NURS 6521: Week 11 Final Exam

NURS 6521: Week 11 Final Exam

Question 1 1 point

An elderly woman is scheduled for hemiarthroplasty (hip replacement surgery) following a fall and hip fracture. The woman has been experiencing severe pain since her injury, managed with morphine. Which of the following medication administration schedules is most likely to effectively control the patient’s pain?

Group of answer choices

Administering scheduled doses of short-acting morphine every hour throughout the day and night.

Prescribing twice-daily doses of long-acting morphine, with short-acting morphine available as needed for breakthrough pain.

Providing a substantial long-acting dose of morphine at 8 a.m. followed by smaller doses at 12 p.m., 5 p.m., and 10 p.m.

Alternating doses of long-acting morphine with short-acting morphine as required.

Question 2 1 point

A 59-year-old man with recent erectile dysfunction has been evaluated and prescribed sildenafil (Viagra). When educating this patient, the nurse should communicate which of the following?

Group of answer choices

“You may experience facial flushing or headaches after taking Viagra.”

“It is best to take Viagra at the same time each morning, preferably on an empty stomach.”

“Do not take any other prescription medications while using Viagra.”

“Occurrences of heart palpitations or dizziness after taking Viagra are normal and temporary.”

Question 3 1 point

The anticoagulant medication that acts as a vitamin K antagonist is:

Group of answer choices

warfarin

dabigatran

heparin

apixaban

Question 4 1 point

A 20-year-old woman has been prescribed estrogen. Like all women taking estrogen, the nurse will closely monitor the patient for which of the following?

Group of answer choices

Lack of development of secondary sexual characteristics

Cardiovascular complications

Early closure of epiphyseal growth plates

Decreased libido

Question 5 1 point

A pregnant patient inquires about over-the-counter medication options for recurring headaches. The nurse should recommend:

Group of answer choices

aspirin.

ibuprofen.

acetaminophen.

motrin.

Question 6 1 point

GABA is an amino acid that serves as the primary inhibitory neurotransmitter in the central nervous system (CNS). The primary excitatory neurotransmitter is:

Group of answer choices

glutamate

acetylcholine

serotonin

dopamine

Question 7 1 point

A 15-year-old patient has been diagnosed with meningitis caused by Haemophilus influenzae and is being treated with chloramphenicol. The most crucial nursing action for this patient is to monitor:

Group of answer choices

daily blood sugar levels.

monthly liver enzyme levels.

regular plasma concentrations.

daily urine output.

Flag question: Question 8

Question 8 1 point

A 45-year-old female patient is prescribed ciprofloxacin for the treatment of a bronchial infection. A nursing assessment reveals that she has been taking daily vitamin supplements for the past two years. To optimize the therapeutic effects of ciprofloxacin, 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 9 1 point

A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash, urticaria, and severe itching at the site of medication application. 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 10 1 point

Baby Jasmine, a 5-month-old breastfed infant, has a fever. Treatment for her fever may include:

Group of answer choices

Acetaminophen suppository

“Baby” aspirin

Ibuprofen suppository

Alternating acetaminophen and ibuprofen

Question 11 1 point

A 3-year-old boy has developed otitis media and requires antibiotics. To increase the likelihood that the boy will take his prescribed medication, the nurse should:

Group of answer choices

educate the boy about feeling better after taking medications.

have the mother hold the child securely and provide comfort during drug administration.

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

insert a central intravenous line.

Question 12 1 point

A Nurse Practitioner working in a pediatric unit of a hospital recognizes that the potential for drug errors resulting in harm is higher in infants and children compared to adults. This heightened risk is primarily due to:

Group of answer choices

infants’ and children’s inability to communicate symptoms of adverse drug reactions.

the increased body surface area relative to body volume in infants and children.

infants’ and children’s increased heart rate, leading to rapid drug distribution.

the immature function of the liver and kidneys in infants and children.

Question 13 1 point

A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. To mitigate the severity of cardiomyopathy in this patient, which of the following measures should be taken?

Group of answer choices

Reducing the dose of doxorubicin

Administering a single large dose instead of multiple doses

Using dexrazoxane concurrently with doxorubicin

Meticulously monitoring during drug administration

Question 14 1 point

A 35-year-old woman is participating in a weight-loss program and is about to start taking sibutramine (Meridia). After obtaining baseline physical data, the nurse will assess the patient’s potential for childbearing. The nurse will advise the patient that during sibutramine therapy, she should:

Group of answer choices

abstain from sexual intercourse.

obtain a pap smear regularly.

use adequate contraception.

take a monthly pregnancy test.

Question 15 1 point

A Nurse Practitioner is providing patient education to a woman who has just been prescribed a bisphosphonate. What diagnostic and historical findings would have prompted the healthcare 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 16 1 point

A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will instruct her to monitor 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 17 1 point

Ms. Lewis, a 74-year-old female patient,

presents for a routine visit. Reviewing her medical record, it is noted that she is on aspirin therapy. When providing 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 18 1 point

A patient has primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When instructing the patient on administration, the nurse will advise 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 19 1 point

A 13-year-old patient has juvenile arthritis and recently underwent oral surgery, after which the surgeon recommended taking aspirin for pain relief. The APRN will monitor for which of the following?

Group of answer choices

Bronchoconstriction

Hepatotoxicity

Aplastic anemia

Agranulocytosis

Question 20 1 point

A 16-year-old boy is prescribed cromolyn sodium nasal spray to treat a nasal allergy. To maximize the therapeutic effects of the drug, the nurse will include which instruction for 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 exposure to allergens.

Drink plenty of fluids.

Question 21 1 point

Which class of medications should be avoided in men with benign prostatic hyperplasia (BPH)?

Group of answer choices

Fluoroquinolones

Alpha blockers

Nasal decongestants

Beta blockers

Question 22 1 point

Among the following oral agents, which one has the most rapid onset of analgesia?

Group of answer choices

Naproxen (Naprosyn)

Liquid ibuprofen (Motrin, Advil)

Diclofenac (Voltaren)

Enteric-coated naproxen (Naproxen EC)

Question 23 1 point

JC, a 13-year-old female, is scheduled for a clinic visit. Reviewing JC’s medications reveals that one of them carries a potential risk of growth suppression in prepubescent children. Which medication poses this risk?

Group of answer choices

Acetaminophen

Corticosteroids

Diphenhydramine

Claritin