NURS-6521N-3/NURS-6521C-3-Advanced
Pharmacology
• Question 1
A nurse practitioner orders 150 mg of oral fluconazole for a patient
with vulvovaginal candidiasis. The patient should expect to take
medication
Answer: once a day.
• Question 2
A postmenopausal patient is prescribed bisphosphonates to treat
osteoporosis. The nurse will instruct the patient to take the drug
Answer: first thing in the morning.
• Question 3
When planning care for a patient who is receiving filgrastim (Neupogen)
for a nonmyeloid malignancy, the nurse should formulate which of the
following patient outcomes? (Select all that apply.)
Answers: The patient will not develop an infection.
The patient will not experience bone pain.
The patient will be able to self-administer filgrastim
at home.
The patient will not develop febrile neutropenia.
• Question 4
A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year-
old man. Nephrotoxicity is discussed as a major adverse effect in older
patients. To minimize the risk of the patient developing this adverse effect,
the nurse will advise him to
Answer: stay well hydrated by drinking at least eight 8-oz glasses of water
daily.
• Question 5
Page 1 of 22
, A Nurse Practitioner is discussing with a 58-year-old male patient the
causes of erectile dysfunction in men over 50 years of age. Which of the
following will the nurse inform the patient is the primary physical cause of
erectile dysfunction of men in this age group?
Answer: Atherosclerosis of the penile artery
• Question 6
A patient is being seen in the emergency department for a sprained ankle
and is given a drug to relieve pain. When a second dose of the pain
medication is given, the patient develops redness of the skin, itching, and
swelling at the site of injection of the drug. The most likely cause of this
response is
Answer: an allergic response.
• Question 7
A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation
and is receiving terbutaline (Brethine) IV for 24 hours to control preterm
labor. Which of the following nursing actions will the nurse take to
decrease the risk of hypotension and promote circulation to the fetus?
Answer: Instruct the patient to lie on her left side during the infusion.
• Question 8
A Nurse Practitioner is explaining to a pregnant 21-year-old college student
why she cannot continue to take ibuprofen (Advil) for her headaches. The
nurse draws a picture depicting drug molecules crossing the placental
membrane and entering into the fetal circulation. The nurse tells the patient
that the main reason this happens is because
Answer: drugs compete with the hormones of pregnancy for albumin-
binding sites.
• Question 9
A Nurse Practitioner is aware that the concept of selective toxicity is
foundational to antimicrobial therapy. Which of the following
statements most accurately describes selective toxicity?
Answer: A drug harms microbes without harming human cells.
Page 2 of 22
, • Question 10
A 54-year-old woman with a history of osteoporosis has been
prescribed ciprofloxacin for recurrent cystitis. Because of the patient's
history, the nurse would be sure to discuss with the woman the use of
Page 3 of 22
Pharmacology
• Question 1
A nurse practitioner orders 150 mg of oral fluconazole for a patient
with vulvovaginal candidiasis. The patient should expect to take
medication
Answer: once a day.
• Question 2
A postmenopausal patient is prescribed bisphosphonates to treat
osteoporosis. The nurse will instruct the patient to take the drug
Answer: first thing in the morning.
• Question 3
When planning care for a patient who is receiving filgrastim (Neupogen)
for a nonmyeloid malignancy, the nurse should formulate which of the
following patient outcomes? (Select all that apply.)
Answers: The patient will not develop an infection.
The patient will not experience bone pain.
The patient will be able to self-administer filgrastim
at home.
The patient will not develop febrile neutropenia.
• Question 4
A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year-
old man. Nephrotoxicity is discussed as a major adverse effect in older
patients. To minimize the risk of the patient developing this adverse effect,
the nurse will advise him to
Answer: stay well hydrated by drinking at least eight 8-oz glasses of water
daily.
• Question 5
Page 1 of 22
, A Nurse Practitioner is discussing with a 58-year-old male patient the
causes of erectile dysfunction in men over 50 years of age. Which of the
following will the nurse inform the patient is the primary physical cause of
erectile dysfunction of men in this age group?
Answer: Atherosclerosis of the penile artery
• Question 6
A patient is being seen in the emergency department for a sprained ankle
and is given a drug to relieve pain. When a second dose of the pain
medication is given, the patient develops redness of the skin, itching, and
swelling at the site of injection of the drug. The most likely cause of this
response is
Answer: an allergic response.
• Question 7
A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation
and is receiving terbutaline (Brethine) IV for 24 hours to control preterm
labor. Which of the following nursing actions will the nurse take to
decrease the risk of hypotension and promote circulation to the fetus?
Answer: Instruct the patient to lie on her left side during the infusion.
• Question 8
A Nurse Practitioner is explaining to a pregnant 21-year-old college student
why she cannot continue to take ibuprofen (Advil) for her headaches. The
nurse draws a picture depicting drug molecules crossing the placental
membrane and entering into the fetal circulation. The nurse tells the patient
that the main reason this happens is because
Answer: drugs compete with the hormones of pregnancy for albumin-
binding sites.
• Question 9
A Nurse Practitioner is aware that the concept of selective toxicity is
foundational to antimicrobial therapy. Which of the following
statements most accurately describes selective toxicity?
Answer: A drug harms microbes without harming human cells.
Page 2 of 22
, • Question 10
A 54-year-old woman with a history of osteoporosis has been
prescribed ciprofloxacin for recurrent cystitis. Because of the patient's
history, the nurse would be sure to discuss with the woman the use of
Page 3 of 22
