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

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lOMoAR cPSD| 3013804lOMoAR cPSD| 3013804NURS 6521 Final Exam Advanced Pharmacology: WaldenUniversity (Verified Answers)•Question 11 out of 1 pointsThe nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount ofmedication patient will take per day?Selected Answer: 1500 mg•Question 21 out of 1 pointsA 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterialinfection in her right eye. The nurse will teach her to observe for which of thefollowing adverse effects of the drug?Selected Answer: Lid margin crusting and pruritus•Question 31 out of 1 pointsA 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 41 out of 1 pointsANurse Practitioneris caring for a 64-year-old female patient who is receiving IVheparinPage 1 of 37

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lOMoAR cPSD| 3013804and reports bleeding from her gums. The nurse checks the patient's laboratory testresults and finds that she has a very high aPTT. The nurse anticipates that which ofthe following drugs may be ordered?sulfate•Question 51 out of 1 pointsA patient asks the nurse practitioner about food sources such as soybeansand soy products. The nurse practitioner understands that these foods areconsideredSelected Answer: phytoestrogens.•Question 61 out of 1 pointsAn immunocompromised cancer patient has developed cryptococcal meningitis andbeen admitted to the intensive care unit for treatment with amphotericin B. Howshould the nurse most safely administer this drug?SelectedAnswer:Infuse the drug over 2 to 4 hours into a central line using aninfusion pump•Question 71 out of 1 pointsThe clinical nurse educator who oversees the emergency department in achildren's hospital has launched an awareness program aimed at reducing drugerrors. What measure addresses the most common cause of incorrect doses in thecare of infants and children?SelectedAnswer:Having nurses check their math calculations with a colleaguebefore administering a drug.Page 2 of 37ProtamineSelected Answer:

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lOMoAR cPSD| 3013804•Question 81 out of 1 pointsA female patient is taking filgrastim (Neupogen) to decrease the incidence ofinfection. The nurse notices a small increase in the neutrophil count 2 days afterstarting therapy. The nurse's evaluation of the increase is thatSelected Answer: the increase in the neutrophil count is only transient.•Question 91 out of 1 pointsA nurse practitioner has administered filgrastim to a diverse group of patients inrecent months. Which of the following patients should the nurse observe forextremely elevated white blood cell counts following administration of the drug?Selected Answer:A 19-year-old male receiving radiotherapy•Question 101 out of 1 pointsA man is prescribed ciprofloxacin to treat a sexually transmitted infection. Thenurse will instruct the patient toSelected Answer: complete the entire course of drug therapy.•Question 110 out of 1 pointsA woman is receiving magnesium sulfate for intrapartum eclampsia. The patient isperspiring and her blood pressure is 88/50. The serum magnesium level is 10mg/dL. The nurse will interpret these manifestations asSelected Answer: common adverse effects of magnesium sulfate.•Question 120out of 1 points

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lOMoAR cPSD| 3013804tylenol.Selected Answer:A patient is receiving cefazolin in combination with anticoagulants. To minimize theadverse effects during therapy, the nurse willSelected Answer: monitor the site of injection.•Question 131out of 1 pointsMorphinehasbeenprescribedfora28-year-oldmanwithseverepain duetoabackinjury.Thenursewilladvisethepatientto avoidSelectedAnswer:alcohol.•Question 141 out of 1 pointsA pregnant patient asks theNurse Practitionerwhat over-the-counter medication she cantake for recurring headaches. The nurse should recommend•Question 151out of 1 pointsANurse Practitionerwill instruct a patient taking allopurinol to take each doseSelected Answer:before a meal.•Question 162out of 1 pointsPage 5 of 37

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lOMoAR cPSD| 3013804After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and herhusband have sought a referral to a fertility specialist in order to explore theiroptions. A nurse at the clinic should recognize that the woman may benefit fromPage 6 of 37

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lOMoAR cPSD| 3013804Selected Answer: clomiphene.•Question 171 out of 1 pointsA 5-year-old boy needs an IM injection. The least painful and most effectiveinjection site would be theSelected Answer: ventrogluteal muscle.•Question 181 out of 1 pointsA 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 physicianhas made dosage adjustments to minimize adverse effects and prevent toxicity. Thenurse should make sureSelected Answer: that serum levels of the drug are being monitored.•Question 191 out of 1 pointsA 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 takeSelected Answer: antacids not less than 1 hour before or 2 hours after taking INH.•Question 201 out of 1 pointsThe recommended treatment fortrichomoniasis is Selected Answer: Flagyl.•Question 211 out of 1 pointsANurse Practitioneris explaining to a pregnant 21-year-old college student why shecannotPage 7 of 37

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lOMoAR cPSD| 3013804continue to take ibuprofen (Advil) for her headaches. The nurse draws a picturedepicting drug molecules crossing the placental membrane and entering into thefetal circulation. The nurse tells the patient that the main reason this happens isbecauseSelectedAnswer:drugs compete with the hormones of pregnancy for albumin-binding sites.•Question 221 out of 1 pointsA patient has completed 4 weeks of treatment with epoetin alfa. Which of thefollowing assessment findings would most strongly indicate that treatment hasbeen effective?Selected Answer: The patient's hemoglobin level is 11 g/dL•Question 231out of 1 pointsA patient will soon begin targeted therapy as a component of her treatment plan forchronic leukemia. The nurse is conducting health education about this new aspect ofthe patient's drug regimen and the patient has asked about the potential side effectsof treatment. How should the nurse best respond?SelectedAnswer:"The adverse effects to targeted therapies are most often a result ofthe patient's cancer, not the drugs themselves."•Question 242out of 1 pointsA 29-year-old pregnant patient is extremely upset about having to take medicationfor a pre-existing medical condition. She is consumed with fear that her baby willbe born with a physical deformity or a congenital anomaly but knows that she hasto take the medication. She talks constantly about this and is unable to sleep mostnights. Which of the following is the most appropriate nursing diagnosis for thispatient is?Page 8 of 37

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lOMoAR cPSD| 3013804Selected Answer: Anxiety related to perceived danger of drug therapy to fetus orinfant•Question 251 out of 1 pointsPage 9 of 37

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lOMoAR cPSD| 3013804A male patient is trying to decide if he should use finasteride (Proscar) to treatbenign prostatic hypertrophy (BPH). When providing information about the drug,the nurse will include which of the following as a risk associated with finasteridetherapy?Selected Answer: Prostatic neoplasia•Question 261 out of 1 pointsA male patient is receiving heparin by continuous intravenous infusion. The nursewill instruct the patient and family members to report which of the following shouldit occur?Selected Answer: Presence of blood in urine or stools•Question 271 out of 1 pointsA 71-year-old man has just been prescribed finasteride (Proscar). Which of thefollowing complaints by this patient most likely indicated a need for this drug?SelectedAnswer:"Lately, I have to get up three or four times a night to goto the bathroom."•Question 281 out of 1 pointsA 6-month-old child has developed skin irritation due to an allergic reaction. Hehas been prescribed a topical skin ointment. The nurse will consider which of thefollowing before administering the drug?Selected Answer: That the infant's skin has greater permeability than that of anadult•Question 291 out of 1 pointsPage 10 of 37

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lOMoAR cPSD| 3013804ANurse Practitioneris 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 mustclosely monitor for which of the following?Selected Answer:NeurotoxicityPage 11 of 37

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