NUR2474 Pharmacology FINAL EXAM (2)
(Answered) 100 Questions and Correct
Answers, 100% Correct. Fall 2024/2025.
1. The nurse is talking with a new mother about medications that can be safely resumed now that she is
no longer pregnant. All the following medications are contraindicated during pregnancy, but which one
may be ingested while breastfeeding without causing known infant harm?
1. Lithium
2. Methotrexate
3. Ibuprofen
4. Nicotine
3
2. Which statement by a client indicates an understanding of self-care precautions when taking warfarin?
1. "My warfarin dose may need to be readjusted when I take a course of antibiotics."
2. "I should expect pink urine due to metabolic bi-products of the dye used in this
medication."
3. "Herbal remedies are fine, but I shouldn't take aspirin without consulting my provider."
4. "I should eat spinach to increase my iron count if my INR goes below two."
1
3. Male client tells the nurse he awakens once or twice each night to video and has difficulty starting his
stream of urine. He describes these symptoms as " annoying." The client provider examines him and
notes that the prostate is moderately enlarged. The client is sexually active and tells the nurse that he
doesn't want to take any medication that will interfere with sexual function. THe nurse anticipates the
provider will order which of the following?
1. Silodosin
2. A transurethral prostatectomy
3. Finasteride
4. Doxazosin
4
4. A 50-year-old postmenopausal client who has had a hysterectomy has moderate to severe hot flashes
and is discussing estrogen therapy with the nurse. What will the nurse tell the client regarding the side
effect of estrogen therapy?
1. An estrogen progesterone product will increase side effects
,2. Transdermal preparations of estrogen therapy have reduced side effects.
3. Side effects of estrogen therapy are uncommon among women of her age.
4. An intravaginal preparation may be best.
2
5. A Client has an infection caused by pseudomonas aeruginosa, and the prescriber has ordered
intravenous piperacillin and tobramycin. Why might the nurse question this combination of antibiotics?
1. This combination causes tendon rupture.
2. Aminoglycosides are inactivated by penicillins.
3. Aminoglycosides alone are adequate against pseudomonas. There is no need to risk penicillin allergy.
4. Aminoglycosides increase the risk of penicillin allergy.
2
6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice daily. Before
administering the third dose, the nurse observes the client has a widespread rash, a temperature and a
heart rate of 100 beats/min. The client looks ill and reports not feeling well. What is the nurse's
response?
1. Request an order for intravenous trimethoprim/ sulfamethoxazole.
2. Initiate probiotics.
3. Withhold the treatment and notify the provider of the symptoms.
4. Administer the dose and request an order for an antipyretic medication.
3
7. A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports
needing increased doses for pain. What will the nurse tell the client?
A - Over time, people can develop tolerance to opioids. We can discuss this with your provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication. We can discuss this with your provider.
D- The risk of respiratory depression increases over time
A
8, A client who is suffering from an acute gout attack wants to know how colchicine differs from
probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching
regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B-All of these medications should be taken concurrently during an acute attack, NSAID's should be added
for pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons
, B
9. The nurse understands that a bronchodilator would be most therapeutic in which situation?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes
D
10. The parents of a child with asthma ask the nurse why their child cannot use oral corticosteroids more
often because they are so effective. What is the correct response by the nurse?
A- Frequent use of this drug may lead to a decreased response.
B- Chronic steroid use can show growth
C- A hypersensitivity reaction to this drug may occur.
D- systemic steroids are more toxic in children
B
11. A client taking warfarin presents with bruises, dark tarry stools, and an international normalized ratio
(INR) of 4.3. What is the nurse's action?
1. Hold the warfarin and consult the provider regarding the next steps.
2. Give an ampule of vitamin K, then call the physician to report client status.
3. Explain to the client the nurse may ask the provider to order a test for leukemia.
4. Give the warfarin with a dark green salad and check the next stool for blood.
1
12. The nurse will caution a client taking immunosuppressant drugs to avoid which dietary supplement?
1. Glucosamine
2. Feverfew
3. Echinacea
4. Black cohosh
3
13. A client will begin taking fexofenadine for hay fever. What education should be included regarding
the use of this second-generation antihistamine?
1. Citrus fruit juices can inactivate this class of medications.
2. Fexofenadine has cholinergic side effects. It causes excessive salivation.
3. Fexofenadine must be taken at bedtime.
4. Fexofenadine must be taken apart from food
1
(Answered) 100 Questions and Correct
Answers, 100% Correct. Fall 2024/2025.
