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NURS 6521 Adv. Pharmacology Final Exam
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NURS 6521 Adv. Pharmacology Final Exam
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NURS 6521 Adv. Pharmacology FinalExam
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? - ANS-
Answer: "You might find that your face becomes flushed, or you get a headache after
taking Viagra." - ANS-
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? - ANS-
Answer: Elevated prothrombin time - ANS-
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection.
The nurse will instruct the patient - ANS-
Answer: to complete the entire course of drug therapy. - ANS-
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 - ANS-
Answer: Schedule II - ANS-
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? - ANS-
Answer: Take the drug for one whole week before coming in contact with allergens. -
ANS-
,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 - ANS-
Answer: Magnesium Sulfate toxicity. - ANS-
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? - ANS-
Answer: The patient's bone marrow function is significantly depressed. - ANS-
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 - ANS-
Answer: clomiphene. - ANS-
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: - ANS-
Answer: to take antacids not less than 1 hour before or 2 hours after taking INH. - ANS-
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 -
ANS-
Answer: Body Surface Area - ANS-
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? - ANS-
Answer: The patient has chronic heart failure resulting in significant peripheral edema -
ANS-
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? - ANS-
Answer: Prostatic neoplasia - ANS-
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose - ANS-
Answer: After a meal. - ANS-
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 - ANS-
Answer: place the patch on the back, abdomen, upper arms, or thighs. - ANS-
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 - ANS-
Answer: weekly subcutaneous injections - ANS-
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 - ANS-
Answer: food containing iron or calcium with the woman. - ANS-
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? - ANS-
Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. -
ANS-
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 - ANS-
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