NURS6521 all 100 answers Final Exam Latest 2022 may june

Question 51

Which antibiotic requires administration of a loading dose?

 

              Ilosone

 

              Erythromycin

 

              Zithromax

 

              Keflex

Question 52

What is the minimum inhibitory concentration (MIC)

 

              The lowest concentration of a chemical drug need it to inhibit the growth of bacteria

 

              The lowest concentration of a chemical drug needed to Kill the growth of bacteria

 

              The lowest concentration of a chemical (drug)  needed to inhibit the growth of viruses

 

              The lowest concentration of a chemical (drug) needed to kill viruses

Question 53

What schedule drug is alprazolam?

 

              I

 

              II

 

              III

 

              IV

Question 54

The NP student knows that which statement below accurately describes the activity of naloxone?

 

              It is most effective when administered orally

 

              It may induce immediate withdrawal symptoms and chronic opiate users

 

              It exerts its affects for 6 to 8 hours

 

              It is used to maintain opiate and alcohol abstinence

Question 54

The NP student knows that which statement below accurately describes the activity of naloxone?

 

              It is most effective when administered orally

 

              It may induce immediate withdrawal symptoms and chronic opiate users

 

              It exerts its affects for 6 to 8 hours

 

              It is used to maintain opiate and alcohol abstinence

Question 55

A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following?

 

              Decreased heart rate

 

              Increased serum drug levels of etoposide

 

              Elevated prothrombin time

 

              Lower liver enzymes

Question 56

A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?

 

              “You might find that your face becomes flushed or you get a headache after you take Viagra.”

 

              “You should take your Viagra at the same time each morning, ideally on an empty stomach.”

 

              “Make sure that you don’t take any other prescription medications while you’re using Viagra.”

 

              “If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time.”

Question 57

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?

 

              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 58

Which adverse reaction is common in the patient taking buspirone?

 

              headache

 

              diarrhea

 

              constipation

 

              nausea

Question 59

 A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child’s annual well-child checkup, the NP should carefully review what?

 

              blood pressure

 

              weight and height

 

              liver function tests

 

              urinalysis

Question 60

What is the best initial treatment plan for a sleep disorder in the older adult patient?

 

              Medicate with amitriptyline (Elavil).

 

 

              Medicate with trazodone (Desyrel).

 

              Decrease noise and light in the environment

 

               Discuss the importance of naps daily.

Question 61

Based on the following patient comments, which statement does not show the patient’s understanding of their medication regimen?

 

              I take my tetracycline on an empty stomach.

 

              I finish my whole course of antibiotics, even if I’m feeling better.

 

              I do not take OTC dextromethorphan because it will interact with my phenelzine.

 

              I take my ibandronate once a week.

 

              I take buspirone three times daily for my anxiety.

Question 62

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 63

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.

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?

 

              Cells with a long generation time

 

              Cells that lack contact inhibition

 

              Cells that have a rapid mitotic rate

 

              Cells that lack a blood supply

Question 65

Gold compounds are contraindicated in patients with all of the following conditions except:

 

 

              Hepatic disease

 

              Renal disease

 

              Blood dyscrasias

 

              Rheumatoid arthritis

uestion 66

A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining

 

              blood glucose levels daily for 1 week.

 

              establishing the patient’s auditory abilities.

 

              a baseline complete blood count.

 

              liver enzymes weekly until the drug therapy is completed.

Question 67

JC is a 13 year old female to be seen in your clinic today.  You review JC’s medication and realize that which medication is a potential risk of growth suppression in prepubescent children?

 

              Acetaminophen

 

              corticosteroids

 

              Diphenhydramine

 

              Claritin

Question 68

Which of the following oral agents has the most rapid analgesic onset?

 

              Naproxen (Naprosyn)

 

              Liquid ibuprofen (Motrin, Advil)

 

              Diclofenac (Voltaren)

 

              Enteric coated naproxen (Naproxen EC)

Question 69

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

 

              neutropenia or autoimmune effects.

 

              ototoxicity or nephrotoxicity.

 

              increased intracranial pressure or changes in cognition.

 

              anemia or impaired erythropoiesis.

Question 70

A Nurse Practitioner who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to

 

              the inability of infants and children and describe symptoms of adverse drug reactions.

 

              increased body surface area relative to body volume in infants and children.

 

              increased heart rate and subsequently rapid drug distribution among infants and children.

 

              immature liver and kidney function in infants and children.

