NURS 6521 Adv. Pharmacology
Final Exam||Latest Exam Update||
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? -CORRECT ANSWER
CORRECT ANSWER : "You might find that your face becomes flushed, or you get a
headache after taking Viagra." -CORRECT ANSWER
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The
nursing assessment reveals that he is also taking warfarin. The nurse must carefully
monitor which of the following? -CORRECT ANSWER
CORRECT ANSWER : Elevated prothrombin time -CORRECT ANSWER
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection.
The nurse will instruct the patient -CORRECT ANSWER
CORRECT ANSWER : to complete the entire course of drug therapy. -CORRECT
ANSWER
Question 4: Drugs have a valid medical use but a high potential for psychological 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 -CORRECT ANSWER
CORRECT ANSWER : Schedule II -CORRECT ANSWER
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? -CORRECT ANSWER
CORRECT ANSWER : Take the drug for one whole week before coming in contact with
allergens. -CORRECT ANSWER
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 -CORRECT ANSWER
CORRECT ANSWER : Magnesium Sulfate toxicity. -CORRECT ANSWER
,Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML)
discusses treatment options with his care team. What aspect of the patient's condition
would contraindicate the use of cyclophosphamide to treat leukemia? -CORRECT
ANSWER
CORRECT ANSWER : The patient's bone marrow function is significantly depressed. -
CORRECT ANSWER
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 specialist to explore their options. A
nurse at the clinic should recognize that the woman may benefit from -CORRECT
ANSWER
CORRECT ANSWER : clomiphene. -CORRECT ANSWER
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: -CORRECT ANSWER
CORRECT ANSWER : to take antacids not less than 1 hour before or 2 hours after
taking INH. -CORRECT ANSWER
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 -
CORRECT ANSWER
CORRECT ANSWER : Body Surface Area -CORRECT ANSWER
Question 11: An older adult woman has been diagnosed with acute lymphoblastic
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? -CORRECT ANSWER
CORRECT ANSWER : The patient has chronic heart failure resulting in significant
peripheral edema -CORRECT ANSWER
Question 12: 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 ANSWER
CORRECT ANSWER : Prostatic neoplasia -CORRECT ANSWER
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose -CORRECT ANSWER
, CORRECT ANSWER : After a meal. -CORRECT ANSWER
Question 14: A patient has acquired primary hypogonadism and was prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
administering the drug, the nurse will instruct him to -CORRECT ANSWER
CORRECT ANSWER : place the patch on the back, abdomen, upper arms, or thighs. -
CORRECT ANSWER
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 -CORRECT ANSWER
CORRECT ANSWER : weekly subcutaneous injections -CORRECT ANSWER
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 -CORRECT ANSWER
CORRECT ANSWER : food containing iron or calcium with the woman. -CORRECT
ANSWER
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? -CORRECT ANSWER
CORRECT ANSWER : The use of broad-spectrum antibiotics can create a risk for a
superinfection. -CORRECT ANSWER
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In
order to increase the chance that the boy will take his prescribed medication, the nurse
should -CORRECT ANSWER
CORRECT ANSWER : offer a choice between liquid and chewable medications, if
possible. -CORRECT ANSWER
Question 19: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically? -CORRECT ANSWER
CORRECT ANSWER : Nephrotoxicity and hepatotoxicity -CORRECT ANSWER
Question 20: 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
Final Exam||Latest Exam Update||
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? -CORRECT ANSWER
CORRECT ANSWER : "You might find that your face becomes flushed, or you get a
headache after taking Viagra." -CORRECT ANSWER
Question 2: A patient takes etoposide for a testicular tumor refractory treatment. The
nursing assessment reveals that he is also taking warfarin. The nurse must carefully
monitor which of the following? -CORRECT ANSWER
CORRECT ANSWER : Elevated prothrombin time -CORRECT ANSWER
Question 3: A man is prescribed ciprofloxacin to treat a sexually transmitted infection.
The nurse will instruct the patient -CORRECT ANSWER
CORRECT ANSWER : to complete the entire course of drug therapy. -CORRECT
ANSWER
Question 4: Drugs have a valid medical use but a high potential for psychological 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 -CORRECT ANSWER
CORRECT ANSWER : Schedule II -CORRECT ANSWER
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? -CORRECT ANSWER
CORRECT ANSWER : Take the drug for one whole week before coming in contact with
allergens. -CORRECT ANSWER
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 -CORRECT ANSWER
CORRECT ANSWER : Magnesium Sulfate toxicity. -CORRECT ANSWER
,Question 7: A patient with a recent diagnosis of chronic myelogenous leukemia (CML)
discusses treatment options with his care team. What aspect of the patient's condition
would contraindicate the use of cyclophosphamide to treat leukemia? -CORRECT
ANSWER
CORRECT ANSWER : The patient's bone marrow function is significantly depressed. -
CORRECT ANSWER
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 specialist to explore their options. A
nurse at the clinic should recognize that the woman may benefit from -CORRECT
ANSWER
CORRECT ANSWER : clomiphene. -CORRECT ANSWER
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: -CORRECT ANSWER
CORRECT ANSWER : to take antacids not less than 1 hour before or 2 hours after
taking INH. -CORRECT ANSWER
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 -
CORRECT ANSWER
CORRECT ANSWER : Body Surface Area -CORRECT ANSWER
Question 11: An older adult woman has been diagnosed with acute lymphoblastic
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? -CORRECT ANSWER
CORRECT ANSWER : The patient has chronic heart failure resulting in significant
peripheral edema -CORRECT ANSWER
Question 12: 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 ANSWER
CORRECT ANSWER : Prostatic neoplasia -CORRECT ANSWER
Question 13: A Nurse Practitioner will instruct a patient taking allopurinol to take each
dose -CORRECT ANSWER
, CORRECT ANSWER : After a meal. -CORRECT ANSWER
Question 14: A patient has acquired primary hypogonadism and was prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
administering the drug, the nurse will instruct him to -CORRECT ANSWER
CORRECT ANSWER : place the patch on the back, abdomen, upper arms, or thighs. -
CORRECT ANSWER
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 -CORRECT ANSWER
CORRECT ANSWER : weekly subcutaneous injections -CORRECT ANSWER
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 -CORRECT ANSWER
CORRECT ANSWER : food containing iron or calcium with the woman. -CORRECT
ANSWER
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? -CORRECT ANSWER
CORRECT ANSWER : The use of broad-spectrum antibiotics can create a risk for a
superinfection. -CORRECT ANSWER
Question 18: A 3-year-old boy has developed otitis media and requires antibiotics. In
order to increase the chance that the boy will take his prescribed medication, the nurse
should -CORRECT ANSWER
CORRECT ANSWER : offer a choice between liquid and chewable medications, if
possible. -CORRECT ANSWER
Question 19: Which of the following would a Nurse Practitioner assess for in a patient
taking polymyxin B systemically? -CORRECT ANSWER
CORRECT ANSWER : Nephrotoxicity and hepatotoxicity -CORRECT ANSWER
Question 20: 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
