Saunders Pharmacology (2025/2026) Update|Exam Questions With Multiple Choices |Verified & Revised Answers (New)!!!

Saunders Pharmacology (2025/2026)
Update|Exam
Questions With Multiple
Choices |Verified & Revised
Answers (New)!!!
1)mAmnursemismcaringmformamclientmwithmhyperparathyroidismmandmnotesmthatmthemclient'smserummc
alciummlevelmism13mmg/dL.mWhichmmedicationmshouldmthemnursempreparemtomadministermasmpresc
ribedmtomthemclient?

m 1.mCalciummchloride

m 2.mCalciummgluconate

m 3.mCalcitoninm(Miacalcin)

m 4.mLargemdosesmofmvitaminmDm-mCORRECTmANSWERSm3.mCalcitoninm(Miacalcin)

Rationale:

Themnormalmserummcalciummlevelmism8.6mtom10.0mmg/dL.mThismclientmismexperiencingmhypercalcem
ia.mCalciummgluconatemandmcalciummchloridemaremmedicationsmusedmformthemtreatmentmofmtetany,
mwhichmoccursmasmamresultmofmacutemhypocalcemia.mInmhypercalcemia,mlargemdosesmofmvitaminmDm


needmtombemavoided.mCalcitonin,mamthyroidmhormone,mdecreasesmthemplasmamcalciummlevelmbymin
hibitingmbonemresorptionmandmloweringmthemserummcalciummconcentration.



2.)mOralmironmsupplementsmaremprescribedmformam6-year-
oldmchildmwithmironmdeficiencymanemia.mThemnurseminstructsmthemmothermtomadministermthemironm
withmwhichmbestmfoodmitem?

m 1.mMilk

m 2.mWater

m 3.mApplemjuice

m 4.mOrangemjuicem-mCORRECTmANSWERSm4.mOrangemjuice

Rationale:

,VitaminmCmincreasesmthemabsorptionmofmironmbymthembody.mThemmothermshouldmbeminstructedmtom
administermthemmedicationmwithmamcitrusmfruitmormamjuicemthatmismhighminmvitaminmC.mMilkmmaymaff
ectmabsorptionmofmthemiron.mWatermwillmnotmassistminmabsorption.mOrangemjuicemcontainsmamgreate
rmamountmofmvitaminmCmthanmapplemjuice.



3.)mSalicylicmacidmismprescribedmformamclientmwithmamdiagnosismofmpsoriasis.mThemnursemmonitorsmth
emclient,mknowingmthatmwhichmofmthemfollowingmwouldmindicatemthempresencemofmsystemicmtoxicit
ymfrommthismmedication?

m 1.mTinnitus

m 2.mDiarrhea

m 3.mConstipation

m 4.mDecreasedmrespirationsm-mCORRECTmANSWERSm1.mTinnitus

Rationale:

Salicylicmacidmismabsorbedmreadilymthroughmthemskin,mandmsystemicmtoxicitym(salicylism)mcanmresult
.mSymptomsmincludemtinnitus,mdizziness,mhyperpnea,mandmpsychologicalmdisturbances.mConstipati
onmandmdiarrheamaremnotmassociatedmwithmsalicylism.



4.)mThemcampmnursemasksmthemchildrenmpreparingmtomswimminmthemlakemifmtheymhavemappliedmsuns
creen.mThemnursemremindsmthemchildrenmthatmchemicalmsunscreensmaremmostmeffectivemwhenmapp
lied:

m 1.mImmediatelymbeforemswimming

m 2.m15mminutesmbeforemexposuremtomthemsun

m 3.mImmediatelymbeforemexposuremtomthemsun

m4.mAtmleastm30mminutesmbeforemexposuremtomthemsunm-
mCORRECTmANSWERSm4.mAtmleastm30mminutesmbeforemexposuremtomthemsun



Rationale:

Sunscreensmaremmostmeffectivemwhenmappliedmatmleastm30mminutesmbeforemexposuremtomthemsunm
somthatmtheymcanmpenetratemthemskin.mAllmsunscreensmshouldmbemreappliedmaftermswimmingmorms
weating.

