NURS 6521N Pharmacology Final Exam [ 2021-2022].
• Question 1
A contraindication to the use of combined contraceptives is:
Selected Answer: A history of a clotting disorder
• Question 2
Which of the following would the nurse include in a teaching plan about the signs and symptoms of
thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?
Selected Answer: Headaches and chest pain
• Question 3
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
Selected Answer: iron-rich foods such as beans and leafy green vegetables.
• Question 4
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
,NURS 6521N Pharmacology Final Exam [ 2021-2022].
Selected Answer: Ciprofloxacin
• Question 5
A 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 cell
counts following administration of the drug?
Selected Answer: A 19-year-old male receiving radiotherapy
• Question 6
A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He
has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the
following will the nurse include in her teaching plan for this patient?
Selected Answer: Drink plenty of water every day
• Question 7
Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective
serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants
Selected Answer: Reduce dose by 50% for 3 to 4 days
• Question 8
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 9
A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will
begin by monitoring this drug therapy by obtaining
Selected Answer: a baseline complete blood count.
• Question 10
Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o
Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient?
Selected Answer: Impairment of renal function
, NURS 6521N Pharmacology Final Exam [ 2021-2022].
• Question 11
The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a
toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse
practitioner include for the parents?
Selected Answer: Give the medication through a straw to decrease the staining of the teeth.
• Question 12
A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the
patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will
advise her to
Selected Answer: perform relaxation techniques after the treatments.
• Question 13
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
Selected Answer: staining of permanent teeth.
• Question 14
The NP is prescribing A medication for six month old infant. That medication comes in the following
formulations. Which one should the NP select to improve absorption and distribution of the
medication?
Selected Answer: Rectal suppository
• Question 15
Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use
for an anxiolytic medication?
Selected Answer: ethanol withdrawal
• Question 16
A 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
will the nurse do with the unused portion of the drug?
Selected Answer: Discard the unused portion of the drug.
• Question 1
A contraindication to the use of combined contraceptives is:
Selected Answer: A history of a clotting disorder
• Question 2
Which of the following would the nurse include in a teaching plan about the signs and symptoms of
thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?
Selected Answer: Headaches and chest pain
• Question 3
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
Selected Answer: iron-rich foods such as beans and leafy green vegetables.
• Question 4
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
,NURS 6521N Pharmacology Final Exam [ 2021-2022].
Selected Answer: Ciprofloxacin
• Question 5
A 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 cell
counts following administration of the drug?
Selected Answer: A 19-year-old male receiving radiotherapy
• Question 6
A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He
has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the
following will the nurse include in her teaching plan for this patient?
Selected Answer: Drink plenty of water every day
• Question 7
Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective
serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants
Selected Answer: Reduce dose by 50% for 3 to 4 days
• Question 8
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 9
A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will
begin by monitoring this drug therapy by obtaining
Selected Answer: a baseline complete blood count.
• Question 10
Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o
Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient?
Selected Answer: Impairment of renal function
, NURS 6521N Pharmacology Final Exam [ 2021-2022].
• Question 11
The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a
toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse
practitioner include for the parents?
Selected Answer: Give the medication through a straw to decrease the staining of the teeth.
• Question 12
A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the
patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will
advise her to
Selected Answer: perform relaxation techniques after the treatments.
• Question 13
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
Selected Answer: staining of permanent teeth.
• Question 14
The NP is prescribing A medication for six month old infant. That medication comes in the following
formulations. Which one should the NP select to improve absorption and distribution of the
medication?
Selected Answer: Rectal suppository
• Question 15
Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use
for an anxiolytic medication?
Selected Answer: ethanol withdrawal
• Question 16
A 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
will the nurse do with the unused portion of the drug?
Selected Answer: Discard the unused portion of the drug.
