NURS 6521 FINAL EXAM CONCEPT REVIEW
GUIDE 2026 CLINICAL DECISION MAKING IN
PHARMACOLOGY
◉ A patient has been scheduled to begin treatment with rituximab
for non-Hodgkin's
lymphoma. The nurse who will administer this drug should
understand that it targets
Answer: specific antigens on the surface of malignant B cells.
◉ A 15-year-old boy has been diagnosed with bone cancer after
several months of fatigue and
pain. What question should the nurse include in an assessment
when trying to minimize the
potential for adverse drug reactions?
Answer: "Do you ever use alcohol or drugs?"
◉ A 30-year-old man with a BMI of 59 has recently been diagnosed
with type 2 diabetes
mellitus. In light of the man's lack of success with weight loss
programs in the past, his care
provider has prescribed sibutramine (Meridia). What instructions
should the nurse
,consequently provide to this patient?
Answer: "Take this drug once each day on an empty stomach."
◉ A 49-year-old farmer who normally enjoys good health has
become seriously ill in recent days and the results of an extensive
diagnostic work up have resulted in a diagnosis of histoplasmosis.
The patient has been admitted to the hospital and has begun
treatment with amphotericin B. The nurse who is providing care for
the patient should prioritize which of the following diagnostic
results during his course of treatment?
Answer: Electrolytes, blood urea nitrogen, and creatinine
◉ A patient has just received her first dose of imatinib and the nurse
on the oncology unit is
amending the patient's care plan accordingly. What nursing
diagnosis is most appropriate in
light of this addition to the patient's drug regimen?
Answer: Risk for Infection related to bone marrow suppression
◉ A 20-year-old female patient is receiving topical clindamycin for
acne vulgaris. She develops a rash and urticaria along with severe
itching where the medication is applied. The nurse will formulate
which of the following nursing diagnoses for the patient?
Answer: Risk for Injury related to allergic reactions
, ◉ A 21-year-old female has a history of irregular menses. She
recently became sexually active, and would like to begin taking oral
contraceptives (OCs). The nurse practitioner recognizes that most
likely this patient would benefit from taking which category of OCs.
Answer: Monophasic
◉ A woman who is in the second trimester of her first pregnancy
has been experiencing
frequent headaches and has sought advice from her nurse
practitioner about safe treatment
options. What analgesic can the nurse most safely recommend?
Answer: Acetaminophen
◉ A patient receiving high-dose cisplatin therapy exhibits symptoms
of hypomagnesemia.
Which of the following should the nurse suggest to help offset the
magnesium losses from the
cisplatin therapy?
Answer: Consuming chocolates
◉ 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
GUIDE 2026 CLINICAL DECISION MAKING IN
PHARMACOLOGY
◉ A patient has been scheduled to begin treatment with rituximab
for non-Hodgkin's
lymphoma. The nurse who will administer this drug should
understand that it targets
Answer: specific antigens on the surface of malignant B cells.
◉ A 15-year-old boy has been diagnosed with bone cancer after
several months of fatigue and
pain. What question should the nurse include in an assessment
when trying to minimize the
potential for adverse drug reactions?
Answer: "Do you ever use alcohol or drugs?"
◉ A 30-year-old man with a BMI of 59 has recently been diagnosed
with type 2 diabetes
mellitus. In light of the man's lack of success with weight loss
programs in the past, his care
provider has prescribed sibutramine (Meridia). What instructions
should the nurse
,consequently provide to this patient?
Answer: "Take this drug once each day on an empty stomach."
◉ A 49-year-old farmer who normally enjoys good health has
become seriously ill in recent days and the results of an extensive
diagnostic work up have resulted in a diagnosis of histoplasmosis.
The patient has been admitted to the hospital and has begun
treatment with amphotericin B. The nurse who is providing care for
the patient should prioritize which of the following diagnostic
results during his course of treatment?
Answer: Electrolytes, blood urea nitrogen, and creatinine
◉ A patient has just received her first dose of imatinib and the nurse
on the oncology unit is
amending the patient's care plan accordingly. What nursing
diagnosis is most appropriate in
light of this addition to the patient's drug regimen?
Answer: Risk for Infection related to bone marrow suppression
◉ A 20-year-old female patient is receiving topical clindamycin for
acne vulgaris. She develops a rash and urticaria along with severe
itching where the medication is applied. The nurse will formulate
which of the following nursing diagnoses for the patient?
Answer: Risk for Injury related to allergic reactions
, ◉ A 21-year-old female has a history of irregular menses. She
recently became sexually active, and would like to begin taking oral
contraceptives (OCs). The nurse practitioner recognizes that most
likely this patient would benefit from taking which category of OCs.
Answer: Monophasic
◉ A woman who is in the second trimester of her first pregnancy
has been experiencing
frequent headaches and has sought advice from her nurse
practitioner about safe treatment
options. What analgesic can the nurse most safely recommend?
Answer: Acetaminophen
◉ A patient receiving high-dose cisplatin therapy exhibits symptoms
of hypomagnesemia.
Which of the following should the nurse suggest to help offset the
magnesium losses from the
cisplatin therapy?
Answer: Consuming chocolates
◉ 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
