WALDEN UNIVERSITY NURS 6521 ADVANCED PHARMACOLOGY FINAL
EXAM SIMULATION (2025 FORMAT) NEW LATEST VERSION WITH ALL
QUESTIONS, CORRECT ANSWERS AND RATIONALE
A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be
taking two medications at home for an extended period. The nurse who is discharging the
patient should provide medication teaching specifically to - CORRECT ANSWERS-both the boy
and his mother regarding all medication issued.
A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has
necessitated treatment with gentamicin. As a result, the care team should be cautious when
concurrently administering other medications that may cause - CORRECT ANSWERS-
ototoxicity or nephrotoxicity
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 ANSWERS-perform relaxation techniques
after the treatments.
A nurse is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to
help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that
he or she is taking an oral form of - CORRECT ANSWERS-marijuana
A 46-year-old man is receiving a quinupristindalfopristin IV infusion for a life-threatening
infection. Which of the following would be most important for the nurse to monitor? - CORRECT
ANSWERS-Infiltration, edema, or phlebitis at the infusion site
A woman is receiving prolonged drug therapy during her complicated 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. - CORRECT ANSWERS-The nurse
should make sure that serum levels of the drug are being monitored
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-
year-old patient. When providing education to the patient and his wife, the nurse should
inform the wife about which of the following adverse effects? - CORRECT ANSWERS-Vaginal
burning
A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant.
During the initial assessment, the nurse learns that the patient is currently taking medications for
diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the
following medications? - CORRECT ANSWERS-Phenytoin (Dilantin)
A male patient with a medical background tells the nurse that he is not satisfied with the oral
synthetic testosterone that has been prescribed for him and he would like to try a natural form
of oral testosterone. Which of the following would be an appropriate response by the nurse? -
CORRECT ANSWERS-"Natural testosterone undergoes a high first-pass effect and is not used
orally."
A male patient is trying to decide if he should use finasteride (Proscar) to treat benign
prostatic hypertrophy (BPH). When providing information about the drug, the nurse will
include which of the following as a risk associated with finasteride therapy? - CORRECT
ANSWERS-Prostatic neoplasia
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following
assessment findings would most strongly indicate that treatment has been effective? - CORRECT
ANSWERS-The patient's hemoglobin level is 11 gdL
A patient has been scheduled to begin treatment with rituximab for non-Hodgkin's
lymphoma. The nurse who will administer this drug should understand that it targets - CORRECT
ANSWERS-specific antigens on the surface of malignant B cells.
EXAM SIMULATION (2025 FORMAT) NEW LATEST VERSION WITH ALL
QUESTIONS, CORRECT ANSWERS AND RATIONALE
A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be
taking two medications at home for an extended period. The nurse who is discharging the
patient should provide medication teaching specifically to - CORRECT ANSWERS-both the boy
and his mother regarding all medication issued.
A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has
necessitated treatment with gentamicin. As a result, the care team should be cautious when
concurrently administering other medications that may cause - CORRECT ANSWERS-
ototoxicity or nephrotoxicity
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 ANSWERS-perform relaxation techniques
after the treatments.
A nurse is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to
help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that
he or she is taking an oral form of - CORRECT ANSWERS-marijuana
A 46-year-old man is receiving a quinupristindalfopristin IV infusion for a life-threatening
infection. Which of the following would be most important for the nurse to monitor? - CORRECT
ANSWERS-Infiltration, edema, or phlebitis at the infusion site
A woman is receiving prolonged drug therapy during her complicated 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. - CORRECT ANSWERS-The nurse
should make sure that serum levels of the drug are being monitored
Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-
year-old patient. When providing education to the patient and his wife, the nurse should
inform the wife about which of the following adverse effects? - CORRECT ANSWERS-Vaginal
burning
A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant.
During the initial assessment, the nurse learns that the patient is currently taking medications for
diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the
following medications? - CORRECT ANSWERS-Phenytoin (Dilantin)
A male patient with a medical background tells the nurse that he is not satisfied with the oral
synthetic testosterone that has been prescribed for him and he would like to try a natural form
of oral testosterone. Which of the following would be an appropriate response by the nurse? -
CORRECT ANSWERS-"Natural testosterone undergoes a high first-pass effect and is not used
orally."
A male patient is trying to decide if he should use finasteride (Proscar) to treat benign
prostatic hypertrophy (BPH). When providing information about the drug, the nurse will
include which of the following as a risk associated with finasteride therapy? - CORRECT
ANSWERS-Prostatic neoplasia
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following
assessment findings would most strongly indicate that treatment has been effective? - CORRECT
ANSWERS-The patient's hemoglobin level is 11 gdL
A patient has been scheduled to begin treatment with rituximab for non-Hodgkin's
lymphoma. The nurse who will administer this drug should understand that it targets - CORRECT
ANSWERS-specific antigens on the surface of malignant B cells.
