User Meena Abraham
Course NURS-6521N-14,Advanced Pharmacology.2019 Winter Qtr
11/25-02/16-PT27
Test Exam - Week 11
Started 2/7/20 9:52 AM
Submitted
... [Show More] 2/7/20 11:44 AM
Due Date 2/10/20 1:59 AM
Status Completed
Attempt
Score
84 out of 100 points
Time Elapsed 1 hour, 52 minutes out of 2 hours
Instructions Please answer each question below and click Submit when you have
completed the Exam.
Results
Displayed
Submitted Answers, Incorrectly Answered Questions
Question 1
1 out of 1 points
A 5-year-old boy needs an IM injection. The least painful and most effective
injection site would be the
Selected
Answer:
ventrogluteal muscle.
Question 2
1 out of 1 points
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
Selected
Answer:
staining of permanent teeth.
Question 3
1 out of 1 points
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?
Selected
Answer:
The use of dexrazoxane in conjunction with doxorubicin
Question 4
1 out of 1 points
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?
Selected
Answer:
Risk for Infection related to suppressed bone marrow function
Question 5
1 out of 1 points
A Nurse Practitioner is performing patient education for a woman who has just been
prescribed a bisphosphonate. Which of the following diagnostic and history findings
would have prompted the woman's care provider to prescribe a bisphosphonate?
Selected
Answer:
Low bone density and a family history of
osteoporosis
Question 6
0 out of 1 points
A 13-year-old patient has juvenile arthritis. He has recently had oral
surgery and was told by the surgeon to take aspirin for the pain. The
APRN will monitor for which of the following?
Selected
Answer:
Agranulocytosis
Question 7
1 out of 1 points
The recommended treatment for trichomoniasis is
Selected
Answer:
Flagyl.
Question 8
1 out of 1 points
A Nurse Practitioner educator who coordinates the staff education on an oncology unit
is conducting an inservice on targeted therapies. What potential benefit of targeted
therapies should the nurse highlight in this education session?
Selected
Answer:
Targeted therapies have the potential to damage cancerous cells
while leaving normal body cells less affected.
Question 9
0 out of 1 points
An oncology nurse is aware of the risks for injury that exist around the
preparation, transportation, and administration of chemotherapeutic agents. In
order to reduce these risks of injury, the nurse should take which of the following
actions?
Selected Dispose of intravenous lines used for chemotherapy
administration in a covered trash can in the patient's room.
Answer:
Question 10
1 out of 1 points
A patient has been prescribed oral tetracycline. The nurse will instruct the
patient to take the drug
Selected
Answer:
on an empty stomach 1 hour before or 2 hours after taking any
meals or other drugs.
Question 11
1 out of 1 points
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?
Selected
Answer:
Take the drug for one full week before coming in contact with
allergens
Question 12
1 out of 1 points
An elderly woman is slated for a hemiarthroplasty (hip replacement
surgery) after falling and breaking her hip on the stairs outside her
home. The woman's pain in the time since her injury has been severe,
and her care team has been treating it with morphine. Which of the
following administration schedules is most likely to control the
patient's pain?
Selected
Answer:
Twice-daily doses of long-acting morphine, with shortacting
morphine available for breakthrough pain
Question 13
1 out of 1 points
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
Selected
Answer:
electrocardiogram
(ECG).
Question 14
1 out of 1 points
An immunocompromised 7-year-old child was recently discharged home with a
peripherally-inserted central line (PIC 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 PIC dressing daily and washing the site with warm
water and a cloth. What nursing diagnosis is most appropriate in this situation?
Selected
Answer:
Ineffective Family Therapeutic Regimen Management
Question 15
1 out of 1 points
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?
Selected
Answer:
Vitamin B
Question 16
1 out of 1 points
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?
Selected
Answer:
Respiratory
difficulty
Question 17
1 out of 1 points
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
Selected
Answer:
take the vitamins at least 2 hours before or after taking
ciprofloxacin.
Question 18
1 out of 1 points
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
Selected
Answer:
alcohol.
Question 19
1 out of 1 points
A Nurse Practitioner is assessing a patient who has chronic lymphoblastic
myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The
nurse will assess the patient for which of the following?
Selected
Answer:
Leukope
nia
Question 20
1 out of 1 points
A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be
administered at home. The nurse will instruct the parents to administer the drug
Selected
Answer:
with a glass of water 1 hour before or 2 hours after a meal.
Question 21
1 out of 1 points
A patient is taking etoposide for a testicular tumor refractory to treatment. The
nursing assessment reveals that he is also taking warfarin. The nurse must
carefully monitor for which of the following?
Selected
Answer:
Elevated prothrombin time
Question 22
1 out of 1 points
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?
Selected
Answer:
"I am on the middle school
track team."
Question 23
1 out of 1 points
A patient has acquired primary hypogonadism and has been prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
how to administer the drug, the nurse will instruct him to
Selected
Answer:
place the patch on the back, abdomen, upper arms, or
thighs.
Question 24
1 out of 1 points
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
Selected
Answer:
use sterile technique when applying the medication.
Question 25
0 out of 1 points
A child is taking permethrin for head lice. The Nurse Practitioner will instruct her
mother to
Selected
Answer:
wash her hair daily with a good
shampoo.
Question 26
0 out of 1 points
A 60-year-old patient experienced a sudden onset of chest pain and shortness
of breath and was subsequently diagnosed with a pulmonary embolism in the
emergency department. The patient has been started on an intravenous heparin
infusion. How does this drug achieve therapeutic effect?
Selected
Answer:
By inhibiting platelet aggregation on vessel walls and
promoting fibrinolysis
Question 27
0 out of 1 points
The Nurse Practitioner notices a cold sore on a patient's upper lip and
requests medication; docosanol (Abreva) is ordered. Before applying the
medication, the nurse would first
Selected
Answer:
put gloves on to protect herself.
Question 28
1 out of 1 points
A 9-year-old boy was bought to his primary care provider by his mother with
signs and symptoms of hookworm infection and will be sent home with a
prescription for mebendazole. When provided patient and family education, the
nurse should teach the mother with which of the following measures to avoid
reinfection following treatment?
Selected
Answer:
The importance of vigilant hygiene for the boy and the other
members of the family
Question 29
1 out of 1 points
A patient has been admitted to the critical care unit of the hospital 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) in the patient's blood. The nurse will anticipate
that this patient will likely require intravenous administration of what antibiotic?
Selected
Answer:
Vancomycin
Question 30
1 out of 1 points
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?
Selected
Answer:
The patient has chronic heart failure resulting in significant
peripheral edema.
Question 31
1 out of 1 points [Show Less]