A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis?

Apr 3, 2024

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Question 1
Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following?

complete blood count

lipid profile

blood pressure

Serum fasting glucose level

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Question 2
A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug

at bedtime.

after meals.

at any time of the day with tea or coffee.

first thing in the morning.

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Question 3
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?

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

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

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

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

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Question 4
A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered

taboo.

inappropriate.

phytoestrogens.

monotherapy.

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Question 5
JC is a 13 year old female to be seen in your clinic today. You review JC’s medication and realize that which medication is a potential risk of growth suppression in prepubescent children?

Acetaminophen

corticosteroids

Diphenhydramine

Claritin
s

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Question 6
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

orange-tinged urine.

staining of permanent teeth.

sleep deprivation.

deep muscle pain.

Question 7
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?

A reduced dose

A single large dose instead of multiple doses

The use of dexrazoxane in conjunction with doxorubicin

Meticulous monitoring during drug administration

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

administer after diluting the drug with gabapentin in intravenous solution.

inject very slowly, no faster than 100 mg/minute.

inject the diazepam very quickly, 15 mg in 10 to 15 seconds.

avoid the small veins in the dorsum of the hand or the wrist.

Question 9
A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?

Liver function tests

Blood sugar levels

Blood pressure

Body temperature

Question 10
Phenytoin decreases folic acid absorption by

Altaring in the pH of the stomach

Increasing gastric emptying time

Inhibiting intestinal enzymes require for folic acid absorption

Chelation of the folic acid into inactive ingredients

Question 11
Mr. Samuels has been prescribed olanzapine (Zyprexa). The NP know that he should be monitored for:

Weight gain

Insomnia

Hypertension

Galactorrhea

Question 12
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:

Chlordiazepoxide (Librium)

Clonazepam (Klonopin)

Alprazolam (Xanax)

Oxazepam (serax)

Question 13
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

take the tablets on an empty stomach.

decrease the drug dosage if initial symptoms of nephrotoxicity appear.

stay well hydrated by drinking at least eight 8-oz glasses of water daily.

eat light meals every day.

Question 14
A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the NP should :

perform a pregnancy test

obtain baseline liver function and renal function tests

check her bilirubin and serum amylase levels

Advise her to stop using contraceptive pills

Question 15
Jennifer, the Nurse Practitioner, is seeing 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?

Rebound headaches

Neuropathy

Pancreatic failure

Impairment of renal function
Question 16
A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take

antacids during the day and INH only at night.

antacids before meals and INH 1 or 2 hours after meals.

INH before meals and antacids 1 or 2 hours after meals.

antacids not less than 1 hour before or 2 hours after taking INH.

uestion 17
JC is a 13 year old female to be seen in your clinic today. You review JC’s medication and realize that which medication is a potential risk of growth suppression in prepubescent children?

Acetaminophen

corticosteroids

Diphenhydramine

Claritin

Question 18
A 21-year-old has been placed on risperidone. Monitoring for risperidone includes

Bradykinesia, akathisia and agitation

Excessive weight gain

Hypertension

Potentially fatal agranulocytosis

Question 19
Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy?

A 20-year-old female

A 30-year-old pregnant woman

A 62-year-old male with cancer

A 40-year-old male with a high white blood cell count
Question 20
Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse’s following assessment questions most directly addresses a common adverse effect of filgrastim?

“Have you noticed any bleeding in your gums or cheeks?”

“Do you feel like you’re having any pain in your bones?”

“Are you experiencing any waves of cool, clammy skin?”

“Have you had any shortness of breath lately?”

Question 21
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

metabolic alkalosis.

uterine tachysystole.

electrolyte imbalances.

water intoxication.

Question 22
Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug

Schedule 1

Schedule 2

Schedule 3

Schedule 4
uestion 23
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?

Vitamin A

Vitamin B

Vitamin C

Vitamin D

Question 24
A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should

cool the medication prior to administration.

use sterile technique when applying the medication.

allow the child to apply the medication if possible.

use clean technique only when applying the medication.
Question 25
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?

“I walk two blocks to school every day.”

“I am on the middle school track team.”

“We live in a two-story house.”

“My mother is going to give me my insulin.”
uestion 26
Which of the following drugs is most likely to cause sexual dysfunction and males?

