NURS 6521N Week 10 Quiz / NURS6521 Week 10 Quiz (2 NEW Versions,80 Q/A):Walden University

NURS 6521N Week 10 Quiz / NURS6521 Week 10 Quiz (2 Latest Versions): Advanced Pharmacology: Walden University

Walden University NURS 6521N Week 10 Quiz / Walden University NURS6521 Week 10 Quiz (2 Latest Versions)

Question 1

A nurse is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize?

A.

Fetal heart rate (FHR)

B.

Maternal body temperature

C.

Fetal blood pressure

D.

Correct fetal position

Question 2

A male patient with a medical background tells the nurse that he is not satisfied with the oral synthetic testosterone that has been prescribed for him and he would like to try a natural form of oral testosterone. Which of the following would be an appropriate response by the nurse?

A.

“Natural testosterone would be more effective for you.”

B.

“Natural testosterone poses a higher risk of gynecomastia.”

C.

“Natural testosterone undergoes a high first-pass effect and is not used orally.”

D.

“Natural testosterone undergoes a short first-past effect and is less extensively metabolized than what has been prescribed for you.”

Question 3

A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman's care should prioritize which of the following potential nursing diagnoses?

A.

Risk for Injury related to loss of vision or thrombotic events

B.

Incontinence, Functional, related to neurosensory and musculoskeletal changes

C.

Confusion, Chronic, related to CNS changes resulting from adverse drug effects

D.

Fluid Volume Deficit related to metabolic changes secondary to drug therapy

Question 4

A female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the patient is a common adverse effect of estrogen therapy?

A.

Changes in libido

B.

Dizziness

C.

Breakthrough bleeding

D.

Migraine headaches

Question 5

A patient is pregnant and is at 7 weeks' gestation. She has type 1 diabetes and has been taking insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her baby. The best response to the patient by the nurse would be

A.

“I will tell your physician that you are concerned about taking insulin during your pregnancy.”

B.

“You will have to discontinue the insulin therapy during your pregnancy, but you will resume the medication after delivery.”

C.

“You will need to continue taking your insulin because hyperglycemia is thought to contribute to low birth weight.”

D.

“Insulin is usually the drug of choice for controlling blood glucose levels during pregnancy because it does not cross into the placenta.”

Question 6

A 38-year-old pregnant patient admits to the nurse 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

A.

microcephaly.

B.

an electrolyte imbalance.

C.

a high-pitched cry.

D.

thrombocytopenia.

Question 7

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

A.

that only nonpharmacologic alternatives are being used.

B.

that the FDA is informed that the woman is receiving drug therapy.

C.

that serum levels of the drug are being monitored.

D.

to check the drug's FDA pregnancy category to determine safety.

Question 8

A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug

A.

first thing in the morning.

B.

at bedtime.

C.

after meals.

D.

at any time of the day with tea or coffee.

Question 9

Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects?

A.

Low blood pressure

B.

Increased heart rate

C.

Vaginal burning

D.

Reduced desire for sexual activity

Question 10

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

A.

take calcium and vitamin D supplements.

B.

lift weights in the gym at least five times a week.

C.

stand or sit upright for at least 30 minutes after taking alendronate..

D.

avoid drinking water with the drug.

Question 11

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?

A.

“You might find that your face becomes flushed or you get a headache after you take Viagra.”

B.

“If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time.”

C.

“Make sure that you don't take any other prescription medications while you're using Viagra.”

D.

“You should take your Viagra at the same time each morning, ideally on an empty stomach.”

Question 12

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

A.

food containing iron or calcium.

B.

nicotine.

C.

alcohol.

D.

grapefruit juice.

Question 13

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

A.

acute urethral obstruction.

B.

gynecomastia.

C.

prostate cancer.

D.

hypercholesterolemia.

Question 14

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?

A.

Sexual dysfunction related to erectile dysfunction

B.

Hypercalcemia related to drug therapy, immobility, and breast cancer

C.

Excess fluid volume related to potential effects of drug therapy

D.

Prostatic neoplasia

Question 15

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

A.

mifepristone.

B.

clomiphene.

C.

conjugated estrogen.

D.

progesterone.

Question 16

A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs?

A.

Furosemide

B.

Digoxin

C.

Salicylates

D.

Acetaminophen

Question 17

A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit?

A.

Bone growth

B.

Hemoglobin levels

C.

Urinary elimination patterns

D.

Serum cholesterol levels

Question 18

The nurse 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?

A.

The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air

B.

Maternal bradycardia accompanied by a prolonged QT interval

C.

Systolic blood pressure readings in excess of 190 mmHg

D.

Decreased level of consciousness with a sudden onset

Question 19

A pregnant patient who has 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

A.

metabolic alkalosis.

B.

water intoxication.

C.

electrolyte imbalances.

D.

uterine tachysystole.

Question 20

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?

A.

Cardiovascular complications

B.

Early epiphyseal closure

C.

Decreased libido

D.

