NURS 615 PHARM EXAM 1 MARYVILLE
UPDATED 2026 STUDY GUIDE SUMMARY
WITH FULLY SOLVED QUESTIONS
⩥ Patient education when prescribing colchicine includes: 1. Colchicine
may be constipating. 2. Colchicine always causes some degree of
diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amounts of
alcohol are safe with colchicine. -2. Ans: 2 ____
⩥ Larry is taking allopurinol to prevent gout. Monitoring of a patient
who is taking allopurinol includes: 1. Complete blood count 2. Blood
glucose 3. C-reactive protein 4. BUN, creatinine, and creatinine
clearance -3. Ans: 4 ____
⩥ Phil is starting treatment with febuxostat (Uloric). Education of
patients starting febuxostat includes: 1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea. 3. He should consume a high-
calcium diet. 4. He will need frequent CBC monitoring. -4. Ans: 1 ____
⩥ Sallie has been taking 10 mg per day of prednisone for the past 6
months. She should be assessed for: 1. Gout 2. Iron deficiency anemia 3.
Osteoporosis 4. Renal dysfunction -5. Ans: 3 ____
⩥ Patients whose total dose of prednisone will exceed 1 gram will most
likely need a second prescription for: 1. Metformin, a biguanide to
,prevent diabetes 2. Omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease 3. Naproxen, an NSAID to treat joint pain 4.
Furosemide, a diuretic to treat fluid retention -6.Ans: 2 ____
⩥ Daniel has been on 60 mg of prednisone for 10 days to treat a severe
asthma exacerbation. It is time to discontinue the prednisone. How is
prednisone discontinued? 1. Patients with asthma are transitioned
directly off the prednisone onto inhaled corticosteroids. 2. Prednisone
can be abruptly discontinued with no adverse effects. 3. Develop a
tapering schedule to slowly wean Daniel off the prednisone. 4.
Substitute the prednisone with another anti-inflammatory such as
ibuprofen. -7. Ans: 3 ____
⩥ Patients with rheumatoid arthritis who are on chronic low-dose
prednisone will need co-treatment with which medications to prevent
further adverse effects? 1. A bisphosphonate 2. Calcium supplementation
3. Vitamin D 4. All of the above -8.Ans: 4 ____
⩥ Patients who are on or who will be starting chronic corticosteroid
therapy need monitoring of: 1. Serum glucose 2. Stool culture 3. Folate
levels 4. Vitamin B12 -9. Ans: 1 ____
⩥ Patients who are on chronic long-term corticosteroid therapy need
education regarding: 1. Receiving all vaccinations, especially the live flu
vaccine 2. Reporting black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small amounts of alcohol
are generally tolerated. -10. Ans: 2 ____
, ⩥ All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA
Black Box Warning regarding: 1. Potential for causing life-threatening
GI bleeds 2. Increased risk of developing systemic arthritis with
prolonged use 3. Risk of life-threatening rashes, including Stevens-
Johnson 4. Potential for transient changes in serum glucose -11. Ans: 1
____
⩥ Jamie has fractured his ankle and has received a prescription for
acetaminophen and hydrocodone (Vicodin). Education when prescribing
Vicodin includes: 1. It is okay to double the dose of Vicodin if the pain is
severe. 2. Vicodin is not habit-forming. 3. He should not take any other
acetaminophen-containing medications. 4. Vicodin may cause diarrhea;
increase his fluid intake. -12. Ans: 3 ____
⩥ When prescribing NSAIDS, a complete drug history should be
conducted as NSAIDs interact with these drugs: 1. Omeprazole, a proton
pump inhibitor 2. Combined oral contraceptives 3. Diphenhydramine, an
antihistamine 4. Warfarin, an anticoagulant -13. Ans: 4 ____
⩥ Josefina is a 2-year-old child with acute otitis media and an upper
respiratory infection. Along with an antibiotic she receives a
recommendation to treat the ear pain with ibuprofen. What education
would her parent need regarding ibuprofen? 1. They can cut an adult
ibuprofen tablet in half to give Josefina. 2. The ibuprofen dose can be
doubled for severe pain. 3. Josefina needs to be well-hydrated while
UPDATED 2026 STUDY GUIDE SUMMARY
WITH FULLY SOLVED QUESTIONS
⩥ Patient education when prescribing colchicine includes: 1. Colchicine
may be constipating. 2. Colchicine always causes some degree of
diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amounts of
alcohol are safe with colchicine. -2. Ans: 2 ____
⩥ Larry is taking allopurinol to prevent gout. Monitoring of a patient
who is taking allopurinol includes: 1. Complete blood count 2. Blood
glucose 3. C-reactive protein 4. BUN, creatinine, and creatinine
clearance -3. Ans: 4 ____
⩥ Phil is starting treatment with febuxostat (Uloric). Education of
patients starting febuxostat includes: 1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea. 3. He should consume a high-
calcium diet. 4. He will need frequent CBC monitoring. -4. Ans: 1 ____
⩥ Sallie has been taking 10 mg per day of prednisone for the past 6
months. She should be assessed for: 1. Gout 2. Iron deficiency anemia 3.