Selective serotonin reuptake inhibitors

Angiotensin converting enzyme inhibitors

Atypical antidepressants

Amphetamines
Question 27
A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results?

Serum alanine transaminase, aspartate transaminase, and bilirubin

Red blood count, white blood count, and differential

Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels

Fasting blood sugar and 2-hour postprandial blood sugar
uestion 28
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following?

Potassium level

Creatinine clearance

Serum albumin level

Prothrombin time
Question 29
What is the first line treatment for hypertension and a male with benign prosthetic hypertrophy?

Beta blockers

Alpha blockers

Calcium channel blockers

Ace inhibitors
Question 30
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?

Refrigerate the medication for a future use.

Discard the unused portion of the drug.

Store the medication in the drug cart for the next dose.

Put the medication in the freezer compartment of the refrigerator.
Question 31
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?

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

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

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

Noncompliance with Drug Therapy

Question 32
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)?

Sildenafil (Viagra)

Tamsulosin (Flomax)

Exogenous testosterone

Tadalafil (Cialis)
Question 33
Cindy has been on Citalopram (Lexapro) For a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants

Reduce dose by 50% for 3 to 4 days

Reduce dose by 50% every other day

Change Dose to every other day dosing for a week

Lexapro can be stopped abruptly due to its long half life
uestion 34
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.)

The patient will not develop an infection.

The patient will not experience bone pain.

The patient will be able to self-administer filgrastim at home.

The patient will not develop febrile neutropenia.

The patient will not retain fluid.
Question 35
Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg of prednisone per day for the past six months. He should be assessed for

Gout

iron deficiency anemia

Kidney stones

Osteoporosis
Question 36
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?

Give the iron with food to increase the absorption of the medication.

Give the medication through a straw to decrease the staining of the teeth.

Avoid foods containing ascorbic acid, which decreases absorption of the medication.

If a dose is missed, double up on the next two doses.
Question 37
A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment?

The importance of vigilant hygiene for the boy and the other members of the family

The need for the boy to provide serial stool samples for 6 months following treatment

The need to supplement the anthelminthic drug with prophylactic antibiotics

The need to use prescription skin cleansers during treatment and for 6 weeks after
Question 38
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?

Maternal body temperature

Fetal heart rate (FHR)

Correct fetal position

Fetal blood pressure
uestion 39
A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is

a hepatotoxic response.

an idiosyncratic response.

a paradoxical response.

an allergic response.

Question 40
A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining

blood glucose levels daily for 1 week.

establishing the patient’s auditory abilities.

a baseline complete blood count.

liver enzymes weekly until the drug therapy is completed.

Question 41
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?

“Most people don’t know that marijuana can be just as addictive as heroin or cocaine over time.”

“Marijuana can easily interact with other drugs and cause potentially fatal reactions.”

“Every year, thousands of Americans end up in emergency departments with marijuana overdoses.”

“Smoking marijuana is just as bad, or worse, for your lungs as smoking cigarettes.”
Question 42
Which of the following is a true statement about aspirin and its action on platelets

It’s effects on platelets may last up to three weeks

It is used for prophylaxis against strokes and acute myocardial infarction

It’s effects only last two weeks and are reversible

It’s effects on platelets are irreversible
Question 43
A Nurse Practitioner is going to administer medication to an infant using a medicine dropper. The best method is to open the child’s mouth by gently squeezing the cheeks and placing the drops

at the back of the mouth.

in the buccal pouch.

under the tongue.

on top of the tongue.

Question 44
A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using

body surface area.

weight.

age in months.

age in years.
Question 45
A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following?

Diabetes mellitus

Hypertension

Leukopenia

Hypoglycemia
Question 46
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?

The patient takes allopurinol for the treatment of gout

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

The patient has unstable angina and uses a nitroglycerin patch

The patient often takes ginseng when he gets a common cold

Question 47
A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient’s care to include close monitoring of the drug therapy because

the process of drug elimination will be faster in this patient.

the therapeutic effect of the drug may be too slow to be effective.

the patient is at greater risk for high serum levels of the drug.

the process of drug metabolism may be faster in this patient.
Question 48
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

a high-pitched cry.

microcephaly.

an electrolyte imbalance.

thrombocytopenia.

