NURS 6521: Week 11 Final Exam
Question 1 1 pts
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?
Group of answer choices
Scheduled doses of short-acting morphine q1h around the clock
Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain
A large long-acting dose of morphine at 8 a.m. with smaller doses at 12 p.m., 5 p.m., and 10 p.m.
Alternating doses of long-acting morphine with short-acting morphine
Question 2 1 pts
A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?
Group of answer choices
“You might find that your face becomes flushed or you get a headache after you take Viagra.”
“You should take your Viagra at the same time each morning, ideally on an empty stomach.”
“Make sure that you don’t take any other prescription medications while you’re using Viagra.”
“If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time.”
Question 3 1 pts
The anticoagulant drug that acts as a vitamin K antagonist is:
Group of answer choices
coumadin
dabigatran
heparin
apixaban
Question 4 1 pts
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?
Group of answer choices
Lack of secondary sexual characteristics
Cardiovascular complications
Early epiphyseal closure
Decreased libido
Question 51 pts
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend
Group of answer choices
aspirin.
advil.
tylenol.
motrin.
Question 61 pts
GABA is an amino acid that functions as the primary inhibitory neurotransmitter in the CNS. The primary excitatory neurotransmitter is
Group of answer choices
glutamate
acetylcholine
gamma-aminobutyric acid
serotonin
Dopamine
Question 71 pts
A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor
Group of answer choices
blood sugar levels daily.
liver enzymes monthly.
plasma concentrations regularly.
urine output daily.
Question 81 pts
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
Group of answer choices
take the vitamins at least 2 hours before or after taking ciprofloxacin.
alternate the dosage of ciprofloxacin and vitamin supplements.
reduce the dosage of vitamin supplements.
reduce the dosage of vitamin supplements and double the dosage of ciprofloxacin.
Question 91 pts
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?
Group of answer choices
Diarrhea
Risk for Injury related to allergic reactions
Imbalanced Nutrition: Less than Body Requirements
Risk of Injury related to blood dyscrasia
Question 101 pts
Baby Jasmine is a 5 month old breastfed infant with a fever. Treatment for her fever may include:
Group of answer choices
Acetaminophen suppository
“baby” aspirin
Ibuprofen suppository
Alternating acetaminophen and ibuprofen
Question 111 pts
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
Group of answer choices
teach the boy about the fact that he will feel much better after he takes his medications.
have the mother hold the child firmly and sooth him while the drugs are administered.
offer a choice between liquid and chewable medications, if possible.
insert a central intravenous line.
Question 121 pts
A Nurse Practitioner 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
Group of answer choices
the inability of infants and children and describe symptoms of adverse drug reactions.
increased body surface area relative to body volume in infants and children.
increased heart rate and subsequently rapid drug distribution among infants and children.
immature liver and kidney function in infants and children.
Question 131 pts
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?
Group of answer choices
A reduced dose
A single large dose instead of multiple doses
The use of dexrazoxane in conjunction with doxorubicin
Meticulous monitoring during drug administration
Question 141 pts
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
Group of answer choices
abstain from sex.
obtain a pap smear .
use adequate contraception.
take a pregnancy test every month.
Question 151 pts
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?
Group of answer choices
Height in the lowest quartile of the population and a history of joint pain
Low bone density and a family history of osteoporosis
Complaints of cold intolerance, recurrent constipation, and evidence of diverticular disease
Labile moods and short-term memory deficits
Question 931 pts
A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug?
Group of answer choices
Lid margin crusting and pruritus
Cognitive changes
Nephrotoxicity and neurotoxicity
Tendon ruptures
Question 941 pts
Ms. Lewis Is in 74-year-old female who presents to your clinic for routine visit today. You review her medical record and notice she is prescribed aspirin therapy. You provide patient education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:
Group of answer choices
Tremors
Vomiting
Tinnitus
Black, tarry stools
Question 951 pts
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
Group of answer choices
place the patch on the back, abdomen, upper arms, or thighs.
place the patch on the scrotum.
place the patch on a bony area such as the shoulder or hip.
leave the patch in place for 15 days before replacing it.
Question 961 pts
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?
Group of answer choices
Bronchoconstriction
Hepatotoxicity
Aplastic anemia
Agranulocytosis
Question 971 pts
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?
Group of answer choices
Take the drug on a full stomach
Avoid high noise levels
Take the drug for one full week before coming in contact with allergens
Drink plenty of fluids.
Question 981 pts
Which of the following medication classes should be avoided and men with BPH
Group of answer choices
Fluoroquinolones
Alpha blockers
Nasal decongestants
Beta blockers
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Question 99 1 pts
Which of the following oral agents has the most rapid analgesic onset?
Group of answer choices
Naproxen (Naprosyn)
Liquid ibuprofen (Motrin, Advil)
Diclofenac (Voltaren)
Enteric coated naproxen (Naproxen EC)
Question 100 1 pts
JC is a 13 year old female to be seen in your clinic today. You review JC’s medication and realize that which medication is a potential risk of growth suppression in prepubescent children?
Group of answer choices
Acetaminophen
corticosteroids
Diphenhydramine
Claritin
