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Question 1
A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of
epoetin alfa to a 39-year-old woman who is being treated for chemotherapy-
induced anemia. Which of the following will the nurse do with the unused portion
of the drug?
Selected Answer:
Discard the unused portion of the drug.
Question 2
Phenytoin decreases folic acid absorption by
Selected Answer:
Inhibiting intestinal enzymes require for folic acid absorption
Question 3
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
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Selected Answer:
the permeability of fungal cell walls.
Question 4
Some drugs are given to patients using other routes such as sublingual or topical to
avoid movement through the liver and possible side effects. Which of the following
effects is the Nurse Practitioner attempting to avoid by administering certain
medications via alternative routes?
Selected Answer:
First-Pass effect
Question 5
A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and
began treatment with finasteride (Proscar) 3 months ago. When planning the care
of this patient, what desired outcome should the nurse prioritize?
Selected Answer:
The patient will experience complete bladder emptying
Question 6
An immunocompromised cancer patient has developed cryptococcal meningitis
and been admitted to the intensive care unit for treatment with amphotericin B.
How should the nurse most safely administer this drug?
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Selected Answer:
Infuse the drug over 2 to 4 hours into a central line using an infusion pump
Question 7
A 56-year-old woman will soon begin treatment of her overactive bladder with
tolterodine (Detrol). What patient teaching should the nurse provide to this
woman?
Selected Answer:
"You might find that you get a dry mouth or a headache from this drug, but this
does not mean it has to be discontinued."
Question 8
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 Answer:
"It's important to balance the possible benefits of HRT with the fact that it might
increase your risk of heart disease and stroke"
Question9
Drugs have a valid medical use but a high potential for abuse, both psychological
and physiologic. In an emergency, a Schedule 2 drug may be prescribed by
telephone if a written prescription cannot be provided at the time. However, a
written prescription must be provided within 72 hours with the words
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authorization for emergency dispensing written on the prescription. These
prescriptions cannot be refilled. A new prescription must be written each time.
Examples include certain amphetamines and barbiturates. This is scheduled drug
Selected Answer:
Schedule 2
Question 10
A Nurse Practitioner has questioned why a patient's physician has prescribed a
narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of
a patient's infection. Which of the following facts provides the best rationale for
the use of narrow-spectrum antibiotics whenever possible?
Selected Answer:
The use of broad-spectrum antibiotics can create a risk for a superinfection.
Question 11
How is hydrocodone eliminated from the body?
Selected Answer:
Liver
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