Question

1. Question: A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on … therapies. What potential benefit of … therapies should the nurse highlight in this education session? NURS 6521N 55
2. Question: Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has … quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of
3. Question: When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.)
4. Question: A 67-year-old man who is being … for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to NURS 6521N 55
5. Question: A 12-year-old boy is being … from the hospital after major surgery. The boy will … taking two medications at home for an … period. The nurse who is discharging the patient should provide medication teaching specifically to
6. Question: A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should … aware of which of the following changes in pharmacokinetics that accompanies pregnancy?
7. Question: A patient is to begin taking tobramycin (Nebcin) for a nosocomial infection. Which of the following assessments should the nurse prioritize?
8. Question: 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?
9. Question: 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?
10. Question: A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been … on an intravenous heparin infusion. How does this drug achieve therapeutic effect?
11. Question: 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 NURS 6521N 55
12. Question: A Nurse Practitioner is providing patient education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary?
13. Question: A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the                
14. Question: During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient’s platelet count to … 92,000 cells/mm3. The nurse should do which of the following?
15. Question: 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
16. Question: A patient will soon begin … therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient’s drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond?
17. Question: 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?
18. Question: 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
19. Question: A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child. The nurse should
20. Question: A school nurse has been teaching high school students about the risks associated with marijuana use. However, the nurse has been … 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?
21. Question: A 6-month-old child has … skin irritation due to an allergic reaction. He has been … a topical skin ointment. The nurse will consider which of the following before administering the drug?
22. Question: A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?
23. Question: Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid
24. Question: An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation?
25. Question: A 20-year-old woman has been … estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following?
26. Question: A 5-year-old boy needs an IM injection. The least painful and most effective injection site would … the
27. Question: Alendronate (Fosamax) is … for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to
28. Question: A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has … 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
29. Question: A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will … to
30. Question: A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug
31. Question: A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient’s erectile dysfunction (ED)?
32. Question: A Nurse Practitioner is caring for a patient with cancer who has been … 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
33. Question: Which of the following patients will … at the greatest risk for anemia and would … the most likely candidate for epoetin alfa therapy?
34. Question: 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?
35. Question: A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend
36. Question: An immunocompromised cancer patient has developed cryptococcal meningitis and been … to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?
37. Question: A 38-year-old pregnant patient admits to the Nurse Practitioner 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
38. Question: 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
39. Question: 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
40. Question: A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?
41. Question: 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?
42. Question: A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient?
43. Question: A 45-year-old female patient is … 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
44. Question: 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?
45. Question: A patient with non-Hodgkin’s lymphoma (NHL) will … starting a course of doxorubicin shortly. When planning this patient’s care, what nursing diagnosis should the nurse prioritize?
46. Question: A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The APRN will advise her to take which of the following vitamin supplements while taking the drug?
47. Question: A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life-threatening infection. Which of the following would … most important for the nurse to monitor?
48. Question: 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?
49. Question: The Nurse Practitioner has established peripheral IV access and … 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?
50. Question: A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to

Answer 1

• A Nurse Practitioner educator who coordinates the staff education on an oncology unit is conducting an inservice on cancer therapies. What potential benefit of cancer therapies should the nurse highlight in this education session.
• Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has artemisinin,quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of recent or remote travel to an endemic area is critical. Asking explicitly if they traveled to a tropical area at anytime in their life may enhance recall. Maintain a high index of suspicion for malaria in any patient exhibiting any malarial symptoms and having a history of travel to endemic areas.
• When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate :The Following Are The Desired Outcomes:-It includes that febrile neutropenia will be avoided and infection and bone painwill not develop, or at least bone pain will not be unmanageableif it develops. Also, because this drug is administeredsubcutaneously every day during therapy, management of theirown administration would be a positive outcome for patients. Apatient who is taking oprelvekin would be at risk for fluidretention. Filgrastim is not associated with this adverse effect.
• A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to "schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks".
• A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an limited or extended period. The nurse who is discharging the patient should provide medication teaching specifically to

A) the mother regarding why the boy needs to take the medications

B) both the boy and his mother regarding all medication issued.

C) the boy by telling him not to worry about the medications and to take them as directed

D) The mother and be sure to reinforce the need to force the medications, if her sondoes not want to take them.

• Increased drug distribution resulting from hemodynamic changes. The hemodynamic changes during pregnancy, such as increased blood volume and heart rate, increase the distribution of drugs. GFR and tidal volume both typically increase during pregnancy, resulting in increased excretion rates and increased absorption of inhaled drugs, respectively. Drug metabolism is not affected by pregnancy.
• Peak and trough levels should be closely monitored withserious infections being treated with tobramycin. The patient'sblood pressure, diet, weight, and other medications would beimportant to know and necessary for the plan of care, but aresecondary to serum levels.
• Instruct the patient to lie on her left side during the infusion
• The Nurse will question about "Dental hygiene ".
• A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to: stay well hydrated by drinking at least eight 8-oz glasses of water daily.
• Limiting total cumulative dose creates a dilemma of having to balance suboptimal oncologic treatment with a proven beneficial therapy against that of the risk of cardiotoxicity. Regimens of combination chemotherapy that includes newer agents such as taxanes and trastuzumab are clearly effective but have resulted in problematic cardiotoxicity. As such, numerous techniques have been employed in an attempt to mitigate the cardiotoxicity of the initial anthracycline exposure, thereby preserving the myocardial reserves.

• 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:Nausea, vomiting, diarrhea, and headache may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Tell your doctor right away if you develop redness/swelling/pain of the skin at the injection site.

• A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, The nursing diagnosis that the nurse should prioritize must be " Risk for Infection related to suppressed bone marrow function".

• 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?

Ans:Presence of blood in urine or stools.

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

Ans:- "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."