NURS 1230 EXAM 4 WOMEN AND MEN'S DRUGS QUESTIONS AND
ANSWERS | NURS 1230 PHARMACOLOGY STUDY GUIDE & PRACTICE
TEST 2026/2027
A patient is to receive testosterone therapy via a transdermal patch. He asks the nurse, "Why am I
getting a patch? Can't I just take a pill?" Which response by the nurse is correct?"
a "The patch reduces the incidence of side effects."
b "If you don't take the patch, you will have to have injections instead."
c "The patch allows for better absorption of the medication."
d "You will only have to change the patch weekly." - correct answer ✔✔ANS: C
The transdermal form allows for better absorption of testosterone because of its high first-pass effect.
Oral forms are poorly absorbed, and the transdermal form is preferable to an injection and is preferred
for hormonal replacement therapy. The patch is changed daily.
When a male patient is receiving androgen therapy, the nurse will monitor for signs of excessive
androgens such as:"
a fluid retention.
b dehydration.
c restlessness.
d visual changes. - correct answer ✔✔ANS: A
Fluid retention is an undesirable effect of androgens. The other options are incorrect.
A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse will
tell him that a possible effect of this medication is:"
a alopecia.
b increased hair growth.
c urinary retention.
d increased prostate size. - correct answer ✔✔ANS: B
Finasteride is given to reduce prostate size in men with benign prostatic hyperplasia. It has been noted
that men taking this medication experience increased hair growth. The other options are incorrect.
The nurse notes in a female patient's history that she has an order for the androgen methyltestosterone
(Android). Based on this finding, the nurse interprets that the patient has which disorder?"
a Fibrocystic breast disease
b Hereditary angioedema
c Hypertension
d Inoperable breast cancer - correct answer ✔✔ANS: D
Methyltestosterone can be used in cases of inoperable breast cancer in women. The other options are
incorrect.
, A 21-year-old male athlete admits to using androgenic steroids. The nurse tells him that which of these is
a possible adverse effect of these drugs?"
a Liver damage
b Renal failure
c Heart failure
d Stevens-Johnson syndrome - correct answer ✔✔ANS: A
Peliosis of the liver, the formation of blood-filled cavities, is a potential effect of androgenic anabolic
steroid therapy and may be life threatening. Other serious hepatic effects are hepatic neoplasms (liver
cancer), cholestatic hepatitis, jaundice, and abnormal liver function. The other options are incorrect.
During the administration of finasteride (Proscar), the nurse must remember which important
precaution?"
a It must be taken on an empty stomach.
b It must not be handled by pregnant women.
c It is given by deep intramuscular injection to avoid tissue irritation.
d The patient needs to be warned that alopecia is a common adverse effect. - correct answer ✔✔ANS: B
Finasteride must not be handled by pregnant women because of its teratogenic effects. It is taken orally
and without regard to meals. The other options are incorrect.
A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil
(Viagra). He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that
which problem may occur if sildenafil is taken with a nitrate?"
a Significant increase in pulse rate
b Significant decrease in blood pressure
c Increased risk of bleeding
d Reduced effectiveness of the sildenafil - correct answer ✔✔ANS: B
In patients with pre-existing cardiovascular disease, especially those on nitrates, erectile dysfunction
drugs such as sildenafil lower blood pressure substantially, potentially leading to more serious adverse
events. The other options are incorrect.
The nurse is reviewing the medication list of a patient who will be starting androgen therapy. Which drug
classes, if taken with androgens, may have an interaction with them?"
a Oral anticoagulants
b Nitrates
c Beta blockers
d Proton pump inhibitors - correct answer ✔✔ANS: A
Androgens, when used with oral anticoagulants, can significantly increase or decrease anticoagulant
activity. The other options are incorrect.
A 63-year-old male patient is scheduled for a physical examination, and he tells the nurse that he wants
to start taking a vitamin formula that includes saw palmetto for prostate health. Which is the nurse's
best response?"
a "I've heard many good things about saw palmetto."
