Course NURS-6521N-54,Advanced Pharmacology.2019 Winter Qtr 11/25-02/16-
PT27
Test Exam - Week 11
Started 2/8/20 1:01 PM
Submitted 2/8/20 2:57 PM
Due Date 2/10/20 1:59 AM
Status Completed
Attempt Score 91 out of 100 points
Time Elapsed 1 hour, 55 minutes out of 2 hours
Instructions Please answer each question below and click Submit when you have
completed the Exam.
Results
Displayed
Submitted Answers, Incorrectly Answered Questions
Question 1
1 out of 1 points
A Nurse Practitioner is providing patient education to a 50-year-old woman who is taking
methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which
of the following drugs?
Selected Answer: Salicylates
Question 2
1 out of 1 points
An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a
colleague 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 of
chemotherapeutic drugs?
Selected Answer: Cells that have a rapid mitotic rate
false

Question 3
1 out of 1 points
A Nurse Practitioner is caring for a patient who is on amphotericin B. On morning rounds
the patient reports weakness, numbness, and a tingling sensation in his feet. What would
be a priority action by the nurse?
Selected Answer: Keep the bed in a low position and the side rails up at all times.
Question 4
1 out of 1 points
A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The
nurse will instruct the patient to
Selected
Answer:
schedule an appointment to measure hemoglobin twice a week for at
least 2 to 6 weeks.
Question 5
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 6
1 out of 1 points
A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment
includes a regular dosage of methotrexate. The APRN will advise her to take which of the
following vitamin supplements while taking the drug?
Selected Answer: Vitamin B
Question 7
1 out of 1 points

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to
discuss the potential benefits of hormone replacement therapy in controlling the
symptoms of menopause. Which of the following responses by the nurse is most
appropriate?
Selected
Answer:
"It's important to balance the possible benefits of HRT with the fact that it
might increase your risk of heart disease and stroke"
Question 8
1 out of 1 points
A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother
to
Selected Answer: stop using creams, ointments, and oils on the child's skin and scalp.
Question 9
1 out of 1 points
A male patient is taking finasteride for BPH. Which of the following will the nurse
evaluate at each clinic visit?
Selected Answer: Urinary elimination patterns
Question 10
1 out of 1 points
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the
patient's physician has prescribed quinine along with an adjunctive drug. The nurse
should question the physician's order if the patient has a history of
Selected Answer: cardiac arrhythmias.
Question 11
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 12
1 out of 1 points
Drugs have a valid medical use but a high potential for abuse, both psychological and
physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a
written prescription cannot be provided at the time. However, a written prescription must
be provided within 72 hours with the words authorization for emergency dispensing
written on the prescription. These prescriptions cannot be refilled. A new prescription
must be written each time. Examples include certain amphetamines and barbiturates. This
is scheduled drug
Selected Answer: Schedule 2
Question 13
1 out of 1 points
A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has
necessitated treatment with gentamicin. As a result, the care team should be cautious
when concurrently administering other medications that may cause
Selected Answer: ototoxicity or nephrotoxicity.
Question 14
1 out of 1 points
A man has a demonstrated history of androgen deficiency and the consequences of this
health problem include an inability to maintain an erection. Which of the following
medications would best address this patient's erectile dysfunction (ED)?
Selected Answer: Exogenous testosterone
Question 15
1 out of 1 points

A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD
has been experiencing a depressed mood and a sense of hopelessness. He confides in the
school 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 question
is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should
recognize that this combination of drugs creates a serious risk of what health problem?
Selected Answer: Hypertensive crisis
Question 16
1 out of 1 points
An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling
and breaking her hip on the stairs outside her home. The woman's pain in the time since
her injury has been severe, and her care team has been treating it with morphine. Which
of the following administration schedules is most likely to control the patient's pain?
Selected
Answer:
Twice-daily doses of long-acting morphine, with short-acting morphine
available for breakthrough pain
Question 17
1 out of 1 points
A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase
the chance that the boy will take his prescribed medication, the nurse should
Selected Answer: offer a choice between liquid and chewable medications, if possible.
Question 18
1 out of 1 points
A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many
milligrams will the patient receive in one dose?
Selected Answer: 2000 mg
Question 19
1 out of 1 points

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A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving
terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following
nursing actions will the nurse take to decrease the risk of hypotension and promote
circulation to the fetus?
Selected Answer: Instruct the patient to lie on her left side during the infusion.
Question 20
1 out of 1 points
A 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 take
the medication
Selected Answer: with high-fat meals.
Question 21
1 out of 1 points
A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take
the drug
Selected
Answer:
on an empty stomach 1 hour before or 2 hours after taking any meals or
other drugs.
Question 22
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?
Selected
Answer:
Infuse the drug over 2 to 4 hours into a central line using an infusion
pump
Question 23
1 out of 1 points

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A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath
and was subsequently diagnosed with a pulmonary embolism in the emergency
department. The patient has been started on an intravenous heparin infusion. How does
this drug achieve therapeutic effect?
Selected
Answer:
By inactivating clotting factors and thus stopping the coagulation
cascade
Question 24
1 out of 1 points
A 43-year-old man has been diagnosed with active TB. 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?
Selected Answer: Serum alanine transaminase, aspartate transaminase, and bilirubin
Question 25
1 out of 1 points
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
Question 26
1 out of 1 points
A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous
leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the
patient for which of the following?
Selected Answer: Leukopenia
Question 27
1 out of 1 points

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