APRN WCU 2023-2024
NURS 676 FINAL EXAM 2023-
2024 VERIFIED EXAM WITH
SOLUTION
Course Advanced Pharmacology
• @QSN# 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?
CORRECT corticosteroids
Answer:
• @QSN# 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?
CORRECT Cleanse the wound of debris prior to applying the silver
Answer: sulfadiazine
• @QSN# 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?
CORRECT Anxiety related to perceived danger of drug therapy to fetus or
Answer: infant
• @QSN# 4
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to
monitor which of the following?
CORRECT Creatinineclearance
Answer:
• @QSN# 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
CORRECT perform relaxation techniques after the treatments.
Answer:
• @QSN# 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?
CORRECT weight andheight
Answer:
• @QSN# 7
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
CORRECT Ciprofloxacin
Answer:
, • @QSN# 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 ?
CORRECT Zolpidem should be taken just beforegoing to bed
Answer:
• @QSN# 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?
CORRECT "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"
• @QSN# 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
CORRECT phytoestrogens.
Answer:
• @QSN# 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
CORRECT use adequatecontraception.
Answer:
• @QSN# 12
NURS 676 FINAL EXAM 2023-
2024 VERIFIED EXAM WITH
SOLUTION
Course Advanced Pharmacology
• @QSN# 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?
CORRECT corticosteroids
Answer:
• @QSN# 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?
CORRECT Cleanse the wound of debris prior to applying the silver
Answer: sulfadiazine
• @QSN# 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?
CORRECT Anxiety related to perceived danger of drug therapy to fetus or
Answer: infant
• @QSN# 4
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to
monitor which of the following?
CORRECT Creatinineclearance
Answer:
• @QSN# 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
CORRECT perform relaxation techniques after the treatments.
Answer:
• @QSN# 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?
CORRECT weight andheight
Answer:
• @QSN# 7
The first line drug choice for a previously healthy adult patient who has been diagnosed with
community acquired pneumonia would be
CORRECT Ciprofloxacin
Answer:
, • @QSN# 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 ?
CORRECT Zolpidem should be taken just beforegoing to bed
Answer:
• @QSN# 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?
CORRECT "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"
• @QSN# 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
CORRECT phytoestrogens.
Answer:
• @QSN# 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
CORRECT use adequatecontraception.
Answer:
• @QSN# 12
