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2020 NURS6521 Walden University Advanced Pharmacology Final Exam With Answers (100 Solved Questions)

2020 NURS6521 Walden University Advanced Pharmacology Final Exam With Answers helps you recognize frequently tested topics and common question formats.

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    lOMoAR cPSD| 3013804 lOMoAR cPSD| 3013804 NURS 6521 Final Exam Advanced Pharmacology: Walden University (Verified Answers) • Question 1 1 out of 1 points The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day? Selected Answer: 1500 mg • Question 2 1 out of 1 points A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Selected Answer: Lid margin crusting and pruritus • Question 3 1 out of 1 points A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize? Selected Answer: The peak and trough blood levels • Question 4 1 out of 1 points A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin Page 1 of 37

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    lOMoAR cPSD| 3013804 and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered? sulfate • Question 5 1 out of 1 points A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered Selected Answer: phytoestrogens. • Question 6 1 out of 1 points An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? Selecte d Answer : Infuse the drug over 2 to 4 hours into a central line using an infusion pump • Question 7 1 out of 1 points The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? Selecte d Answer : Having nurses check their math calculations with a colleague before administering a drug. Page 2 of 37 Protamine Selected Answer:

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    lOMoAR cPSD| 3013804 • Question 8 1 out of 1 points A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that Selected Answer: the increase in the neutrophil count is only transient. • Question 9 1 out of 1 points A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? Selected Answer: A 19-year-old male receiving radiotherapy • Question 10 1 out of 1 points A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Selected Answer: complete the entire course of drug therapy. • Question 11 0 out of 1 points A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as Selected Answer: common adverse effects of magnesium sulfate. • Question 12 0 out of 1 points

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    lOMoAR cPSD| 3013804 tylenol. Selected Answer: A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will Selected Answer: monitor the site of injection. • Question 13 1 out of 1 points Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid Selected Answer: alcohol. • Question 14 1 out of 1 points A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend • Question 15 1 out of 1 points A Nurse Practitioner will instruct a patient taking allopurinol to take each dose Selected Answer: before a meal. • Question 16 2 out of 1 points Page 5 of 37

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    lOMoAR cPSD| 3013804 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 Page 6 of 37

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    lOMoAR cPSD| 3013804 Selected Answer: clomiphene. • Question 17 1 out of 1 points A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selected Answer: ventrogluteal muscle. • Question 18 1 out of 1 points 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 nurse should make sure Selected Answer: that serum levels of the drug are being monitored. • Question 19 1 out of 1 points 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 on a regular basis. The nurse will instruct the patient to take Selected Answer: antacids not less than 1 hour before or 2 hours after taking INH. • Question 20 1 out of 1 points The recommended treatment for trichomoniasis is Selected Answer: Flagyl. • Question 21 1 out of 1 points A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannot Page 7 of 37

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    lOMoAR cPSD| 3013804 continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because Selected Answer: drugs compete with the hormones of pregnancy for albumin- binding sites. • Question 22 1 out of 1 points A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? Selected Answer: The patient's hemoglobin level is 11 g/dL • Question 23 1 out of 1 points A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? Selecte d Answer : "The adverse effects to targeted therapies are most often a result of the patient's cancer, not the drugs themselves." • Question 24 2 out of 1 points A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? Page 8 of 37

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    lOMoAR cPSD| 3013804 Selected Answer: Anxiety related to perceived danger of drug therapy to fetus or infant • Question 25 1 out of 1 points Page 9 of 37

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    lOMoAR cPSD| 3013804 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? Selected Answer: Prostatic neoplasia • Question 26 1 out of 1 points A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur? Selected Answer: Presence of blood in urine or stools • Question 27 1 out of 1 points 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? Selecte d Answer : "Lately, I have to get up three or four times a night to go to the bathroom." • Question 28 1 out of 1 points A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Selected Answer: That the infant's skin has greater permeability than that of an adult • Question 29 1 out of 1 points Page 10 of 37

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    lOMoAR cPSD| 3013804 A Nurse Practitioner is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Selected Answer: Neurotoxicity Page 11 of 37

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