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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
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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.
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Protamine
Selected Answer:

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

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