NURS 6521 (ADVANCED PHARMACOLOGY) FINAL EXAM QUESTIONS AND ANSWERS | LATEST GRADED A+ UPDATED 2023/2024

A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse willbe sure to inform the parents that this drug could cause Selecte d Answe r: • Question 2 staining of permanent teeth. A 45-year-old woman with acute leukemia is going to begin chemotherapy withvincristine. The nurse is aware that vincristine must always be administered Selecte d Answe r: • Question 3 through a central line. A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a39-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? Selecte d Answer: • Question 4 Discard the unused portion ofthe drug. 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? Selecte d Answe r: • Question 5 "Do you feel like you're having any pain in your bones?" A child is admitted to the burn unit with second and third degree burns on both armsand part of his or her face. When administering topical medications to the burned areas, the nurse should Selected use sterile technique when applying the medication. Answer: • Question 6 Which of the following is a true statement about aspirin and its action on platelets Selecte d Answe r: • Question 7 It is used for prophylaxis against strokes and acute myocardial infarction Which of the following medications will not increase the likelihood of photosensitivity? Selecte d Answe r: • Question 8 Amoxic illi n Combination OCs prevent pregnancy primarily by: Selecte d Answe r: • Question 9 Suppressing ovulation. 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 taperingoff antidepressants Selecte d Answe r: Reduce dose by 50% for 3 to4 days • Question 10 An immunocompromised patient with a diagnosis of candidiasis has failed to respondto conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influenceon Selecte d Answer: the permeability of fungal cell walls. • Question 11 A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and acumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures wouldhelp limit the severity of the cardiomyopathy in this patient? Selecte d Answe r: The use of dexrazoxane in conjunction with doxorubicin • Question 12 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? Selecte d Answe r: corticoste roi ds • Question 13 A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The NP should expect that this patient will use which of the following anticoagulant medications? Selecte d Answe r: Hepa ri n • Question 14 A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergencydepartment. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? Selecte d Answe r: B y i nactivating clotting factors and thus stopping the coagulation cascade • Question 15 Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeksago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse's response to Mr. Lepp? Selecte d Answe r: The potential benefits of epoetin alfa must be weighed carefully againstthe potential adverse effects in cancer patients. • Question 16 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 wouldbe to monitor Selecte d Answe r: plasma concentrations regularly. • Question 17 A Nurse Practitioner will monitor which of the following when assigned to a patient takingallopurinol for chronic gout who visits the clinic every 2 months? Selecte d Answe r: Liver function tests • Question 18 The NP is considering a medication to treat Ms. Robert's Urinary Tract Infection. The NPknows that Trimethoprim sulfamethazole (Bactrim) Is contra indicated in which of the following conditions: Selecte d Answe r: G6PD deficiency anemia • Question 19 Which of the following agents would not be expected to cause nausea, dizziness, headache, and abdominal discomfort after consumption of alcohol? Selecte d Answe r: Fomepi zo le • Question 20 When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patientoutcomes? (Select all that apply.) Selecte d Answer s: • Question 21 The patient will be able to self-administer filgrastim at home. The patient will not develop febrile neutropenia.The patient will not retain fluid. 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 Selecte d Answe r: iron-rich foods such as beans and leafy green vegetables. • Question 22 A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapiesshould the nurse highlight in this education session? Selecte d Answe r: Targeted therapies have the potential to damage cancerous cells whileleaving normal body cells less affected. • Question 23 A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receivingterbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? Selecte d Answe r: F e t a l heart rate (FHR) • Question 24 A 29-year-old pregnant patient is extremely upset about having to take medication fora pre- existing medical condition. She is consumed with fear that her baby will be bornwith a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Whichof the following is the most appropriate nursing diagnosis for this patient is? Selecte d Answe r: Anxiety related to perceived danger of drug therapy to fetus orinfant • Question 25 A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL.The nurse will interpret these manifestations as Selected magnesium sulfate toxicity. Answer: • Question 26 An immunocompromised patient in a critical care setting has developed a respiratoryinfection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with Selecte d Answe r: vancomycin. • Question 27 A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection.The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that Selecte d Answe r: the increase in the neutrophil count is only transient. • Question 28 Which Of the following pharmacologic agents can be used to treat nicotine dependence/smoking cessation? Selecte d Answe r: Sertr ali ne • Question 29 A patient is taking fl