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NUR 6521 Quiz Solution 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)

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NUR 6521 Quiz Solution

  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 ciproflox