NUR 6521 Quiz Solution

22 August 2024
  1. Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of:
    • Cardiac arrhythmias (correct answer)
  2. A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend:
    • Tylenol (correct answer)
  3. 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:
    • Electrocardiogram (ECG) (correct answer)
  4. 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?
    • Protamine sulfate (correct answer)
  5. 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:
    • PMS (correct answer)
  6. A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug:
    • First thing in the morning (correct answer)
  7. Which test should the NP order for monitoring effectiveness of the patient receiving heparin?
    • PTT (correct answer)
  8. Finasteride (Proscar) is prescribed for a 50-year-old man who is experiencing a problem with urination secondary to an enlarged prostate. The practitioner would teach the patient that while he is taking this medication, it is important to:
    • Take special precautions around women of childbearing age (correct answer)
  9. 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:
    • Plasma concentrations regularly (correct answer)
  10. A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for treatment of BPH. He returns to the clinic and is complaining of feeling dizzy when he stands up. Which action would the family nurse practitioner take?
    • Determine blood pressure (BP) with patient lying down, standing, and sitting (correct answer)
  11. A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the:
    • Ventrogluteal muscle (correct answer)
  12. A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following?
    • Liver function (correct answer)
  13. A 21-year-old has been placed on risperidone. Monitoring for risperidone includes:
    • Excessive weight gain (correct answer)
  14. A patient who is at risk for DVT tells the NP she has just learned she is pregnant. The NP should expect that this patient will use which of the following anticoagulant medications?
    • Heparin (correct answer)
  15. When a NP chooses a benzodiazepine to treat anxiety, the prescriber needs to be aware of the possibility of dependence. The Benzodiazepine associated with the greatest likelihood of causing rapid dependence is:
    • Alprazolam (Xanax) (correct answer)
  16. A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit?
    • Urinary elimination patterns (correct answer)
  17. What schedule class of drug is Hydrocodone?
    • II (correct answer)
  18. Which of the following would a Nurse Practitioner assess for in a patient who is taking polymyxin B systemically?
    • Nephrotoxicity and hepatotoxicity (correct answer)
  19. 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?
    • “Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.” (correct answer)
  20. 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:
    • Take the vitamins at least 2 hours before or after taking ciprofloxacin (correct answer)
  21. A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to:
    • Perform relaxation techniques after the treatments. (correct answer)
  22. A nurse practitioner is educating a patient on the use of a nicotine patch for smoking cessation. What should the nurse emphasize about the use of this product?
    • It should be applied to a clean, dry, non-hairy area of the skin. (correct answer)
  23. A 7-year-old patient with cystic fibrosis is admitted with a severe lung infection. The patient has been placed on gentamicin. The nurse practitioner will monitor for what specific adverse effect associated with this medication?
    • Ototoxicity (correct answer)
  24. Which of the following drug classes is used to treat hyperlipidemia and requires monitoring of liver function tests (LFTs)?
    • Statins (correct answer)
  25. A 28-year-old male is taking loratadine (Claritin) for seasonal allergies. The nurse practitioner understands that this medication is classified as a:
    • Second-generation antihistamine (correct answer)
  26. A 60-year-old male with type 2 diabetes has been prescribed metformin. The nurse practitioner advises the patient that an advantage of this medication is that it:
    • Decreases hepatic glucose production (correct answer)
  27. A nurse practitioner is assessing a patient who is taking warfarin (Coumadin) for atrial fibrillation. What should the nurse monitor to evaluate the effectiveness of this therapy?
    • INR (correct answer)
  28. A 32-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  29. 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:
    • Calcium supplements (correct answer)
  30. A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?
    • Dietary habits (correct answer)
  31. 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?
    • Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby. (correct answer)
  32. 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?
    • Anxiety related to perceived danger of drug therapy to fetus or infant (correct answer)
  33. A 45-year-old woman presents with menopausal symptoms. She asks the nurse practitioner about the use of black cohosh as an alternative to hormone replacement therapy. The nurse practitioner advises that black cohosh is:
    • Commonly used for menopausal symptoms (correct answer)
  34. 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?
