NURS 676 FINAL EXAM LATEST 2023-2024 TERM GRADED A+ VERSION 1|NEW EXAM APRN • Question 1 A contraindication to the use of combined contraceptivesis: CORRECT ANSWER: A history of a clotting disorder • Question 2 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? CORRECT ANSWER: Headaches and chest pain • Question 3 A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in CORRECT ANSWER: iron-rich foodssuch as beans and leafy green vegetables. • Question 4 The first line drug choice for a previously healthy adult patient who has been diagnosed with community acquired pneumonia would be NURS 676 Advanced Pharmacology - APRN CORRECT ANSWER: Ciprofloxacin • Question 5 A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? CORRECT ANSWER: A 19-year-oldmale receiving radiotherapy • Question 6 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? CORRECT ANSWER: Drink plenty of water every day • Question 7 Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What isthe initial dosage adjustment when tapering off antidepressants CORRECT ANSWER: Reduce dose by 50% for 3 to 4 days • Question 8 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 CORRECT ANSWER: cardiac arrhythmias. • Question 9 A patient isreceiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining CORRECT ANSWER: a baseline complete blood count. • Question 10 Jennifer, the Nurse Practitioner, isseeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient? CORRECT ANSWER: Impairment of renal function NURS 676 Advanced Pharmacology - APRN • Question 11 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? CORRECT ANSWER: Give the medication through a straw to decrease the staining of the teeth. • Question 12 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 CORRECT ANSWER: perform relaxation techniques after the treatments. • Question 13 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 CORRECT ANSWER: staining of permanent teeth. • Question 14 The NP is prescribing A medication for six month old infant. That medication comes in the following formulations. Which one should the NP select to improve absorption and distribution of the medication? CORRECT ANSWER: Rectalsuppository • Question 15 Donald is a nurse practitioner student. He recognizes Which option below could be a secondary use for an anxiolytic medication? CORRECT ANSWER: ethanol withdrawal • Question 16 A Nurse Practitioner is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39- year-old woman who is being treated for chemotherapy-induced anemia. Which of the following will the nurse do with the unused portion of the drug? CORRECT ANSWER: Discard the unused portion of the drug.