1. Walden nurs6521 week 10 quiz 2017
Question 1 A nurse is working in a women’s hospital where she is caring for a new mother
who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been
ordered. The nurse will observe for which of the following?A) BradycardiaB)
HypertensionC) HypotensionD) Decreased salivationQuestion 2 A woman is receiving
magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood
pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these
manifestations asA) common adverse effects of magnesium sulfateB) magnesium sulfate
toxicityC) a hypersensitivity reaction to magnesium sulfateD) an idiosyncratic reaction from
the magnesium sulfateQuestion 3 A male patient is taking finasteride for BPH.Which of the
following will the nurse evaluate at each clinic visit?A) Serum cholesterol levelsB) Bone
growthC) Hemoglobin levelsD) Urinary elimination patternsQuestion 4 A 71-year-old man
has just been prescribed finasteride (Proscar). Which of the following complaints by this
patient most likely indicated a need for this drug?A) “My urine is extremely concentrated
lately and it smells strong.”B) “To be honest, I find that I can’t get an erection for the past
few months.”C) “My urine’s been cloudy for the last little while and it burns when I go to the
bathroom.”D) “Lately, I have to get up three or four times a night to go to the
bathroom.”Question 5 After 6 months of unsuccessfully trying to conceive, a 31-year-old
woman and her husband have sought a referral to a fertility specialist in order to explore
their options. A nurse at the clinic should recognize that the woman may benefit fromA)
clomipheneB) conjugated estrogenC) progesteroneD) mifepristoneQuestion 6 A 59-year-old
man with a recent history of erectile dysfunction has been assessed and prescribed
sildenafil (Viagra). When providing patient education to this man, the nurse should tell him
which of the following?A) “You might find that your face becomes flushed or you get a
headache after you take Viagra.”B) “You should take your Viagra at the same time each
morning, ideally on an empty stomach.”C) “Make sure that you don’t take any other
prescription medications while you’re using Viagra.”D) “If you get some heart palpitations
or dizziness after you take Viagra, know that this is normal and will pass with
time.”Question 7 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?A) The patient takes
allopurinol for the treatment of goutB) The patient has a family history of osteoporosis and
has undergone bone density testingC) The patient has unstable angina and uses a
2. nitroglycerin patchD) The patient often takes ginseng when he gets a common coldQuestion
8 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 includeA)
metabolic alkalosisB) uterine tachysystoleC) electrolyte imbalancesD) water
intoxicationQuestion 9 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 alsoA) include adequate amounts
of vitamin C in the dietB) drink at least 6 to 8 oz of milk dailyC) stop using artificial
sweeteners while taking alendronateD) perform light-weight exercises and go for
walksQuestion 10 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?A)
Injury, Risk to the fetus related to adverse effects of maternal drug therapyB) Injury, Risk to
the patient related to failure to receive needed drug therapyC) Anxiety related to perceived
danger of drug therapy to fetus or infantD) Noncompliance with Drug TherapyQuestion 11
The nurse practitioner has recommended that a breast-feeding woman take her prescribed
medications just before her infant takes his longest nap of the day. The woman does not
understand and asks the nurse to explain. The nurse will tell the woman that the
recommendation was made toA) increase the blood concentrations of the drug in the
breast-feeding infantB) reduce neonatal drug exposureC) reduce the half-life of the drugD)
evaluate the drug’s potential adverse effects on the neonateQuestion 12 A nurse is
instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A
teaching priority will be toA) take an antiemetic or antidiarrheal for adverse GI effectsB)
use an alternative form of birth control, if taking an oral contraceptiveC) use an aspirin for
relief of minor discomfortsD) take the drug with foodQuestion 13 A pregnant patient asks
the nurse what over-the-counter medication she can take for recurring headaches. The
nurse should recommendA) aspirinB) advilC) tylenolD) motrinQuestion 14 A 38-year-old
pregnant patient admits to the nurse 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 withA) a high-pitched cryB) microcephaly.C) an electrolyte
imbalanceD) thrombocytopeniaQuestion 15 A 68-year-old man is being treated for benign
prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago.
When planning the care of this patient, what desired outcome should the nurse prioritize?A)
The patient will remain free of sexual side effects related to drug therapyB) The patient will
experience complete bladder emptyingC) The patient will remain free of urethral painD)
The patient will not experience hematuriaQuestion 16 A male patient with a medical
background tells the nurse that he is not satisfied with the oral synthetic testosterone that
has been prescribed for him and he would like to try a natural form of oral testosterone.
Which of the following would be an appropriate response by the nurse?A) “Natural
3. testosterone undergoes a high first-pass effect and is not used orally.”B) “Natural
testosterone poses a higher risk of gynecomastia.”C) “Natural testosterone undergoes a
short first-past effect and is less extensively metabolized than what has been prescribed for
you.”D) “Natural testosterone would be more effective for you.”Question 17 A nurse 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?A) Maternal body temperatureB) Fetal heart rate (FHR)C) Correct fetal
positionD) Fetal blood pressureQuestion 18 A nurse is working with a patient in the clinic
who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The
patient wants to do everything he can to promote effectiveness of the drug. The nurse will
instruct him toA) avoid taking the drug with a high-protein mealB) avoid taking the drug
with a high-fat mealC) drink plenty of fluidsD) take a double dose of the drugQuestion 19 A
patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for
overactive bladder. The nurse will instruct the patient that she will be taking a
medicationA) that will be provided in pill form and which may cause lightheadednessB) that
will be administered as a weekly IM injection in an outpatient settingC) that may be
prescribed as a patch and which may cause dry mouthD) that can be inhaled and that may
cause occasional heart palpitationsQuestion 20 A nurse 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?A) Emotional stressB) Atherosclerosis of the penile
arteryC) Diabetes mellitusD) Decrease in testosterone levelsQuestion 21 A nurse 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 isA) whether the pregnant woman uses
illegal substancesB) whether the pregnant woman has health insuranceC) the pregnant
woman’s exercise habitsD) the pregnant woman’s dietary habitsQuestion 22 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)?A) Sildenafil (Viagra)B) Tamsulosin
(Flomax)C) Exogenous testosteroneD) Tadalafil (Cialis)Question 23 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?A) Cholestatic jaundiceB) AmenorrheaC) Headaches and chest painD) Breast
tendernessQuestion 24 A 36-year-old patient comes to the clinic and tells the nurse that she
suspects that she is pregnant. During the initial assessment, the nurse learns that the
patient is currently taking medications for diabetes, hypertension, and a seizure disorder.
The nurse would be most concerned about which of the following medications?A) InsulinB)
Ibuprofen (Advil)C) Phenytoin (Dilantin)D) Furosemide (Lasix)Question 25 A woman is
receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk
to both the mother and the fetus. The primary care physician has made dosage adjustments
to minimize adverse effects and prevent toxicity. The nurse should make sureA) that serum
levels of the drug are being monitoredB) that the FDA is informed that the woman is
receiving drug therapyC) to check the drug’s FDA pregnancy category to determine safetyD)
4. that only nonpharmacologic alternatives are being usedQuestion 26 A 56-year-old woman
will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient
teaching should the nurse provide to this woman?A) “It’s good to measure your heart rate
before you take your Detrol each day, and withhold it if your heart rate is below 60
beats/minute.”B) “You’ll probably need to stop taking your hormone replacement therapy
when you’re taking Detrol.”C) “You’ll likely find that you have scant amounts of blood in
your urine for the first few days, but this is not unusual or problematic.”D) “You might find
that you get a dry mouth or a headache from this drug, but this does not mean it has to be
discontinued.”Question 27 The nurse 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?A) Decreased level of consciousness