    • “You might find that your face becomes flushed or you get a headache after you take Viagra.” (correct answer)
  35. A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient’s drug regimen. This will involve the administration of:
    • Weekly subcutaneous injections (correct answer)
  36. A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit?
    • Urinary elimination patterns (correct answer)
  37. A 45-year-old male has been prescribed sildenafil (Viagra) for erectile dysfunction. The nurse practitioner advises the patient to:
    • Avoid taking the drug with nitrates (correct answer)
  38. A nurse practitioner is reviewing the medication list of a 75-year-old female patient with a history of osteoporosis. The patient is prescribed alendronate (Fosamax). The nurse will instruct the patient to:
    • Take the medication with a full glass of water and remain upright for at least 30 minutes (correct answer)
  39. A 30-year-old woman has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug:
    • On an empty stomach 1 hour before or 2 hours after taking any meals or other drugs (correct answer)
  40. A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?
    • Drink plenty of water every day (correct answer)
  41. A 15-year-old patient has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause:
    • Staining of permanent teeth (correct answer)
  42. A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur?
    • Presence of blood in urine or stools (correct answer)
  43. A 55-year-old female has been diagnosed with hypertension and has been prescribed lisinopril. The nurse practitioner advises the patient that a common side effect of this medication is:
    • A persistent, dry cough (correct answer)
  44. A 70-year-old male is being treated for hyperlipidemia and is prescribed atorvastatin (Lipitor). The nurse practitioner advises the patient to:
    • Avoid drinking grapefruit juice (correct answer)
  45. A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus?
    • Instruct the patient to lie on her left side during the infusion (correct answer)
  46. A Nurse Practitioner 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?
    • Fetal heart rate (FHR) (correct answer)
  47. A patient who has rheumatoid arthritis is prescribed methotrexate. The nurse practitioner should instruct the patient to avoid:
    • Alcohol (correct answer)
  48. A 19-year-old female patient is diagnosed with trichomoniasis. The nurse practitioner prescribes metronidazole (Flagyl) and instructs the patient to avoid:
    • Alcohol (correct answer)
  49. A 35-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?
    • Risk for Injury related to loss of vision or thrombotic events (correct answer)
  50. A 28-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  51. 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?
    • Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected (correct answer)
  52. A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The APRN will be sure to:
    • Avoid the small veins in the dorsum of the hand or the wrist (correct answer)
  53. 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:
    • Hypercholesterolemia (correct answer)
  54. A 29-year-old patient is being treated for a fungal infection with terbinafine. The nurse practitioner will instruct the patient to monitor which of the following?
    • Liver function (correct answer)
  55. A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that:
    • Asymptomatic women are diagnosed with trichomoniasis by a routine pap smear (correct answer)
  56. A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient’s pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?
    • The use of ciprofloxacin is contraindicated in pregnancy (correct answer)
  57. A nurse practitioner is educating a patient on the use of bupropion (Wellbutrin, Zyban) for smoking cessation. The nurse will advise the patient to:
    • Avoid the concurrent use of other forms of nicotine (correct answer)
  58. A patient has been prescribed oral bisphosphonates for osteoporosis. What patient teaching should the nurse include regarding the timing of administration of this drug?
    • Take the drug first thing in the morning with a full glass of water (correct answer)
  59. A patient has been diagnosed with chloroquine-resistant malaria. The physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of:
    • Cardiac arrhythmias (correct answer)
  60. A 21-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  61. 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:
    • Use adequate contraception (correct answer)
  62. A 54-year-old male patient has been diagnosed with hypertension and has been prescribed lisinopril. The nurse practitioner advises the patient that a common side effect of this medication is:
    • A persistent, dry cough (correct answer)
  63. A 70-year-old male is being treated for hyperlipidemia and is prescribed atorvastatin (Lipitor). The nurse practitioner advises the patient to:
    • Avoid drinking grapefruit juice (correct answer)
  64. A nurse practitioner is assessing a patient who is taking warfarin (Coumadin) for atrial fibrillation. What should the nurse monitor to evaluate the effectiveness of this therapy?
    • INR (correct answer)
  65. 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?
    • Risk for Injury related to loss of vision or thrombotic events (correct answer)
  66. 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:
    • Take the vitamins at least 2 hours before or after taking ciprofloxacin (correct answer)
  67. A patient is prescribed sildenafil (Viagra) for erectile dysfunction. The nurse practitioner advises the patient to avoid:
    • Taking the drug with nitrates (correct answer)
  68. A nurse practitioner is reviewing the medication list of a 75-year-old female patient with a history of osteoporosis. The patient is prescribed alendronate (Fosamax). The nurse will instruct the patient to:
    • Take the medication with a full glass of water and remain upright for at least 30 minutes (correct answer)
  69. A 30-year-old woman has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug:
    • On an empty stomach 1 hour before or 2 hours after taking any meals or other drugs (correct answer)
  70. A 28-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  71. 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?
