INSTRUCTIONS
This is a 100-question Exam which will assess your knowledge on the course Learning Resources.
Please answer each question below and click Submit when you have completed the Exam.
This test has a time limit of 2 hours and 30 minutes.
This NURS 6521 Advanced Pharmacology Final Exam test will save and submit automatically when the time expires.
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This Test is due on February 14, 2022 1:59:00 AM EST.
Click Begin to start: Exam – Week 11. Click Cancel to go back.
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?
Lid margin crusting and pruritus | ||
Cognitive changes | ||
Nephrotoxicity and neurotoxicity | ||
Tendon ruptures |
Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg of prednisone per day for the past six months. He should be assessed for
Gout | ||
iron deficiency anemia | ||
Kidney stones | ||
Osteoporosis |
Off label prescribing is:
Regulated by the FDA | ||
Illegal by NPs in all states and provinces | ||
Legal if there is scientific evidence for the use | ||
Regulated by the DEA. NURS 6521 Advanced Pharmacology Final Exam |
A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi’s sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by
inhibiting tumor growth by enhancing inflammation. | ||
potentiating the effects of phagocytes and macrophages. | ||
causing mutations in the DNA of cancerous cells. | ||
increasing the production of B cells and T cells. |
The Nurse Practitioner notices a cold sore on a patient’s upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first
assess the area and make sure that there are no open lesions or abrasions. | ||
put gloves on to protect herself. | ||
prepare the applicator for drug administration. | ||
clean the area to be treated and then pat it dry. |
NURS 6521 Advanced Pharmacology Final Exam Gold compounds are contraindicated in patients with all of the following conditions except:
Hepatic disease | ||
Renal disease | ||
Blood dyscrasias | ||
Rheumatoid arthritis |
An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with
ciprofloxacin. | ||
clindamycin. | ||
vancomycin. | ||
an antistaphylococcic penicillin. |
A contraindication to the use of combined contraceptives is:
NURS 6521 Advanced Pharmacology Final Exam Adolescence (not approved for this age group) | ||
A history of a clotting disorder | ||
recent pregnancy | ||
Being overweight |
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that
asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. | ||
trichomoniasis is an incurable disease. | ||
trichomoniasis discharge is typically thin and clear. | ||
it is unusual to have an odor with trichomoniasis. |
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?
Cardiotoxicity | ||
Constipation | ||
Neurotoxicity | ||
Asthma |
Which step in the clotting cascade allows prothrombin to be converted to thrombin?
Activation of factor X to factor Xa | ||
Activation of factor IX to factor X | ||
Activation of factor XII to factor XIIa | ||
Activation of factor XI to factor XIa |
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 NURS 6521 Advanced Pharmacology Final Exam. Which of the following is the most appropriate nursing diagnosis for this patient is?
Injury, Risk to the fetus related to adverse effects of maternal drug therapy | ||
Injury, Risk to the patient related to failure to receive needed drug therapy | ||
Anxiety related to perceived danger of drug therapy to fetus or infant | ||
Noncompliance with Drug Therapy |
The Nurse Practitioner has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient’s physician to order magnesium sulfate for this patient?
Decreased level of consciousness with a sudden onset | ||
The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air | ||
Maternal bradycardia accompanied by a prolonged QT interval | ||
Systolic blood pressure readings in excess of 190 mmHg |
A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of
alcohol. | ||
trans fat. | ||
caffeine. | ||
grapefruit juice. |
A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to
wash her hair daily with a good shampoo. | ||
increase her daily intake of milk. | ||
maximize the child’s fluid intake. | ||
stop using creams, ointments, and oils on the child’s skin and scalp. |
Question 16
An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on
the osmolarity of fungal intracellular fluid. | ||
protein synthesis of fungal cells. | ||
the production and maturation of CD4+ T-cells. | ||
the permeability of fungal cell walls. |
A 43-year-old man has been diagnosed with active TB NURS 6521 Advanced Pharmacology Final Exam. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results?
Serum alanine transaminase, aspartate transaminase, and bilirubin | ||
Red blood count, white blood count, and differential | ||
Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels | ||
Fasting blood sugar and 2-hour postprandial blood sugar |
Question 82
A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will
monitor the site of injection. | ||
monitor the patient for bleeding gums. | ||
continue therapy until 2 days after symptoms have resolved. | ||
administer the medication with small amounts of food and fluids. |
Question 84
A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide?
