NURS 6521 Final Exam Latest 2024 -2025 Advanced
Pharmacology Complete 180 Accurate Exam
Questions with Correct Verified Answers/ AGRADE
A patient has just received her first dose of imatinib and the nurse on the oncology unit is
amending the patient's care plan accordingly. What nursing diagnosis is most appropriate in
light of this addition to the patient's drug regimen?
- Risk for Infection related to bone marrow suppression
A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a
rash and urticaria along with severe itching where the medication is applied. The nurse will
formulate which of the following nursing diagnoses for the patient?
- Risk for Injury related to allergic reactions
A 21-year-old female has a history of irregular menses. She recently became sexually active,
and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that
most likely this patient would benefit from taking which category of OCs.
- Monophasic
A woman who is in the second trimester of her first pregnancy has been experiencing frequent
headaches and has sought advice from her nurse practitioner about safe treatment options.
What analgesic can the nurse most safely recommend?
- Acetaminophen
A patient receiving high-dose cisplatin therapy exhibits symptoms of hypomagnesemia. Which
of the following should the nurse suggest to help offset the magnesium losses from the
cisplatin therapy?
- Consuming chocolates
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A nurse works at a weight management clinic. To which of the following overweight patients
could the nurse safely administer dextroamphetamine? –
- A 48-year-old Caucasian man who has adult-onset diabetes
A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following
complaints by this patient most likely indicated a need for this drug?
- "Lately, I have to get up three or four times a night to go to the bathroom."
After 6 months of unsuccessfully trying to conceive, a 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 –
- clomiphene.
Which of the following would the nurse include in a teaching plan about the signs and
symptoms of thrombophlebitis and thromboembolism that should be reported by a patient
taking estrogen? -
- Headaches and chest pain
A 38-year-old pregnant patient admits to the nurse 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 -
- microcephaly
A child is admitted to the burn unit with second and third degree burns on both arms and part
of his or her face. When administering topical medications to the burned areas, the nurse
should
- use sterile technique when applying the medication.
pg. 2
, 3
A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus.
In light of the man's lack of success with weight loss programs in the past, his care provider has
prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to
this patient?
- "Take this drug once each day on an empty stomach."
A 21-year-old female has a history of irregular menses. She recently became sexually active,
and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that
most likely this patient would benefit from taking which category of OCs.
- Monophasic
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
- offer a choice between liquid and chewable medications, if possible.
A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She tells
the nurse that she and her husband would like to start a family. The nurse will advise her to
- continue using birth control for at least 12 months.
A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and
vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should
advise the patient to also
- perform light-weight exercises and go for walks
A nurse is performing patient education for a woman who has just been prescribed a
- Low bone density and a family history of osteoporosis
A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice
should the nurse provide to this patient?
- "Make sure to seek care quickly if you experience bad headaches, calf pain, or
changes in vision."
pg. 3
, 4
A nurse is providing patient education to a 50-year-old woman who is taking methotrexate
(MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following
drugs?
- Salicylates
A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida
vaginitis. A teaching priority will be to
- use an alternative form of birth control, if taking an oral contraceptive.
A nurse is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The
treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of
the following?
- Leukopenia
Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer
that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been
prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most
directly addresses a common adverse effect of filgrastim?
- "Do you feel like you're having any pain in your bones?"
A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the
neonate for which of the following?
- Bloody stools
A patient has been prescribed daptomycin for a complicated skin infection. Which of the
following will the nurse advise the patient to report immediately?
- Muscle pain or tingling
pg. 4
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