NURS 6521
Final exam
versions 1-7
Questions and
Verified
answers
Graded A+
Question 1: A 59-year-old man with a recent
history of erectile
... [Show More] 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 answers-
Answer: "You might find that your face becomes
flushed, or you get a headache after taking
Viagra." - correct answers-
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 answers-
Answer: Elevated prothrombin time - correct
answers-
Question 3: A man is prescribed ciprofloxacin to
treat a sexually transmitted infection. The nurse
will instruct the patient - correct answers-
Answer: to complete the entire course of drug
therapy. - correct answers-
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 answers-
Answer: Schedule II - correct answers-
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
answers-
Answer: Take the drug for one whole week before
coming in contact with allergens. - correct
answers-
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
answers-
Answer: Magnesium Sulfate toxicity. - correct
answers-
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 answers-
Answer: The patient's bone marrow function is
significantly depressed. - correct answers-
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 answers-
Answer: clomiphene. - correct answers-
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 answers-
Answer: to take antacids not less than 1 hour
before or 2 hours after taking INH. - correct
answers-
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
answers-
Answer: Body Surface Area - correct answers-
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
answers-
Answer: The patient has chronic heart failure
resulting in significant peripheral edema - correct
answers-
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 answers-
Answer: Prostatic neoplasia - correct answers-
Question 13: A Nurse Practitioner will instruct a
patient taking allopurinol to take each dose -
correct answers-
Answer: After a meal. - correct answers-
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 answers-
Answer: place the patch on the back, abdomen,
upper arms, or thighs. - correct answers-
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 answers-
Answer: weekly subcutaneous injections - correct
answers-
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 answers-
Answer: food containing iron or calcium with the
woman. - correct answers-
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 answers-
Answer: The use of broad-spectrum antibiotics
can create a risk for a superinfection. - correct
answers-
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
answers-
Answer: offer a choice between liquid and
chewable medications, if possible. - correct
answers-
Question 19: Which of the following would a
Nurse Practitioner assess for in a patient taking
polymyxin B systemically? - correct answers-
Answer: Nephrotoxicity and hepatotoxicity -
correct answers-
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 physician has made
dosage adjustments to minimize adverse effects
and prevent toxicity; The RN should ensure that -
correct answers-
Answer: Drug serum levels are being monitored. -
correct answers-
Question 21: A female patient is taking oral
cyclophosphamide therapy for breast cancer.
Because of possible adverse effects of the drug,
the nurse will instruct the patient to do which of
the following? - correct answers-
Answer: Drink alot of water - correct answers-
Question 22: A pregnant patient with diabetes has
been admitted to the hospital to begin labor. Since
the patient has diabetes, the physician has
decided to use oxytocin (Pitocin) to initiate labor
contractions. When talking to the patient about the
adverse effects of the drug, the nurse should
understand that the most common adverse effects
of the drug include - correct answers-
Answer: uterine tachysystole. - correct answers-
Question 23: A nurse practitioner has been
assigned to a 55-year-old woman who has a
malignant brain tumor. The patient is receiving her
first dose of carmustine. It will be critical for the
nurse to observe for which of the following? -
correct answers-
Answer: Respiratory difficulty - correct answers-
Question 24: 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-
Answer: ototoxicity or nephrotoxicity - correct
answers-
Question 25: A 66-year-old man has made an
appointment with his primary care provider to
discuss his recent erectile dysfunction (ED) and
requested a prescription for tadalafil (Cialis)
based on television commercials. What
characteristic of this patient would most likely
contraindicate the use of tadalafil for his ED? -
correct answers-
Answer: The patient has unstable angina and
uses a nitroglycerin patch - correct answers-
Question 26: A 29-year-old woman who is
morbidly obese has recently begun a
comprehensive, medically-supervised program of
weight reduction. Prior to adding
dextroamphetamine (Dexedrine) to her regimen,
the patient should be questioned about her intake
of - correct answers-
Answer: Caffeine - correct answers-
Question 27: A 68-year-old man is being treated
for benign prostatic hypertrophy (BPH) and began
treatment with finasteride (Proscar) 3 months ago.
