NURS 6521 Final Exam Questions With Correct Answers | Latest Update 2023/2024 | Graded A+

A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend aspiri n. advil. tyleno l. motri n. A Nurse Practitioner is obtaining baseline 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-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 Question 5 A patient reports to a clinic with complaints 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. Question 6 A postmenopausal patient is prescribed 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. Question 7 Which test should the NP order for monitoring effectiveness of the patient receiving heparin? Arterial blood gas levels PTT Complete blood count Hemoglobin level Question 8 Finasteride (Proscar) is prescribed for a 50-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 Question 9 A 15-year-old patient has meningitis caused 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. Question 10 A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for 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. Question 11 A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the deltoid muscle. rectus femoris muscle. ventrogluteal muscle. dorsogluteal muscle. Question 12 A male patient has been on long-term 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 Question 13 A 21-year-old has been placed on risperidone. Monitoring for risperidone includes Bradykinesia, akathisia and agitation Excessive weight gain Hypertension Potentially fatal agranulocytosis Question 14 A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The NP should expect that this patient will use which of the following anticoagulant medications? Aspirin Heparin Dabigatr an Warfarin Question 15 When a NP chooses a benzodiazepine to 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 (Libri um) Clonazepam (Klonopin) Alprazolam (Xanax) Oxazepam (serax) Question 17 A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Serum cholesterol levels Bone growth Hemoglobin levels Urinary elimination patterns Question 18 What schedule class of drug is Hydrocodone? I II III IV Question 19 Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Peripheral neuropathy Nephrotoxicity and hepatotoxicity Hyperkalemia and hyponatremia Endocarditis and hypertension Question 20 A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide? "Most people don't know that marijuana can be just as addictive as heroin or cocaine over time." "Marijuana can easily interact with other drugs and cause potentially fatal reactions." "Every year, thousands of Americans end up in emergency departments with marijuana overdoses." "Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes." Question 21 A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to take the vitamins at least 2 hours before or after taking ciprofloxacin. alternate the dosage of ciprofloxacin and vitamin supplements. reduce the dosage of vitamin supplements. reduce the dosage of vitamin supplements and double the dosage of ciprofloxacin. Question 22 Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants Reduce dose by 50% for 3 to 4 days Reduce dose by 50% every other day Change Dose to every other day dosing for a week Lexapro can be stopped abruptly due to its long half life Question 23 Ms. LW is on hyrdroxychloroquine (Plaquenil) for rheumatoid arthritis. Certain tests are recommended before a patient starts this medication. Which of the following is NOT recommended before starting Hydroxychoroquine (Plaquenil)? Comprehensive Eye Exam CBC (Complete Blood Count) Liver Function profile 24 hour urine Question 24 Terazosin (Hytrin) is classified under which of the following drug class: beta blockers tricyclic blockers alpha blockers calcium channel blockers Question 25 Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by slowing the infusion. decreasing the volume used for dilution. decreasing the total volume of the primary IV infusion. administering a dose of 2 units of bleomycin before carmustine. Question 26 Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 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. This is scheduled drug Schedule 1 Schedule 2 Schedule 3 Schedule 4 Question 27 The NP is reviewing Mrs. Oglethorpe's medication list and recognizes that which drug listed below has been associated with increased risk for MI in women? Aspirin Beta blockers Lipid lowering agents Estrogen replacement Question 28 Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol? Cefotetan Chlorpropami de Metronidazol e Fomepizole Question 29 Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid dairy products. fatty foods. alcohol. vitamin C. Question 30 Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? Rebound headaches Neuropathy Pancreatic failure Impairment of renal function Question 31 A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of alcohol. trans fat. caffeine. grapefruit juice. Question 32 A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa By inhibiting the action of vitamin K at its sites of action By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis By inactivating clotting factors and thus stopping the coagulation cascade Question 33 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? The importance of vigilant hygiene for the boy and the other members of the family The need for the boy to provide serial stool samples for 6 months following treatment The need to supplement the anthelminthic drug with prophylactic antibiotics The need to use prescription skin cleansers during treatment and for 6 weeks after Question 34 A 38-year-old pregnant patient admits to the Nurse Practitioner that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with a high-pitched cry. microcephaly. an electrolyte imbalance. thrombocytopenia. Question 35 An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with ciprofloxacin. clindamycin. vancomycin. an antistaphylococcic penicillin. Question 36 A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following? Potassium level Creatinine clearance Serum albumin level Prothrombin time Question 37 A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? That the infant's skin has greater permeability than that of an adult That there is less body surface area to be concerned about That there is decreased absorption rates of topical drugs in infants