NURS 6521: Advanced Pharmacology Final
Exam(NEW) 2020-2021
A contraindication to the use of combined contraceptives is: Selected Answer:
A history of a clotting disorder
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? Headaches and chest pain
The first line drug choice for a previously healthy adult patient who has been diagnosed
with community acquired pneumonia would be Ciprofloxacin
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
Reduce dose by 50% for 3 to 4 days
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?
Impairment of renal function
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?
Give the medication through a straw to decrease the staining of the teeth.
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? Rectal suppository
Donald is a nurse practitioner student. He recognizes Which option below could be a
secondary use for an anxiolytic medication? ethanol withdrawal
The Nurse practitioner is considering ordering a medication for a patient. He/she knows that
an advantage of prescribing a sublingual medication is that the medication it is: Absorbed
rapidly
Steady state is:
When the amount of drug in the body remains constant
,The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What
symptoms should be reviewed with the patient who is newly prescribed this class of
medication? they could feel a bit of nausea, but this will resolve in about a week or so
Which test should the NP order for monitoring effectiveness of the patient receiving heparin?
PTT
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to
be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight,
the nurse will prepare the patient for an electrocardiogram (ECG).
A woman has a Chlamydia infection. Before initiating treatment with a tetracycline
antibiotic, the NP should : perform a pregnancy test
A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to
stop using creams, ointments, and oils on the child's skin and scalp.
Which adverse reaction is common in the patient taking buspirone?
headache
JC is a 13-year-old female to be seen in your clinic today. You review JC's medication and realize
that which medication is a potential risk of growth suppression in prepubescent children?
corticosteroids
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated
with chloramphenicol. The most important nursing action for this patient would be to monitor
plasma concentrations regularly.
Baby Jasmine is a 5 mth old breastfed infant with a fever. Treatment for her fever may include:
Acetaminophen suppository
The anticoagulant drug that acts as a vitamin K antagonist is: coumadin
Which of the following drugs can a person with G6PD deficiency take safely? Acetaminophen
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of
medication patient will take per day? 1500 mg
A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and
vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should
advise the patient to also perform light-weight exercises and go for walks.
A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To
help increase bioavailability of the drug, the nurse will encourage the patient to take the
medication with high-fat meals.
,Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer
that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been
prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most
directly addresses a common adverse effect of filgrastim?
"Do you feel like you're having any pain in your bones?"
The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. the patient
indicates a need for further teaching?
"I will take this medication with food "
Autonomic Drugs are often using topical form for what purpose?
To shrink mucous membranes
Which Of the following pharmacologic agents can be used to treat nicotine dependence/
smoking cessation?
Wellbutrin, bupropion hydrochloride
Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg
of prednisone per day for the past six months. He should be assessed for
osteoporosis
An immunocompromised patient in a critical care setting has developed a respiratory
infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA).
The nurse should anticipate that the patient will require treatment with vancomycin.
Which of the following agents would not be expected to cause nausea, vomiting,
Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol?
Fomepizole
Terazosin (Hytrin) is classified under which of the following drug class: alpha
blockers
Gold compounds are contraindicated in patients with all of the following conditions except:
Rheumatoid arthritis
A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child. The
nurse should offer the child a flavored ice chip or ice pop prior to administering the drug.
Combination OCs prevent pregnancy primarily by: Suppressing
ovulation.
Which of the following medications will not increase the likelihood of photosensitivity?
Amoxicillin
A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will
the patient receive in one dose? 2000 mg
, Which of the following is a true statement about aspirin and its action on platelets
It is used for prophylaxis against strokes and acute myocardial infarction
A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess
adverse effects of the drug therapy, the nurse will closely monitor which of the following?
Liver function
When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the
patient should be screened for use of? Nitrates
John, the Nurse Practitioner is prescribing Fosamax for his patient. Bisphosphonate
administration education includes
Sitting erect for at least 30 minutes afterwards
How do bisphosphonates treat osteoporosis?
By reducing bone resorption and inhibiting osteoclastic activity
The maximum amount of acetaminophen that can be taken per day is:
4 grams
Which of the following drugs is most likely to cause sexual dysfunction and males? Selected
Selective serotonin reuptake inhibitors (SSRIs)
Phenytoin decreases folic acid absorption by
Inhibiting intestinal enzymes require for folic acid absorption
The Nurse Practitioner knows that Bupropion use (Wellbutrin, Zyban) is contraindicated in
which of the following instances?
In conjunction with a MAOI) monoamine oxidase inhibitor
Which of the following should not be taken with a selective serotonin reuptake inhibitor?
Alcohol
A nurse educator who coordinates the staff education on an oncology unit is conducting an
inservice on targeted therapies. What potential benefit of targeted therapies should the nurse
highlight in this education session?
Targeted therapies have the potential to damage cancerous cells while leaving normal body
cells less affected.