Question 49
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 achieve the therapeutic benefits of traditional chemotherapy with no risk of adverse effects.

Targeted therapies have the potential to provide prophylactic protection against neoplasia in high-risk individuals.

Targeted therapies are significantly more cost-effective than traditional chemotherapeutic drugs.

Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.
Question 50
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?

A skin rash

Sudden occurrence of sleepiness and drowsiness

Dizziness

Presence of blood in urine or stools
Question 51
Which antibiotic is most frequently associated with “Red man Syndrome”

Rifampin

Vancomycin

Amphotericin B

Ciprofloxacin

Question 53
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?

Cholestatic jaundice

Amenorrhea

Headaches and chest pain

Breast tenderness

Question 54
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?

Excess fluid volume related to potential effects of drug therapy

Hypercalcemia related to drug therapy, immobility, and breast cancer

Sexual dysfunction related to erectile dysfunction

Prostatic neoplasia
Question 55
All insects have an FDA black box warning regarding

Potential for causing life-threatening G.I. bleed

Increase risk of developing systemic arthritis with prolonged use

Risk of life-threatening rashes to include Stevens Johnson syndrome

Risk for changes in serum glucose
Question 56
An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions?

Dispose of intravenous lines used for chemotherapy administration in a covered trash can in the patient’s room.

Use an IV system for administration that includes needles to reduce the risk of accidental spills.

Prime the IV tubing with an approved IV solution rather than with the drug itself.

Encourage patients who have been receiving chemotherapy to use a bedside commode rather than a toilet.
uestion 57
A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases?

Non-Hodgkin’s lymphoma

Malignant melanoma

Nonsmall cell lung cancer

Renal cell carcinoma

Question 58
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?

Increased heart rate

Breathlessness

Infiltration, edema, or phlebitis at the infusion site

Nausea and vomiting

Question 59
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 started on an intravenous heparin infusion. How does this drug achieve therapeutic effect?

By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa

By inhibiting the action of vitamin K at its sites of action

By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis

By inactivating clotting factors and thus stopping the coagulation cascade
Question 60
The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is:

Excreted rapidly

Absorbed rapidly

Metabolized minimally

Distributed equally
Question 61
Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse’s response to Mr. Lepp?

Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy.

Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp’s first round of chemotherapy and continue indefinitely.

The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients.

Mr. Lepp’s oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed.

uestion 62
The Nurse Practitioner 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?

Decreased level of consciousness with a sudden onset

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

Maternal bradycardia accompanied by a prolonged QT interval

Systolic blood pressure readings in excess of 190 mmHg

Question 63
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?

Diarrhea

Risk for Injury related to allergic reactions

Imbalanced Nutrition: Less than Body Requirements

Risk of Injury related to blood dyscrasia

Question 64
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

abstain from sex.

obtain a pap smear .

use adequate contraception.

take a pregnancy test every month.
uestion 65
A Nurse Practitioner has questioned why a patient’s physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient’s infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible?

Broad-spectrum antibiotics confound the results of subsequent culture and sensitivity testing.

Narrow-spectrum antibiotics normally require a shorter duration of treatment.

The efficacy of most narrow-spectrum antibiotics has not been proven.

The use of broad-spectrum antibiotics can create a risk for a superinfection.
Question 66
The NP student knows that which statement below accurately describes the activity of naloxone?

It is most effective when administered orally

It may induce immediate withdrawal symptoms and chronic opiate users

It exerts its affects for 6 to 8 hours

It is used to maintain opiate and alcohol abstinence

Question 67
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?

Aspirin

Diflunisal (Dolobid)

Acetaminophen

Ibuprofen

Question 68
When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the patient should be screened for use of?

Statins

Nitrates

Insulin

Opioids

Question 69
Baby Jasmine is a 5 mth old breastfed infant with a fever. Treatment for her fever may include:

Acetaminophen suppository

“baby” aspirin

Ibuprofen suppository

Alternating acetaminophen and ibuprofen

Question 70
A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate?