,5.)mMafenidemacetatem(Sulfamylon)mismprescribedmformthemclientmwithmamburnminjury.mWhenmapplyi
ngmthemmedication,mthemclientmcomplainsmofmlocalmdiscomfortmandmburning.mWhichmofmthemfollow
ingmismthemmostmappropriatemnursingmaction?

m 1.mNotifyingmthemregisteredmnurse

m 2.mDiscontinuingmthemmedication

m 3.mInformingmthemclientmthatmthismismnormal

m4.mApplyingmamthinnermfilmmthanmprescribedmtomthemburnmsitem-
mCORRECTmANSWERSm3.mInformingmthemclientmthatmthismismnormal



Rationale:

Mafenidemacetatemismbacteriostaticmformgram-negativemandmgram-
positivemorganismsmandmismusedmtomtreatmburnsmtomreducembacteriampresentminmavascularmtissues.
mThemclientmshouldmbeminformedmthatmthemmedicationmwillmcausemlocalmdiscomfortmandmburningma


ndmthatmthismismamnormalmreaction;mthereforemoptionsm1,m2,mandm4maremincorrect



6.)mThemburnmclientmismreceivingmtreatmentsmofmtopicalmmafenidemacetatem(Sulfamylon)mtomthemsit
emofminjury.mThemnursemmonitorsmthemclient,mknowingmthatmwhichmofmthemfollowingmindicatesmthat
mamsystemicmeffectmhasmoccurred?



m 1.Hyperventilation

m 2.Elevatedmbloodmpressure

m 3.Localmpainmatmthemburnmsite

m 4.Localmrashmatmthemburnmsitem-mCORRECTmANSWERSm1.Hyperventilation

Rationale:

Mafenidemacetatemismamcarbonicmanhydraseminhibitormandmcanmsuppressmrenalmexcretionmofmacid,m
therebymcausingmacidosis.mClientsmreceivingmthismtreatmentmshouldmbemmonitoredmformsignsmofma
nmacid-
basemimbalancem(hyperventilation).mIfmthismoccurs,mthemmedicationmshouldmbemdiscontinuedmform
1mtom2mdays.mOptionsm3mandm4mdescribemlocalmrathermthanmsystemicmeffects.mAnmelevatedmbloodmp
ressuremmaymbemexpectedmfrommthempainmthatmoccursmwithmamburnminjury.

, 7.)mIsotretinoinmismprescribedmformamclientmwithmseveremacne.mBeforemthemadministrationmofmthism
medication,mthemnursemanticipatesmthatmwhichmlaboratorymtestmwillmbemprescribed?

m 1.mPlateletmcount

m 2.mTriglyceridemlevel

m 3.mCompletembloodmcount

m 4.mWhitembloodmcellmcountm-mCORRECTmANSWERSm2.mTriglyceridemlevel

Rationale:

Isotretinoinmcanmelevatemtriglyceridemlevels.mBloodmtriglyceridemlevelsmshouldmbemmeasuredmbefo
remtreatmentmandmperiodicallymthereaftermuntilmthemeffectmonmthemtriglyceridesmhasmbeenmevaluat
ed.mOptionsm1,m3,mandm4mdomnotmneedmtombemmonitoredmspecificallymduringmthismtreatment.



8.)mAmclientmwithmseveremacnemismseenminmthemclinicmandmthemhealthmcaremproviderm(HCP)mprescrib
esmisotretinoin.mThemnursemreviewsmthemclient'smmedicationmrecordmandmwouldmcontactmthem(HCP
)mifmthemclientmismtakingmwhichmmedication?

m 1.mVitaminmA

m 2.mDigoxinm(Lanoxin)

m 3.mFurosemidem(Lasix)

m 4.mPhenytoinm(Dilantin)m-mCORRECTmANSWERSm1.mVitaminmA

Rationale:

IsotretinoinmismammetabolitemofmvitaminmAmandmcanmproducemgeneralizedmintensificationmofmisotre
tinoinmtoxicity.mBecausemofmthempotentialmformincreasedmtoxicity,mvitaminmAmsupplementsmshouldm
bemdiscontinuedmbeforemisotretinoinmtherapy.mOptionsm2,m3,mandm4maremnotmcontraindicatedmwith
mthemusemofmisotretinoin.




9.)mThemnursemismapplyingmamtopicalmcorticosteroidmtomamclientmwithmeczema.mThemnursemwouldmm
onitormformthempotentialmformincreasedmsystemicmabsorptionmofmthemmedicationmifmthemmedicatio
nmwerembeingmappliedmtomwhichmofmthemfollowingmbodymareas?

m 1.mBack

m 2.mAxilla