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a
42year-old patient. When providing education to the patient and his wife, the nurse should
inform the wife about which of the following adverse effects? Vaginal burning
Exam(NEW) 2020-2021
A contraindication to the use of combined contraceptives is: Selected Answer:
A history of a clotting disorder
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? Headaches and chest pain
The first line drug choice for a previously healthy adult patient who has been diagnosed
with community acquired pneumonia would be Ciprofloxacin
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
Reduce dose by 50% for 3 to 4 days
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?
Impairment of renal function
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?
Give the medication through a straw to decrease the staining of the teeth.
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? Rectal suppository
Donald is a nurse practitioner student. He recognizes Which option below could be a
secondary use for an anxiolytic medication? ethanol withdrawal
The Nurse practitioner is considering ordering a medication for a patient. He/she knows that
an advantage of prescribing a sublingual medication is that the medication it is: Absorbed
rapidly
Steady state is:
When the amount of drug in the body remains constant
,The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What
symptoms should be reviewed with the patient who is newly prescribed this class of
medication? they could feel a bit of nausea, but this will resolve in about a week or so
Which test should the NP order for monitoring effectiveness of the patient receiving heparin?
PTT
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to
be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight,
the nurse will prepare the patient for an electrocardiogram (ECG).
A woman has a Chlamydia infection. Before initiating treatment with a tetracycline
antibiotic, the NP should : perform a pregnancy test
A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to
stop using creams, ointments, and oils on the child's skin and scalp.
Which adverse reaction is common in the patient taking buspirone?
headache
JC is a 13-year-old female to be seen in your clinic today. You review JC's medication and realize
that which medication is a potential risk of growth suppression in prepubescent children?
corticosteroids
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated
with chloramphenicol. The most important nursing action for this patient would be to monitor
plasma concentrations regularly.
Baby Jasmine is a 5 mth old breastfed infant with a fever. Treatment for her fever may include:
Acetaminophen suppository
The anticoagulant drug that acts as a vitamin K antagonist is: coumadin
Which of the following drugs can a person with G6PD deficiency take safely? Acetaminophen
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of
medication patient will take per day? 1500 mg
A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and
vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should
advise the patient to also perform light-weight exercises and go for walks.
A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To
help increase bioavailability of the drug, the nurse will encourage the patient to take the
medication with high-fat meals.
,Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer
that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been
prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most
directly addresses a common adverse effect of filgrastim?
"Do you feel like you're having any pain in your bones?"
The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. the patient
indicates a need for further teaching?
"I will take this medication with food "
Autonomic Drugs are often using topical form for what purpose?
To shrink mucous membranes
Which Of the following pharmacologic agents can be used to treat nicotine dependence/
smoking cessation?
Wellbutrin, bupropion hydrochloride
Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg
of prednisone per day for the past six months. He should be assessed for
osteoporosis
An immunocompromised patient in a critical care setting has developed a respiratory
infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA).
The nurse should anticipate that the patient will require treatment with vancomycin.
Which of the following agents would not be expected to cause nausea, vomiting,
Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol?
Fomepizole
Terazosin (Hytrin) is classified under which of the following drug class: alpha
blockers
Gold compounds are contraindicated in patients with all of the following conditions except:
Rheumatoid arthritis
A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child. The
nurse should offer the child a flavored ice chip or ice pop prior to administering the drug.
Combination OCs prevent pregnancy primarily by: Suppressing
ovulation.
Which of the following medications will not increase the likelihood of photosensitivity?
Amoxicillin
A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will
the patient receive in one dose? 2000 mg
, Which of the following is a true statement about aspirin and its action on platelets
It is used for prophylaxis against strokes and acute myocardial infarction
A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess
adverse effects of the drug therapy, the nurse will closely monitor which of the following?
Liver function
When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the
patient should be screened for use of? Nitrates
John, the Nurse Practitioner is prescribing Fosamax for his patient. Bisphosphonate
administration education includes
Sitting erect for at least 30 minutes afterwards
How do bisphosphonates treat osteoporosis?
By reducing bone resorption and inhibiting osteoclastic activity
The maximum amount of acetaminophen that can be taken per day is:
4 grams
Which of the following drugs is most likely to cause sexual dysfunction and males? Selected
Selective serotonin reuptake inhibitors (SSRIs)
Phenytoin decreases folic acid absorption by
Inhibiting intestinal enzymes require for folic acid absorption
The Nurse Practitioner knows that Bupropion use (Wellbutrin, Zyban) is contraindicated in
which of the following instances?
In conjunction with a MAOI) monoamine oxidase inhibitor
Which of the following should not be taken with a selective serotonin reuptake inhibitor?
Alcohol
A nurse educator who coordinates the staff education on an oncology unit is conducting an
inservice on targeted therapies. What potential benefit of targeted therapies should the nurse
highlight in this education session?
Targeted therapies have the potential to damage cancerous cells while leaving normal body
cells less affected.
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a
42year-old patient. When providing education to the patient and his wife, the nurse should
inform the wife about which of the following adverse effects? Vaginal burning
