2021 NURS6521 Walden University Pharmacology Final Exam Version 1 With Answers (101 Solved Questions)

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2021 NURS6521 Walden University Pharmacology Final Exam Version 1 With Answers (101 Solved Questions) - Page 1 preview image

CourseNURS-6521N-54,Advanced Pharmacology.2019 Winter Qtr 11/25-02/16-PT27TestExam - Week 11Started2/8/20 1:01 PMSubmitted2/8/20 2:57 PMDue Date2/10/20 1:59 AMStatusCompletedAttempt Score91 out of 100 pointsTime Elapsed1 hour, 55 minutes out of 2 hoursInstructionsPlease answer each question below and click Submit when you havecompleted the Exam.ResultsDisplayedSubmitted Answers, Incorrectly Answered QuestionsQuestion 11 out of 1 pointsA Nurse Practitioner is providing patient education to a 50-year-old woman who is takingmethotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid whichof the following drugs?Selected Answer: SalicylatesQuestion 21 out of 1 pointsAn oncology nurse is reviewing the pathophysiology of cancer and is discussing with acolleague the factors that contribute to the success or failure of a patient's chemotherapy.Which of the following cancerous cells is most susceptible to the effects ofchemotherapeutic drugs?Selected Answer: Cells that have a rapid mitotic ratefalse

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Question 31 out of 1 pointsA Nurse Practitioner is caring for a patient who is on amphotericin B. On morning roundsthe patient reports weakness, numbness, and a tingling sensation in his feet. What wouldbe a priority action by the nurse?Selected Answer: Keep the bed in a low position and the side rails up at all times.Question 41 out of 1 pointsA 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. Thenurse will instruct the patient toSelectedAnswer:schedule an appointment to measure hemoglobin twice a week for atleast 2 to 6 weeks.Question 51 out of 1 pointsA patient has completed 4 weeks of treatment with epoetin alfa. Which of the followingassessment findings would most strongly indicate that treatment has been effective?Selected Answer: The patient's hemoglobin level is 11 g/dLQuestion 61 out of 1 pointsA 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatmentincludes a regular dosage of methotrexate. The APRN will advise her to take which of thefollowing vitamin supplements while taking the drug?Selected Answer: Vitamin BQuestion 71 out of 1 points

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On the advice of her sister, a 52-year-old woman has visited her nurse practitioner todiscuss the potential benefits of hormone replacement therapy in controlling thesymptoms of menopause. Which of the following responses by the nurse is mostappropriate?SelectedAnswer:"It's important to balance the possible benefits of HRT with the fact that itmight increase your risk of heart disease and stroke"Question 81 out of 1 pointsA child is taking permethrin for head lice. The Nurse Practitioner will instruct her mothertoSelected Answer: stop using creams, ointments, and oils on the child's skin and scalp.Question 91 out of 1 pointsA male patient is taking finasteride for BPH. Which of the following will the nurseevaluate at each clinic visit?Selected Answer: Urinary elimination patternsQuestion 101 out of 1 pointsLaboratory testing has confirmed that a patient has chloroquine-resistant malaria and thepatient's physician has prescribed quinine along with an adjunctive drug. The nurseshould question the physician's order if the patient has a history ofSelected Answer: cardiac arrhythmias.Question 111 out of 1 points

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A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of thefollowing assessments should the nurse prioritize?Selected Answer: The peak and trough blood levelsQuestion 121 out of 1 pointsDrugs have a valid medical use but a high potential for abuse, both psychological andphysiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if awritten prescription cannot be provided at the time. However, a written prescription mustbe provided within 72 hours with the words authorization for emergency dispensingwritten on the prescription. These prescriptions cannot be refilled. A new prescriptionmust be written each time. Examples include certain amphetamines and barbiturates. Thisis scheduled drugSelected Answer: Schedule 2Question 131 out of 1 pointsA patient has been admitted to the critical care unit with a diagnosis of peritonitis that hasnecessitated treatment with gentamicin. As a result, the care team should be cautiouswhen concurrently administering other medications that may causeSelected Answer: ototoxicity or nephrotoxicity.Question 141 out of 1 pointsA man has a demonstrated history of androgen deficiency and the consequences of thishealth problem include an inability to maintain an erection. Which of the followingmedications would best address this patient's erectile dysfunction (ED)?Selected Answer: Exogenous testosteroneQuestion 151 out of 1 points

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A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHDhas been experiencing a depressed mood and a sense of hopelessness. He confides in theschool nurse that he has begun taking his stepfather's antidepressant to improve his mood.After immediately phoning the boy's stepfather, the nurse learns that the drug in questionis phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse shouldrecognize that this combination of drugs creates a serious risk of what health problem?Selected Answer: Hypertensive crisisQuestion 161 out of 1 pointsAn elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after fallingand breaking her hip on the stairs outside her home. The woman's pain in the time sinceher injury has been severe, and her care team has been treating it with morphine. Whichof the following administration schedules is most likely to control the patient's pain?SelectedAnswer:Twice-daily doses of long-acting morphine, with short-acting morphineavailable for breakthrough painQuestion 171 out of 1 pointsA 3-year-old boy has developed otitis media and requires antibiotics. In order to increasethe chance that the boy will take his prescribed medication, the nurse shouldSelected Answer: offer a choice between liquid and chewable medications, if possible.Question 181 out of 1 pointsA nurse practitioner orders a single dose of 2 g Metronidazole orally. How manymilligrams will the patient receive in one dose?Selected Answer: 2000 mgQuestion 191 out of 1 points

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A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receivingterbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the followingnursing actions will the nurse take to decrease the risk of hypotension and promotecirculation to the fetus?Selected Answer: Instruct the patient to lie on her left side during the infusion.Question 201 out of 1 pointsA patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed.To help increase bioavailability of the drug, the nurse will encourage the patient to takethe medicationSelected Answer: with high-fat meals.Question 211 out of 1 pointsA patient has been prescribed oral tetracycline. The nurse will instruct the patient to takethe drugSelectedAnswer:on an empty stomach 1 hour before or 2 hours after taking any meals orother drugs.Question 221 out of 1 pointsAn immunocompromised cancer patient has developed cryptococcal meningitis and beenadmitted to the intensive care unit for treatment with amphotericin B. How should thenurse most safely administer this drug?SelectedAnswer:Infuse the drug over 2 to 4 hours into a central line using an infusionpumpQuestion 231 out of 1 points

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A 60-year-old patient experienced a sudden onset of chest pain and shortness of breathand was subsequently diagnosed with a pulmonary embolism in the emergencydepartment. The patient has been started on an intravenous heparin infusion. How doesthis drug achieve therapeutic effect?SelectedAnswer:By inactivating clotting factors and thus stopping the coagulationcascadeQuestion 241 out of 1 pointsA 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drugtherapy, including INH and rifampin. A priority assessment by the nurse will be tomonitor which combination of laboratory test results?Selected Answer: Serum alanine transaminase, aspartate transaminase, and bilirubinQuestion 251 out of 1 pointsA Nurse Practitioner is caring for a 46-year-old female patient who is taking paclitaxel forovarian cancer. Two or three days after the infusion of the drug, the nurse must closelymonitor for which of the following?Selected Answer: NeurotoxicityQuestion 261 out of 1 pointsA Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenousleukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess thepatient for which of the following?Selected Answer: LeukopeniaQuestion 271 out of 1 points

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