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NURS 6521 ADV. PHARMACOLOGY FINAL
EXAM QUESTIONS AND ANSWERS
UPDATED (2024/2025) (VERIFIED
ANSWERS)
Question 1: 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 2: 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 3: A Nurse Practitioner will instruct a patient taking allopurinol to take
each dose,
Answer: After a meal.,
Question 4: 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.,
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Question 5: 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 6: 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 7: 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 8: 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 9: Which of the following would a Nurse Practitioner assess for in a
patient taking polymyxin B systemically?,
Answer: Nephrotoxicity and hepatotoxicity,
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Question 10: 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. The patient is receiving her first dose of carmustine.
It will be critical for the nurse to observe for which of the following?,
Answer: Respiratory difficulty,
Question 24: A patient has been admitted to the critical care unit with a diagnosis
of peritonitis that has necessitated treatment with gentamicin. As a result, the
care team should be cautious when concurrently administering other
medications that may cause,
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