ANSWERS | NURS 1230 PHARMACOLOGY STUDY GUIDE & PRACTICE
TEST 2026/2027
A patient is to receive testosterone therapy via a transdermal patch. He asks the nurse, "Why am I
getting a patch? Can't I just take a pill?" Which response by the nurse is correct?"
a "The patch reduces the incidence of side effects."
b "If you don't take the patch, you will have to have injections instead."
c "The patch allows for better absorption of the medication."
d "You will only have to change the patch weekly." - correct answer ✔✔ANS: C
The transdermal form allows for better absorption of testosterone because of its high first-pass effect.
Oral forms are poorly absorbed, and the transdermal form is preferable to an injection and is preferred
for hormonal replacement therapy. The patch is changed daily.
When a male patient is receiving androgen therapy, the nurse will monitor for signs of excessive
androgens such as:"
a fluid retention.
b dehydration.
c restlessness.
d visual changes. - correct answer ✔✔ANS: A
Fluid retention is an undesirable effect of androgens. The other options are incorrect.
A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse will
tell him that a possible effect of this medication is:"
a alopecia.
b increased hair growth.
c urinary retention.
d increased prostate size. - correct answer ✔✔ANS: B
Finasteride is given to reduce prostate size in men with benign prostatic hyperplasia. It has been noted
that men taking this medication experience increased hair growth. The other options are incorrect.
The nurse notes in a female patient's history that she has an order for the androgen methyltestosterone
(Android). Based on this finding, the nurse interprets that the patient has which disorder?"
a Fibrocystic breast disease
b Hereditary angioedema
c Hypertension
d Inoperable breast cancer - correct answer ✔✔ANS: D
Methyltestosterone can be used in cases of inoperable breast cancer in women. The other options are
incorrect.
, A 21-year-old male athlete admits to using androgenic steroids. The nurse tells him that which of these is
a possible adverse effect of these drugs?"
a Liver damage
b Renal failure
c Heart failure
d Stevens-Johnson syndrome - correct answer ✔✔ANS: A
Peliosis of the liver, the formation of blood-filled cavities, is a potential effect of androgenic anabolic
steroid therapy and may be life threatening. Other serious hepatic effects are hepatic neoplasms (liver
cancer), cholestatic hepatitis, jaundice, and abnormal liver function. The other options are incorrect.
During the administration of finasteride (Proscar), the nurse must remember which important
precaution?"
a It must be taken on an empty stomach.
b It must not be handled by pregnant women.
c It is given by deep intramuscular injection to avoid tissue irritation.
d The patient needs to be warned that alopecia is a common adverse effect. - correct answer ✔✔ANS: B
Finasteride must not be handled by pregnant women because of its teratogenic effects. It is taken orally
and without regard to meals. The other options are incorrect.
A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil
(Viagra). He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that
which problem may occur if sildenafil is taken with a nitrate?"
a Significant increase in pulse rate
b Significant decrease in blood pressure
c Increased risk of bleeding
d Reduced effectiveness of the sildenafil - correct answer ✔✔ANS: B
In patients with pre-existing cardiovascular disease, especially those on nitrates, erectile dysfunction
drugs such as sildenafil lower blood pressure substantially, potentially leading to more serious adverse
events. The other options are incorrect.
The nurse is reviewing the medication list of a patient who will be starting androgen therapy. Which drug
classes, if taken with androgens, may have an interaction with them?"
a Oral anticoagulants
b Nitrates
c Beta blockers
d Proton pump inhibitors - correct answer ✔✔ANS: A
Androgens, when used with oral anticoagulants, can significantly increase or decrease anticoagulant
activity. The other options are incorrect.
A 63-year-old male patient is scheduled for a physical examination, and he tells the nurse that he wants
to start taking a vitamin formula that includes saw palmetto for prostate health. Which is the nurse's
best response?"
a "I've heard many good things about saw palmetto."