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FINAL EXAM PHARM.

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Exam of 16 pages for the course NURS 6521N-55 at Walden University (FINAL EXAM PHARM.)

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Course NURS-6521N,Advanced Pharmacology.2020
Test Exam - Week 11




Status Completed
Attempt Score 92 out of 100 points

Instructions Please answer each question below and click Submit when you have
completed the Exam.
Results Submitted Answers
Displayed
 Question 1
Black cohosh is an herb that is commonly used for


Selected Menopausal
Answer: symptoms

 Question 2
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?
Selected That the infant's skin has greater permeability than that of an
Answer: adult
 Question 3
A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches.
His mother reports that she gives him Tylenol at least three times a day. Which of the
following will the nurse work with the physician to evaluate?

Selected Hepatic
Answer: function

 Question 4
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 A 19-year-old male receiving
Answer: radiotherapy

 Question 5
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?
Selected The use of dexrazoxane in conjunction with
Answer: doxorubicin
 Question 6
Women who are prescribed progestin-only contraception need education regarding which
common adverse drug effect?


Selected Irregular vaginal bleeding for the first few
Answer: months

 Question 7
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to
monitor which of the following?

Selected Potassium
Answer: level

 Question 8
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
Selected asymptomatic women are diagnosed with trichomoniasis by a
Answer: routine pap smear.
 Question 9
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?
Selected "You might find that your face becomes flushed or you get a
Answer: headache after you take Viagra."
 Question 10
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 iron-rich foods such as beans and leafy green vegetables.
Answer:
 Question 11
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 a baseline complete blood count.
Answer:
 Question 12

, 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
Selected use adequate
Answer: contraception.
 Question 13
A 71-year-old man has just been prescribed finasteride (Proscar). Which of the
following complaints by this patient most likely indicated a need for this drug?
Selected "Lately, I have to get up three or four times a night to go to the
Answer: bathroom."
 Question 14
A patient is receiving radiotherapy for an overactive thyroid gland and asks whether
her milk is safe for her baby. If her treatment cannot be discontinued, what should
the nurse recommend?
Selected Advise her to discard her breast milk in a biohazard container, as it
Answer: is unsafe for the baby.
 Question 15
A pregnant patient who has diabetes has been admitted to the hospital to begin
labor. Since the patient has diabetes, the physician has decided to use oxytocin
(Pitocin) to initiate labor contractions. When talking to the patient about the adverse
effects of the drug, the nurse should understand that the most common adverse
effects of the drug include
Selected uterine tachysystole.
Answer:
 Question 16
A male patient has been brought to the emergency department during an
episode of status epilepticus. Diazepam is to be administered
intravenously. The APRN will be sure to

Selected avoid the small veins in the dorsum of the hand or
Answer: the wrist.

 Question 17
A Nurse Practitioner works at a weight management clinic. To which of the following
overweight patients could the nurse safely administer dextroamphetamine?

Selected A 48-year-old Caucasian man who has adult-
Answer: onset diabetes

 Question 18
All insects have an FDA black box warning regarding

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