When planning the care of this patient, what
desired outcome should the nurse prioritize? -
correct answers-
Answer: The patient will experience complete
bladder emptying - correct answers-
Question 28: A Nurse Practitioner is to use a
single-dose 1 mL vial to administer 0.5 mL of
epoetin alfa to a 39-year-old woman who is being
treated for chemotherapy-induced anemia. Which
of the following will the nurse do with the unused
portion of the drug? - correct answers-
Answer: Discard the unused portion of the drug. -
correct answers-
Question 29: A 36-year-old woman with a history
of dysmenorrhea has begun treatment with
progesterone, which she will be received by the
intramuscular route. The nurse participating in the
woman's care should prioritize which of the
following potential nursing diagnoses? - correct
answers-
Answer: Risk for Injury related to loss of vision or
thrombotic events - correct answers-
Question 30: A 33-year-old man has developed
acute gouty arthritis. He has been prescribed
colchicine. When developing a care plan for this
patient, which factor will be most important for the
nurse to consider? - correct answers-
Answer: Dietary habits - correct answers-
Question 31: A Nurse Practitioner is obtaining
baseline physical data from a 7-year-old patient
who is to be started on dextroamphetamine for
ADHD. After obtaining vital signs, height, and
weight, the nurse will prepare the patient for an -
correct answers-
Answer: electrocardiogram (ECG). - correct
answers-
Question 32: Mr. Lepp is a 63-year-old man
diagnosed with colon cancer several weeks ago
and is scheduled to begin chemotherapy. He
reports to the nurse that he read about the need
for erythropoietin in an online forum for cancer
patients and wants to explore the use of epoetin
alfa with his oncologist. Which of the following
facts should underlie the nurse's response to Mr.
Lepp? - correct answers-
Answer: The potential benefits of epoetin alfa
must be weighed carefully against the potential
adverse effects in cancer patients - correct
answers-
Question 33: A Nurse Practitioner has completed
a medication reconciliation of a patient admitted
following a motor vehicle accident. Rituximab is
among the many drugs the patient has received in
the previous year. The nurse would be justified in
suspecting the patient may have received
treatment for the following diseases. - correct
answers-
Answer: Non-Hodgkin's lymphoma - correct
answers-
Question 34: An oncology nurse is aware of the
risk for injury related to the preparation,
transportation, and administration of
chemotherapeutic agents. In order to reduce
these risks, the nurse should take the following
actions? - correct answers-
Answer: Prime the IV tubing with an approved IV
solution rather than the drug itself. - correct
answers-
Question 35: A patient is receiving long-term
clindamycin therapy for a life-threatening
infection. The nurse will begin by monitoring this
drug therapy by obtaining - correct answers-
Answer: a baseline CBC - correct answers-
Question 36: A 45-year-old woman with acute
leukemia will begin chemotherapy with vincristine.
The nurse is aware that vincristine must always
be administered. - correct answers-
Answer: through a central line. - correct answers-
Question 37: A patient takes rifampin (Rifadin) for
active TB. When discussing this drug with the
patient, the nurse should stress that - correct
answers-
Answer: body fluids such as urine, saliva, tears,
and sputum may become discolored. - correct
answers-
Question 38: A 30-year-old woman in the first
trimester of pregnancy has presented to her
primary care provider with a 4-day history of a
reddened, itchy left eye crusted with a purulent
exudate. The clinician suspects a bacterial, rather
than viral, etiology. How will the patient's
pregnancy affect the potential use of ciprofloxacin
to treat her conjunctivitis? - correct answers-
Answer: The use of ciprofloxacin is
contraindicated in pregnancy. - correct answers-
Question 39: A male patient is taking finasteride
for BPH. Which of the following will the nurse
evaluate at each clinic visit? - correct answers-
Answer: Urinary elimination patterns - correct
answers-
Question 40: A 62-year-old patient taking
tamoxifen exhibits increased bone and tumor pain
and a local disease flare. The nurse interprets this
as an indication of which of the following? -
correct answers-
Answer: The tumor is responding to treatment. -
correct answers-
Question 41: A nurse practitioner orders a single
dose of 2 g Metronidazole orally. How many
milligrams will the patient receive in one dose?
Answer: 2000 mg - correct answers-
Question 42: A 56-year-old woman will soon
begin treating her overactive bladder with
tolterodine (Detrol). What patient teaching should
the nurse provide to this woman? - correct
answers-
Answer: "You might find that you get a dry mouth
or a headache from this drug, but this does not
mean it has to be discontinued." - correct
answers-
Question 43: A patient is seen in the emergency
department for a sprained ankle and is given a
drug to relieve pain. When a second dose of the
pain medication is given, the patient develops
redness of the skin, itching, and swelling at the
injection site of the drug. The most likely cause of
this response is: - correct answers-
Answer: an allergic response. - correct answers-
Question 44: A 29-year-old pregnant patient is
extremely upset about taking medication for a pre-
existing medical condition. She is consumed with
fear that her baby will be born with a physical
deformity or a congenital anomaly but knows that
she has to take the medication. She constantly
talks about this and is unable to sleep most
nights. Which of the following is the most
appropriate nursing diagnosis for this patient?