1. The nurse is talking with a new mother about medications that can be safely resumed now that she is
no longer pregnant. All the following medications are contraindicated during pregnancy, but which one
may be ingested while breastfeeding without causing known infant harm?
1. Lithium
2. Methotrexate
3. Ibuprofen
4. Nicotine
3
2. Which statement by a client indicates an understanding of self-care precautions when taking warfarin?
1. "My warfarin dose may need to be readjusted when I take a course of antibiotics."
2. "I should expect pink urine due to metabolic bi-products of the dye used in this
medication."
3. "Herbal remedies are fine, but I shouldn't take aspirin without consulting my provider."
4. "I should eat spinach to increase my iron count if my INR goes below two."
1
3. Male client tells the nurse he awakens once or twice each night to video and has difficulty starting his
stream of urine. He describes these symptoms as " annoying." The client provider examines him and
notes that the prostate is moderately enlarged. The client is sexually active and tells the nurse that he
doesn't want to take any medication that will interfere with sexual function. THe nurse anticipates the
provider will order which of the following?
1. Silodosin
2. A transurethral prostatectomy
3. Finasteride
4. Doxazosin
4
4. A 50-year-old postmenopausal client who has had a hysterectomy has moderate to severe hot flashes
and is discussing estrogen therapy with the nurse. What will the nurse tell the client regarding the side
effect of estrogen therapy?
1. An estrogen progesterone product will increase side effects
,2. Transdermal preparations of estrogen therapy have reduced side effects.
3. Side effects of estrogen therapy are uncommon among women of her age.
4. An intravaginal preparation may be best.
2
5. A Client has an infection caused by pseudomonas aeruginosa, and the prescriber has ordered
intravenous piperacillin and tobramycin. Why might the nurse question this combination of antibiotics?
1. This combination causes tendon rupture.
2. Aminoglycosides are inactivated by penicillins.
3. Aminoglycosides alone are adequate against pseudomonas. There is no need to risk penicillin allergy.
4. Aminoglycosides increase the risk of penicillin allergy.
2
6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice daily. Before
administering the third dose, the nurse observes the client has a widespread rash, a temperature and a
heart rate of 100 beats/min. The client looks ill and reports not feeling well. What is the nurse's
response?
1. Request an order for intravenous trimethoprim/ sulfamethoxazole.
2. Initiate probiotics.
3. Withhold the treatment and notify the provider of the symptoms.
4. Administer the dose and request an order for an antipyretic medication.
3
7. A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports
needing increased doses for pain. What will the nurse tell the client?
A - Over time, people can develop tolerance to opioids. We can discuss this with your provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication. We can discuss this with your provider.
D- The risk of respiratory depression increases over time
A
8, A client who is suffering from an acute gout attack wants to know how colchicine differs from
probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching
regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B-All of these medications should be taken concurrently during an acute attack, NSAID's should be added
for pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons
, B
9. The nurse understands that a bronchodilator would be most therapeutic in which situation?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes
D
10. The parents of a child with asthma ask the nurse why their child cannot use oral corticosteroids more
often because they are so effective. What is the correct response by the nurse?
A- Frequent use of this drug may lead to a decreased response.
B- Chronic steroid use can show growth
C- A hypersensitivity reaction to this drug may occur.
D- systemic steroids are more toxic in children
B
11. A client taking warfarin presents with bruises, dark tarry stools, and an international normalized ratio
(INR) of 4.3. What is the nurse's action?
1. Hold the warfarin and consult the provider regarding the next steps.
2. Give an ampule of vitamin K, then call the physician to report client status.
3. Explain to the client the nurse may ask the provider to order a test for leukemia.
4. Give the warfarin with a dark green salad and check the next stool for blood.
1
12. The nurse will caution a client taking immunosuppressant drugs to avoid which dietary supplement?
1. Glucosamine
2. Feverfew
3. Echinacea
4. Black cohosh
3
13. A client will begin taking fexofenadine for hay fever. What education should be included regarding
the use of this second-generation antihistamine?
1. Citrus fruit juices can inactivate this class of medications.
2. Fexofenadine has cholinergic side effects. It causes excessive salivation.
3. Fexofenadine must be taken at bedtime.
4. Fexofenadine must be taken apart from food
1
