NURSING MSN 571 FINAL EXAM QUESTIONS AND
ANSWERS 100% CORRECT LATEST UPDATE
2024/2025 (GRADED A+)
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action is the prescriber's priority when
addressing the patient's concern? - Ask the patient about the number and
frequency of tablets taken.
The drug manual states that older adult patients are at increased risk for
hepatotoxicity. Which action is most important when prescribing this medication
to an 80-year-old patient? - Obtaining baseline liver function studies
A patient with bipolar disorder is prescribed daily lithium. Which action is most
important for the provider to take in order to determine if the therapeutic level is
maintained? - Order periodic laboratory testing.
Which factor best supports an increase for full prescriptive authority for both
advanced practice registered nurses (APRNs) and physician assistants (PAs)? -
More patients will have access to health care.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports
new onset of a pruritic, dull red, maculopapular rash on the chest and neck.
Which action is most important for the provider to take to minimize this patient's
risk for injury? - Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's
commitment to adherence to any type of medication therapy? - Providing
medication education that the patient can easily understand
Which patient statement suggests to the provider that the patient's
nonadherence with their medication plan is related to dissatisfaction with the
therapy? - "I've been taking this medication for well over a week and I lost only a
half a pound."
,A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin)
refill. Which action should the prescriber take initially? - Arrange to schedule an
appointment with the patient.
A metered-dose albuterol inhaler is prescribed for asthma management. The
patient reports feeling jittery sometimes when taking the medication, and does
not feel that the medication is always effective. Which action will the provider
take to best minimize patient risks and maximize medication effectiveness? -
Auscultate the patient's lung sounds and obtain other relevant vital signs.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient
history finding would be most concerning to the provider? - The patient drinks
two glasses of wine every night.
The provider prepares a patient with newly diagnosed type 1 diabetes for
hospital discharge. Which action by the provider will best support the patient's
ability to effectively manage medication therapy? - Asking the patient to
demonstrate how to measure and administer insulin
How can the prescriber's regular collaboration with a pharmacist improve
positive outcomes for patients? - Pharmacists have additional information on
drug interactions. The pharmacist can suggest adequate medication dosing.
Pharmacists have firsthand knowledge of the facility formulary.
Which statements made by the prescriber demonstrate an understanding of
effective medication education? - "This medication needs to be stored in the
refrigerator. "Take 3 tablets daily: 1 with breakfast, 1 with lunch, and one with
dinner." "You need to take the medication as we discussed until all the tablets
are gone." "Call the office immediately if you begin experiencing any itching,
headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder
asks why blood tests are required on a regular basis. Which provider responses
demonstrate an understanding of why the patient requires a variety of
laboratory tests? - "We need to monitor how your thyroid is functioning." "We
, need to monitor kidney function while you are on this drug. This medication can
cause you to lose sodium, so we need to measure sodium levels."
When prescribing lovastatin, what will a provider advise to decrease the risk of
developing muscle toxicity? - Substitute grapefruit juice with orange juice
When prescribing drugs with a narrow therapeutic index, what intervention does
the provider take to decrease risk to the patient? - Monitor the patient's plasma
drug levels at regular intervals.
A patient reports that a medication no longer effectively alleviates symptoms.
What process informs the provider's response to the patient's concerns? -
Desensitization of receptor sites results from continual exposure to the drug.
A patient reports that Brand X tablets work faster than Brand Y tablets of the
same amount of the same drug. Which statement informs the prescriber's
response when explaining this phenomenon to the patient? - Inactive ingredients
used in composition can result in differing rates of dissolution, which can alter
the drug's onset of action.
A patient receiving intravenous gentamicin has a toxic serum drug level. The
prescriber confirms that the dosing is correct. Which possible cause of this
situation will the provider explore? - Whether patient is taking a medication that
binds to serum albumin.
A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a CYP3A4
inducing drug is prescribed, what drug adjustment may be necessary to
maintain a therapeutic level of CYP3A4 substrate? - Increase dosage of the
CYP3A4 substrate
The provider prescribes hydrocodone with acetaminophen for a patient's
postsurgical pain. What instruction will the prescriber include regarding alcohol
intake? - "You should avoid drinking alcohol while you are taking the pain
medication I've ordered."
ANSWERS 100% CORRECT LATEST UPDATE
2024/2025 (GRADED A+)
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action is the prescriber's priority when
addressing the patient's concern? - Ask the patient about the number and
frequency of tablets taken.
The drug manual states that older adult patients are at increased risk for
hepatotoxicity. Which action is most important when prescribing this medication
to an 80-year-old patient? - Obtaining baseline liver function studies
A patient with bipolar disorder is prescribed daily lithium. Which action is most
important for the provider to take in order to determine if the therapeutic level is
maintained? - Order periodic laboratory testing.
Which factor best supports an increase for full prescriptive authority for both
advanced practice registered nurses (APRNs) and physician assistants (PAs)? -
More patients will have access to health care.
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports
new onset of a pruritic, dull red, maculopapular rash on the chest and neck.
Which action is most important for the provider to take to minimize this patient's
risk for injury? - Discontinue the ampicillin.
Which prescriber action will have the greatest impact on the patient's
commitment to adherence to any type of medication therapy? - Providing
medication education that the patient can easily understand
Which patient statement suggests to the provider that the patient's
nonadherence with their medication plan is related to dissatisfaction with the
therapy? - "I've been taking this medication for well over a week and I lost only a
half a pound."
,A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin)
refill. Which action should the prescriber take initially? - Arrange to schedule an
appointment with the patient.
A metered-dose albuterol inhaler is prescribed for asthma management. The
patient reports feeling jittery sometimes when taking the medication, and does
not feel that the medication is always effective. Which action will the provider
take to best minimize patient risks and maximize medication effectiveness? -
Auscultate the patient's lung sounds and obtain other relevant vital signs.
A patient is prescribed metronidazole for bacterial vaginosis. Which patient
history finding would be most concerning to the provider? - The patient drinks
two glasses of wine every night.
The provider prepares a patient with newly diagnosed type 1 diabetes for
hospital discharge. Which action by the provider will best support the patient's
ability to effectively manage medication therapy? - Asking the patient to
demonstrate how to measure and administer insulin
How can the prescriber's regular collaboration with a pharmacist improve
positive outcomes for patients? - Pharmacists have additional information on
drug interactions. The pharmacist can suggest adequate medication dosing.
Pharmacists have firsthand knowledge of the facility formulary.
Which statements made by the prescriber demonstrate an understanding of
effective medication education? - "This medication needs to be stored in the
refrigerator. "Take 3 tablets daily: 1 with breakfast, 1 with lunch, and one with
dinner." "You need to take the medication as we discussed until all the tablets
are gone." "Call the office immediately if you begin experiencing any itching,
headache, or difficulty breathing."
The patient who has been prescribed lithium for a diagnosis of bipolar disorder
asks why blood tests are required on a regular basis. Which provider responses
demonstrate an understanding of why the patient requires a variety of
laboratory tests? - "We need to monitor how your thyroid is functioning." "We
, need to monitor kidney function while you are on this drug. This medication can
cause you to lose sodium, so we need to measure sodium levels."
When prescribing lovastatin, what will a provider advise to decrease the risk of
developing muscle toxicity? - Substitute grapefruit juice with orange juice
When prescribing drugs with a narrow therapeutic index, what intervention does
the provider take to decrease risk to the patient? - Monitor the patient's plasma
drug levels at regular intervals.
A patient reports that a medication no longer effectively alleviates symptoms.
What process informs the provider's response to the patient's concerns? -
Desensitization of receptor sites results from continual exposure to the drug.
A patient reports that Brand X tablets work faster than Brand Y tablets of the
same amount of the same drug. Which statement informs the prescriber's
response when explaining this phenomenon to the patient? - Inactive ingredients
used in composition can result in differing rates of dissolution, which can alter
the drug's onset of action.
A patient receiving intravenous gentamicin has a toxic serum drug level. The
prescriber confirms that the dosing is correct. Which possible cause of this
situation will the provider explore? - Whether patient is taking a medication that
binds to serum albumin.
A patient takes a drug that is metabolized by CYP3A4 isoenzymes. If a CYP3A4
inducing drug is prescribed, what drug adjustment may be necessary to
maintain a therapeutic level of CYP3A4 substrate? - Increase dosage of the
CYP3A4 substrate
The provider prescribes hydrocodone with acetaminophen for a patient's
postsurgical pain. What instruction will the prescriber include regarding alcohol
intake? - "You should avoid drinking alcohol while you are taking the pain
medication I've ordered."
