Exam (elaborations) NURS 6521 week 11 Final Exam

Exam (elaborations) NURS 6521 week 11 Final Exam 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? A. That the infant's skin has greater permeability than that of an adult B. That there is less body surface area to be concerned about C. That there is decreased absorption rates of topical drugs in infants D. That there is a lower concentration of water in an infant's body compared with an adult 1 points Question 2 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. A. Monophasic B. Triphasic OC C. Ortho Tri-Cyclen D. Biphasic OC 1 points Question 3 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? A. “Take this drug once each day on an empty stomach.” B. “It's best to take a dose of sibutramine after each meal.” NURS 6521 week 11 Final Exam C. “This drug will help you to lose weight without having to exercise or change your normal diet.” D. “Take a dose when you feel like you are tempted to binge on food.” 1 points Question 4 A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect? A. Increased intranodal conduction time B. Increased cardiac conduction C. Decreased heart rate D. Decreased myocardial contraction 1 points Question 5 A nurse working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using A. body surface area. B. age in months. C. age in years. D. weight. 1 points Question 6 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? A. Nephrotoxicity B. Hypokalemia C. Hypertensive crisis D. Cardiac dysrhythmia 1 points Question 7 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 A. abstain from sex. B. use adequate contraception. C. obtain a pap smear . D. take a pregnancy test every month. 1 points Question 8 A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse's priority assessment would be A. body temperature. B. blood pressure. C. Vision. D. height and weight. 1 points Question 9 A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem? A. ADHD B. Anxiety C. Respiratory depression D. Obesity 1 points Question 10 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? A. Having nurses check their math calculations with a colleague before administering a drug. B. Recording drug administration in both the nurse's notes and the medication administration record (MAR) C. Avoiding intravenous administration of drugs whenever possible. D. Ensuring that a full assessment takes place no more than 30 minutes before giving a drug. 1 points Question 11 A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation? A. A child has an erratic blood flow from an immature peripheral circulation, which increases drug absorption, causing an increase in adverse effects. B. A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. C. A child's gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous skin, therefore producing more adverse effects. D. A child has a smaller body surface area, resulting in an increase in topical absorption, which can cause more adverse effects. 1 points Question 12 A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medicallysupervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of A. trans fat. B. grapefruit juice. C. caffeine. D. alcohol. 1 points Question 13 A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered A. monotherapy. B. taboo. C. inappropriate. D. phytoestrogens. 1 points Question 14 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 A. use clean technique only when applying the medication. B. use sterile technique when applying the medication. C. cool the medication prior to administration. D. allow the child to apply the medication if possible. 1 points Question 15 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 A. offer a choice between liquid and chewable medications, if possible. B. insert a central intravenous line. C. have the mother hold the child firmly and sooth him while the drugs are administered. D. teach the boy about the fact that he will feel much better after he takes his medications. 1 points Question 16 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? A. “How much do you weigh?” B. “On a scale of zero to ten, what level of pain is acceptable to you?” C. “Did Tylenol or other over-the-counter pain remedies ever relieve your pain?” D. “Do you ever use alcohol or drugs?” 1 points Question 17 A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to A. the mother and be sure to reinforce the need to force the medications, if her son does not want to take them. B. the mother regarding why the boy needs to take the medications. C. the boy by telling him not to worry about the medications and to take them as directed. D. both the boy and his mother regarding all medication issued. 1 points Question 18 A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects A. PMS. B. breast cancer. C. pain in the heart. D. cancerous breast tenderness. 1 points Question 19 A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication A. for 20 days. B. once a day. C. every day until the infection is gone. D. for 30 days. 1 points Question 20 The recommended treatment for trichomoniasis is A. Flagyl. B. Diflucan. C. Meclizine. D. Amoxicillan. 1 points Question 21 A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the A. rectus femoris muscle. B. ventrogluteal muscle. C. dorsogluteal muscle. D. deltoid muscle. 1 points Question 22 A nurse is administering drugs to a 10-year-old child who has multiple health problems. The child is underweight and is on a special diet. Which of the following will the nurse consider when planning for the best absorption of the prescribed drugs? (Select all that apply.) A. Diet B. Route of administration C. Age D. Weight E. Disease process 1 points Question 23 An immunocompromised 7-year-old child was recently discharged home with a peripherallyinserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? A. Ineffective Family Therapeutic Regimen Management B. Caregiver Role Strain C. Delayed Growth and Development D. Knowledge Deficit 1 points Question 24 A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the neonate for which of the following? A. Constipation B. Bloody stools C. Hypoglycemia D. Bradycardia 1 points Question 25 A nurse is having difficulty administering a bitter drug to a 5-year-old child. The nurse should A. give the drug in a pill form. B. have the parent gently force the child's mouth open. C. offer the child a flavored ice chip or ice pop prior to administering the drug. D. involve the child in a play therapy session, and then tell the child that the medicine is candy. 1 points Question 26 A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? A. The health status of the other children B. Where the medications will be stored C. The mother and grandmother's understanding about the drugs D. How clean the house is 1 points Question 27 A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause A. staining of permanent teeth. B. sleep deprivation. C. orange-tinged urine. D. deep muscle pain. 1 points Question 28 A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been met with considerable skepticism on the part of students, most of whom believe that marijuana is a benign drug. Which of the following teaching points should the nurse provide? A. “Marijuana can easily interact with other drugs and cause potentially fatal reactions.” B. “Every year, thousands of Americans end up in emergency departments with marijuana overdoses.” C. “Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.” D. “Most people don't know that marijuana can be just as addictive as heroin or cocaine over time.” 1 points Question 29 A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms of maternal cocaine use during pregnancy. These signs and symptoms are a result of what pathophysiological effect of opioid use during pregnancy? A. Hypoxia as a result of a prolonged second stage of labor B. Changes in blood chemistry as a result of nephrotoxicity and hepatotoxicity C. Impaired maternal nutrition as a result of drug use D. Vasoconstriction leading to reduced placental blood flow 1 points Question 30 A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that A. trichomoniasis discharge is typically thin and clear. B. it is unusual to have an odor with trichomoniasis. C. trichomoniasis is an incurable disease. D. asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. 1 points Question 31 A nurse 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 A. increased heart rate and subsequently rapid drug distribution among infants and c