Answer: Anxiety related to the perceived danger
of drug therapy to a fetus or infant. - correct
answers-
Question 45: A 15-year-old boy who has been
taking dextroamphetamine to treat 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 severe risk of
a health problems? - correct answers-
Answer: hypertensive crisis - correct answers-
Question 46: A patient has been admitted to the
hospital's critical care unit with bacterial
septicemia that has failed to respond to initial
antibiotic treatment. The patient's most recent
blood cultures reveal the presence of methicillin-
resistant Staphylococcus aureus (MRSA). The
nurse will anticipate that this patient will likely
require intravenous administration of what
antibiotic? - correct answers-
Answer: vancomycin - correct answers-
Question 47: A 73-year-old woman has
osteoporosis and is prescribed alendronate. She
takes calcium and vitamin D supplements, drinks
lots of water, and has just quit smoking. The
nurse should advise the patient. - correct
answers-
Answer: perform light-weight exercises and go for
walks. - correct answers-
Question 48: A Nurse Practitioner is performing
patient education for a woman who has just been
prescribed bisphosphonate. Which of the
following diagnostic and history findings would
have prompted the woman's care provider to
prescribe a bisphosphonate? - correct answers-
Answer: Low bone density and a family history of
osteoporosis - correct answers-
Question 49: A nurse practitioner provides patient
education to a 50-year-old woman taking
methotrexate (MTX) for breast cancer. The nurse
will instruct the patient to avoid the following
drugs. - correct answers-
Answer: Salicylates - correct answers-
Question 50: A Nurse Practitioner is caring for a
patient at 28 weeks gestation and is receiving
terbutaline (Brethine) to control preterm labor.
Which of the following assessment parameters
should the nurse prioritize? - correct answers-
Answer: Fetal Heart Rate (FHR) - correct
answers-
Question 51: A Nurse Practitioner educator who
coordinates the staff education in an oncology unit
conducts an in-service on targeted therapies.
What potential benefit of targeted therapies
should the nurse highlight in this education
session? - correct answers-
Answer: Targeted therapies have the potential to
damage cancerous cells while leaving normal
body cells less affected. - correct answers-
Question 52: Laboratory testing has confirmed
that a patient has chloroquine-resistant malaria,
and the patient's physician has prescribed quinine
and an adjunctive drug. The nurse should
question the physician's order if the patient has a
history of - correct answers-
Answer: cardiac arrhythmias. - correct answers-
Question 53: When planning care for a patient
receiving filgrastim (Neupogen) for a non-myeloid
malignancy, the nurse should formulate the
following patient outcomes? (Select all that apply.)
- correct answers-
Answer: The patient will not develop an infection;
The patient will not experience bone pain; The
patient will be able to self-administer filgrastim at
home. The patient will not develop febrile
neutropenia. - correct answers-
Question 54: A 67-year-old man treated for
prostate cancer is taking epoetin alfa. The nurse
will instruct the patient to - correct answers-
Answer: schedule an appointment to measure
hemoglobin twice a week for at least 2 to 6
weeks. - correct answers-
Question 55: 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 teaching
medication specifically - correct answers-
Answer: to both the boy and his mother regarding
all medication issued. - correct answers-
Question 56: A Nurse Practitioner reviews the
pre-pregnancy medication regimen of a patient
who has just had a positive pregnancy test. The
nurse should be aware of the following changes in
pharmacokinetics that accompany pregnancy? -
correct answers-
Answer: Increased drug distribution resulting from
hemodynamic changes - correct answers-
Question 57: A patient will begin taking
tobramycin (Nebcin) for nosocomial infection.
Which of the following assessments should the
nurse prioritize? - correct answers-
Answer: The peak and trough blood levels. -
correct answers-
Question 58: A Nurse Practitioner is assigned to a
patient at 32 weeks gestation and is receiving
terbutaline (Brethine) IV for 24 hours to control
preterm labor. Which of the following nursing
actions will the nurse take to decrease the risk of
hypotension and promote circulation to the fetus?
- correct answers-
Answer: Instruct the patient to lie on her left side
during the infusion - correct answers-
Question 59: A patient takes 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? - correct answers-
Answer: Dental hygiene practices - correct
answers-
Question 60: A 60-year-old patient experienced
sudden chest pain and shortness of breath and
was subsequently diagnosed with a pulmonary
embolism in the emergency department. The
patient has been started an intravenous heparin
infusion. How does this drug achieve a
therapeutic effect? - correct answers-
Answer: By inactivating clotting factors and thus
stopping the coagulation cascade - correct
answers-
Question 61: A Nurse Practitioner who provides
care in a pediatric hospital unit is aware that the
potential for harm due to drug errors is higher
among infants and children than in adults. This
fact is primarily due to - correct answers-
Answer: immature liver and kidney function in
infants and children. - correct answers-
Question 62: A Nurse Practitioner is providing
patient education to a 13-year-old girl who was
just diagnosed with type 1 diabetes mellitus.
