NURS6521 Final questions with correct
updated answers
A lnurse lworks lat la lweight lmanagement lclinic. lTo lwhich lof lthe lfollowing
loverweight lpatients
could lthe lnurse lsafely ladminister ldextroamphetamine? l- lANSWER-A l48-year-old
lCaucasian lman lwho lhas ladult-onset ldiabetes
A l71-year-old lman lhas ljust lbeen lprescribed lfinasteride l(Proscar). lWhich lof lthe
lfollowing
complaints lby lthis lpatient lmost llikely lindicated la lneed lfor lthis ldrug? l-
lANSWER-"Lately, lI lhave lto lget lup lthree lor lfour ltimes la lnight lto lgo lto lthe
lbathroom."
After l6 lmonths lof lunsuccessfully ltrying lto lconceive, la l31-year-old lwoman land
lher lhusband
have lsought la lreferral lto la lfertility lspecialist lin lorder lto lexplore ltheir loptions. lA
lnurse lat lthe
clinic lshould lrecognize lthat lthe lwoman lmay lbenefit lfrom l- lANSWER-clomiphene.
Which lof lthe lfollowing lwould lthe lnurse linclude lin la lteaching lplan labout lthe
lsigns land lsymptoms lof lthrombophlebitis land lthromboembolism lthat lshould lbe
lreported lby la lpatient ltaking lestrogen? l- lANSWER-Headaches land lchest lpain
A l38-year-old lpregnant lpatient ladmits lto lthe lnurse lthat lshe lis lan lalcoholic land
lhas lbeen
consuming lalcohol lduring lher lpregnancy. lThe lnurse lknows lthat lusing lalcohol
lduring
pregnancy lmay lresult lin la lchild lwho lpresents lwith l- lANSWER-microcephaly
A lnurse lpractitioner lorders l150 lmg lof loral lfluconazole lfor la lpatient lwith
lvulvovaginal
candidiasis. lThe lpatient lshould lexpect lto ltake lmedication l- lANSWER-Once la lday
An loncology lnurse lis lreviewing lthe lpathophysiology lof lcancer land lis ldiscussing
lwith la lcolleague lthe lfactors lthat lcontribute lto lthe lsuccess lor lfailure lof la
lpatient's lchemotherapy. lWhich lof lthe lfollowing lcancerous lcells lis lmost
lsusceptible lto lthe leffects lof lchemotherapeutic ldrugs? l- lANSWER-Cells lthat lhave
la lrapid lmitotic lrate
, A lmiddle-aged lpatient lhas lreceived la ldiagnosis lof lGI lstromal ltumor lfollowing lan
lextensive ldiagnostic lworkup. lImatinib lhas lbeen lrecommended las la lcomponent lof
lthe lpatient's ldrug
regimen. lWhat lpatient leducation lshould lthe lnurse lprovide lto lthis lpatient?"It's
limportant lthat lyou llet lus lknow lif lyou ldevelop lany lsignificant lswelling lor l-
lANSWER-Puffiness
A l12-year-old lboy lis lbeing ldischarged lfrom lthe lhospital lafter lmajor lsurgery. lThe
lboy lwill lbe
taking ltwo lmedications lat lhome lfor lan lextended lperiod. lThe lnurse lwho lis
ldischarging lthe
patient lshould lprovide lmedication lteaching lspecifically lto l- lANSWER-both lthe lboy
land lhis lmother lregarding lall lmedication lissued.
A lpatient lhas lbeen ladmitted lto lthe lcritical lcare lunit lwith la ldiagnosis lof
lperitonitis lthat lhas
necessitated ltreatment lwith lgentamicin. lAs la lresult, lthe lcare lteam lshould lbe
lcautious lwhen
concurrently ladministering lother lmedications lthat lmay lcause l- lANSWER-ototoxicity
lor lnephrotoxicity
A l39-year-old lwoman lis lreceiving ldoxorubicin lfor lthe ltreatment lof lcancer. lAfter
leach
treatment, lthe lpatient lhas lacute lnausea land lvomiting laccompanied lby la lslightly
lincreased
heart lrate. lThe lnurse lwill ladvise lher lto l- lANSWER-perform lrelaxation ltechniques
lafter lthe ltreatments.
A lnurse lis lcaring lfor la lpatient lwith lcancer lwho lhas lbeen lprescribed ldronabinol
l(Marinol) lto
help lreduce lnausea land lvomiting lfrom lchemotherapy. lThe lnurse lwill linform lthe
lpatient lthat
he lor lshe lis ltaking lan loral lform lof l- lANSWER-marijuana
A l46-year-old lman lis lreceiving la lquinupristindalfopristin lIV linfusion lfor la llife-
threatening
infection. lWhich lof lthe lfollowing lwould lbe lmost limportant lfor lthe lnurse lto
lmonitor? l- lANSWER-Infiltration, ledema, lor lphlebitis lat lthe linfusion lsite
A lwoman lis lreceiving lprolonged ldrug ltherapy lduring lher lcomplicated lpregnancy,
land lit lmay
pose la lrisk lto lboth lthe lmother land lthe lfetus. lThe lprimary lcare lphysician lhas
lmade ldosage
adjustments lto lminimize ladverse leffects land lprevent ltoxicity. l- lANSWER-The
lnurse lshould lmake lsure lthat lserum llevels lof lthe ldrug lare lbeing lmonitored
updated answers
A lnurse lworks lat la lweight lmanagement lclinic. lTo lwhich lof lthe lfollowing
loverweight lpatients
could lthe lnurse lsafely ladminister ldextroamphetamine? l- lANSWER-A l48-year-old
lCaucasian lman lwho lhas ladult-onset ldiabetes
A l71-year-old lman lhas ljust lbeen lprescribed lfinasteride l(Proscar). lWhich lof lthe
lfollowing
complaints lby lthis lpatient lmost llikely lindicated la lneed lfor lthis ldrug? l-
lANSWER-"Lately, lI lhave lto lget lup lthree lor lfour ltimes la lnight lto lgo lto lthe
lbathroom."
