NURS 305 Final Exam Questions And Answers Latest Updated 2024/2025 (100% Verified)

NURS 305 Final Exam Questions And Answers Latest Updated 2024/2024 (100% Verified) A patient is to receive filgrastim (Neupogen) 5 mcg/kg/day. The patient weighs 198 lbs. Calculate how many micrograms of medication this patient will receive each day. a. 450 mcg b. 4.5 mcg c. 45 mcg d. 4500 mcg - Correct Answer- a What is the general action of immunosuppressants? a. they inhibit T-lymphocytes b. they increase natural killer cellular activity c. they increase antibody response d. they re hepatic metabolism of steroids - Correct Answer- a The nurse should teach the client about which expected adverse effect of filgastrim (Neupogen)? a. insomnia b. constipation c. bone pain d. hypotension - Correct Answer- c Which client finding would the nurse hold the prescribed dose of filgastrim (Neupogen) for and notify the health care provider about? a. blood pressure of 142/88 mm Hg b. absolute neutrophil count (ANC) 12,000 c. temperature of 99.5 F d. WBC count of 4.5 - Correct Answer- b A patient is prescribed monoclonal antibody therapy for the treatment of rheumatoid arthritis. What patient condition should alter the nurse to question the prescription for this class of drug? a. Nephrotic syndrome b. acquired immune deficiency syndrome (AIDS) NURS 305 Final Exam Questions And Answers Latest Updated 2024/2024 (100% Correct) c. Chronic obstructive pulmonary disease d. hypertensive emergency - Correct Answer- b What are the functional cells of the humoral immune system that mature into immunoglobulins? a. RBCs b. anulocytes c. B cells d. T cells - Correct Answer- c What is the mechanism of action of biologic response modifying drugs? SATA a. interuption of the cell lifecycle at the genetic level to interfere with growth of the cancer cell b. direct toxic effect on tumor cells, causing them to rupture c. enhancement or restoration of the host's immune system defenses against a tumor d. regulation of genes expression that occurs during transcription e. adverse modification of a tumor's biology, making it harder for the tumor cells to survive and reproduce - Correct Answer- b,c,e When monitoring a patient's response to interferon therapy, the nurse notes that the major dose-limiting factors for interferon therapy is which condition? a. nausea and vomiting b. fatigue c. diarrhea d. anxiety - Correct Answer- b A patient asks about his cancer treatment with monoclonal antibodies. The nurse tell him that which is the major advantage of treating certain cancers with monoclonal antibodies? a. they are more effective against metastatic tumors b. they will help the patient improve more quickly than will other antineoplastic drugs c. there are fewer incidences of opportunistic infections with monoclonal antibodies d. monoclonal antibodies target certain tumor cells and bypass normal cells - Correct Answer- d During a patient's therapy with interleukins, the nurse monitors the patient for capillary leak syndrome. Which assessment finding, if present, would indicate this problem? a. a dry cough b. bruising on the skin c. bradycardia d. a sudden 15 pound weight gain - Correct Answer- d A patient who has received chemotherapy has a steadily decreasing white blood cell count. The chemotherapy will end on Tuesday afternoon. The oncologist has mentioned that a colony-stimulating factor will be started soon. The nurse knows that the appropriate time to start this medication is when? 2 to 4 days, after the white blood cells have reached their nadir b. two hours after the chemotherapy ends c. while the patient is still receiving chemotherapy d. Wednesday afternoon 24 hours after the chemotherapy ends - Correct Answer- d A patient has an order for the monoclonal antibody. The nurse notes that the patient does not have a history of cancer. What is another possible reason for administering this drug? a. thrombocytopenia b. rheumatoid arthritis c. severe anemia d. osteoporosis - Correct Answer- b During interleukin drug therapy, a patient is showing signs of severe fluid retention, with increasing dyspnea and severe peripheral edema. The next dose of the interleukin is due now. Which action will the nurse take next? a. give the drug and notify the prescriber b. monitor the patient for 2 hours and then give the drug if the patient's condition improves c. hold the drug and notify the prescriber d. give the drug along with acetaminophan and diphendhydramine (Benadryl) - Correct Answer- c The nurse would anticipate administering which medication to a client demonstrating acute organ rejection? a. basiliximab (Simulect) b. muromonab-CD3 (Orthoclone OKT3) c. sirolimus (Rapamune) d. azathioprine (Imuran) - Correct