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

During therapy with hemtopoietic drugs, the nurse will monitor the patient for which adverse effects? SATA a. diarrhea b. edema c. nausea and vomiting d. hypotension e. headache f. black tarry stools - Correct Answer- a,b,c,e 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 A 30 year old women is in the clinic for her yearly gynecologic exam and asks the nurse about the new vaccine that prevents HPV. She wants to receive the papillomavirus vaccine (gardasil). Which response by the nurse is most appropriate? a. for women the recommended age for this vaccine is 13 to 26 years of age b. we will need to make sure you are not pregnant first c. i will check with your health care provider and then get the first dose of vaccine ready d. there will be a total of three injections - Correct Answer- a The nurse is reviewing the health history of a new patient who may need immunizations. Active immunizations are usually contraindicated in which patients? SATA a. elderly patients b. those receiving cancer chemotherapy c. patients who are immunosuppressed d. children younger than 1 year of age e. patients with a febrile illness - Correct Answer- b,c,e The nurse is reviewing the information about the herpes zoster vaccine (Zostavax) before administering the dose. Which statements about the vaccine are true? SATA a. the vaccine is used to prevent reactivation of the zoster virus that causes shingles b. it is a one time vaccine c. the vaccine is recommended for patients 50 years of age and older d. it is contraindicated in patients who has already had shingles - Correct Answer- a,b,c A health care worker will be receiving hepatitis B immunoglobulin 0.06 mg/mg IM now and repeated in 30 days as part of hepatitis B prophylaxis after a needle stick accident. The patient weighs 264 pounds. Identify how many milligrams that patient will receive for each dose. a. 0.72 b. 720 c. 72 d. 7.2 - Correct Answer- d During a routine check-up, a 72 year old patient is advised to receive an influenza vaccine injection. He questions this saying, "I had one last year. Why do I need another one?" What is the nurse's best response? a. when you reach 65 you need boosters on an annual basis b. each year a new vaccine is developed based on the flu strains that are likely to be in circulation c. taking the flu vaccine each year allows you to build your immunity to a higher level each time d. the effectiveness of the vaccine wears off after 6 months - Correct Answer- b A 28 year old patient is in the urgent care center after stepping on a rusty nail. The nurse evaluates the patient's immunity status and notes that the patient thinks she had her last tetanus booster about 10 years ago, just before starting college. Which immunization would be most appropriate at this time? a. no immunizations are necessary at this time b. immunoglobulin intravenous c. DTaP (Daptacel) - diptheria tetanus, and acellular pertusis d. Tdap (Adacel) --diptheria, tetanus, and acellular pertussis - Correct Answer- d An animal control officer was bitten by a stray bog that showed signs of rabies. Which statement by the nurse is correct regarding the treatment for rabies prophylaxis? a. you will receiving an oral dose of medication today and one more in one week b. you will receive treatment if you begin to show symptoms of rabies c. you will need to receive 5 Im infections over the next 28 days d. you will need to receive 3 SQ injections over the next week - Correct Answer- c A patient is experiencing severe diarrhea, flushing, and life threatening hypotension associated with carcinoid crisis. The nurse will prepare to administer which drug? a. octreotide (Sandostatin) b. vasopressin (Pitressin) c. somatropin (Humatrope) d. cosyntropin (Cortrosyn) - Correct Answer- a A patient is suspected of having adrenocortical insufficiency. The nurse expects to administer which drug to aid in the diagnosis of this condition? a. octreotide (Sandostatin) b. vasopressin (Pitressin) EMAIL ME: For help with report, Assignment, Essay and thesis writing ropin (Humatrope) d. cosyntropin (Cortrosyn) - Correct Answer- d The nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatropin? a. Nonsteroidal antiinflammatory drug for arthritis b. antidepressant drug c. penicillin d. glucocorticoid - Correct Answer- d A patient who is about to be given octreotide is also taking a diuretic, IV heparin, cuprofloxacin, and an opioid as needed for pain. The nurse will monitor for what possible interaction? a. hypokalemia due to an interaction with the diuretic b. decreased anticoagulation due to an interaction with the heparin c. prolongation of the QT interval due to an interaction with the ciprofloxacin d. increased sedation if the opioid is given - Correct Answer- c When monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for an as indication that the medication therapy is successful? a. increased insulin levels b. decreased diarrhea c. improved nasal patency d. decreased thirst - Correct Answer- d Which drugs have an action similar to that of the naturally occurring hormone ADH? SATA a. cosyntropin (Cortrosyn) b. desmopressin (DDAVP) c. somatropin (Humatrope) d. vasopressin (Pitressin) e. octreotide (Sandostatin - Correct Answer- b,d The order reads: Give octreotide 50 mcg subcut twice a day. The medication is available in an injectable form of 0.05 mg/ml. How many milliliters will the nurse draw up for the ordered dose? - Correct Answer- 1 mL The nurse is preparing to administer somatropin (Humatrope) and will monitor the patient for which adverse effects? a. increased blood pressure b. headache c. flulike syndrome d. nausea e. hyperglycemia f. fever - Correct Answer- b,c,e When monitoring the laboratory values for a patient who is taking antithyroid drugs, the nurse knows to watch for a. increased platelet counts b. increased white blood cell counts c. increased blood urea nitrogen level d. increased blood glucose levels - Correct Answer- c The pharmacy has called a patient to notify her that the current brand of thyroid replacement hormone is on back order. The patient calls the clinic to ask what to do. Which is the best response by the nurse? a. go ahead and taking the other brand that the pharmacy has available for now b. you can stop the medication until your current brand is available c. you can split the thyroid pills that you have left so that they will last longer d. let me ask your prescriber what needs to be done; we will need to watch how you do if you switch brands - Correct Answer- d The nurse is assessing a 64 year old patient who will be starting thyroid replacement therapy. Which statement is true regarding the dosage of thyroid replacement hormones for older adult? a. thyroid hormone replacement requirements are approximately 25% lower for this age group b. older adults require higher dosages of thyroid replacement hormone in older adults versus younger adults c. there is no difference in thh dosage of thyroid replacement hormone in older adults versus younger adults d. the dosage of thyroid hormone will depend upon the amount of iodine in the patient's diet - Correct Answer- a To help with the insomnia associated with thyroid hormone replacement therapy, the nurse will teach the patient to a. take half the dose at lunchtime and the other half 2 hours later b. use a sedative to assist with falling asleep c. take the dose upon awakening in the morning d. reduce the dosage as needed fi sleep is impaired - Correct Answer- c The nurse is teaching a patient who has a new prescription for the antithyroid drug prophylthiouracil (PTU). Which statement by the nurse is correct> a. there are no food restrictions while on this drug b. you need to avoid foods high in iodine, such as iodized salt, seafood, and soy products c. this drug is given to raise the thyroid hormone levels in your blood d. take this drug in the morning on an empty stomach - Correct Answer- b When teaching a patient who has a new prescription for thyroid hormone, the nurse will instruct the patient to notify the prescriber if which adverse effects are noted? SATA a. palpitations b. weight gain c. angina d. fatigue e. cold intolerance - Correct Answer- a,c The nurse is giving an intravenous dose of levothyroxine (Synthroid). The order reads give 0.1 mg IV push now. What is the ordered dose in micrograms - Correct Answer100 mcg The nurse knows that which laboratory tests are used to monitor thyroid hormone replacement therapy? SATA a. Serum TSH b. BUN c. CBC d. free thyroid hormone levels e. serum iodine levels - Correct Answer- a,d