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? - Answer: "You might find that your face
becomes flushed, or you ge...
NURS 6521 PHARMACOLOGY FINAL EXAM QUESTIONS AND ANSWERS 2024
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? - Answer: "You might find that your face
becomes flushed, or you get a headache after taking Viagra." - 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? -
Answer: Elevated prothrombin time - Question 3: A man is prescribed ciprofloxacin to treat
a sexually transmitted infection. The nurse will instruct the patient - Answer: to complete
the entire course of drug therapy. - 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 - Answer: Schedule II -
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? - Answer: Take the drug for one whole week
before coming in contact with allergens. - 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 - Answer:
Magnesium Sulfate toxicity. - 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? - Answer: The patient's bone marrow function is significantly depressed. -
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 - Answer:
clomiphene. - 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: - Answer: to take antacids not less than 1 hour
before or 2 hours after taking INH. - 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 - Answer: Body Surface Area - 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? - Answer: The patient has
chronic heart failure resulting in significant peripheral edema - 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? - Answer: Prostatic
neoplasia - Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to
take each dose - Answer: After a meal. - 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 - Answer:
place the patch on the back, abdomen, upper arms, or thighs. - 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
- Answer: weekly subcutaneous injections - 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 - Answer: food
containing iron or calcium with the woman. - 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? -
Answer: The use of broad-spectrum antibiotics can create a risk for a superinfection. -
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 -
Answer: offer a choice between liquid and chewable medications, if possible. - Question
19: Which of the following would a Nurse Practitioner assess for in a patient taking
polymyxin B systemically? - Answer: Nephrotoxicity and hepatotoxicity - 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 -
Answer: Drug serum levels are being monitored. - 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? - Answer: Drink
alot of water - 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 - Answer: uterine tachysystole. - Question 23: A nurse
practitioner has been assigned to a 55-year-old woman who has a malignant brain tumor.
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