    • Anxiety related to perceived danger of drug therapy to fetus or infant (correct answer)
  72. A 45-year-old woman presents with menopausal symptoms. She asks the nurse practitioner about the use of black cohosh as an alternative to hormone replacement therapy. The nurse practitioner advises that black cohosh is:
    • Commonly used for menopausal symptoms (correct answer)
  73. A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to:
    • Perform relaxation techniques after the treatments (correct answer)
  74. A 15-year-old patient has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause:
    • Staining of permanent teeth (correct answer)
  75. A 7-year-old patient with cystic fibrosis is admitted with a severe lung infection. The patient has been placed on gentamicin. The nurse practitioner will monitor for what specific adverse effect associated with this medication?
    • Ototoxicity (correct answer)
  76. A 32-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  77. A 45-year-old female has been diagnosed with hypertension and has been prescribed lisinopril. The nurse practitioner advises the patient that a common side effect of this medication is:
    • A persistent, dry cough (correct answer)
  78. A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?
    • Dietary habits (correct answer)
  79. A 54-year-old male patient has been diagnosed with hypertension and has been prescribed lisinopril. The nurse practitioner advises the patient that a common side effect of this medication is:
    • A persistent, dry cough (correct answer)
  80. A 70-year-old male is being treated for hyperlipidemia and is prescribed atorvastatin (Lipitor). The nurse practitioner advises the patient to:
    • Avoid drinking grapefruit juice (correct answer)
  81. A nurse practitioner is educating a patient on the use of bupropion (Wellbutrin, Zyban) for smoking cessation. The nurse will advise the patient to:
    • Avoid the concurrent use of other forms of nicotine (correct answer)
  82. 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?
    • Risk for Injury related to loss of vision or thrombotic events (correct answer)
  83. A 60-year-old male with type 2 diabetes has been prescribed metformin. The nurse practitioner advises the patient that an advantage of this medication is that it:
    • Decreases hepatic glucose production (correct answer)
  84. A 21-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  85. A nurse practitioner is educating a patient on the use of a nicotine patch for smoking cessation. What should the nurse emphasize about the use of this product?
    • It should be applied to a clean, dry, non-hairy area of the skin (correct answer)
  86. A 19-year-old female patient is diagnosed with trichomoniasis. The nurse practitioner prescribes metronidazole (Flagyl) and instructs the patient to avoid:
    • Alcohol (correct answer)
  87. A nurse practitioner is assessing a patient who is taking warfarin (Coumadin) for atrial fibrillation. What should the nurse monitor to evaluate the effectiveness of this therapy?
    • INR (correct answer)
  88. A 29-year-old patient is being treated for a fungal infection with terbinafine. The nurse practitioner will instruct the patient to monitor which of the following?
    • Liver function (correct answer)
  89. A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient’s drug regimen. This will involve the administration of:
    • Weekly subcutaneous injections (correct answer)
  90. 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?
    • Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby (correct answer)
  91. A nurse practitioner is reviewing the medication list of a 75-year-old female patient with a history of osteoporosis. The patient is prescribed alendronate (Fosamax). The nurse will instruct the patient to:
    • Take the medication with a full glass of water and remain upright for at least 30 minutes (correct answer)
  92. 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:
    • Take the vitamins at least 2 hours before or after taking ciprofloxacin (correct answer)
  93. A nurse practitioner is educating a patient on the use of bupropion (Wellbutrin, Zyban) for smoking cessation. The nurse will advise the patient to:
    • Avoid the concurrent use of other forms of nicotine (correct answer)
  94. A 15-year-old patient has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause:
    • Staining of permanent teeth (correct answer)
  95. A 45-year-old male has been prescribed sildenafil (Viagra) for erectile dysfunction. The nurse practitioner advises the patient to:
    • Avoid taking the drug with nitrates (correct answer)
  96. A nurse practitioner is assessing a patient who is taking warfarin (Coumadin) for atrial fibrillation. What should the nurse monitor to evaluate the effectiveness of this therapy?
    • INR (correct answer)
  97. A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to:
    • Perform relaxation techniques after the treatments (correct answer)
  98. A 28-year-old female patient is prescribed isotretinoin (Accutane) for severe acne. The nurse practitioner should instruct the patient to:
    • Use two forms of contraception and avoid pregnancy (correct answer)
  99. A 54-year-old male patient has been diagnosed with hypertension and has been prescribed lisinopril. The nurse practitioner advises the patient that a common side effect of this medication is:
    • A persistent, dry cough (correct answer)
  100. A 7-year-old patient with cystic fibrosis is admitted with a severe lung infection. The patient has been placed on gentamicin. The nurse practitioner will monitor for what specific adverse effect associated with this medication?- Ototoxicity (correct answer)