Advanced Pharmacology Walden exam with full solution
Laboratory testing has confirmed that a Cardiac arrhythmias
patient has chloroquine-resistant malaria
and the patient's physician has prescribed
quinine along with an adjunctive drug. The
nurse should question the physician's order
if the patient has a history of
osteoporosis or low bone density
chronic obstructive pulmonary disease
(COPD)
diabetes mellitus
cardiac arrhythmias
,A pregnant patient asks the Nurse Tylenol
Practitioner what over-the-counter
medication she can take for recurring
headaches. The nurse should recommend
aspirin
advil
tylenol
Motrin
A Nurse Practitioner is obtaining baseline electrocardiogram
ECG physical data from a 7-year-old patient who
is to be started on dextroamphetamine for
ADHD. After obtaining vital signs, height,
and weight, the nurse will prepare the
patient for an
electrocardiogram (ECG)
electromyelogram (EMG)
electroencephalogram (EEG)
electrophysiologic study (EPS)
A Nurse Practitioner is caring for a 64-year- Proatamine Sulfate
old female patient who is receiving IV
heparin and reports bleeding from her
gums. The nurse checks the patient's
laboratory test results and finds that she
has a very high aPTT. The nurse anticipates
that which of the following drugs may
be
ordered?
Coumadin
Alteplase
Ticlopidine
Protamine sulfate
A patient reports to a clinic with complaints PMS
of breast tenderness, a right lumpy breast,
and no breast discharge. The breast
tenderness occurs primarily during her
menstrual cycle. The nurse practitioner
probably suspects
breast cancer.
cancerous breast tenderness
pain in the heart.
PMS
A postmenopausal patient is prescribed First thing in the
morning bisphosphonates to treat osteoporosis. The
nurse will instruct the patient to take the
drug
at bedtime.
after meals.
at any time of the day with tea or coffee.
first thing in the morning
,Which test should the NP order for PTT
monitoring effectiveness of the patient
receiving heparin?
Arterial blood gas levels
PTT
Complete blood
count Hemoglobin
level
Finasteride (Proscar) is prescribed for a 50- take special precautions around women of childbearing age
year-old man who is experiencing a
problem with urination secondary to an
enlarged prostate. The practitioner would
teach the patient that while he is taking this
medication, it is important to:
Increase his fluid intake.
Restrain from sexual activity
Take special precautions around women of
childbearing age
Begin folic acid
A 15-year-old patient has meningitis caused plasma concentrations
regularly by Haemophilus influenzae. She is being
treated with chloramphenicol. The
most important nursing action for this
patient would be to monitor
blood sugar levels daily.
liver enzymes monthly.
plasma concentrations regularly.
urine output daily
A patient has been taking doxazosin determine blood pressure with patient lying down, standing,
(Cardura) 2 mg PO daily for 3 weeks for and sitting
treatment of BPH. He returns to the clinic
and is complaining of feeling dizzy when he
stands up. Which action would the
family
nurse practitioner take?
Order urinalysis (UA) to determine
hematuria and presence of bacteria.
Determine blood pressure (BP) with patient
lying down, standing, and sitting.
Review with patient his symptoms over the
past 3 weeks.
Perform digital rectal exam to determine if
prostate is smaller than previously noted
A male patient has been on long-term Liver function
bicalutamide (Casodex) therapy. In order to
assess adverse effects of the drug therapy,
the nurse will closely monitor which of the
following?
Visual function
Blood counts
Pap test
results Liver
function
, A 21-year-old has been placed on Bradyknesia, akathisia and agitation
risperidone. Monitoring for risperidone
includes
Bradykinesia, akathisia and agitation
Excessive weight gain
Hypertension
Potentially fatal agranulocytosis
A patient who is at risk for DVT tells the NP
Heparin she has just learned she is pregnant. The NP
should expect that this patient will use
which of the following anticoagulant
medications? Aspirin
Heparin
Dabigatran
Warfarin
When a NP chooses a benzodiazepine to alprazolam (Xanax)
treat anxiety the prescriber needs to be
aware of the possibility of dependence. The
Benzodiazepine associated with the
greatest likelihood of causing rapid
dependence is:
Chlordiazepoxide (Librium)
Clonazepam (Klonopin)
Alprazolam (Xanax)
Oxazepam (serax)
A male patient is taking finasteride for BPH. Urinary elimination patterns
Which of the following will the nurse
evaluate at each clinic visit?
Serum cholesterol levels
Bone growth
Hemoglobin levels
Urinary elimination patterns
What schedule class of drug is II
Hydrocodone?
I
II
III
IV
Which of the following would a Nurse nephrotoxicity and hepatotoxicity
Practitioner assess for in a patient who is
taking polymyxin B systemically?