Lack of secondary sexual characteristics

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

A.

the first 2 months of pregnancy.

B.

breast-feeding of the neonate.

C.

the two to 3 weeks prior to delivery.

D.

the second trimester.

Question 22

A nurse 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?

A.

Cardiotoxicity

B.

Neurotoxicity

C.

Asthma

D.

Constipation

Question 23

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?

A.

Limit fluid intake

B.

Take the medication at bedtime

C.

Drink a lot of water

D.

Increase the protein in her diet

Question 24

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?

A.

Acetaminophen

B.

Aspirin

C.

Diflunisal (Dolobid)

D.

Ibuprofen

Question 25

A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication

A.

that will be provided in pill form and which may cause lightheadedness.

B.

that will be administered as a weekly IM injection in an outpatient setting.

C.

that can be inhaled and that may cause occasional heart palpitations.

D.

that may be prescribed as a patch and which may cause dry mouth.

Question 26

A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend?

A.

Advise her that it is safe to breast-feed her baby.

B.

Recommend alternative medication that is compatible with breast-feeding.

C.

Provide her with reports that identify several categories of drugs and their potential to cause problems with breast-feeding.

D.

Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby.

Question 27

A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy?

A.

Increased drug distribution resulting from hemodynamic changes

B.

Hepatic metabolism of drugs that are normally metabolized by the kidneys

C.

Decreased excretion rates as a result of decreased glomerular filtration rate during pregnancy

D.

Decreased absorption of inhaled drugs due to decreased tidal volume

Question 28

A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to

A.

drink plenty of fluids.

B.

avoid taking the drug with a high-protein meal.

C.

take a double dose of the drug.

D.

avoid taking the drug with a high-fat meal.

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?

A.

“My urine is extremely concentrated lately and it smells strong.”

B.

“My urine's been cloudy for the last little while and it burns when I go to the bathroom.”

C.

“To be honest, I find that I can't get an erection for the past few months.”

D.

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

Question 30

A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to

A.

reduce the dosage of ciprofloxacin gradually.

B.

take the drug only in safe and secure home settings.

C.

complete the entire course of drug therapy.

D.

take the drug through subcutaneous injection if it tastes bad.

Question 31

A nurse 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?

A.

Height in the lowest quartile of the population and a history of joint pain

B.

Complaints of cold intolerance, recurrent constipation, and evidence of diverticular disease

C.

Labile moods and short-term memory deficits

D.

Low bone density and a family history of osteoporosis

Question 32

A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient?

A.

“Some women get some pain in their chest or abdomen when they take oral contraceptives, but this will pass as your body gets used to them.”

B.

“It will take 10 to 12 weeks before the birth control pills will actually prevent pregnancy, so be vigilant with other contraceptives until then.”

C.

“You need to carefully consider whether you might want to get pregnant later in your life.”

D.

“Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision.”

Question 33

A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to

A.

use an aspirin for relief of minor discomforts.

B.

use an alternative form of birth control, if taking an oral contraceptive.

C.

take the drug with food.

D.

take an antiemetic or antidiarrheal for adverse GI effects.

Question 34

A nurse is working in a women's hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following?

A.

Hypotension

B.

Bradycardia

C.

Hypertension

D.

Decreased salivation

Question 35

A 29-year-old pregnant patient is extremely upset about having to take 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 talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is?

A.

Anxiety related to perceived danger of drug therapy to fetus or infant

B.

Injury, Risk to the fetus related to adverse effects of maternal drug therapy

C.

Noncompliance with Drug Therapy

D.

Injury, Risk to the patient related to failure to receive needed drug therapy

Question 36

A nurse is providing patient education to a 23-year-old woman who is starting the norelgestromin/ethinyl estradiol transdermal system (Ortho Evra). Because this is the patient's first time to use the birth control patch, the nurse will instruct her to apply the patch

A.

on the 14th day of her menstrual period.

B.

ten days after her menstrual period begins.

C.

two days before her menstrual period begins.

D.

on the day her menstrual period begins.

Question 37

A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?

A.

The patient takes allopurinol for the treatment of gout

B.

The patient has unstable angina and uses a nitroglycerin patch

C.

The patient has a family history of osteoporosis and has undergone bone density testing

D.

The patient often takes ginseng when he gets a common cold

Question 38

A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend

A.

aspirin.

B.

tylenol.

C.

advil.

D.

motrin.

Question 39

A nurse 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

A.

the pregnant woman's dietary habits.

B.

whether the pregnant woman uses illegal substances.

C.

the pregnant woman's exercise habits.

D.

whether the pregnant woman has health insurance.

Question 40

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate?

A.

“HRT might be quite beneficial to you, and it carries the additional benefit of modest protection against breast cancer.”

B.

“We'll have to check your bone density first, because if it's too low then it's not safe to start HRT.”

C.

“It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke”

D.

“Actually, most of the current research is suggesting that HRT may not be all that effective in treating the symptoms of menopause.”