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NURS 6521 – Advanced Pharmacology | Walden University | Final Exam Study Guide with Elaborated Answers

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This document provides a complete study guide for the NURS 6521 Final Exam in Advanced Pharmacology at Walden University. It includes comprehensive questions and elaborated answers covering essential pharmacological principles, drug classifications, and clinical applications. Topics include autonomic and central nervous system agents, cardiovascular and respiratory drugs, endocrine therapies, antimicrobial agents, and pain management. The explanations emphasize mechanisms of action, contraindications, side effects, and safe prescribing practices—perfect for advanced practice nursing students preparing for the final exam.

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2025/2026
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NURS6521 Final
Study online at https://quizlet.com/_9a9740

1. A nurse works at a weight management clinic. To which A 48-year-old Caucasian
of the following overweight patients man who has adult-onset
could the nurse safely administer dextroampheta- diabetes
mine?

2. A 71-year-old man has just been prescribed finasteride "Lately, I have to get up
(Proscar). Which of the following three or four times a night
complaints by this patient most likely indicated a need to go to the bathroom."
for this drug?

3. After 6 months of unsuccessfully trying to conceive, a clomiphene.
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

4. Which of the following would the nurse include in a Headaches and chest pain
teaching plan about the signs and symptoms of throm-
bophlebitis and thromboembolism that should be re-
ported by a patient taking estrogen?

5. A 38-year-old pregnant patient admits to the nurse microcephaly
that she is an alcoholic and has been
consuming alcohol during her pregnancy. The nurse
knows that using alcohol during
pregnancy may result in a child who presents with

6. A nurse practitioner orders 150 mg of oral fluconazole Once a day
for a patient with vulvovaginal
candidiasis. The patient should expect to take medica-
tion



, NURS6521 Final
Study online at https://quizlet.com/_9a9740

7. An oncology nurse is reviewing the pathophysiology of Cells that have a rapid mi-
cancer and is discussing with a colleague the factors totic rate
that contribute to the success or failure of a patient's
chemotherapy. Which of the following cancerous cells
is most susceptible to the effects of chemotherapeutic
drugs?

8. A middle-aged patient has received a diagnosis of Puffiness
GI stromal tumor following an extensive diagnostic
workup. Imatinib has been recommended as a com-
ponent of the patient's drug
regimen. What patient education should the nurse
provide to this patient?"It's important that you let us
know if you develop any significant swelling or

9. A 12-year-old boy is being discharged from the hospi- both the boy and his
tal after major surgery. The boy will be mother regarding all med-
taking two medications at home for an extended peri- ication issued.
od. The nurse who is discharging the
patient should provide medication teaching specifical-
ly to

10. A patient has been admitted to the critical care unit ototoxicity or nephrotoxic-
with a diagnosis of peritonitis that has ity
necessitated treatment with gentamicin. As a result,
the care team should be cautious when
concurrently administering other medications that
may cause

11. A 39-year-old woman is receiving doxorubicin for the perform relaxation tech-
treatment of cancer. After each niques after the treat-
treatment, the patient has acute nausea and vomiting ments.



, NURS6521 Final
Study online at https://quizlet.com/_9a9740

accompanied by a slightly increased
heart rate. The nurse will advise her to

12. A nurse is caring for a patient with cancer who has marijuana
been prescribed dronabinol (Marinol) to
help reduce nausea and vomiting from chemotherapy.
The nurse will inform the patient that
he or she is taking an oral form of

13. A 46-year-old man is receiving a quinupristindalfo- Infiltration, edema, or
pristin IV infusion for a life-threatening phlebitis at the infusion
infection. Which of the following would be most impor- site
tant for the nurse to monitor?

14. A woman is receiving prolonged drug therapy during The nurse should make
her complicated pregnancy, and it may sure that serum levels of
pose a risk to both the mother and the fetus. The the drug are being moni-
primary care physician has made dosage tored
adjustments to minimize adverse effects and prevent
toxicity.

15. Alprostadil (Caverject), a drug used to treat erectile Vaginal burning
dysfunction, has been prescribed to a 42-
year-old patient. When providing education to the pa-
tient and his wife, the nurse should
inform the wife about which of the following adverse
effects?

16. A 36-year-old patient comes to the clinic and tells the Phenytoin (Dilantin)
nurse that she suspects that she is pregnant. During
the initial assessment, the nurse learns that the patient
is currently taking medications for diabetes, hyperten-

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