NURS 6521 Week 11 Final Exam

Course NURS-6521N-30-Advanced Pharmacology-QTR-Term-wks-1-thru-11-(03/01/2021-05/16/2021)-PT27 Test: Final Exam - Week 11 Attempt Score: 80 out of 100 points Results Displayed: Submitted Answers • Question 1 A patient with bipolar disorder is on divalproex sodium (Depakote) for mania. What test(s) would the family nurse practitioner monitor? Selected Answer: Liver function test and CBC. • Question 2 A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? Selected Answer: The patient will experience complete bladder emptying. • Question 3 A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? Selected Answer: The mother and grandmother's understanding about the drugs • Question 4 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? Selected Answer: That the infant's skin has greater permeability than that of an adult. • Question 5 A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug. Selected Answer: on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs. • Question 6 A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining Selected Answer: a baseline complete blood count. • Question 7 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? Selected Answer: Protamine sulfate • Question 8 A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication Selected Answer: every day until the infection is gone. • Question 9 Which adverse reaction is common in the patient taking buspirone? Selected Answer: headache • Question 10 A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following? Selected Answer: The tumor responding to treatment • Question 11 The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be Selected Answer: Azithromycin • Question 12 Which of the following medications will not increase the likelihood of photosensitivity? Selected Answer: Amoxicillin • Question 13 A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? Selected Answer: Acetaminophen • Question 14 A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? Selected Answer: Elevated prothrombin time • Question 15 A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selected Answer: The peak and trough blood levels • Question 16 The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? Selected Answer: Having nurses check their math calculations with a colleague before administering a drug. • Question 17 Which antibiotic is most frequently associated with "Red man Syndrome”? Selected Answer: Vancomycin • Question 18 A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include Selected Answer: uterine tachysystole. • Question 19 A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? Selected Answer: Urinary elimination patterns • Question 20 A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results? Selected Answer: Serum alanine transaminase, aspartate transaminase, and bilirubin • Question 21 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 Selected Answer: vancomycin. • Question 22 Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically? Selected Answer: Nephrotoxicity and hepatotoxicity • Question 23 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? Selected Answer: By inactivating clotting factors and thus stopping the coagulation cascade • Question 24 Which test should the NP order for monitoring effectiveness of the patient receiving heparin? Selected Answer: PTT • Question 25 Which of the following drugs is most likely to cause sexual dysfunction and males? Selected Answer: Selective serotonin reuptake inhibitors • Question 26 A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? Selected Answer: "Targeted therapies are often more effective than traditional chemotherapy, but the downside of this effectiveness is that adverse effects are more common and severe." • Question 27 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 Selected Answer: take the vitamins at least 2 hours before or after taking ciprofloxacin. • Question 28 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: Selected Answer: Take special precautions around women of childbearing age • Question 29 An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? Selected Answer: Use an IV system for administration that includes needles to reduce the risk of accidental spills. • Question 30 The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is? Selected Answer: No Laboratory monitoring required • Question 31 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? Selected Answer: The importance of vigilant hygiene for the boy and the other members of the family • Question 32 Which Of the following pharmacologic agents can be used to treat nicotine dependence/ smoking cessation? Selected Answer: Bupropion • Question 33 A Nurse Practitioner is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? Selected Answer: Salicylates • Question 34 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The APRN will monitor for which of the following? Selected Answer: Hepatotoxicity • Question 35 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a followup visit to the clinic, the nurse will question the patient about which of the following? Selected Answer: Headaches