Question 1
A nurse educator who coordinates the staff education on an oncology unit is conducting an inservice on
targeted therapies. What potential
... [Show More] benefit of targeted therapies should the nurse highlight in this
education session?
Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less
affected.
Question 2
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?
Low blood pressure
Vaginal burning
Question 3
A 12-year-old boy is being discharged from the hospital after … 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
both the boy and his mother regarding all medication issued.
Question 4
A 30-year-old African-American woman tested positive for …and is prescribed … The nurse will plan the
patient’s care to include close monitoring of the drug therapy because
the patient is at greater risk for high serum levels of the drug.
Question 6
A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the
therapeutic effects of the drug, which of the following will the nurse include in instructions to the
patient?
Take the drug for 1 full week before coming in contact with allergens.
Question 7
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s
physician has prescribed quinine along with an adjunctive drug. The nurse should question the
physician’s order if the patient has a history of
cardiac arrhythmias.
Question 8
A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take
ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the
drugs compete with the hormones of pregnancy for albumin-binding sites.
Question 9
66-year-old man has made an appointment with his primary care provider to discuss his recent …and has
requested a prescription for …based on television commercials he has seen. What characteristic of this
patient would most likely contraindicate the use of
The patient has unstable angina and uses a nitroglycerin patch
Question 10
A man has a demonstrated history of androgen deficiency and the consequences of this health problem
include an inability to maintain an erection. Which of the following medications would best address this
patient’s erectile dysfunction (ED)?
Exogenous testosterone
Question 11
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
perform relaxation techniques after the treatments.
Question 12
A nurse has administered filgrastim to a diverse group of patients in recent months. Which of the
following patients should the nurse observe for extremely elevated white blood cell counts following
administration of the drug?
A 19-year-old Male receiving radiation therapy
Question 13
A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up
visit to the clinic, the nurse will question the patient about which of the following?
Dental hygiene practices
Question 17
A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices
a small increase in the neutrophil count 2 days after starting therapy. The nurse’s evaluation of the
increase is that
the increase in the neutrophil count is only transient.
Question 18
A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2
weeks. The child lives with his mother, grandmother, and four other children between the ages of 14
months and 7 years. The home health nurse is asked to assess the home environment to determine if it
is appropriate for the child to take his medication at home. Which of the following will have the greatest
impact on the nurse’s assessment?
Where the medication will be stored
Question 19
A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as a
result of drug errors is higher among infants and children than adults. This fact is primarily due to
Immature liver and kidney function in infants and children.
Question 20
A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three
days after the infusion of the drug, the nurse must closely monitor for which of the following?
Neurotoxicity
Question 21
A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been
experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has
begun taking his stepfather’s antidepressant to improve his mood. After immediately phoning the boy’s
stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase
inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of
what health problem?
Hypertensive crisis
Question 22
A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform
the parents that this drug could cause
orange-tinged urine.
staining of permanent teeth.
sleep deprivation.
deep muscle pain.
Question 23
Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a
workplace accident 2 weeks ago. Part of his ..
Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible.
Cleanse the wound of debris prior to applying the silver sulfadiazine
Question 24
A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will
the nurse advise the patient to report immediately?
Muscle pain or tingling
Question 25
An immunocompromised 7-year-old child was recently discharged home with a … for home antibiotic
therapy. He has now been brought to the emergency department by his mother and father with signs
and symptoms of line sepsis. Upon questioning, …
Caregiver
Ineffective Family Therapeutic Regimen Management
Question 26
A patient’s current course of cancer treatment involves the administration of a conjugated monoclonal
antibody. What characteristic of the ?
The targeted therapy is combination of a monoclonal antibody, a kinase inhibitor, and an inorganic
cytotoxin.
The drug is able to adapt its pharmacokinetics to the etiology of the patient’s cancer.
Question 27
A female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the
patient is a common?
Breakthrough bleeding
Question 28
A nurse works at a weight management clinic. To which of the following overweight patients could the
nurse safely administer dextroamphetamine?
A 48 year old Caucasian man who has adult-onset diabetes
Question 29
A patient with a diagnosis of chronic myeloid leukemia has met with her oncologist, who has
recommended treatment with the kinase inhibitor imatinib. What route of administration should the
nurse explain to the patient?
Oral administration of imatinib in a home setting
Question 37
A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A …will
be to
use an alternative form of birth control, if taking an oral contraceptive.
Question 38
A nurse is assigned to a patient who is at 32 weeks’ gestation and is receiving …for 24 hours to control
preterm labor. Which of the following nursing [Show Less]