Osteoporosis 4. Renal dysfunction -5. Ans: 3 ____
⩥ Patients whose total dose of prednisone will exceed 1 gram will most
likely need a second prescription for: 1. Metformin, a biguanide to
,prevent diabetes 2. Omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease 3. Naproxen, an NSAID to treat joint pain 4.
Furosemide, a diuretic to treat fluid retention -6.Ans: 2 ____
⩥ Daniel has been on 60 mg of prednisone for 10 days to treat a severe
asthma exacerbation. It is time to discontinue the prednisone. How is
prednisone discontinued? 1. Patients with asthma are transitioned
directly off the prednisone onto inhaled corticosteroids. 2. Prednisone
can be abruptly discontinued with no adverse effects. 3. Develop a
tapering schedule to slowly wean Daniel off the prednisone. 4.
Substitute the prednisone with another anti-inflammatory such as
ibuprofen. -7. Ans: 3 ____
⩥ Patients with rheumatoid arthritis who are on chronic low-dose
prednisone will need co-treatment with which medications to prevent
further adverse effects? 1. A bisphosphonate 2. Calcium supplementation
3. Vitamin D 4. All of the above -8.Ans: 4 ____
⩥ Patients who are on or who will be starting chronic corticosteroid
therapy need monitoring of: 1. Serum glucose 2. Stool culture 3. Folate
levels 4. Vitamin B12 -9. Ans: 1 ____
⩥ Patients who are on chronic long-term corticosteroid therapy need
education regarding: 1. Receiving all vaccinations, especially the live flu
vaccine 2. Reporting black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small amounts of alcohol
are generally tolerated. -10. Ans: 2 ____
, ⩥ All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA
Black Box Warning regarding: 1. Potential for causing life-threatening
GI bleeds 2. Increased risk of developing systemic arthritis with
prolonged use 3. Risk of life-threatening rashes, including Stevens-
Johnson 4. Potential for transient changes in serum glucose -11. Ans: 1
____
⩥ Jamie has fractured his ankle and has received a prescription for
acetaminophen and hydrocodone (Vicodin). Education when prescribing
Vicodin includes: 1. It is okay to double the dose of Vicodin if the pain is
severe. 2. Vicodin is not habit-forming. 3. He should not take any other
acetaminophen-containing medications. 4. Vicodin may cause diarrhea;
increase his fluid intake. -12. Ans: 3 ____
⩥ When prescribing NSAIDS, a complete drug history should be
conducted as NSAIDs interact with these drugs: 1. Omeprazole, a proton
pump inhibitor 2. Combined oral contraceptives 3. Diphenhydramine, an
antihistamine 4. Warfarin, an anticoagulant -13. Ans: 4 ____
⩥ Josefina is a 2-year-old child with acute otitis media and an upper
respiratory infection. Along with an antibiotic she receives a
recommendation to treat the ear pain with ibuprofen. What education
would her parent need regarding ibuprofen? 1. They can cut an adult
ibuprofen tablet in half to give Josefina. 2. The ibuprofen dose can be
doubled for severe pain. 3. Josefina needs to be well-hydrated while
