,NUR 210 Exam 4 Test Bank | Principles of
Pharmacology | Galen College of Nursing |
2026/2027 Q&A Exam Prep PDF
NUR 210 - Exam 4: Integumentary, Musculoskeletal, Neurological, Endocrine,
and Special Populations Pharmacology
1. A patient is prescribed a topical corticosteroid for a skin condition. Which instruction should
the nurse include?
A) "Apply the medication thickly to the affected area."
B) "Use the medication only on intact skin."
C) "Cover the area with an occlusive dressing to increase absorption."
D) "Apply the medication to broken skin."
Correct Answer: B) "Use the medication only on intact skin."
Rationale: Topical corticosteroids should be applied to intact skin only. Broken skin increases
absorption and risk of systemic effects. Thin application is recommended; occlusive dressings
should be used only under provider direction.
2. A patient is prescribed a medication for psoriasis that is a topical vitamin D analog. Which
medication is a vitamin D analog?
A) Calcipotriene
B) Betamethasone
C) Tacrolimus
,D) Pimecrolimus
Correct Answer: A) Calcipotriene
Rationale: Calcipotriene is a vitamin D analog used for psoriasis. It works by slowing skin cell
growth. Betamethasone is a corticosteroid; tacrolimus and pimecrolimus are calcineurin
inhibitors used for eczema.
3. A patient is prescribed a medication for psoriasis that is a calcineurin inhibitor. Which
medication is a calcineurin inhibitor?
A) Calcipotriene
B) Betamethasone
C) Tacrolimus
D) Methotrexate
Correct Answer: C) Tacrolimus
Rationale: Tacrolimus is a calcineurin inhibitor used for eczema and psoriasis. Calcipotriene is a
vitamin D analog; betamethasone is a corticosteroid; methotrexate is a systemic
immunosuppressant.
4. A patient is prescribed a medication for acne that is a topical retinoid. Which medication is a
topical retinoid used for acne?
A) Tretinoin
, B) Clindamycin
C) Benzoyl peroxide
D) Isotretinoin
Correct Answer: A) Tretinoin
Rationale: Tretinoin is a topical retinoid used for acne. Clindamycin is a topical antibiotic;
benzoyl peroxide is an antibacterial; isotretinoin is an oral retinoid for severe acne.
5. A patient is prescribed isotretinoin for severe acne. Which instruction should the nurse
include?
A) "Avoid pregnancy while taking this medication."
B) "Take this medication with food."
C) "This medication has no side effects."
D) "You can stop the medication abruptly."
Correct Answer: A) "Avoid pregnancy while taking this medication."
Rationale: Isotretinoin is highly teratogenic and requires pregnancy prevention. Two forms of
contraception are recommended. The iPLEDGE program is required for monitoring. Common
side effects include dry skin and elevated triglycerides.
6. A patient is prescribed a medication for scabies. Which medication is used for scabies?
Pharmacology | Galen College of Nursing |
2026/2027 Q&A Exam Prep PDF
NUR 210 - Exam 4: Integumentary, Musculoskeletal, Neurological, Endocrine,
and Special Populations Pharmacology
1. A patient is prescribed a topical corticosteroid for a skin condition. Which instruction should
the nurse include?
A) "Apply the medication thickly to the affected area."
B) "Use the medication only on intact skin."
C) "Cover the area with an occlusive dressing to increase absorption."
D) "Apply the medication to broken skin."
Correct Answer: B) "Use the medication only on intact skin."
Rationale: Topical corticosteroids should be applied to intact skin only. Broken skin increases
absorption and risk of systemic effects. Thin application is recommended; occlusive dressings
should be used only under provider direction.
2. A patient is prescribed a medication for psoriasis that is a topical vitamin D analog. Which
medication is a vitamin D analog?
A) Calcipotriene
B) Betamethasone
C) Tacrolimus
,D) Pimecrolimus
Correct Answer: A) Calcipotriene
Rationale: Calcipotriene is a vitamin D analog used for psoriasis. It works by slowing skin cell
growth. Betamethasone is a corticosteroid; tacrolimus and pimecrolimus are calcineurin
inhibitors used for eczema.
3. A patient is prescribed a medication for psoriasis that is a calcineurin inhibitor. Which
medication is a calcineurin inhibitor?
A) Calcipotriene
B) Betamethasone
C) Tacrolimus
D) Methotrexate
Correct Answer: C) Tacrolimus
Rationale: Tacrolimus is a calcineurin inhibitor used for eczema and psoriasis. Calcipotriene is a
vitamin D analog; betamethasone is a corticosteroid; methotrexate is a systemic
immunosuppressant.
4. A patient is prescribed a medication for acne that is a topical retinoid. Which medication is a
topical retinoid used for acne?
A) Tretinoin
, B) Clindamycin
C) Benzoyl peroxide
D) Isotretinoin
Correct Answer: A) Tretinoin
Rationale: Tretinoin is a topical retinoid used for acne. Clindamycin is a topical antibiotic;
benzoyl peroxide is an antibacterial; isotretinoin is an oral retinoid for severe acne.
5. A patient is prescribed isotretinoin for severe acne. Which instruction should the nurse
include?
A) "Avoid pregnancy while taking this medication."
B) "Take this medication with food."
C) "This medication has no side effects."
D) "You can stop the medication abruptly."
Correct Answer: A) "Avoid pregnancy while taking this medication."
Rationale: Isotretinoin is highly teratogenic and requires pregnancy prevention. Two forms of
contraception are recommended. The iPLEDGE program is required for monitoring. Common
side effects include dry skin and elevated triglycerides.
6. A patient is prescribed a medication for scabies. Which medication is used for scabies?
