EXAM 2026/ NURS6521 FINAL EXAM |ALL 32
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|AGRADE
Question 1.A 19-year-old patient reports to a clinic with vaginal discharge with a foul
odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is
aware that
- ANSWER-
Answer: asymptomatic women are diagnosed with trichomoniasis by a routine pap
smear. - ANSWER-
Question 2. A Nurse Practitioner is having difficulty administering a bitter drug to a 5-
year-old child.
The nurse should - ANSWER-
Answer: offer the child a flavored ice chip or ice pop prior to administering the drug.
- ANSWER-
Question 3.A school nurse has been teaching high school students about the risks
associated with marijuana use. However, the nurse has been met with considerable
skepticism on the part of students, most of whom believe that marijuana is a benign
drug. Which of the following teaching points should the nurse provide? - ANSWER-
Answer: "Smoking marijuana is just as bad, or worse, for your lungs as smoking
cigarettes." - ANSWER-
Question 4. A 6-month-old child has developed skin irritation due to an allergic reaction.
He has been prescribed a topical skin ointment. The nurse will consider which of the
following before administering the drug? - ANSWER-
Answer: That the infant's skin has greater permeability than that of an adult. -
ANSWER-
Question 5. A Nurse Practitioner works at a weight management clinic. To which of the
following overweight patients could the nurse safely administer dextroamphetamine? –
ANSWER
-
Answer: A 48-year-old Caucasian man who has adult onset diabetes. – ANSWER
Question 6. Morphine has been prescribed for a 28-year-old man with severe pain due
to a back injury. The nurse will advise the patient to avoid - ANSWER-
, Answer: alcohol. - ANSWER-
Question 5.
An immunocompromised 7-year-old child, recently discharged home with a peripherally-
inserted central line (PICC line) for home antibiotic therapy; He has now been brought
to the emergency department by his mother and father with signs and symptoms
oflinesepsis. Upon questioning, the mother states that she has been removing the PICC
dressing daily and washing the site with warm water and a cloth. What nursing
diagnosis is most appropriate in this situation? - ANSWER-
Answer: Ineffective Family Therapeutic Regimen Management - ANSWER-
Question 6.: A 20-year-old woman has been prescribed estrogen. As with all women
taking estrogen, the nurse will carefully monitor the patient for which of the
following? - ANSWER-
Answer: Cardiovascular complications - ANSWER-
Question 7.A 5-year-old boy needs an IM injection. The least painful and most effective
injection site would be the - ANSWER-
Answer: ventrogluteal muscle. - ANSWER-
Question 8.: Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal
woman. In order to help prevent gastrointestinal distress, the nurse will advise the
patient to - ANSWER-
Answer: stand or sit upright for at least 30 minutes after taking alendronate. –
ANSWER
Question 9: A male patient is experiencing climacteric symptoms secondary to androgen
deficiency. His physician has prescribed testosterone. The nursing assessment reveals
that the patient has had a myocardial infarction. The combination of testosterone
therapy and a history of myocardial infarctionwould place that patient at a significantly
higher risk of – ANSWER
Answer: Heart Attack - ANSWER-
Question 10: A Nurse Practitioner is instructing a 19-year-old female patient on the use
of fluconazole for candida vaginitis. A teaching priority will be to – ANSWER
Answer: use an alternative form of birth control, if taking an oral contraceptive. -
ANSWER-
Question 11: A postmenopausal patient is prescribed bisphosphonates to treat
osteoporosis. The nurse will instruct the patient to take the drug
Answer: first thing in the morning. - ANSWER-