WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED
PHARMACOLOGY Exam Elaborations Questions with
Answers
Graded A
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount
of medication patient will take per day?
Selected Answer: 1500 mg
A 72- year - old patient is prescribed ophthalmic ciprofloxacin for a bacterial
infection in her right eye. The nurse will teach her to observe for which of the following
adverse effects of the drug?
Selected Answer: Lid margin crusting and pruritus
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
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
A patient asks the nurse practitioner about food sources such as soybeans
and soy products. The nurse practitioner understands that these foods are
considered Selected Answer: phytoestrogens.
An immunocompromised cancer patient has developed cryptococcal
meningitis and been admitted to the intensive care unit for treatment with
amphotericin B. How should the nurse most safely administer this drug?
Selected Answer: Infuse the drug over 2 to 4 hours into a central line using an
infusion pump
, WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED
PHARMACOLOGY Exam Elaborations Questions with Answers
Graded A
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.
A female patient is taking filgrastim (Neupogen) to decrease the incidence of
infection. The nurse notices a small increase in the neutrophil count 2 days after
starting therapy. The nurse's evaluation of the increase is that
Selected Answer: the increase in the neutrophil count is only transient.
A nurse practitioner has administered filgrastim to a diverse group of patients in
recent months. Which of the following patients should the nurse observe for extremely
elevated white blood cell counts following administration of the drug?
Selected Answer: A 19 - year - old male receiving radiotherapy
A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The
nurse will instruct the patient to
Selected Answer: complete the entire course of drug therapy.
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 Selected Answer: alcohol.
A pregnant patient asks the Nurse Practitioner what over - the- counter
medication she can take for recurring headaches. The nurse should recommend
Selected Answer: tylenol.
After 6 months of unsuccessfully trying to conceive, a 31 - year - old woman and
her husband have sought a referral to a fertility specialist in order to explore their
options. A nurse
at the clinic should recognize that the woman may benefit from
Selected Answer: clomiphene.
A 5 - year - old boy needs an IM injection. The least painful and most effective
injection site would be the
, Selected Answer: ventrogluteal muscle.
A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The primary care
physician has made dosage
WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED
PHARMACOLOGY Exam Elaborations Questions with
Answers Graded A
adjustments to minimize adverse effects and prevent toxicity. The nurse should
make sure Selected Answer: that serum levels of the drug are being
monitored.
, WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED
PHARMACOLOGY Exam Elaborations Questions with Answers
Graded A
A 34 - year - old male has been diagnosed with TB and will be started on INH
therapy. The medication history reveals that he currently takes antacids on a regular
basis. The nurse will instruct the patient to take
Selected Answer: antacids not less than 1 hour before or 2 hours after taking INH.
The recommended treatment for
trichomoniasis is Selected Answer:
Flagyl.
A Nurse Practitioner is explaining to a pregnant 21 - year - old college student why
she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a
picture depicting drug molecules crossing the placental membrane and entering into
the fetal circulation. The nurse tells the patien t that the main reason this happens is
because
Selected Answer: drugs compete with the hormones of pregnancy for
albumin - binding sites.
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the
following assessment findings would most strongly indicate that treatment has been
effective?
Selected Answer: The patient's hemoglobin level is 11 g/dL
A 29 - year - old pregnant patient is extremely upset about having to take
medication for a pre - existing medical condition. She is consumed with fear that her
baby will be born with a physical deformity or a congenital anomaly but knows that she
has to take th e medication. She talks constantly about this and is unable to sleep most
nights. Which of the following is the most appropriate nursing diagnosis for this patient
is?
Selected Answer: Anxiety related to perceived danger of drug therapy to fetus
or infant
A male patient is trying to decide if he should use finasteride (Proscar) to treat
benign prostatic hypertrophy (BPH). When providing information about the drug, the
PHARMACOLOGY Exam Elaborations Questions with
Answers
Graded A
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount
of medication patient will take per day?
Selected Answer: 1500 mg
A 72- year - old patient is prescribed ophthalmic ciprofloxacin for a bacterial
infection in her right eye. The nurse will teach her to observe for which of the following
adverse effects of the drug?
Selected Answer: Lid margin crusting and pruritus
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
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
A patient asks the nurse practitioner about food sources such as soybeans
and soy products. The nurse practitioner understands that these foods are
considered Selected Answer: phytoestrogens.
An immunocompromised cancer patient has developed cryptococcal
meningitis and been admitted to the intensive care unit for treatment with
amphotericin B. How should the nurse most safely administer this drug?
Selected Answer: Infuse the drug over 2 to 4 hours into a central line using an
infusion pump
, WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED
PHARMACOLOGY Exam Elaborations Questions with Answers
Graded A
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.
A female patient is taking filgrastim (Neupogen) to decrease the incidence of
infection. The nurse notices a small increase in the neutrophil count 2 days after
starting therapy. The nurse's evaluation of the increase is that
Selected Answer: the increase in the neutrophil count is only transient.
A nurse practitioner has administered filgrastim to a diverse group of patients in
recent months. Which of the following patients should the nurse observe for extremely
elevated white blood cell counts following administration of the drug?
Selected Answer: A 19 - year - old male receiving radiotherapy
A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The
nurse will instruct the patient to
Selected Answer: complete the entire course of drug therapy.
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 Selected Answer: alcohol.
A pregnant patient asks the Nurse Practitioner what over - the- counter
medication she can take for recurring headaches. The nurse should recommend
Selected Answer: tylenol.
After 6 months of unsuccessfully trying to conceive, a 31 - year - old woman and
her husband have sought a referral to a fertility specialist in order to explore their
options. A nurse
at the clinic should recognize that the woman may benefit from
Selected Answer: clomiphene.
A 5 - year - old boy needs an IM injection. The least painful and most effective
injection site would be the
, Selected Answer: ventrogluteal muscle.
A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The primary care
physician has made dosage
WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED
PHARMACOLOGY Exam Elaborations Questions with
Answers Graded A
adjustments to minimize adverse effects and prevent toxicity. The nurse should
make sure Selected Answer: that serum levels of the drug are being
monitored.
, WALDEN UNIVERSITY NURS 6521 FINALS ADVANCED
PHARMACOLOGY Exam Elaborations Questions with Answers
Graded A
A 34 - year - old male has been diagnosed with TB and will be started on INH
therapy. The medication history reveals that he currently takes antacids on a regular
basis. The nurse will instruct the patient to take
Selected Answer: antacids not less than 1 hour before or 2 hours after taking INH.
The recommended treatment for
trichomoniasis is Selected Answer:
Flagyl.
A Nurse Practitioner is explaining to a pregnant 21 - year - old college student why
she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a
picture depicting drug molecules crossing the placental membrane and entering into
the fetal circulation. The nurse tells the patien t that the main reason this happens is
because
Selected Answer: drugs compete with the hormones of pregnancy for
albumin - binding sites.
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the
following assessment findings would most strongly indicate that treatment has been
effective?
Selected Answer: The patient's hemoglobin level is 11 g/dL
A 29 - year - old pregnant patient is extremely upset about having to take
medication for a pre - existing medical condition. She is consumed with fear that her
baby will be born with a physical deformity or a congenital anomaly but knows that she
has to take th e medication. She talks constantly about this and is unable to sleep most
nights. Which of the following is the most appropriate nursing diagnosis for this patient
is?
Selected Answer: Anxiety related to perceived danger of drug therapy to fetus
or infant
A male patient is trying to decide if he should use finasteride (Proscar) to treat
benign prostatic hypertrophy (BPH). When providing information about the drug, the
