2023-2024 NURS676 Pharmacology Final Exam With Answers (101 Solved Questions)

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NURS 676 Advanced Pharmacology - APRNNURS 676 FINAL EXAM LATEST 2023-2024 TERMGRADED A+ VERSION 1|NEW EXAM APRN•Question 1A contraindication to the use of combined contraceptives is:CORRECT ANSWER: A history of a clotting disorder•Question 2Which of the following would the nurse include in a teaching plan about the signs and symptoms ofthrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?CORRECT ANSWER: Headaches and chest pain•Question 3A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive inher own home from a home health nurse. The nurse should teach the patient to supplement thistreatment with a diet that is high inCORRECT ANSWER: iron-rich foods such as beans and leafy green vegetables.•Question 4The first line drug choice for a previously healthy adult patient who has been diagnosed withcommunity acquired pneumonia would be

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NURS 676 Advanced Pharmacology - APRNCORRECT ANSWER: Ciprofloxacin•Question 5A 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 cellcounts following administration of the drug?CORRECT ANSWER: A 19-year-old male receiving radiotherapy•Question 6A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. Hehas been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of thefollowing will the nurse include in her teaching plan for this patient?CORRECT ANSWER: Drink plenty of water every day•Question 7Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selectiveserotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressantsCORRECT ANSWER: Reduce dose by 50% for 3 to 4 days•Question 8Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient'sphysician has prescribed quinine along with an adjunctive drug. The nurse should question thephysician's order if the patient has a history ofCORRECT ANSWER: cardiac arrhythmias.•Question 9A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse willbegin by monitoring this drug therapy by obtainingCORRECT ANSWER: a baseline complete blood count.•Question 10Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/oArthritis pain. What is a serious side effect of ibuprofen use in the older adult patient?CORRECT ANSWER: Impairment of renal function

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NURS 676 Advanced Pharmacology - APRN•Question 11The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for atoddler diagnosed with iron-deficiency anemia. What instructions would the family nursepractitioner include for the parents?CORRECT ANSWER: Give the medication through a straw to decrease the staining of the teeth.•Question 12A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, thepatient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse willadvise her toCORRECT ANSWER: perform relaxation techniques after the treatments.•Question 13A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure toinform the parents that this drug could causeCORRECT ANSWER: staining of permanent teeth.•Question 14The NP is prescribing A medication for six month old infant. That medication comes in the followingformulations. Which one should the NP select to improve absorption and distribution of themedication?CORRECT ANSWER: Rectal suppository•Question 15Donald is a nurse practitioner student. He recognizes Which option below could be a secondary usefor an anxiolytic medication?CORRECT ANSWER: ethanol withdrawal•Question 16A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39-year-old woman who is being treated for chemotherapy-induced anemia. Which of the following willthe nurse do with the unused portion of the drug?CORRECT ANSWER: Discard the unused portion of the drug.

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NURS 676 Advanced Pharmacology - APRN•Question 17A Nurse Practitioner is performing patient education for a woman who has just been prescribed abisphosphonate. Which of the following diagnostic and history findings would have prompted thewoman's care provider to prescribe a bisphosphonate?CORRECT ANSWER: Low bone density and a family history of osteoporosis•Question 18A child is admitted to the burn unit with second and third degree burns on both arms and part of hisor her face. When administering topical medications to the burned areas, the nurse shouldCORRECT ANSWER: use sterile technique when applying the medication.•Question 19A 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?CORRECT ANSWER: Lid margin crusting and pruritus•Question 20A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursingassessment revealed that she started taking daily vitamin supplements about 2 years ago. Tomaximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient toCORRECT ANSWER: take the vitamins at least 2 hours before or after taking ciprofloxacin.•Question 21The Nurse practitioner is considering ordering a medication for a patient. He/she knows that anadvantage of prescribing a sublingual medication is that the medication it is:CORRECT ANSWER: Absorbed rapidly•Question 22A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effectsduring therapy, the nurse willCORRECT ANSWER: monitor the patient for bleeding gums.•Question 23Steady state is:

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NURS 676 Advanced Pharmacology - APRNCORRECT ANSWER: When the amount of drug in the body remains constant•Question 24The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptomsshould be reviewed with the patient who is newly prescribed this class of medication?CORRECT ANSWER:they could feel a bit of nausea, but this will resolve in about a week or so•Question 25Which test should the NP order for monitoring effectiveness of the patient receiving heparin?CORRECT ANSWER: PTT•Question 26A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be startedon dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse willprepare the patient for anCORRECT ANSWER: electrocardiogram (ECG).•Question 27A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the NPshould :CORRECT ANSWER: perform a pregnancy test•Question 28A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. Whendeveloping a care plan for this patient, which factor will be most important for the nurse to consider?CORRECT ANSWER: Dietary habits•Question 29A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother toCORRECT ANSWER: stop using creams, ointments, and oils on the child's skin and scalp.•Question 30Which adverse reaction is common in the patient taking buspirone?

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