NURS 6521 FINAL EXAM PREP
ADVANCED PHARMACOLOGY
ANSWERED
2023/2024
, A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for
2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months
and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate
for the child to take his medication at home. Which of the following will have the greatest impact on the
nurse's assessment?
Selected Answer: The mother and grandmother's understanding about the drugs
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 Answer: That the infant's skin has greater permeability than that of an adult.
A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug.
Selected Answer: on an empty stomach 1 hour before or 2 hours after taking any meals
or other drugs.
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.
A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports
bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very
high aPTT. The nurse anticipates that which of the following drugs may be ordered?
Selected Answer: Protamine sulfate
, Which adverse reaction is common in the patient taking buspirone?
Selected Answer: headache
• Question 10
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local
disease flare. The nurse interprets this as an indication of which of the following?
Selected Answer: The tumor responding to treatment
• Question 11
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
Selected Answer: Azithromycin
• Question 12
Which of the following medications will not increase the likelihood of photosensitivity?
Selected Answer: Amoxicillin
• Question 13
A woman who is in the second trimester of her first pregnancy has been experiencing frequent
headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic
can the nurse most safely recommend?
Selected Answer: Acetaminophen
• Question 14
A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment
reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following?
Selected Answer: Elevated prothrombin time
• Question 15
A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following
assessments should the nurse prioritize?
Selected Answer: The peak and trough blood levels
• Question 16
The clinical nurse educator who oversees the emergency department in a children's hospital has
launched an awareness program aimed at reducing drug errors. What measure addresses the most common
cause of incorrect doses in the care of infants and children?
Selected Answer: Having nurses check their math calculations with a colleague before administering a
drug.
• Question 17
Which antibiotic is most frequently associated with "Red man Syndrome”?
Selected Answer: Vancomycin
, • Question 18
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 Answer: uterine tachysystole.
• Question 19
A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic
visit?
Selected Answer: Urinary elimination patterns
• Question 20
A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy,
including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of
laboratory test results?
Selected Answer: Serum alanine transaminase, aspartate transaminase, and bilirubin
• Question 21
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
Selected Answer: vancomycin.
• Question 22
Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B
systemically?
Selected Answer: Nephrotoxicity and hepatotoxicity
• Question 23
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 emergency department. The patient has been
started on an intravenous heparin infusion. How does this drug achieve therapeutic effect?
Selected Answer: By inactivating clotting factors and thus stopping the coagulation cascade
• Question 24
Which test should the NP order for monitoring effectiveness of the patient receiving heparin?
Selected Answer: PTT
• Question 25
Which of the following drugs is most likely to cause sexual dysfunction and males?
Selected Answer: Selective serotonin reuptake inhibitors
• Question 26
A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia.
The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient
has asked about the potential side effects of treatment. How should the nurse best respond?
Selected Answer: "Targeted therapies are often more effective than traditional chemotherapy, but the
downside of this effectiveness is that adverse effects are more common and severe."
ADVANCED PHARMACOLOGY
ANSWERED
2023/2024
, A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for
2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months
and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate
for the child to take his medication at home. Which of the following will have the greatest impact on the
nurse's assessment?
Selected Answer: The mother and grandmother's understanding about the drugs
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 Answer: That the infant's skin has greater permeability than that of an adult.
A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug.
Selected Answer: on an empty stomach 1 hour before or 2 hours after taking any meals
or other drugs.
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.
A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports
bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very
high aPTT. The nurse anticipates that which of the following drugs may be ordered?
Selected Answer: Protamine sulfate
, Which adverse reaction is common in the patient taking buspirone?
Selected Answer: headache
• Question 10
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local
disease flare. The nurse interprets this as an indication of which of the following?
Selected Answer: The tumor responding to treatment
• Question 11
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
Selected Answer: Azithromycin
• Question 12
Which of the following medications will not increase the likelihood of photosensitivity?
Selected Answer: Amoxicillin
• Question 13
A woman who is in the second trimester of her first pregnancy has been experiencing frequent
headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic
can the nurse most safely recommend?
Selected Answer: Acetaminophen
• Question 14
A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment
reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following?
Selected Answer: Elevated prothrombin time
• Question 15
A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following
assessments should the nurse prioritize?
Selected Answer: The peak and trough blood levels
• Question 16
The clinical nurse educator who oversees the emergency department in a children's hospital has
launched an awareness program aimed at reducing drug errors. What measure addresses the most common
cause of incorrect doses in the care of infants and children?
Selected Answer: Having nurses check their math calculations with a colleague before administering a
drug.
• Question 17
Which antibiotic is most frequently associated with "Red man Syndrome”?
Selected Answer: Vancomycin
, • Question 18
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 Answer: uterine tachysystole.
• Question 19
A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic
visit?
Selected Answer: Urinary elimination patterns
• Question 20
A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy,
including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of
laboratory test results?
Selected Answer: Serum alanine transaminase, aspartate transaminase, and bilirubin
• Question 21
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
Selected Answer: vancomycin.
• Question 22
Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B
systemically?
Selected Answer: Nephrotoxicity and hepatotoxicity
• Question 23
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 emergency department. The patient has been
started on an intravenous heparin infusion. How does this drug achieve therapeutic effect?
Selected Answer: By inactivating clotting factors and thus stopping the coagulation cascade
• Question 24
Which test should the NP order for monitoring effectiveness of the patient receiving heparin?
Selected Answer: PTT
• Question 25
Which of the following drugs is most likely to cause sexual dysfunction and males?
Selected Answer: Selective serotonin reuptake inhibitors
• Question 26
A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia.
The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient
has asked about the potential side effects of treatment. How should the nurse best respond?
Selected Answer: "Targeted therapies are often more effective than traditional chemotherapy, but the
downside of this effectiveness is that adverse effects are more common and severe."
