NURS 676 FINAL EXAM 2024 VERIFIED EXAM WITH SOLUTION
VERSION 2
NURS 676 FINAL EXAM 2024 VERIFIED EXAM WITH SOLUTION
VERSION 2
Question 1
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?
Selected corticosteroi
ds
Answer:
• Question 2
Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk,
arms, and hands in a workplace accident 2 weeks ago. Part of his current wound
care regimen involves the daily application of silver sulfadiazine to his wounds. The
nurses who are providing care for Mr. Laird in the burns and plastics unit of the
hospital should perform what action when administering this medication?
Selected Cleanse the wound of debris prior to applying the silver Answer:
sulfadiazine
• Question 3
A 29-year-old pregnant patient is extremely upset about having to take medication
for a pre-existing medical condition. She is consumed with fear that her baby will be
born with 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. Which of the following is the most appropriate nursing diagnosis for this
patient is?
Selected Anxiety related to perceived danger of drug therapy to fetus or
Answer: infant
• Question 4
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor
which of the following?
Selected Creatinine
Answer: clearance
,• Question 5
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
Selected perform relaxation techniques after the treatments.
Answer:
• Question 6
A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this
child's annual well-child checkup, the NP should carefully review what?
Selected weight and
Answer: height
• Question 7
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
Selected Ciprofloxac
in
Answer:
• Question 8
Ms. Shackleford Has been placed on Ambien to help for her insomnia. The NP must educate
the patient regarding the rapid onset of Ambien. Which statement below is correct?
Selected Zolpidem should be taken just before Answer: going to bed
• Question 9
On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to
discuss the potential benefits of hormone replacement therapy in controlling the
symptoms of menopause. Which of the following responses by the nurse is most
appropriate?
Selected "It's important to balance the possible benefits of HRT with the fact
Answer: that it might increase your risk of heart disease and stroke"
• Question 10
A patient asks the nurse practitioner about food sources such as soybeans and soy
products. The nurse practitioner understands that these foods are considered
Selected phytoestrogens.
Answer:
, NURS 676 FINAL EXAM 2024 VERIFIED EXAM WITH SOLUTION
VERSION 2
• Question 11
A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine
(Meridia). After baseline physical data are obtained, the nurse will assess the
patient's childbearing potential. The nurse will inform the patient that during
sibutramine therapy she should
Selected use adequate Answer:
contraception.
• Question 12
A 29-year-old woman who is morbidly obese has recently begun a comprehensive,
medically-supervised program of weight reduction. Prior to adding
dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned
about her intake of
Selected caffeine. Answer:
• Question 13
An immunocompromised patient with a diagnosis of candidiasis has failed to
respond to 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 influence on
Selected the permeability of fungal cell walls. Answer:
• Question 14
Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse
reaction to aminoglycosides is?
Selected Ototoxici
ty
Answer:
• Question 15
A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just
had a positive pregnancy test. The nurse should be aware of which of the following changes in
pharmacokinetics that accompanies pregnancy?
Selected Increased drug distribution resulting from
Answer: hemodynamic changes
• Question 16
A male patient is experiencing climacteric symptoms secondary to androgen
deficiency. His physician has prescribed testosterone. The nursing assessment
VERSION 2
NURS 676 FINAL EXAM 2024 VERIFIED EXAM WITH SOLUTION
VERSION 2
Question 1
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?
Selected corticosteroi
ds
Answer:
• Question 2
Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk,
arms, and hands in a workplace accident 2 weeks ago. Part of his current wound
care regimen involves the daily application of silver sulfadiazine to his wounds. The
nurses who are providing care for Mr. Laird in the burns and plastics unit of the
hospital should perform what action when administering this medication?
Selected Cleanse the wound of debris prior to applying the silver Answer:
sulfadiazine
• Question 3
A 29-year-old pregnant patient is extremely upset about having to take medication
for a pre-existing medical condition. She is consumed with fear that her baby will be
born with 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. Which of the following is the most appropriate nursing diagnosis for this
patient is?
Selected Anxiety related to perceived danger of drug therapy to fetus or
Answer: infant
• Question 4
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor
which of the following?
Selected Creatinine
Answer: clearance
,• Question 5
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
Selected perform relaxation techniques after the treatments.
Answer:
• Question 6
A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this
child's annual well-child checkup, the NP should carefully review what?
Selected weight and
Answer: height
• Question 7
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
Selected Ciprofloxac
in
Answer:
• Question 8
Ms. Shackleford Has been placed on Ambien to help for her insomnia. The NP must educate
the patient regarding the rapid onset of Ambien. Which statement below is correct?
Selected Zolpidem should be taken just before Answer: going to bed
• Question 9
On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to
discuss the potential benefits of hormone replacement therapy in controlling the
symptoms of menopause. Which of the following responses by the nurse is most
appropriate?
Selected "It's important to balance the possible benefits of HRT with the fact
Answer: that it might increase your risk of heart disease and stroke"
• Question 10
A patient asks the nurse practitioner about food sources such as soybeans and soy
products. The nurse practitioner understands that these foods are considered
Selected phytoestrogens.
Answer:
, NURS 676 FINAL EXAM 2024 VERIFIED EXAM WITH SOLUTION
VERSION 2
• Question 11
A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine
(Meridia). After baseline physical data are obtained, the nurse will assess the
patient's childbearing potential. The nurse will inform the patient that during
sibutramine therapy she should
Selected use adequate Answer:
contraception.
• Question 12
A 29-year-old woman who is morbidly obese has recently begun a comprehensive,
medically-supervised program of weight reduction. Prior to adding
dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned
about her intake of
Selected caffeine. Answer:
• Question 13
An immunocompromised patient with a diagnosis of candidiasis has failed to
respond to 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 influence on
Selected the permeability of fungal cell walls. Answer:
• Question 14
Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse
reaction to aminoglycosides is?
Selected Ototoxici
ty
Answer:
• Question 15
A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just
had a positive pregnancy test. The nurse should be aware of which of the following changes in
pharmacokinetics that accompanies pregnancy?
Selected Increased drug distribution resulting from
Answer: hemodynamic changes
• Question 16
A male patient is experiencing climacteric symptoms secondary to androgen
deficiency. His physician has prescribed testosterone. The nursing assessment
