NURS 6521 Adv. Pharmacology Final Exam
1. Question 1: A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil
(Viagra). When providing patient education to this man, the nurse should tell him which of the following?:
2. Answer: "You might find that your face becomes flushed, or you get a headache after taking Viagra.":
3. Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The nursing assessment reveals that he is
also taking warfarin. The nurse must carefully monitor which of the following?:
4. Answer: Elevated prothrombin time:
5. Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient:
6. Answer: to complete the entire course of drug therapy.:
7. Question 4: Drugs have a valid medical use but a high potential for psychological and physiologic abuse. In an emergency, a
Schedule II drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written
prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the
prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain
amphetamines and barbiturates. These are scheduled drugs: 8. Answer: Schedule II:
9. Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the
drug's therapeutic effects, which of the following will the nurse include in instructions to the patient?:
10. Answer: Take the drug for one whole week before coming in contact with allergens.:
11. Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is sweating, and her BP is
88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as:
12. Answer: Magnesium Sulfate toxicity.:
13. Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusses treatment options with his
care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide to treat leukemia?:
14. Answer: The patient's bone marrow function is significantly depressed.:
15. Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a
referral to a fertility specialist to explore their options. A nurse at the clinic should recognize that the woman may benefit
from:
16. Answer: clomiphene.:
17. Question 9: 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 regularly. The nurse will instruct the patient::
18. Answer: to take antacids not less than 1 hour before or 2 hours after taking INH.:
19. Question 10: A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The
nurse will calculate the drug dosage by using:
20. Answer: Body Surface Area:
21. Question 11: An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL), and her care team has
identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may
preclude the use of imatinib?:
, NURS 6521 Adv. Pharmacology Final Exam
22. Answer: The patient has chronic heart failure resulting in significant peripheral edema:
23. Question 12: 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 nurse will include which of the following as a risk associated with
finasteride therapy?:
24. Answer: Prostatic neoplasia:
25. Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose: 26. Answer: After a meal.:
27. Question 14: A patient has acquired primary hypogonadism and was prescribed testosterone transdermal (Androderm)
patches. When educating the patient on administering the drug, the nurse will instruct him to:
28. Answer: place the patch on the back, abdomen, upper arms, or thighs.:
29. Question 15: A 66-year-old woman has experienced a significant decline in her quality of life due to worsening rheumatoid
arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's
drug regimen involving the administration of:
30. Answer: weekly subcutaneous injections:
31. Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis.
Because of the patient's history, the nurse would be sure to discuss the use of: 32. Answer: food containing iron or calcium
with the woman.:
33. Question 17: A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic
rather than a broad-spectrum drug to treat a patient's infection. Which of the following facts provides the best rationale for using
narrow-spectrum antibiotics whenever possible?: 34. Answer: The use of broad-spectrum antibiotics can create a risk for a
superinfection.:
35. Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the
boy will take his prescribed medication, the nurse should:
36. Answer: offer a choice between liquid and chewable medications, if possible.:
37. Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking polymyxin B systemically?:
38. Answer: Nephrotoxicity and hepatotoxicity:
39. Question 20: 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 adjustments to minimize adverse effects and
prevent toxicity; The RN should ensure that:
40. Answer: Drug serum levels are being monitored.:
41. Question 21: A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse
effects of the drug, the nurse will instruct the patient to do which of the following?:
42. Answer: Drink alot of water:
43. Question 22: A pregnant patient with diabetes has been admitted to the hospital to begin labor. Since the patient has
diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about
the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include:
44. Answer: uterine tachysystole.:
45. Question 23: A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient
is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following?:
1. Question 1: A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil
(Viagra). When providing patient education to this man, the nurse should tell him which of the following?:
2. Answer: "You might find that your face becomes flushed, or you get a headache after taking Viagra.":
3. Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The nursing assessment reveals that he is
also taking warfarin. The nurse must carefully monitor which of the following?:
4. Answer: Elevated prothrombin time:
5. Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient:
6. Answer: to complete the entire course of drug therapy.:
7. Question 4: Drugs have a valid medical use but a high potential for psychological and physiologic abuse. In an emergency, a
Schedule II drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written
prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the
prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain
amphetamines and barbiturates. These are scheduled drugs: 8. Answer: Schedule II:
9. Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the
drug's therapeutic effects, which of the following will the nurse include in instructions to the patient?:
10. Answer: Take the drug for one whole week before coming in contact with allergens.:
11. Question 6: A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is sweating, and her BP is
88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as:
12. Answer: Magnesium Sulfate toxicity.:
13. Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML) discusses treatment options with his
care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide to treat leukemia?:
14. Answer: The patient's bone marrow function is significantly depressed.:
15. Question 8: After six months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a
referral to a fertility specialist to explore their options. A nurse at the clinic should recognize that the woman may benefit
from:
16. Answer: clomiphene.:
17. Question 9: 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 regularly. The nurse will instruct the patient::
18. Answer: to take antacids not less than 1 hour before or 2 hours after taking INH.:
19. Question 10: A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The
nurse will calculate the drug dosage by using:
20. Answer: Body Surface Area:
21. Question 11: An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL), and her care team has
identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may
preclude the use of imatinib?:
, NURS 6521 Adv. Pharmacology Final Exam
22. Answer: The patient has chronic heart failure resulting in significant peripheral edema:
23. Question 12: 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 nurse will include which of the following as a risk associated with
finasteride therapy?:
24. Answer: Prostatic neoplasia:
25. Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each dose: 26. Answer: After a meal.:
27. Question 14: A patient has acquired primary hypogonadism and was prescribed testosterone transdermal (Androderm)
patches. When educating the patient on administering the drug, the nurse will instruct him to:
28. Answer: place the patch on the back, abdomen, upper arms, or thighs.:
29. Question 15: A 66-year-old woman has experienced a significant decline in her quality of life due to worsening rheumatoid
arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's
drug regimen involving the administration of:
30. Answer: weekly subcutaneous injections:
31. Question 16: A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis.
Because of the patient's history, the nurse would be sure to discuss the use of: 32. Answer: food containing iron or calcium
with the woman.:
33. Question 17: A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic
rather than a broad-spectrum drug to treat a patient's infection. Which of the following facts provides the best rationale for using
narrow-spectrum antibiotics whenever possible?: 34. Answer: The use of broad-spectrum antibiotics can create a risk for a
superinfection.:
35. Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the
boy will take his prescribed medication, the nurse should:
36. Answer: offer a choice between liquid and chewable medications, if possible.:
37. Question 19: Which of the following would a Nurse Practitioner assess for in a patient taking polymyxin B systemically?:
38. Answer: Nephrotoxicity and hepatotoxicity:
39. Question 20: 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 adjustments to minimize adverse effects and
prevent toxicity; The RN should ensure that:
40. Answer: Drug serum levels are being monitored.:
41. Question 21: A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse
effects of the drug, the nurse will instruct the patient to do which of the following?:
42. Answer: Drink alot of water:
43. Question 22: A pregnant patient with diabetes has been admitted to the hospital to begin labor. Since the patient has
diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about
the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include:
44. Answer: uterine tachysystole.:
45. Question 23: A nurse practitioner has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient
is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following?:
