NURS 676 FINAL EXAM TESTBANK
VERIFIED EXAM SETS INCLUDED
(4 Versions)
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,• Question 1
A contraindication to the use of combined contraceptives is:
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 foods such 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
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-old male 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 is the 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 is receiving 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, 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?
CORRECT ANSWER: Impairment of renal function
• 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: Rectal suppository
• 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.
• Question 17
A Nurse Practitioner is performing patient education for a woman who has just been prescribed a
bisphosphonate. Which of the following diagnostic and history findings would have prompted the
woman's care provider to prescribe a bisphosphonate?
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