Peripheral neuropathy
Nephrotoxicity and hepatotoxicity
Hyperkalemia and hyponatremia
Endocarditis and hypertension
Laboratory testing has confirmed that a Cardiac arrhythmias
patient has chloroquine-resistant malaria
and the patient's physician has prescribed
quinine along with an adjunctive drug. The
nurse should question the physician's order
if the patient has a history of
osteoporosis or low bone density
chronic obstructive pulmonary disease
(COPD)
diabetes mellitus
cardiac arrhythmias
,A pregnant patient asks the Nurse Tylenol
Practitioner what over-the-counter
medication she can take for recurring
headaches. The nurse should recommend
aspirin
advil
tylenol
Motrin
A Nurse Practitioner is obtaining baseline electrocardiogram
ECG physical data from a 7-year-old patient who
is to be started on dextroamphetamine for
ADHD. After obtaining vital signs, height,
and weight, the nurse will prepare the
patient for an
electrocardiogram (ECG)
electromyelogram (EMG)
electroencephalogram (EEG)
electrophysiologic study (EPS)
A Nurse Practitioner is caring for a 64-year- Proatamine Sulfate
old female patient who is receiving IV
heparin and reports bleeding from her
gums. The nurse checks the patient's
laboratory test results and finds that she
has a very high aPTT. The nurse anticipates
that which of the following drugs may
be
ordered?
Coumadin
Alteplase
Ticlopidine
Protamine sulfate
A patient reports to a clinic with complaints PMS
of breast tenderness, a right lumpy breast,
and no breast discharge. The breast
tenderness occurs primarily during her
menstrual cycle. The nurse practitioner
probably suspects
breast cancer.
cancerous breast tenderness
pain in the heart.
PMS
A postmenopausal patient is prescribed First thing in the
morning bisphosphonates to treat osteoporosis. The
nurse will instruct the patient to take the
drug
at bedtime.
after meals.
at any time of the day with tea or coffee.
first thing in the morning
,Which test should the NP order for PTT
monitoring effectiveness of the patient
receiving heparin?
Arterial blood gas levels
PTT
Complete blood
count Hemoglobin
level
Finasteride (Proscar) is prescribed for a 50- take special precautions around women of childbearing age
year-old man who is experiencing a
problem with urination secondary to an
enlarged prostate. The practitioner would
teach the patient that while he is taking this
medication, it is important to:
Increase his fluid intake.
Restrain from sexual activity
Take special precautions around women of
childbearing age
Begin folic acid
A 15-year-old patient has meningitis caused plasma concentrations
regularly by Haemophilus influenzae. She is being
treated with chloramphenicol. The
most important nursing action for this
patient would be to monitor
blood sugar levels daily.
liver enzymes monthly.
plasma concentrations regularly.
urine output daily
A patient has been taking doxazosin determine blood pressure with patient lying down, standing,
(Cardura) 2 mg PO daily for 3 weeks for and sitting
treatment of BPH. He returns to the clinic
and is complaining of feeling dizzy when he
stands up. Which action would the
family
nurse practitioner take?
Order urinalysis (UA) to determine
hematuria and presence of bacteria.
Determine blood pressure (BP) with patient
lying down, standing, and sitting.
Review with patient his symptoms over the
past 3 weeks.
Perform digital rectal exam to determine if
prostate is smaller than previously noted
A male patient has been on long-term Liver function
bicalutamide (Casodex) therapy. In order to
assess adverse effects of the drug therapy,
the nurse will closely monitor which of the
following?
Visual function
Blood counts
Pap test
results Liver
function
, A 21-year-old has been placed on Bradyknesia, akathisia and agitation
risperidone. Monitoring for risperidone
includes
Bradykinesia, akathisia and agitation
Excessive weight gain
Hypertension
Potentially fatal agranulocytosis
A patient who is at risk for DVT tells the NP
Heparin she has just learned she is pregnant. The NP
should expect that this patient will use
which of the following anticoagulant
medications? Aspirin
Heparin
Dabigatran
Warfarin
When a NP chooses a benzodiazepine to alprazolam (Xanax)
treat anxiety the prescriber needs to be
aware of the possibility of dependence. The
Benzodiazepine associated with the
greatest likelihood of causing rapid
dependence is:
Chlordiazepoxide (Librium)
Clonazepam (Klonopin)
Alprazolam (Xanax)
Oxazepam (serax)
A male patient is taking finasteride for BPH. Urinary elimination patterns
Which of the following will the nurse
evaluate at each clinic visit?
Serum cholesterol levels
Bone growth
Hemoglobin levels
Urinary elimination patterns
What schedule class of drug is II
Hydrocodone?
I
II
III
IV
Which of the following would a Nurse nephrotoxicity and hepatotoxicity
Practitioner assess for in a patient who is
taking polymyxin B systemically?
Peripheral neuropathy
Nephrotoxicity and hepatotoxicity
Hyperkalemia and hyponatremia
Endocarditis and hypertension
