d d d d d d d d d
dwhile he is taking this medication, it is important to:
d d d d d d d d d
Increase his fluid intake. d d d
Restrain from sexual activity d d d
Take special precautions around women of childbearing age
d d d d d d d
Begin folic acid d d
Question 9 d
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She
d d d d d d d d d
is being treated with chloramphenicol. The most important nursing action
d d d d d d d d d d
for this patient would be to monitor
d d d d d d d
blood sugar levels d d
d daily. d liver enzymes d
d monthly.
plasma concentrations d
d regularly. d urine output d
d daily.
Question 10 d
A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for
d d d d d d d d d d d d d d
treatment of BPH. He returns to the clinic and is complaining of feeling
d d d d d d d d d d d d d
dizzy when he stands up. Which action would the family nurse practitioner
d d d d d d d d d d d d
take?
d
d Order urinalysis (UA) to determine hematuria and presence of bacteria.
d d d d d d d d d
Determine blood pressure (BP) with patient lying down, standing,
d d d d d d d d
and sitting.
d d
Review with patient his symptoms over the past 3 weeks.
d d d d d d d d d
Perform digital rectal exam to determine if prostate is smaller than previously noted.
d d d d d d d d d d d d
Question 11 d
A 5-year-old boy needs an IM injection. The least painful and most effective
d d d d d d d d d d d d
injection site would be the
d d d d d
deltoid muscle. d
rectus femoris d
d muscle. d
ventrogluteal
d muscle. d
dorsogluteal
d d d d d d d
Question 1 d
Laboratory testing has confirmed that a patient has chloroquine-resistant
d d d d d d d d
malaria and the patient's physician has prescribed quinine along with an
d d d d d d d d d d d
adjunctive drug. The nurse should question the physician's order if the
d d d d d d d d d d d
osteoporosis or low bone density. d d d d
chronic obstructive pulmonary d d
disease (COPD).
d d
diabetes mellitus. d
cardiac arrhythmias. d
Question 2 d
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she
d d d d d d d d d d
can take for recurring headaches. The nurse should recommend
d d d d d d d d d
aspir
i d n.
advil.
dtyleno
l.
motri
n.
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is
d d d d d d d d d d d d d
to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and
d d d d d d d d d d d d d
weight, the nurse will prepare the patient for an
d d d d d d d d d
electrocardiogram (ECG). d
electromyelogram (EMG).
d d
electroencephalogram (EEG). d
electrophysiologic study (EPS). d d
A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV
d d d d d d d d d d d d d
heparin and reports bleeding from her gums. The nurse checks the patient's
d d d d d d d d d d d d
dlaboratory test results and finds that she has a very high aPTT. The nurse
d d d d d d d d d d d d d
anticipates that which of the following drugs may be ordered?
d d d d d d d d d d
,Coumadin
Alteplase
Ticlopidine
d
Protamine sulfate d
Question 5 d
A patient reports to a clinic with complaints of breast tenderness, a right
d d d d d d d d d d d d
lumpy breast, and no breast discharge. The breast tenderness occurs
d d d d d d d d d d
primarily during her menstrual cycle. The nurse practitioner probably
d d d d d d d d d
breast cancer. d
cancerous
breast d
tenderness. d
pain in the heart. d d d d
PMS.
Question 6 d
A postmenopausal patient is prescribed bisphosphonates to treat
d d d d d d d
osteoporosis. The nurse will instruct the patient to take the drug
d d d d d d d d d d d
at
bedtime.
d d
after
meals.
d
at any time of the day with tea or
d d d d d d d d
coffee.
d d first thing in the morning.
d d d d
Question 7 d
Which test should the NP order for monitoring effectiveness of the patient receiving
d d d d d d d d d d d d
heparin?
d
Arterial blood d
d gas d levels
PTT
Complete
d blood count
d
Hemoglobin level d
,Question 8
d
, Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem with
d d d d d d d d d d d d d
durination secondary to an enlarged prostate. The practitioner would teach the patient that
d d d d d d d d d d d d
dwhile he is taking this medication, it is important to:
d d d d d d d d d
Increase his fluid intake. d d d
Restrain from sexual activity d d d
Take special precautions around women of childbearing age
d d d d d d d
Begin folic acid d d
Question 9 d
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She
d d d d d d d d d
is being treated with chloramphenicol. The most important nursing action
d d d d d d d d d d
for this patient would be to monitor
d d d d d d d
blood sugar levels d d
d daily. d liver enzymes d
d monthly.
plasma concentrations d
d regularly. d urine output d
d daily.
Question 10 d
A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for
d d d d d d d d d d d d d d
treatment of BPH. He returns to the clinic and is complaining of feeling
d d d d d d d d d d d d d
dizzy when he stands up. Which action would the family nurse practitioner
d d d d d d d d d d d d
take?
d
d Order urinalysis (UA) to determine hematuria and presence of bacteria.
d d d d d d d d d
Determine blood pressure (BP) with patient lying down, standing,
d d d d d d d d
and sitting.
d d
Review with patient his symptoms over the past 3 weeks.
d d d d d d d d d
Perform digital rectal exam to determine if prostate is smaller than previously noted.
d d d d d d d d d d d d
Question 11 d
A 5-year-old boy needs an IM injection. The least painful and most effective
d d d d d d d d d d d d
injection site would be the
d d d d d
deltoid muscle. d
rectus femoris d
d muscle. d
ventrogluteal
d muscle. d
dorsogluteal