Which of the following statements by the patient
will alert the nurse that special instructions
regarding insulin are necessary? - correct
answers-
Answer: "I am on the middle school track team." -
correct answers-
Question 63: A nurse practitioner explains to a
pregnant 21-year-old college student why she
cannot continue taking ibuprofen (Advil) for her
headaches. The nurse draws a picture depicting
drug molecules crossing the placental membrane
and entering the fetal circulation. The nurse tells
the patient that the main reason this happens is
because - correct answers-
Answer: drugs compete with pregnancy hormones
for albumin binding sites. - correct answers-
Question 64: During ongoing assessment of a
patient receiving 5-FU therapy, the nurse finds the
patient's platelet count to be 92,000 cells/mm3.
The nurse should do which of the following? -
correct answers-
Answer: Consult the prescriber for discontinuation
of the drug. - correct answers-
Question 65: A nurse practitioner works with a 16-
year-old pregnant teen and assesses for behavior
that may put the baby at risk. The most important
assessment the nurse can make is - correct
answers-
Answer: whether the pregnant woman uses illegal
substances. - correct answers-
Question 66: A patient will soon begin targeted
therapy as a component of her treatment plan for
chronic leukemia. The nurse is conducting health
education about this new aspect of the patient's
drug regimen and the patient has asked about the
potential side effects of treatment. How should the
nurse best respond? - correct answers-
Answer: "Both classes of drugs have adverse
effects, but targeted therapies tend to have less of
an effect on healthy body cells." - correct
answers-
Question 67: A 20-year-old female patient is
receiving topical clindamycin for acne vulgaris.
She develops a rash and urticaria along with
severe itching where the medication is applied.
The nurse will formulate which of the following
nursing diagnoses for the patient? - correct
answers-
Answer: Risk for Injury related to allergic reactions
- correct answers-
Question 68: 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 - correct
answers-
Answer: asymptomatic women are diagnosed with
trichomoniasis by a routine pap smear. - correct
answers-
Question 69: A Nurse Practitioner is having
difficulty administering a bitter drug to a 5-year-old
child. The nurse should - correct answers-
Answer: offer the child a flavored ice chip or ice
pop prior to administering the drug. - correct
answers-
Question 70: 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? - correct
answers-
Answer: "Smoking marijuana is just as bad, or
worse, for your lungs as smoking cigarettes." -
correct answers-
Question 71: 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? - correct answers-
Answer: That the infant's skin has greater
permeability than that of an adult. - correct
answers-
Question 72: A Nurse Practitioner works at a
weight management clinic. To which of the
following overweight patients could the nurse
safely administer dextroamphetamine? - correct
answers-
Answer: A 48-year-old Caucasian man who has
adult onset diabetes. - correct answers-
Question 73: 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 -
correct answers-
Answer: alcohol. - correct answers-
Question 74: 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 of
line sepsis. 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? - correct answers-
Answer: Ineffective Family Therapeutic Regimen
Management - correct answers-
Question 75: 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? - correct
answers-
Answer: Cardiovascular complications - correct
answers-
Question 76: A 5-year-old boy needs an IM
injection. The least painful and most effective
injection site would be the - correct answers-
Answer: ventrogluteal muscle. - correct answers-
Question 77: 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 -
correct answers-
Answer: stand or sit upright for at least 30 minutes
after taking alendronate. - correct answers-
Question 78: 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 infarction would place that
patient at a significantly higher risk of - correct
answers-
Answer: Heart Attack - correct answers-
Question 79: 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 - correct answers-
Answer: use an alternative form of birth control, if
taking an oral contraceptive. - correct answers-
Question 80: 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. - correct
answers-
Question 81: 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)? - correct answers-
Answer: Exogenous testosterone - correct
answers-
Question 82: A Nurse Practitioner 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-
Answer: marijuana. - correct answers-
Question 83: Which of the following patients will
be at the greatest risk for anemia and would be
the most likely candidate for epoetin alfa therapy?