Question 71

A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient?

 

              A reduced dose

 

              A single large dose instead of multiple doses

 

              The use of dexrazoxane in conjunction with doxorubicin

 

              Meticulous monitoring during drug administration

Question 72

A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin 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?

 

              Coumadin

 

              Alteplase

 

              Ticlopidine

 

              Protamine sulfate

Question 73

A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in

 

              iron-rich foods such as beans and leafy green vegetables.

 

              complex carbohydrates and vegetable-source proteins.

 

              calcium, such as dairy products, fish and vegetables.

 

              protein and low in carbohydrates.

Question 74

 Ms. TW is a 47 year old female with known rheumatoid arthritis (RA).  She was s placed on prednisone 5 mg PO qd. In teaching the patient about her medication, it would be important for the nurse practitioner to include what information?

 

              When the symptoms of arthritis subside, she will be able to quit taking her medication.

 

              Increase fluid intake is important to prevent renal damage by the steroids

 

              The medication should be taken about 30 minutes before eating

 

              It is important to take the medication as prescribed, even after the redness and swelling decrease

Question 75

Black cohosh is an herb that is commonly used for

 

              Fatigue

 

              Depression

 

              Menopausal symptoms

 

              Appetite suppression

Question 76

A Nurse Practitioner is providing patient education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary?

 

              “I walk two blocks to school every day.”

 

              “I am on the middle school track team.”

 

              “We live in a two-story house.”

 

              “My mother is going to give me my insulin.”

uestion 77

What schedule class of drug is Hydrocodone?

 

              I

 

              II

 

              III

 

              IV

uestion 78

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

 

 

              dairy products.

 

 

 

              alcohol.

 

              vitamin C.

 

              fatty foods.

Question 79

A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?

 

 

              Work environment

 

              Typical daily fluid intake

 

              Ethnicity

 

 

 

              Dietary habits

Question 80

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.

 

              take the drug with food.

Question 81

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?

 

              That the infant’s skin has greater permeability than that of an adult

 

              That there is less body surface area to be concerned about

 

              That there is decreased absorption rates of topical drugs in infants

 

              That there is a lower concentration of water in an infant’s body compared with an adult

Question 82

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)?

 

              Sildenafil (Viagra)

 

              Tamsulosin (Flomax)

 

              Exogenous testosterone

 

              Tadalafil (Cialis)

Question 83

A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient’s childbearing potential. The nurse will inform the patient that during sibutramine therapy she should

 

              abstain from sex.

 

              obtain a pap smear .

 

              use adequate contraception.

 

              take a pregnancy test every month.

Question 84

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 85

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

Question 86

A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient?

 

              “Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision.”

 

              “It will take 10 to 12 weeks before the birth control pills will actually prevent pregnancy, so be vigilant with other contraceptives until then.”

 

              “Some women get some pain in their chest or abdomen when they take oral contraceptives, but this will pass as your body gets used to them.”

 

              “You need to carefully consider whether you might want to get pregnant later in your life.”

Question 87

A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session?

 

              Targeted therapies achieve the therapeutic benefits of traditional chemotherapy with no risk of adverse effects.

 

              Targeted therapies have the potential to provide prophylactic protection against neoplasia in high-risk individuals.

 

              Targeted therapies are significantly more cost-effective than traditional chemotherapeutic drugs.

 

              Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.

Question 88

Steady state is:

 

              The point on the drug concentration current absorption exceeds excretion

 

              With the amount of drug in the body stays below the minimum toxic concentration (MTC)

 

              When the amount of drug in the body remains constant

 

              All of the above

Question 89

Which of the following is an FDA approved antidepressant to treat hot flashes?

 

              pregabalin

 

              paroxetine

 

              nortripyline

 

              Climara

 

              clomiphene

Question 90

A 36-year-old patient comes to the clinic and tells the nurse practitioner that she suspects that she is pregnant. During the initial assessment, the nurse practitioner learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications?

 

              Insulin

 

              Ibuprofen (Advil)

 

              Phenytoin (Dilantin)

 

              Furosemide (Lasix)

Question 91

A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should

 

              cool the medication prior to administration.

 

              use sterile technique when applying the medication.

 

              allow the child to apply the medication if possible.

 

              use clean technique only when applying the medication.

Question 92

Which of the following medication classes should be avoided and men with BPH

 

              Fluoroquinolones

 

              Alpha blockers

 

              Nasal decongesta

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