Renal function

Hepatic function

Respiratory function

Cardiac function
Question 71
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).

electromyelogram (EMG).

electroencephalogram (EEG).

electrophysiologic study (EPS).
Question 72
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?

Aspirin

Heparin

Dabigatran

Warfarin
Question 73
An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman’s pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient’s pain?

Scheduled doses of short-acting morphine q1h around the clock

A large long-acting dose of morphine at 8 a.m. with smaller doses at 12 p.m., 5 p.m., and 10 p.m.

Alternating doses of long-acting morphine with short-acting morphine

Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain
Question 74
A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug

with a sip of water 1 hour before mealtime.

immediately before or with a meal.

with a glass of water 1 hour before or 2 hours after a meal.

intravenously with the assistance of a home health nurse.
Question 75
A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause

neutropenia or autoimmune effects.

ototoxicity or nephrotoxicity.

increased intracranial pressure or changes in cognition.

anemia or impaired erythropoiesis.
Question 76
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?

Caregiver Role Strain

Ineffective Family Therapeutic Regimen Management

Delayed Growth and Development

Knowledge Deficit
uestion 77
A Nurse Practitioner 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?

Acetaminophen

Salicylates

Furosemide

Digoxin

Question 78
A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication

every day until the infection is gone.

once a day.

for 30 days.

for 20 days.
Question 79
An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient’s chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs?

Cells with a long generation time

Cells that lack contact inhibition

Cells that have a rapid mitotic rate

Cells that lack a blood supply
Question 80
A Nurse Practitioner will instruct a patient taking allopurinol to take each dose

at night.

first thing in the morning.

after a meal.

before a meal.

Question 81
A quinolone used to treat a urinary tract infection would be contraindicated in :

pregnant patient

a 19 year old female

a patient with hypertension

a patient with pyelonephritis

Question 82
A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect?

Decreased myocardial contraction

Decreased heart rate

Increased cardiac conduction

Increased intranodal conduction time

Question 83
Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol?

Cefotetan

Chlorpropamide

Metronidazole

Fomepizole
Question 84
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?

A 19-year-old male receiving radiotherapy

A 25-year-old female with a diagnosis of congenital neutropenia

A 39-year-old female with a nonmyeloid malignancy

A 47-year-old male with aplastic anemia

Question 85
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?

Coumadin

Alteplase

Ticlopidine

Protamine sulfate

Question 86
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 that it is safe to breast-feed her baby.

Recommend alternative medication that is compatible with breast-feeding.

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

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

Question 87
A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug?

Lid margin crusting and pruritus

Cognitive changes

Nephrotoxicity and neurotoxicity

Tendon ruptures

Question 88
A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient’s condition would contraindicate the use of cyclophosphamide for the treatment of leukemia?

The patient has a diagnosis of type 2 diabetes and takes oral antihyperglycemics.

The patient has had a history of nonadherence to medical treatment.

The patient’s bone marrow function is significantly depressed.

The patient has decreased renal function.

Question 89
A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also

include adequate amounts of vitamin C in the diet.

drink at least 6 to 8 oz of milk daily.

stop using artificial sweeteners while taking alendronate.

perform light-weight exercises and go for walks.

Question 90
A Nurse Practitioner works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?

A 38-year-old Caucasian woman with glaucoma

A 60-year-old African-American man who experiences angina

A 48-year-old Caucasian man who has adult-onset diabetes

A 28-year-old African-American woman with hyperthyroidism

Question 91
A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to

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 92
The recommended treatment for trichomoniasis is

Flagyl.

Diflucan.

Amoxicillan.

Meclizine.

Question 93
A Nurse Practitioner is discussing with a 58-year-old male patient the causes of erectile dysfunction in men over 50 years of age. Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction of men in this age group?

Emotional stress

Atherosclerosis of the penile artery

Diabetes mellitus

Decrease in testosterone levels

1 points

Question 94
Terazosin (Hytrin) is classified under which of the following drug class:

beta blockers

tricyclic blockers

alpha blockers

calcium channel blockers

Question 95
A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to

complete the entire course of drug therapy.

reduce the dosage of ciprofloxacin gradually.

take the drug only in safe and secure home settings.

take the drug through subcutaneous injection if it tastes bad.

Question 96
A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide