NURS 6521 Adv. Pharmacology Final Exam
Study online at https://quizlet.com/_hm3mzx
1. Question 1: 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?:
2. Answer: "You might find that your face becomes flushed, or you get a
headache after taking Viagra.":
3. Question 2: A patient takes etoposide for a testicular tumor refractory treat-
ment. The nursing assessment reveals that he is also taking warfarin. The nurse
must carefully monitor which of the following?:
4. Answer: Elevated prothrombin time:
5. Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted
infection. The nurse will instruct the patient:
6. Answer: to complete the entire course of drug therapy.:
7. Question 4: Drugs have a valid medical use but a high potential for psycho-
logical and physiologic abuse. In an emergency, a Schedule II 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 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. These
are scheduled drugs:
8. Answer: Schedule II:
9. Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal
spray to treat a nasal allergy. To maximize the drug's therapeutic effects, which
of the following will the nurse include in instructions to the patient?:
10. Answer: Take the drug for one whole week before coming in contact with
allergens.:
11. Question 6: A woman is receiving magnesium sulfate for intrapartum
eclampsia. The patient is sweating, and her BP is 88/50. The serum magnesium
level is 10 mg/dL. The nurse will interpret these manifestations as:
12. Answer: Magnesium Sulfate toxicity.:
13. Question 7: A patient with a recent diagnosis of chronic myelogenous
leukemia (CML) discusses treatment options with his care team. What aspect
, NURS 6521 Adv. Pharmacology Final Exam
Study online at https://quizlet.com/_hm3mzx
of the patient's condition would contraindicate the use of cyclophosphamide
to treat leukemia?:
14. Answer: The patient's bone marrow function is significantly depressed.:
15. Question 8: After six months of unsuccessfully trying to conceive, a
31-year-old woman and her husband have sought a referral to a fertility spe-
cialist to explore their options. A nurse at the clinic should recognize that the
woman may benefit from:
16. Answer: clomiphene.:
17. Question 9: A 34-year-old male has been diagnosed with TB and will be
started on INH therapy. The medication history reveals that he currently takes
antacids regularly. The nurse will instruct the patient::
18. Answer: to take antacids not less than 1 hour before or 2 hours after taking
INH.:
19. Question 10: A Nurse Practitioner working in a cancer center is preparing to
administer medication to a 5-year-old child. The nurse will calculate the drug
dosage by using:
20. Answer: Body Surface Area:
21. Question 11: An older adult woman has been diagnosed with acute lym-
phoblastic leukemia (ALL), and her care team has identified potential benefits
of imatinib. Which of the following characteristics of this patient's current
health status may preclude the use of imatinib?:
22. Answer: The patient has chronic heart failure resulting in significant periph-
eral edema:
23. Question 12: A male patient is trying to decide if he should use finasteride
(Proscar) to treat benign prostatic hypertrophy (BPH). When providing infor-
mation about the drug, the nurse will include which of the following as a risk
associated with finasteride therapy?:
24. Answer: Prostatic neoplasia:
25. Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to
take each dose:
26. Answer: After a meal.:
, NURS 6521 Adv. Pharmacology Final Exam
Study online at https://quizlet.com/_hm3mzx
27. Question 14: A patient has acquired primary hypogonadism and was pre-
scribed testosterone transdermal (Androderm) patches. When educating the
patient on administering the drug, the nurse will instruct him to:
28. Answer: place the patch on the back, abdomen, upper arms, or thighs.:
29. Question 15: A 66-year-old woman has experienced a significant decline in
her quality of life due to worsening rheumatoid arthritis. Her physician has
prescribed etanercept and the APRN is responsible for facilitating this new
aspect of the patient's drug regimen involving the administration of:
30. Answer: weekly subcutaneous injections:
31. Question 16: A 54-year-old woman with a history of osteoporosis has been
prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history,
the nurse would be sure to discuss the use of:
32. Answer: food containing iron or calcium with the woman.:
33. Question 17: A Nurse Practitioner has questioned why a patient's physician
has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum
drug to treat a patient's infection. Which of the following facts provides the
best rationale for using narrow-spectrum antibiotics whenever possible?:
34. Answer: The use of broad-spectrum antibiotics can create a risk for a super-
infection.:
35. Question 18: A 3-year-old boy has developed otitis media and requires an-
tibiotics. In order to increase the chance that the boy will take his prescribed
medication, the nurse should:
36. Answer: offer a choice between liquid and chewable medications, if possi-
ble.:
37. Question 19: Which of the following would a Nurse Practitioner assess for in
a patient taking polymyxin B systemically?:
38. Answer: Nephrotoxicity and hepatotoxicity:
39. Question 20: A woman is receiving prolonged drug therapy during her com-
plicated pregnancy, and it may pose a risk to both the mother and the fetus.
