NURS 6521 week 11 Final Exam
Question 1 A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical
... [Show More] skin ointment. The nurse will consider which of the following before administering the drug?
A. That the infant's skin has greater permeability than that of an adult
B. That there is less body surface area to be concerned about
C. That there is decreased absorption rates of topical drugs in infants
D. That there is a lower concentration of water in an infant's body compared with an adult
1 points Question 2 A 21-year-old female has a history of irregular menses. She recently became sexually active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs.
A. Monophasic
B. Triphasic OC
C. Ortho Tri-Cyclen
D. Biphasic OC
1 points Question 3 A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to this patient?
A. “Take this drug once each day on an empty stomach.”
B. “It's best to take a dose of sibutramine after each meal.”C.
“This drug will help you to lose weight without having to exercise or change your normal diet.”
D.
“Take a dose when you feel like you are tempted to binge on food.”
1 points
Question 4
A 13-year-old female took a weight loss drug that activated the sympathetic nervous system.
Which of the following assessment findings would the nurse expect?
A.
Increased intranodal conduction time
B.
Increased cardiac conduction
C.
Decreased heart rate
D.
Decreased myocardial contraction
1 points
Question 5
A nurse 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
A.
body surface area.
B.
age in months.
C.
age in years.
D.
weight.
1 points
Question 6
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), amonoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of
drugs creates a serious risk of what health problem?
A.
Nephrotoxicity
B.
Hypokalemia
C.
Hypertensive crisis
D.
Cardiac dysrhythmia
1 points
Question 7
A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia).
After baseline physical data are obtained, the nurse will assess the patient's childbearing
potential. The nurse will inform the patient that during sibutramine therapy she should
A.
abstain from sex.
B.
use adequate contraception.
C.
obtain a pap smear .
D.
take a pregnancy test every month.
1 points
Question 8
A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic
visit, the nurse's priority assessment would be
A.
body temperature.
B.
blood pressure.
C.
Vision.D.
height and weight.
1 points
Question 9
A nurse who provides care on a pediatric medicine unit has conducted a medication
reconciliation of a recently-admitted patient. In light of the fact that the child takes
methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem?
A.
ADHD
B.
Anxiety
C.
Respiratory depression
D.
Obesity
1 points
Question 10
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?
A.
Having nurses check their math calculations with a colleague before administering a drug.
B.
Recording drug administration in both the nurse's notes and the medication administration record
(MAR)
C.
Avoiding intravenous administration of drugs whenever possible.
D.
Ensuring that a full assessment takes place no more than 30 minutes before giving a drug.
1 points
Question 11
A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin
patches for chest pain would not be appropriate. Which of the following will the nurse include in
an explanation?
A.A child has an erratic blood flow from an immature peripheral circulation, which increases drug
absorption, causing an increase in adverse effects.
B.
A child has a greater body surface area, creating greater permeability resulting in an
increase in absorption of topical agents, which may result in more adverse effects.
C.
A child's gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous
skin, therefore producing more adverse effects.
D.
A child has a smaller body surface area, resulting in an increase in topical absorption, which can
cause more adverse effects.
1 points
Question 12
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
A.
trans fat.
B.
grapefruit juice.
C.
caffeine.
D.
alcohol.
1 points
Question 13
A patient asks the nurse practitioner about food sources such as soybeans and soy products. The
nurse practitioner understands that these foods are considered
A.
monotherapy.
B.
taboo.
C.
inappropriate.D.
phytoestrogens.
1 points
Question 14
A child is admitted to the burn unit with second and third degree burns on both arms and part of
his or her face. When administering topical medications to the burned areas, the nurse should
A.
use clean technique only when applying the medication.
B.
use sterile technique when applying the medication.
C.
cool the medication prior to administration.
D.
allow the child to apply the medication if possible.
1 points
Question 15
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
A.
offer a choice between liquid and chewable medications, if possible.
B.
insert a central intravenous line.
C.
have the mother hold the child firmly and sooth him while the drugs are administered.
D.
teach the boy about the fact that he will feel much better after he takes his medications.
1 points
Question 16
A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain.
What question should the nurse include in an assessment when trying to minimize the potential
for adverse drug reactions?
A.
“How much do you weigh?”
B.“On a scale of zero to ten, what level of pain is acceptable to you?”
C.
“Did Tylenol or other over-the-counter pain remedies ever relieve your pain?”
D.
“Do you ever use alcohol or drugs?”
1 points
Question 17
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
A.
the mother and be sure to reinforce the need to force the medications, if her son does not want to
take them.
B.
the mother regarding why the boy needs to take the medications.
C.
the boy by telling him not to worry about the medications and to take them as directed.
D.
both the boy and his mother regarding all medication issued.
1 points
Question 18
A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no
breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse
practitioner probably suspects
A.
PMS.
B.
breast cancer.
C.
pain in the heart.
D.
cancerous breast tenderness.
1 points
Question 19A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication
A. for 20 days.
B. once a day.
C. every day until the infection is gone. D.
for 30 days.
1 points Question 20 The recommended treatment for trichomoniasis is
A. Flagyl. [Show Less]