with a sudden onsetB) The presence of rales and rhonchi and oxygen saturation less than or
equal to 80% on room airC) Maternal bradycardia accompanied by a prolonged QT
intervalD) Systolic blood pressure readings in excess of 190 mmHgQuestion 28 The nurse
recognizes that the potential for teratogenic drug effects is not static throughout the
prenatal and postnatal periods. The potential for teratogenic effects is highest duringA)
breast-feeding of the neonateB) the first 2 months of pregnancy.C) the two to 3 weeks prior
to deliveryD) the second trimesterQuestion 29 Alendronate (Fosamax) is prescribed for a
67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the
nurse will advise the patient toA) stand or sit upright for at least 30 minutes after taking
alendronate..B) avoid drinking water with the drugC) lift weights in the gym at least five
times a weekD) take calcium and vitamin D supplementsQuestion 30 A female patient is
taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects
of the drug, the nurse will instruct the patient to do which of the following?A) Drink a lot of
waterB) Limit fluid intakeC) Take the medication at bedtimeD) Increase the protein in her
dietQuestion 31 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?A) Chronic diarrheaB) Dental hygiene practicesC)
HeadachesD) DietQuestion 32 Alprostadil (Caverject), a drug used to treat erectile
dysfunction, has been prescribed to a 42-year-old patient. When providing education to the
patient and his wife, the nurse should inform the wife about which of the following adverse
effects?A) Low blood pressureB) Vaginal burningC) Increased heart rateD) Reduced desire
for sexual activityQuestion 33 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?A) Excess fluid volume related to potential effects of drug therapyB)
Hypercalcemia related to drug therapy, immobility, and breast cancerC) Sexual dysfunction
related to erectile dysfunctionD) Prostatic neoplasiaQuestion 34 A 20-year-old woman has
been prescribed estrogen. As with all women taking estrogen, the nurse will carefully
monitor the patient for which of the following?A) Lack of secondary sexual characteristicsB)
Cardiovascular complicationsC) Early epiphyseal closureD) Decreased libidoQuestion 35 A
nurse is providing patient education to a 50-year-old woman who is taking methotrexate
5. (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following
drugs?A) AcetaminophenB) SalicylatesC) FurosemideD) DigoxinQuestion 36 A patient is
taking etoposide for a testicular tumor refractory to treatment. The nursing assessment
reveals that he is also taking warfarin. The nurse must carefully monitor for which of the
following?A) Decreased heart rateB) Increased serum drug levels of etoposideC) Elevated
prothrombin timeD) Lower liver enzymesQuestion 37 A nurse is caring for a 46-year-old
female patient who is taking paclitaxel for ovarian cancer. Two or three days after the
infusion of the drug, the nurse must closely monitor for which of the following?A)
CardiotoxicityB) ConstipationC) NeurotoxicityD) AsthmaQuestion 38 A nurse 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?A) Height in the lowest quartile of the population
and a history of joint painB) Low bone density and a family history of osteoporosisC)
Complaints of cold intolerance, recurrent constipation, and evidence of diverticular
diseaseD) Labile moods and short-term memory deficitsQuestion 39 A nurse 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 patient that
the main reason this happens is becauseA) there is a 40% increase in blood volume during
pregnancyB) the mother’s heart rate is 10 to 15 beats per minute faster during pregnancyC)
drugs compete with the hormones of pregnancy for albumin-binding sitesD) hemodilution
of plasma albumin occursQuestion 40 A 36-year-old woman with a history of dysmenorrhea
has begun treatment with progesterone, which she will be receiving by the intramuscular
route. The nurse participating in the woman’s care should prioritize which of the following
potential nursing diagnoses?A) Incontinence, Functional, related to neurosensory and
musculoskeletal changesB) Fluid Volume Deficit related to metabolic changes secondary to
drug therapyC) Confusion, Chronic, related to CNS changes resulting from adverse drug
effectsD) Risk for Injury related to loss of vision or thrombotic events 5