- correct answers-
Answer: A 62-year-old male with cancer - correct
answers-
Question 84: A woman who is in the second
trimester of her first pregnancy has been
experiencing frequent headaches and has sought
advice from her nurse practitioner about safe
treatment options. What analgesic can the nurse
most safely recommend? - correct answers-
Answer: Acetaminophen - correct answers-
Question 85: A pregnant patient asks the Nurse
Practitioner what over-the-counter medication she
can take for recurring headaches. The nurse
should recommend - correct answers-
Answer: tylenol - correct answers-
Question 86: An immunocompromised cancer
patient has developed cryptococcal meningitis
and been admitted to the intensive care unit for
treatment with amphotericin B. How should the
nurse most safely administer this drug? - correct
answers-
Answer: Infuse the drug over 2 to 4 hours into a
central line using an infusion pump - correct
answers-
Question 87: A 38-year-old pregnant patient
admits to the Nurse Practitioner that she is an
alcoholic and has been consuming alcohol during
her pregnancy. The nurse knows that using
alcohol during pregnancy may result in a child
who presents with - correct answers-
Answer: mircocehpaly - correct answers-
Question 88: A patient with AIDS has developed a
number of secondary infections in recent weeks,
including Kaposi's sarcoma. As a result of this
most recent diagnosis, his care team has opted to
begin treatment with interferon alfa-2a. The nurse
is aware that this drug will address the etiology of
Kaposi sarcoma by - correct answers-
Answer: inhibiting tumor growth by enhancing
inflammation. - correct answers-
Question 89: 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 - correct answers-
Answer: staining of permanent teeth. - correct
answers-
Question 90: 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-
Answer: The patient's hemoglobin level is 11 g/dL.
- correct answers-
Question 91: The clinical nurse educator who
oversees the emergency department in a
children's hospital has launched an awareness
program aimed at reducing drug errors. What
measure addresses the most common cause of
incorrect doses in the care of infants and
children? - correct answers-
Answer: Having nurses check their math
calculations with a colleague before administering
a drug. - correct answers-
Question 92: A 20-year-old woman will soon
begin taking oral contraceptives for the first time.
What advice should the nurse provide to this
patient? - correct answers-
Answer: "Make sure to seek care quickly if you
experience bad headaches, calf pain, or changes
in vision." - correct answers-
Question 93: A 45-year-old female patient is
prescribed ciprofloxacin to treat a bronchial
infection. A nursing assessment revealed that she
started taking daily vitamin supplements about 2
years ago. To maximize the therapeutic effects of
the ciprofloxacin therapy, the nurse should advise
the patient to - correct answers-
Answer: take the vitamins at least 2 hours before
or after taking ciprofloxacin. - correct answers-
Question 94: A male patient is receiving heparin
by continuous intravenous infusion. The nurse will
instruct the patient and family members to report
which of the following should it occur? - correct
answers-
Answer: presence of blood in urine or stools -
correct answers-
Question 95: A patient with non-Hodgkin's
lymphoma (NHL) will be starting a course of
doxorubicin shortly. When planning this patient's
care, what nursing diagnosis should the nurse
prioritize? - correct answers-
Answer: Risk for infection related to suppressed
bone marrow function. - correct answers-
Question 96: A 65-year-old woman has an
advanced form of rheumatoid arthritis. Her
treatment includes a regular dosage of
methotrexate. The APRN will advise her to take
which of the following vitamin supplements while
taking the drug? - correct answers-
Answer: Vitamin B. - correct answers-
Question 97: A 46-year-old man is receiving a
quinupristin/dalfopristin IV infusion for a life
threatening infection. Which of the following would
be most important for the nurse to monitor? -
correct answers-
Answer: Infiltration, edema, or phlebitis at the
infusion site. - correct answers-
Question 98: A 51-year-old female patient has
been receiving doxorubicin (Adriamycin) for
metastatic breast cancer. Her medical record
indicates she has cardiomyopathy, and a
cumulative dose of 300 mg/m2 of doxorubicin.
Which of the following measures would help limit
the severity of the cardiomyopathy in this patient?
- correct answers-
Answer: The use of dexrazoxane in conjunction
with doxorubicin - correct answers-
Question 99: The Nurse Practitioner has
established peripheral IV access and begun an
infusion of magnesium sulfate on a 29-year-old
antepartum patient who is 35 weeks pregnant.
Which of the following assessment findings most
likely prompted the patient's physician to order
magnesium sulfate for this patient? - correct
answers-
Answer: Systolic blood pressure readings in
excess of 190 mmHg - correct answers-
Question 100: A Nurse Practitioner is explaining
the use of acyclovir therapy to a 72-year-old man.
Nephrotoxicity is discussed as a major adverse
effect in older patients. To minimize the risk of the
patient developing this adverse effect, the nurse
will advise him to - correct answers-
Answer: stay well hydrated by drinking at least
eight 8-oz glasses of water daily. - correct
answers- [Show Less]