NURS 676 FINAL EXAM 2024 VERSION 3 QUESTIONS WITH
ANSWERS
NURS 676 FINAL EXAM 2024 VERSION 3 QUESTIONS WITH
ANSWERS
• Question 1
Black cohosh is an herb that is commonly used for
ANS: Menopausal symptoms
• Question 2
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?
ANS: That the infant's skin has greater permeability than that of an
• Question 3 adult
A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His
mother reports that she gives him Tylenol at least three times a day. Which of the following will
the nurse work with the physician to evaluate?
ANS: Hepatic function
• Question 4
A nurse practitioner has administered filgrastim to a diverse group of patients in recent months.
Which of the following patients should the nurse observe for extremely elevated white blood cell
counts following administration of the drug?
ANS: A 19-year-old male receiving radiotherapy
• Question 5
A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for
metastatic breast cancer. Her medical record indicates she has cardiomyopathy and
a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures
would help limit the severity of the cardiomyopathy in this patient?
ANS: The use of dexrazoxane in conjunction with
• Question 6 doxorubicin
Women who are prescribed progestin-only contraception need education regarding which common
adverse drug effect?
,NURS 676 FINAL EXAM 2024 VERSION 3 QUESTIONS WITH
ANSWERS
ANS: Irregular vaginal bleeding for the first few months
• Question 7
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor
which of the following?
ANS: Potassium level
• Question 8
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A
microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware
that
ANS: asymptomatic women are diagnosed with trichomoniasis by a routine pap
smear.
• Question 9
A 59-year-old man with a recent history of erectile dysfunction has been assessed
and prescribed sildenafil (Viagra). When providing patient education to this man, the
nurse should tell him which of the following?
ANS: "You might find that your face becomes flushed or you get a headache after
you take Viagra."
• Question 10
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
ANS: iron-rich foods such as beans and leafy green vegetables.
• Question 11
A patient is receiving long-term clindamycin therapy for a life-threatening infection.
The nurse will begin by monitoring this drug therapy by obtaining
ANS: a baseline complete blood count.
• Question 12
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
ANS: use adequate
contraception.
, NURS 676 FINAL EXAM 2024 VERSION 3 QUESTIONS WITH
ANSWERS
• Question 13
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?
ANS: "Lately, I have to get up three or four times a night to go to the
bathroom."
• Question 14
A patient is receiving radiotherapy for an overactive thyroid gland and asks whether
her milk is safe for her baby. If her treatment cannot be discontinued, what should
the nurse recommend?
ANS: Advise her to discard her breast milk in a biohazard container, as it is unsafe
for the baby.
• Question 15
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
ANS: uterine tachysystole.
• Question 16
A male patient has been brought to the emergency department during an
episode of status epilepticus. Diazepam is to be administered
intravenously. The APRN will be sure to
ANS: avoid the small veins in the dorsum of the hand or the wrist.
• Question 17
A Nurse Practitioner works at a weight management clinic. To which of the following overweight
patients could the nurse safely administer dextroamphetamine?
ANS: A 48-year-old Caucasian man who has adult- onset diabetes
• Question 18
All insects have an FDA black box warning regarding
ANS: Potential for causing life-threatening
G.I. bleed
ANSWERS
NURS 676 FINAL EXAM 2024 VERSION 3 QUESTIONS WITH
ANSWERS
• Question 1
Black cohosh is an herb that is commonly used for
ANS: Menopausal symptoms
• Question 2
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?
ANS: That the infant's skin has greater permeability than that of an
• Question 3 adult
A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His
mother reports that she gives him Tylenol at least three times a day. Which of the following will
the nurse work with the physician to evaluate?
ANS: Hepatic function
• Question 4
A nurse practitioner has administered filgrastim to a diverse group of patients in recent months.
Which of the following patients should the nurse observe for extremely elevated white blood cell
counts following administration of the drug?
ANS: A 19-year-old male receiving radiotherapy
• Question 5
A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for
metastatic breast cancer. Her medical record indicates she has cardiomyopathy and
a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures
would help limit the severity of the cardiomyopathy in this patient?
ANS: The use of dexrazoxane in conjunction with
• Question 6 doxorubicin
Women who are prescribed progestin-only contraception need education regarding which common
adverse drug effect?
,NURS 676 FINAL EXAM 2024 VERSION 3 QUESTIONS WITH
ANSWERS
ANS: Irregular vaginal bleeding for the first few months
• Question 7
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor
which of the following?
ANS: Potassium level
• Question 8
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A
microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware
that
ANS: asymptomatic women are diagnosed with trichomoniasis by a routine pap
smear.
• Question 9
A 59-year-old man with a recent history of erectile dysfunction has been assessed
and prescribed sildenafil (Viagra). When providing patient education to this man, the
nurse should tell him which of the following?
ANS: "You might find that your face becomes flushed or you get a headache after
you take Viagra."
• Question 10
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
ANS: iron-rich foods such as beans and leafy green vegetables.
• Question 11
A patient is receiving long-term clindamycin therapy for a life-threatening infection.
The nurse will begin by monitoring this drug therapy by obtaining
ANS: a baseline complete blood count.
• Question 12
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
ANS: use adequate
contraception.
, NURS 676 FINAL EXAM 2024 VERSION 3 QUESTIONS WITH
ANSWERS
• Question 13
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?
ANS: "Lately, I have to get up three or four times a night to go to the
bathroom."
• Question 14
A patient is receiving radiotherapy for an overactive thyroid gland and asks whether
her milk is safe for her baby. If her treatment cannot be discontinued, what should
the nurse recommend?
ANS: Advise her to discard her breast milk in a biohazard container, as it is unsafe
for the baby.
• Question 15
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
ANS: uterine tachysystole.
• Question 16
A male patient has been brought to the emergency department during an
episode of status epilepticus. Diazepam is to be administered
intravenously. The APRN will be sure to
ANS: avoid the small veins in the dorsum of the hand or the wrist.
• Question 17
A Nurse Practitioner works at a weight management clinic. To which of the following overweight
patients could the nurse safely administer dextroamphetamine?
ANS: A 48-year-old Caucasian man who has adult- onset diabetes
• Question 18
All insects have an FDA black box warning regarding
ANS: Potential for causing life-threatening
G.I. bleed