Answer- b The nurse would teach a client prescribed cyclosporine (Sandimmune) to avoid which substance? a. acetominophen b. grapefruit juice c. sunscreen d. chocolate milk - Correct Answer- b Before administration of an immunosuppressant drug, the nurse, should perform which actions? SATA a. assess level of consciousness b. assess blood pressure and heart rate c. measure abdominal girth d. check live enzyme tests e. check BUN and creatinine levels - Correct Answer- a,b,d,e When educating a patient about immunosuppressant therapy, what information would the nurse include in the teaching? SATA a. if you miss a dose of medication, take extra medicine to make up the missed dose b. over the counter medications are alright to talk as needed c. take all medication exactly as prescribed d. medications must be taken at the correct time every time to avoid interaction e. never stop taking these medications without being instructed to do so by your health care provider - Correct Answer- c,d,e The nurse is preparing to administer an injection of monoclonal antibodies. Which additional drug will the nurse administer to minimize adverse reactions to the monoclonal antibodies? a. corticosteroids b. benzodiazapine c. NSAID d. opiod - Correct Answer- a When monitoring a patient who is on immunosuppressant therapy with azathioprine (Imuran), the nurse will monitor which laboratory values? a. RBC b. K+ level c. WBC d. serum albumin levels - Correct Answer- c Cyclosporine is prescribed for a patient who had an organ transplant. The nurse will monitor patient for which common adverse effect? a. nausea and vomiting b. HTN c. agitation d. fever and tremors - Correct Answer- b A patient has started azathioprine (Imuran) therapy as part of renal transplant surgery. The nurse will monitor for which expected adverse effect of azathioprine therapy. SATA a. diarrhea b. hepatoxicity c. thrombocytopenia d. fluid retention e. leukopenia f: tremor - Correct Answer- b,c,e A patient will be on a tacrolimus (Prograf) infusion after receiving a liver transplant. The order reads, "Give 0.03 mg/kg/day as a continuous IV infusion." The patient weighs 159 pounds, and the medication injection solution is available in a 5 mg/ml strength. Identify how many millilters will the nurse draw up for this infusion. a. 43 b. 0.043 c. 4.3 d. 0.43 - Correct Answer- d Which statement MOST accurately describes the pharmcodynamics of vaccines? a. vaccines prevent the formation of antibodies against a specific antigen b. vaccines work by stimulating the humoral immune system c. vaccines provide IgG antibodies to protect against infection d. vaccines work by suppressing the amino acid immunoglobulin sequence - Correct Answer- b What is the priority nursing assessment to monitor when administering vaccinations? a. pain at the injection site b. symptoms of infection c. anaphylaxis d. myalgias - Correct Answer- c Administering of which substance provides passive immunity? a. vaccines b. antitoxins c. toxoids d. immuniglobulins - Correct Answer- d An allergy to which substance is a contraindication to the administration of an immunizing drug? a. wheat b. soy c. corn d. egg - Correct Answer- d Which vaccination is marketed and recommended in the prevention of a virus that is known to cause cervical cancer? a. herpes zoster vaccine (Zostavax) b. papillomavirus vaccine (Gardisil) c. pneumococcal vaccine (Prevnar 13) d. hepatitis B vaccine (Recombivac HB) - Correct Answer- b A 12 month old infant has received an MMR II vaccine and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better". What will the nurse suggest? a. observe the site for further swelling and redness b. apply warm compresses to the infection site c. bring the infant in to the emergency department for an immediate examination d. apply an ice pack to the injection site - Correct Answer- b The nurse is reviewing principles of immunization. What type of immunization occurs when antibodies pass from mother to infant during breastfeeding or through the placenta during pregnancy? a. artificial passive immunization b. attenuating immunization c. natural passive immunization d. artificial active immunization - Correct Answer- c A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employees health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection? a. varicella virus vaccine b. haemophilus influenzae type B (Hib) c. hepatitis B immunoglobulin d. hepatitis B virus vaccine - Correct Answer- c A patient is in the urgent care center after experiencing a black widow spider bite. The nurse prepares to give which product to treat the injury? a. active immunizing drug b. live vaccine c. antivenins or antisera d. tetanus immune globulin - Correct Answer- c