The primary care physician has made dosage adjustments to minimize adverse
effects and prevent toxicity; The RN should ensure that:
40. Answer: Drug serum levels are being monitored.:
Study online at https://quizlet.com/_hm3mzx
1. Question 1: 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?:
2. Answer: "You might find that your face becomes flushed, or you get a
headache after taking Viagra.":
3. Question 2: A patient takes etoposide for a testicular tumor refractory treat-
ment. The nursing assessment reveals that he is also taking warfarin. The nurse
must carefully monitor which of the following?:
4. Answer: Elevated prothrombin time:
5. Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted
infection. The nurse will instruct the patient:
6. Answer: to complete the entire course of drug therapy.:
7. Question 4: Drugs have a valid medical use but a high potential for psycho-
logical and physiologic abuse. In an emergency, a Schedule II 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 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. These
are scheduled drugs:
8. Answer: Schedule II:
9. Question 5: A 16-year-old boy has been prescribed cromolyn sodium nasal
spray to treat a nasal allergy. To maximize the drug's therapeutic effects, which
of the following will the nurse include in instructions to the patient?:
10. Answer: Take the drug for one whole week before coming in contact with
allergens.:
11. Question 6: A woman is receiving magnesium sulfate for intrapartum
eclampsia. The patient is sweating, and her BP is 88/50. The serum magnesium
level is 10 mg/dL. The nurse will interpret these manifestations as:
12. Answer: Magnesium Sulfate toxicity.:
13. Question 7: A patient with a recent diagnosis of chronic myelogenous
leukemia (CML) discusses treatment options with his care team. What aspect
, NURS 6521 Adv. Pharmacology Final Exam
Study online at https://quizlet.com/_hm3mzx
of the patient's condition would contraindicate the use of cyclophosphamide
to treat leukemia?:
14. Answer: The patient's bone marrow function is significantly depressed.:
15. Question 8: After six months of unsuccessfully trying to conceive, a
31-year-old woman and her husband have sought a referral to a fertility spe-
cialist to explore their options. A nurse at the clinic should recognize that the
woman may benefit from:
16. Answer: clomiphene.:
17. Question 9: A 34-year-old male has been diagnosed with TB and will be
started on INH therapy. The medication history reveals that he currently takes
antacids regularly. The nurse will instruct the patient::
18. Answer: to take antacids not less than 1 hour before or 2 hours after taking
INH.:
19. Question 10: A Nurse Practitioner working in a cancer center is preparing to
administer medication to a 5-year-old child. The nurse will calculate the drug
dosage by using:
20. Answer: Body Surface Area:
21. Question 11: An older adult woman has been diagnosed with acute lym-
phoblastic leukemia (ALL), and her care team has identified potential benefits
of imatinib. Which of the following characteristics of this patient's current
health status may preclude the use of imatinib?:
22. Answer: The patient has chronic heart failure resulting in significant periph-
eral edema:
23. Question 12: A male patient is trying to decide if he should use finasteride
(Proscar) to treat benign prostatic hypertrophy (BPH). When providing infor-
mation about the drug, the nurse will include which of the following as a risk
associated with finasteride therapy?:
24. Answer: Prostatic neoplasia:
25. Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to
take each dose:
26. Answer: After a meal.:
, NURS 6521 Adv. Pharmacology Final Exam
Study online at https://quizlet.com/_hm3mzx
27. Question 14: A patient has acquired primary hypogonadism and was pre-
scribed testosterone transdermal (Androderm) patches. When educating the
patient on administering the drug, the nurse will instruct him to:
28. Answer: place the patch on the back, abdomen, upper arms, or thighs.:
29. Question 15: A 66-year-old woman has experienced a significant decline in
her quality of life due to worsening rheumatoid arthritis. Her physician has
prescribed etanercept and the APRN is responsible for facilitating this new
aspect of the patient's drug regimen involving the administration of:
30. Answer: weekly subcutaneous injections:
31. Question 16: A 54-year-old woman with a history of osteoporosis has been
prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history,
the nurse would be sure to discuss the use of:
32. Answer: food containing iron or calcium with the woman.:
33. Question 17: A Nurse Practitioner has questioned why a patient's physician
has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum
drug to treat a patient's infection. Which of the following facts provides the
best rationale for using narrow-spectrum antibiotics whenever possible?:
34. Answer: The use of broad-spectrum antibiotics can create a risk for a super-
infection.:
35. Question 18: A 3-year-old boy has developed otitis media and requires an-
tibiotics. In order to increase the chance that the boy will take his prescribed
medication, the nurse should:
36. Answer: offer a choice between liquid and chewable medications, if possi-
ble.:
37. Question 19: Which of the following would a Nurse Practitioner assess for in
a patient taking polymyxin B systemically?:
38. Answer: Nephrotoxicity and hepatotoxicity:
39. Question 20: A woman is receiving prolonged drug therapy during her com-
plicated pregnancy, and it may pose a risk to both the mother and the fetus.
The primary care physician has made dosage adjustments to minimize adverse
effects and prevent toxicity; The RN should ensure that:
40. Answer: Drug serum levels are being monitored.:
