nurs6521 final exam 2022 all correct and graded answer all 100 and 4 versions

•            Question 1

             

v            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 2

             

              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                                         

              v            offer a choice between liquid and chewable medications, if possible.

                                          

•            Question 3

             

              Jacob was eating cheese and drinking beer. Thirty minutes Later, he developed severe hypertension, diaphoresis, Flushing, and muscle rigidity. He may have been taken which drug?                                

                            v

                                          

•            Question 4

             

              Which adverse reaction is common in the patient taking buspirone?                                     

                             

                                          

•            Question 5

             

              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?                                

                            v

                                          

•            Question 6

             

              An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on                                   

                           

                                          

•            Question 7

             

              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 with the woman the use of                                          

                            v

                                          

•            Question 8

             

              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 9

             

              A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered?                                        

                             

                                          

•            Question 10

             

              The  nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents?

                                          

              Selected Answer:           

                                          

•            Question 11

             

              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:           

                                          

•            Question 12

             

              Some drugs are given to patients using other routes such as sublingual or topical to avoid movement through the liver and possible side effects.  Which of the following effects is the Nurse Practitioner attempting to avoid by administering certain medications via alternative routes?                                     

              Selected Answer:           

                                          

•            Question 13

             

              I did not make drugs have a little effect when administered:                             

              Selected Answer:           

                                          

•            Question 14

             

              Autonomic Drugs are often using topical form for what purpose?                                          

              Selected Answer:           

                                          

•            Question 15

             

              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 nurse should make sure                                    

              Selected Answer:           

                                          

•            Question 16

             

              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                                    

              Selected Answer:            .

                                          

•            Question 17

             

              Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy?                                         

              Selected Answer:            A 62-year-old male with cancer

                                          

•            Question 18

             

              After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from                                          

              Selected Answer:           

                                          

•            Question 19

             

              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:           

                                          

•            Question 20

             

              A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining                                  

              Selected Answer:           

                                          

•            Question 21

             

              The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during                                          

              Selected Answer:           

                                          

•            Question 22

             

              The recommended treatment for trichomoniasis is                                   

              Selected Answer:           

                                          

•            Question 23

             

              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?                                          

              Selected Answer:           

                                          

•            Question 24

             

              What is the minimum inhibitory concentration (MIC)                               

              Selected Answer:           

                                          

•            Question 25

             

              Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol?                                

              Selected Answer:           

                                          

•            Question 26

             

              The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is:                                          

              Selected Answer:           

                                          

•            Question 27

             

              Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication?                               

              Selected Answer:           

                                          

•            Question 28

             

              Which of the following drugs can a person with G6PD deficiency take safely?                              

              Selected Answer:           

                                          

•            Question 29

             

              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:           

                                          

•            Question 30

             

              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                                       

              Selected Answer:           

                                          

•            Question 31

             

              A quinolone used to treat a urinary tract infection would be contraindicated in :                                    

              Selected Answer:           

                                          

•            Question 32

             

              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?                                   

              Selected Answer:           

                                          

•            Question 33

             

              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?                                     

              Selected Answer:           

                                          

•            Question 34

             

              A contraindication to the use of combined contraceptives is:                                    

              Selected Answer:           

                                          

•            Question 35

             

              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?                                          

              Selected Answer:           

                                          

•            Question 36

             

              A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the                                          

              Selected Answer:           

                                          

•            Question 37

             

              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                                 

              Selected Answer:           

                                          

•            Question 38

             

              Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants                            

              Selected Answer:           

                                          

•            Question 39

             

              A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is                                          

              Selected Answer:              whether the pregnant woman uses illegal substances.

                                          

•            Question 40

             

              The NP student knows that which statement below accurately describes the activity of naloxone?                                          

              Selected Answer:           

                                          

•            Question 41

             

              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:           

                                          

•            Question 42

             

              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?                                      

              Selected Answer:           

                                          

•            Question 43

             

              Which step in the clotting cascade allows prothrombin to be converted to thrombin?                            

              Selected Answer:           

                                          

•            Question 44

             

              A Nurse Practitioner 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?                                          

              Selected Answer:           

                                          

•            Question 45

             

              A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as                                       

              Selected Answer:           

                                          

•            Question 46

             

              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?                               

              Selected Answer:           

                                          

•            Question 47

             

              Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?                                          

                              

                                          

•            Question 48

             

              A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia?                                      

                             

                                          

•            Question 49

             

              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:           

                                          

•            Question 50

             

              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                                    

              Selected Answer:           

                                          

•            Question 51

             

              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                                         

                             

                                          

•            Question 52

             

              What is the best initial treatment plan for a sleep disorder in the older adult patient?                            

              Selected Answer:              Decrease noise and light in the environment

                                          

•            Question 53

             

              Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim?                                      

              Selected Answer:           

                                          

•            Question 54

             

              Lily, the nurse practitioner is seeing Mr. Reynolds today. She would recognize that which of the following is a potential adverse side effects of autonomic-anticholinergic agents?                                          

              Selected Answer:           

                                          

•            Question 55

             

              A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug?                                     

                            "Lately, I have to get up three or four times a night to go to the bathroom."

                                          

•            Question 56

             

              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?                                          

              Selected Answer:           

                                          

•            Question 57

             

              A 21-year-old has been placed on risperidone. Monitoring for risperidone includes                                   

              Selected Answer:           

                                          

•            Question 58

             

              A patient with bipolar disorder is on divalproex sodium (Depakote) for mania. What test(s) would the family nurse practitioner monitor?                                    

              Selected Answer:           

                                          

•            Question 59

             

              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?