“Most people don’t know that marijuana can be just as addictive as heroin or cocaine over time.” | ||
“Marijuana can easily interact with other drugs and cause potentially fatal reactions.” | ||
“Every year, thousands of Americans end up in emergency departments with marijuana overdoses.” | ||
“Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.”NURS 6521 Advanced Pharmacology Final Exam |
Question 85
A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The APRN will be sure to
avoid the small veins in the dorsum of the hand or the wrist. | ||
inject very slowly, no faster than 100 mg/minute. | ||
inject the diazepam very quickly, 15 mg in 10 to 15 seconds. | ||
administer after diluting the drug with gabapentin in intravenous solution. |
Question 86
A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate?
Renal function | ||
Hepatic function | ||
Respiratory function | ||
Cardiac function |
Question 87
Mr. Samuels has been prescribed olanzapine (Zyprexa). The NP know that he should be monitored for:
Weight gain | ||
Insomnia | ||
Hypertension | ||
Galactorrhea |
Question 88
Which of the following should not be taken with a selective serotonin reuptake inhibitor? NURS 6521 Advanced Pharmacology Final Exam
Grapefruit | ||
Alcohol | ||
Aged cheese | ||
Green leafy vegetables |
Question 89
A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?
The patient takes allopurinol for the treatment of gout | ||
The patient has a family history of osteoporosis and has undergone bone density testing | ||
The patient has unstable angina and uses a nitroglycerin patch | ||
The patient often takes ginseng when he gets a common cold |
Question 90
A Nurse Practitioner has questioned why a patient’s physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient’s infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible?
Broad-spectrum antibiotics confound the results of subsequent culture and sensitivity testing. | ||
Narrow-spectrum antibiotics normally require a shorter duration of treatment. | ||
The efficacy of most narrow-spectrum antibiotics has not been proven. NURS 6521 Advanced Pharmacology Final Exam | ||
The use of broad-spectrum antibiotics can create a risk for a superinfection. |
Question 91
How is hydrocodone eliminated from the body?
Skin | ||
Liver | ||
Gastrointestinal tract | ||
Kidney |
Question 92
Which of the following is a true statement about aspirin and its action on platelets
It’s effects on platelets may last up to three weeks | ||
It is used for prophylaxis against strokes and acute myocardial infarction | ||
It’s effects only last two weeks and are reversible | ||
It’s effects on platelets are irreversible |
Question 93
A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to
take an antiemetic or antidiarrheal for adverse GI effects. | ||
use an alternative form of birth control, if taking an oral contraceptive. | ||
use an aspirin for relief of minor discomforts.NURS 6521 Advanced Pharmacology Final Exam | ||
take the drug with food. |
Question 94
Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem with urination secondary to an enlarged prostate. The practitioner would teach the patient that while he is taking this medication, it is important to:
Increase his fluid intake. | ||
Restrain from sexual activity | ||
Take special precautions around women of childbearing age | ||
Begin folic acid |
Question 95
A Nurse Practitioner is caring for a patient who is at 28 weeks’ gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize?
NURS 6521 Advanced Pharmacology Final Exam Maternal body temperature | ||
Fetal heart rate (FHR) | ||
Correct fetal position | ||
Fetal blood pressure |
Question 96
During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient’s platelet count to be 92,000 cells/mm3. The nurse should do which of the following?
Consult the prescriber for an increase in dosage | ||
Consult the prescriber for a decrease in dosage | ||
Consult the prescriber for discontinuation of the drug | ||
Continue the therapy as prescribed |
Question 97
Mr. Asberry is taking Levofloxacin for his sinusitis. He calls your clinic and reports some pain just above the heel of his left foot. The NP should:
change the medication to ofloxacin | ||
reassure the patient that this is a common side effect | ||
discontinue the levofloxacin | ||
change to ciprofloxacin |
Question 98
A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?
Liver function tests | ||
Blood sugar levels | ||
Blood pressure | ||
Body temperature |
Question 99
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend
aspirin. | ||
advil. | ||
tylenol. | ||
motrin. |
Question 100
Ms. Lewis Is in 74-year-old female who presents to your clinic for routine visit today. You review her medical record and notice she is prescribed aspirin therapy. You provide patient education regarding the signs of aspirin toxicity NURS 6521 Advanced Pharmacology Final Exam. An early sign of aspirin toxicity is:
Tremors | ||
Vomiting | ||
Tinnitus | ||
Black, tarry stools |