PHRM FINAL EXAM –
(2024/2025) ALL CHAPTERS
COMPREHENSIVE REVIEW |
PRACTICE QUESTIONS &
VERIFIED ANSWERS A+ GUIDE
which term best describes the process of utilizing genetic information to develop
pharmacological agents to treat diseases?
Totally Synthesized, Scientific Method, Partially Synthesized, Pharmacogenetics
Pharmacogenetics: study of individual candidate genes as powerful tools to explain
interindividual variability in drug response
While walking in the mall an RN notices an obese woman with a rounded face, and facial
hair. The RN suspects the woman has Cushing's disease. Which of the following health
concerns would most likely also be present in the woman? (Select all that apply.)
A. Cirrhosis
B. Hypercoagulability
C. Hyperglycemia
D. Hypertension
E. Anemia
Hyperglycemia
,Hypertension
While grocery shopping, the nurse notes that a middle-aged woman in the aisle stops
frequently and rubs her left arm and shoulder. As the nurse gets closer, he notes the
woman is pale and appears slightly short of breath. The nurse's additional assessment will
be based on which of the following?
A. Awareness that symptoms of a myocardial infarction in woman are atypical in nature
B. Understanding that polypharmacy is a growing problem among middle-aged individuals.
C. Knowledge that chronic respiratory disease is common among smokers.
D. Comprehension that early action in the presence of stroke symptoms saves lives.
Awareness that symptoms of a myocardial infarction in woman are atypical in nature
The RN is called by a neighbor who reports her husband seems to be acting "a little odd"
and says he feels really tired and weak. The RN discovers that the patient recently stopped
taking his benazepril (Lotensin) due to the fear of side effects mentioned in a television
commercial. Which of the following actions by the RN is best?
A. Instruct the woman to have her husband take an aspirin and lie down for 1 hour to rest.
B. Ask the woman if she has a blood pressure cuff, and instruct her to take her husband's
blood pressure.
C. Tell the woman to call an ambulance or get her husband to an emergency department
right away.
D. Inform the woman that the symptoms reported are withdrawal symptoms that will
subside soon.
Tell the woman to call an ambulance or get her husband to an emergency department right
away.
,A student nurse assisting in the care of a patient with diabetes type 1 is preparing to provide
12 units of Novolog 70/30. When asked by the instructor to explain the medication, the
student would include which of the following statements? (Select all that apply.)
A. "The onset for this insulin is approximately 15 minutes."
B. "This is a premixed insulin that has both short-acting and longer-acting agents."
C. "This insulin is an intermediate-acting agent and lasts 5 to 8 hours."
D. "Patients generally use this insulin once a day."
E. "This insulin will last 16 to 20 hours."
"The onset for this insulin is approximately 15 minutes."
"This is a premixed insulin that has both short-acting and longer-acting agents."
"Patients generally use this insulin once a day."
The RN is called into the room of a patient with known cardiac disease at 7:30 a.m. The
patient reports heavy pressure and chest pain. Which action by the nurse is best?
A. Provide the patient nitroglycerin sublingual scheduled prn.
B. Determine the patient's level of consciousness.
C. Assess the patient's respiratory rate and effort.
D. Provide the patient with the atenolol (Tenormin) scheduled for 9 a.m.
Provide the patient nitroglycerin sublingual scheduled prn.
, A patient taking levothyroxine (Levothroid) should be counseled to report which of the
following side effects? (Select all that apply.)
A. Hypotension
B. Tremors
C. Somnolence
D. Palpitations
E. Weight gain
Tremors
Palpitations
A nurse caring for an individual taking chlorpropamide (Diabinese) would monitor which of
the following lab values to determine treatment effectiveness?
A. Serum HCG levels
B. Serum calcium
C. Thyroid stimulating hormone (TSH) levels
D. Glycosylated hemoglobin
Glycosylated hemoglobin
The RN is providing care for a patient in a rehab facility with angina pectoris with a prn order
for sublingual nitroglycerin (Nitrostat) up to 3 times in 30 minutes. The patient reports chest
pain and her BP = 155/72. Five minutes after administering the Nitrostat, the patient's
blood pressure is 124/60, and chest pain is not relieved. What action should the nurse take
next?
