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NURS 6521 FINAL EXAM BEST FALL-SPRING SESSION
2023 NEW GENUINE EXAM WITH SOLUTIONS.
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? ------
CORRECT ANSWER-----"Lately, I have to get up three or four times a night to go to
the bathroom."
After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her
husband
have sought a referral to a fertility specialist in order to explore their options. A
nurse at the
clinic should recognize that the woman may benefit from ------CORRECT ANSWER-
----clomiphene.
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? ------CORRECT ANSWER-----Headaches and
chest pain
A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and
has been
consuming alcohol during her pregnancy. The nurse knows that using alcohol
during
pregnancy may result in a child who presents with ------CORRECT ANSWER-----
microcephaly
A nurse practitioner orders 150 mg of oral fluconazole for a patient with
vulvovaginal
candidiasis. The patient should expect to take medication ------CORRECT ANSWER-
----Once a day
An oncology nurse is reviewing the pathophysiology of cancer and is discussing
with a colleague the factors that contribute to the success or failure of a patient's
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chemotherapy. Which of the following cancerous cells is most susceptible to the
effects of chemotherapeutic drugs? ------CORRECT ANSWER-----Cells that have a
rapid mitotic rate
A middle-aged patient has received a diagnosis of GI stromal tumor following an
extensive diagnostic workup. Imatinib has been recommended as a component of
the patient's drug
regimen. What patient education should the nurse provide to this patient?"It's
important that you let us know if you develop any significant swelling or ------
CORRECT ANSWER-----Puffiness
A 12-year-old boy is being discharged from the hospital after major surgery. The
boy will be
taking two medications at home for an extended period. The nurse who is
discharging the
patient should provide medication teaching specifically to ------CORRECT
ANSWER-----both the boy and his mother regarding all medication issued.
A patient has been admitted to the critical care unit with a diagnosis of peritonitis
that has
necessitated treatment with gentamicin. As a result, the care team should be
cautious when
concurrently administering other medications that may cause ------CORRECT
ANSWER-----ototoxicity or nephrotoxicity
A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After
each
treatment, the patient has acute nausea and vomiting accompanied by a slightly
increased
heart rate. The nurse will advise her to ------CORRECT ANSWER-----perform
relaxation techniques after the treatments.
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? ------CORRECT ANSWER-----The tumor responding to treatment
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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? ------CORRECT ANSWER-----That the
infant's skin has greater permeability than that of an adult
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?
Having nurses check their math calculations with a colleague before ------CORRECT
ANSWER-----administering a drug.
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the
following
assessment findings would most strongly indicate that treatment has been
effective? ------CORRECT ANSWER-----The patient's hemoglobin level is 11 gdL
A patient has been scheduled to begin treatment with rituximab for non-
Hodgkin's
lymphoma. The nurse who will administer this drug should understand that it
targets ------CORRECT ANSWER-----specific antigens on the surface of malignant B
cells.
A 15-year-old boy has been diagnosed with bone cancer after several months of
fatigue and
pain. What question should the nurse include in an assessment when trying to
minimize the
potential for adverse drug reactions? ------CORRECT ANSWER-----"Do you ever use
alcohol or drugs?"
A nurse is caring for a patient with cancer who has been prescribed dronabinol
(Marinol) to
help reduce nausea and vomiting from chemotherapy. The nurse will inform the
patient that
he or she is taking an oral form of ------CORRECT ANSWER-----marijuana
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