NURS 6521 ADVANCED PHARMACOLOGY FINAL EXAM updated 2023

NURS 6521: ADVANCED PHARMACOLOGY FINAL EXAM updated 2023 (100 QUESTION (s and answers) QUESTION ( 1 A nurse educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. QUESTION ( 2 Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Low blood pressure Vaginal burning QUESTION ( 3 A 12-year-old boy is being discharged from the hospital after … The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to both the boy and his mother regarding all medication issued. QUESTION ( 4 A 30-year-old African-American woman tested positive for …and is prescribed … The nurse will plan the patient’s care to include close monitoring of the drug therapy because the patient is at greater risk for high serum levels of the drug. QUESTION ( 6 A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, which of the following will the nurse include in instructions to the patient? Take the drug for 1 full week before coming in contact with allergens. QUESTION ( 7 Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has prescribed quinine along with an adjunctive drug. The nurse should QUESTION ( the physician’s order if the patient has a history of cardiac arrhythmias. QUESTION ( 8 A nurse 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 drugs compete with the hormones of pregnancy for albumin-binding sites. QUESTION ( 9 66-year-old man has made an appointment with his primary care provider to discuss his recent …and has reQUESTION (ted a prescription for …based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of The patient has unstable angina and uses a nitroglycerin patch QUESTION ( 10 A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient’s erectile dysfunction (ED)? Exogenous testosterone QUESTION ( 11 A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to perform relaxation techniQUESTION ( after the treatments. QUESTION ( 12 A nurse 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? A 19-year-old Male receiving radiation therapy QUESTION ( 13 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will QUESTION ( the patient about which of the following? Dental hygiene practices QUESTION ( 17 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 the increase in the neutrophil count is only transient. QUESTION ( 18 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? Where the medication will be stored QUESTION ( 19 A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to Immature liver and kidney function in infants and children. QUESTION ( 20 A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Neurotoxicity QUESTION ( 21 A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather’s antidepressant to improve his mood. After immediately phoning the boy’s stepfather, the nurse learns that the drug in QUESTION ( is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Hypertensive crisis QUESTION ( 22 A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause orange-tinged urine. staining of permanent teeth. sleep deprivation. deep muscle pain. QUESTION ( 23 Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his .. Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible. Cleanse the wound of debris prior to applying the silver sulfadiazine QUESTION ( 24 A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will the nurse advise the patient to report immediately? Muscle pain or tingling QUESTION ( 25 An immunocompromised 7-year-old child was recently discharged home with a … for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon QUESTION (ing, … Caregiver Ineffective Family Therapeutic Regimen Management QUESTION ( 26 A patient’s current course of cancer treatment involves the administration of a conjugated monoclonal antibody. What characteristic of the ? The targeted therapy is combination of a monoclonal antibody, a kinase inhibitor, and an inorganic cytotoxin. The drug is able to adapt its pharmacokinetics to the etiology of the patient’s cancer. QUESTION ( 27 A female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the patient is a common? Breakthrough bleeding QUESTION ( 28 A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? A 48 year old Caucasian man who has adult-onset diabetes QUESTION ( 29 A patient with a diagnosis of chronic myeloid leukemia has met with her oncologist, who has recommended treatment with the kinase inhibitor imatinib. What route of administration should the nurse explain to the patient? Oral administration of imatinib in a home setting QUESTION ( 37 A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A …will be to use an alternative form of birth control, if taking an oral contraceptive. QUESTION ( 38 A nurse is assigned to a patient who is at 32 weeks’ gestation and is receiving …for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Instruct the patient to lie on her left side during the infusion. QUESTION ( 39 A nurse is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that oral form of marijuana QUESTION ( 40 A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the Risk for Injury related to loss of vision or thrombotic events QUESTION ( 41 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 … When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment? The importance of vigilant hygiene for the boy and the other members of the family QUESTION ( 42 A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient’s most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s blood. The nurse vancomycin QUESTION ( 43 A nurse is working in a women’s hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following? Hypertension QUESTION ( 44 A patient is pregnant and is at 7 weeks’ gestation. She has type 1 diabetes and has been taking insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her baby. The best response to the patient by the nurse would be “Insulin is usually the drug of choice for controlling blood glucose levels during pregnancy because it does not cross into the placenta.” QUESTION ( 58 A female patient is prescribed oprelvekin therapy to treat thrombocytopenia. Which of the following should the nurse continuously monitor to determine the efficacy and duration of the ? Fluid retention/weight gain QUESTION ( 59 Which of the following is critical to helping prevent development of resistant strains of microbes? Maintain the optimum duration of the antimicrobial agent QUESTION ( 60 A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is … The clinician suspects a bacterial, rather than viral, etiology. How will the patient’s pregnancy affect the potential use …? The use of ciprofloxacin is contraindicated in pregnancy QUESTION ( 68 A 56-year-old woman will soon begin treatment of her …. What patient teaching should the nurse provide to this woman? you might find that you get a dry mouth or a headache but this does not mean it has to be discontinued QUESTION ( 69 A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching? Penicillin interferes with synthesis of the bacteria cell wall. QUESTION ( 70 A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patch for chest pain would not be appropriate. Which of the following will the nurse include in an explanation? A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. QUESTION ( 71 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication that may be prescribed as a patch and which