(2024/2025) ALL CHAPTERS
COMPREHENSIVE REVIEW |
PRACTICE QUESTIONS &
VERIFIED ANSWERS A+ GUIDE
which term best describes the process of utilizing genetic information to develop
pharmacological agents to treat diseases?
Totally Synthesized, Scientific Method, Partially Synthesized, Pharmacogenetics
Pharmacogenetics: study of individual candidate genes as powerful tools to explain
interindividual variability in drug response
While walking in the mall an RN notices an obese woman with a rounded face, and facial
hair. The RN suspects the woman has Cushing's disease. Which of the following health
concerns would most likely also be present in the woman? (Select all that apply.)
A. Cirrhosis
B. Hypercoagulability
C. Hyperglycemia
D. Hypertension
E. Anemia
Hyperglycemia
,Hypertension
While grocery shopping, the nurse notes that a middle-aged woman in the aisle stops
frequently and rubs her left arm and shoulder. As the nurse gets closer, he notes the
woman is pale and appears slightly short of breath. The nurse's additional assessment will
be based on which of the following?
A. Awareness that symptoms of a myocardial infarction in woman are atypical in nature
B. Understanding that polypharmacy is a growing problem among middle-aged individuals.
C. Knowledge that chronic respiratory disease is common among smokers.
D. Comprehension that early action in the presence of stroke symptoms saves lives.
Awareness that symptoms of a myocardial infarction in woman are atypical in nature
The RN is called by a neighbor who reports her husband seems to be acting "a little odd"
and says he feels really tired and weak. The RN discovers that the patient recently stopped
taking his benazepril (Lotensin) due to the fear of side effects mentioned in a television
commercial. Which of the following actions by the RN is best?
A. Instruct the woman to have her husband take an aspirin and lie down for 1 hour to rest.
B. Ask the woman if she has a blood pressure cuff, and instruct her to take her husband's
blood pressure.
C. Tell the woman to call an ambulance or get her husband to an emergency department
right away.
D. Inform the woman that the symptoms reported are withdrawal symptoms that will
subside soon.
Tell the woman to call an ambulance or get her husband to an emergency department right
away.
,A student nurse assisting in the care of a patient with diabetes type 1 is preparing to provide
12 units of Novolog 70/30. When asked by the instructor to explain the medication, the
student would include which of the following statements? (Select all that apply.)
A. "The onset for this insulin is approximately 15 minutes."
B. "This is a premixed insulin that has both short-acting and longer-acting agents."
C. "This insulin is an intermediate-acting agent and lasts 5 to 8 hours."
D. "Patients generally use this insulin once a day."
E. "This insulin will last 16 to 20 hours."
"The onset for this insulin is approximately 15 minutes."
"This is a premixed insulin that has both short-acting and longer-acting agents."
"Patients generally use this insulin once a day."
The RN is called into the room of a patient with known cardiac disease at 7:30 a.m. The
patient reports heavy pressure and chest pain. Which action by the nurse is best?
A. Provide the patient nitroglycerin sublingual scheduled prn.
B. Determine the patient's level of consciousness.
C. Assess the patient's respiratory rate and effort.
D. Provide the patient with the atenolol (Tenormin) scheduled for 9 a.m.
Provide the patient nitroglycerin sublingual scheduled prn.
, A patient taking levothyroxine (Levothroid) should be counseled to report which of the
following side effects? (Select all that apply.)
A. Hypotension
B. Tremors
C. Somnolence
D. Palpitations
E. Weight gain
Tremors
Palpitations
A nurse caring for an individual taking chlorpropamide (Diabinese) would monitor which of
the following lab values to determine treatment effectiveness?
A. Serum HCG levels
B. Serum calcium
C. Thyroid stimulating hormone (TSH) levels
D. Glycosylated hemoglobin
Glycosylated hemoglobin
The RN is providing care for a patient in a rehab facility with angina pectoris with a prn order
for sublingual nitroglycerin (Nitrostat) up to 3 times in 30 minutes. The patient reports chest
pain and her BP = 155/72. Five minutes after administering the Nitrostat, the patient's
blood pressure is 124/60, and chest pain is not relieved. What action should the nurse take
next?