After l6 lmonths lof lunsuccessfully ltrying lto lconceive, la l31-year-old lwoman land
lher lhusband
have lsought la lreferral lto la lfertility lspecialist lin lorder lto lexplore ltheir loptions. lA
lnurse lat lthe
clinic lshould lrecognize lthat lthe lwoman lmay lbenefit lfrom l- lANSWER-clomiphene.
Which lof lthe lfollowing lwould lthe lnurse linclude lin la lteaching lplan labout lthe
lsigns land lsymptoms lof lthrombophlebitis land lthromboembolism lthat lshould lbe
lreported lby la lpatient ltaking lestrogen? l- lANSWER-Headaches land lchest lpain
A l38-year-old lpregnant lpatient ladmits lto lthe lnurse lthat lshe lis lan lalcoholic land
lhas lbeen
consuming lalcohol lduring lher lpregnancy. lThe lnurse lknows lthat lusing lalcohol
lduring
pregnancy lmay lresult lin la lchild lwho lpresents lwith l- lANSWER-microcephaly
A lnurse lpractitioner lorders l150 lmg lof loral lfluconazole lfor la lpatient lwith
lvulvovaginal
candidiasis. lThe lpatient lshould lexpect lto ltake lmedication l- lANSWER-Once la lday
An loncology lnurse lis lreviewing lthe lpathophysiology lof lcancer land lis ldiscussing
lwith la lcolleague lthe lfactors lthat lcontribute lto lthe lsuccess lor lfailure lof la
lpatient's lchemotherapy. lWhich lof lthe lfollowing lcancerous lcells lis lmost
lsusceptible lto lthe leffects lof lchemotherapeutic ldrugs? l- lANSWER-Cells lthat lhave
la lrapid lmitotic lrate
, A lmiddle-aged lpatient lhas lreceived la ldiagnosis lof lGI lstromal ltumor lfollowing lan
lextensive ldiagnostic lworkup. lImatinib lhas lbeen lrecommended las la lcomponent lof
lthe lpatient's ldrug
regimen. lWhat lpatient leducation lshould lthe lnurse lprovide lto lthis lpatient?"It's
limportant lthat lyou llet lus lknow lif lyou ldevelop lany lsignificant lswelling lor l-
lANSWER-Puffiness
A l12-year-old lboy lis lbeing ldischarged lfrom lthe lhospital lafter lmajor lsurgery. lThe
lboy lwill lbe
taking ltwo lmedications lat lhome lfor lan lextended lperiod. lThe lnurse lwho lis
ldischarging lthe
patient lshould lprovide lmedication lteaching lspecifically lto l- lANSWER-both lthe lboy
land lhis lmother lregarding lall lmedication lissued.
A lpatient lhas lbeen ladmitted lto lthe lcritical lcare lunit lwith la ldiagnosis lof
lperitonitis lthat lhas
necessitated ltreatment lwith lgentamicin. lAs la lresult, lthe lcare lteam lshould lbe
lcautious lwhen
concurrently ladministering lother lmedications lthat lmay lcause l- lANSWER-ototoxicity
lor lnephrotoxicity
A l39-year-old lwoman lis lreceiving ldoxorubicin lfor lthe ltreatment lof lcancer. lAfter
leach
treatment, lthe lpatient lhas lacute lnausea land lvomiting laccompanied lby la lslightly
lincreased
heart lrate. lThe lnurse lwill ladvise lher lto l- lANSWER-perform lrelaxation ltechniques
lafter lthe ltreatments.
A lnurse lis lcaring lfor la lpatient lwith lcancer lwho lhas lbeen lprescribed ldronabinol
l(Marinol) lto
help lreduce lnausea land lvomiting lfrom lchemotherapy. lThe lnurse lwill linform lthe
lpatient lthat
he lor lshe lis ltaking lan loral lform lof l- lANSWER-marijuana
A l46-year-old lman lis lreceiving la lquinupristindalfopristin lIV linfusion lfor la llife-
threatening
infection. lWhich lof lthe lfollowing lwould lbe lmost limportant lfor lthe lnurse lto
lmonitor? l- lANSWER-Infiltration, ledema, lor lphlebitis lat lthe linfusion lsite
A lwoman lis lreceiving lprolonged ldrug ltherapy lduring lher lcomplicated lpregnancy,
land lit lmay
pose la lrisk lto lboth lthe lmother land lthe lfetus. lThe lprimary lcare lphysician lhas
lmade ldosage
adjustments lto lminimize ladverse leffects land lprevent ltoxicity. l- lANSWER-The
lnurse lshould lmake lsure lthat lserum llevels lof lthe ldrug lare lbeing lmonitored