• EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
EVOLVE ELSEVIER NUR 140 PHARM EXAM
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
A 32-year-old female client complains of severe abdominal pain each month before her menstrual period, painful
intercourse, and painful defecation. Which additional history should the nurse obtain that is consistent with the
client's complaints?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
P 1
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
D) Chronic use of laxatives.
- Correct Answer :B) Inability to get pregnant.
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of endometriosis, which
is the abnormal displacement of endometrial tissue in the dependent areas of the pelvic peritoneum. A history of
infertility (B) is another common finding associated with endometriosis. Although (A, C, and D) are common,
nonspecific gynecological complaints, the most common complaints of the client with endometriosis are pain
and infertility.
The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease.
Which question should provide information relevant to the client's plan of care?
A) Have you ever experienced any paralysis of your arms or legs?
B) Have you ever sustained a severe head injury?
C) Have you ever been 'frozen' in one spot, unable to move?
D) Do you have headaches, especially ones with throbbing pain? –
Correct Answer :C) Have you ever been 'frozen' in one spot, unable to move?
Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and performing motor
activities. They may even experience being rooted to the spot and unable to move (C). Parkinson's disease does
not cause (A). Parkinson's disease is not usually associated with (B), nor does it typically cause (D).
A female client requests information about using the calendar method of contraception. Which assessment is
most important for the nurse to obtain?
A) Amount of weight gain or weight loss during the previous year.
B) An accurate menstrual cycle diary for the past 6 to 12 months.
C) Skin pigmentation and hair texture for evidence of hormonal changes.
P 2
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
D) Previous birth-control methods and beliefs about the calendar method.
- Correct Answer :B) An accurate menstrual cycle diary for the past 6 to 12 months.
The fertile period, which occurs 2 weeks prior to the onset of menses, is determined using an accurate record of
the number of days of the menstrual cycles for the past 6 months, so it is most important to emphasize to the
client that accuracy and compliancy of a menstrual diary (B) is the basis of the calendar method. (A and C) may
be partially related to hormonal fluctuations but are not indicators for using the calendar method. (D) may
demonstrate client understanding and compliancy but is not the most important aspect.
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH), which is
manifested by which symptoms?
A) Loss of thirst, weight gain.
B) Dependent edema, fever.
C) Polydipsia, polyuria.
D) Hypernatremia, tachypnea. –
Correct Answer :A) Loss of thirst, weight gain.
SIADH occurs when the posterior pituitary gland releases too much ADH, causing water retention, a urine output
of less than 20 ml/hour, and dilutional hyponatremia. Other indications of SIADH are loss of thirst, weight gain
(A), irritability, muscle weakness, and decreased level of consciousness. (B) is not associated with SIADH. (C) is a
finding associated with diabetes insipidus (a water metabolism problem caused by an ADH deficiency), not
SIADH. The increase in plasma volume causes an increase in the glomerular filtration rate that inhibits the release
of rennin and aldosterone, which results in an increased sodium loss in urine, leading to greater hyponatremia,
not (D).
P 3
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
What types of medications should the nurse expect to administer to a client during an acute respiratory distress
episode?
A) Vasodilators and hormones.
B) Analgesics and sedatives.
C) Anticoagulants and expectorants.
D) Bronchodilators and steroids. –
Correct Answer :D) Bronchodilators and steroids.
Besides supplemental oxygen, the ARDS client needs medications to widen air passages, increase air space, and
reduce alveolar membrane inflammation, i.e., bronchodilators and steroids (D). (A) would not help the
condition. (B) would further depress the client and compromise the ability to breathe. Anticoagulants would be
contraindicated since clotting of the blood is not yet a problem, and expectorants are not appropriate for this
critically ill client (C).
Which postmenopausal client's complaint should the nurse refer to the healthcare provider?
A) Breasts feel lumpy when palpated.
B) History of white nipple discharge.
C) Episodes of vaginal bleeding.
D) Excessive diaphoresis occurs at night. - Correct Answer :C) Episodes of vaginal bleeding.
Postmenopausal vaginal bleeding (C) may be an indication of endometrial cancer, which should be reported to
the healthcare provider. Compared to a new-onset of a single lump, breasts that feel lumpy (A) overall may be a
normal variant or a finding consistent with nonmalignant fibrocystic disease. Up to 80% of women experience
(B), depending on sexual stimulation or hormonal levels, and is no longer recommended as a reportable
symptom when discovered during breast self-exam (BSE). The client may need further teaching concerning (D),
a disturbing symptom, but it is not as important as (C).
Dysrhythmias are a concern for any client. However, the presence of a dysrhythmia is more serious in an elderly
person because
P 4
NUR 140 PHARM 09/07/2026
EXAM
EVOLVE ELSEVIER NUR 140 PHARM EXAM
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
A 32-year-old female client complains of severe abdominal pain each month before her menstrual period, painful
intercourse, and painful defecation. Which additional history should the nurse obtain that is consistent with the
client's complaints?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
P 1
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
D) Chronic use of laxatives.
- Correct Answer :B) Inability to get pregnant.
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of endometriosis, which
is the abnormal displacement of endometrial tissue in the dependent areas of the pelvic peritoneum. A history of
infertility (B) is another common finding associated with endometriosis. Although (A, C, and D) are common,
nonspecific gynecological complaints, the most common complaints of the client with endometriosis are pain
and infertility.
The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease.
Which question should provide information relevant to the client's plan of care?
A) Have you ever experienced any paralysis of your arms or legs?
B) Have you ever sustained a severe head injury?
C) Have you ever been 'frozen' in one spot, unable to move?
D) Do you have headaches, especially ones with throbbing pain? –
Correct Answer :C) Have you ever been 'frozen' in one spot, unable to move?
Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and performing motor
activities. They may even experience being rooted to the spot and unable to move (C). Parkinson's disease does
not cause (A). Parkinson's disease is not usually associated with (B), nor does it typically cause (D).
A female client requests information about using the calendar method of contraception. Which assessment is
most important for the nurse to obtain?
A) Amount of weight gain or weight loss during the previous year.
B) An accurate menstrual cycle diary for the past 6 to 12 months.
C) Skin pigmentation and hair texture for evidence of hormonal changes.
P 2
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
D) Previous birth-control methods and beliefs about the calendar method.
- Correct Answer :B) An accurate menstrual cycle diary for the past 6 to 12 months.
The fertile period, which occurs 2 weeks prior to the onset of menses, is determined using an accurate record of
the number of days of the menstrual cycles for the past 6 months, so it is most important to emphasize to the
client that accuracy and compliancy of a menstrual diary (B) is the basis of the calendar method. (A and C) may
be partially related to hormonal fluctuations but are not indicators for using the calendar method. (D) may
demonstrate client understanding and compliancy but is not the most important aspect.
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH), which is
manifested by which symptoms?
A) Loss of thirst, weight gain.
B) Dependent edema, fever.
C) Polydipsia, polyuria.
D) Hypernatremia, tachypnea. –
Correct Answer :A) Loss of thirst, weight gain.
SIADH occurs when the posterior pituitary gland releases too much ADH, causing water retention, a urine output
of less than 20 ml/hour, and dilutional hyponatremia. Other indications of SIADH are loss of thirst, weight gain
(A), irritability, muscle weakness, and decreased level of consciousness. (B) is not associated with SIADH. (C) is a
finding associated with diabetes insipidus (a water metabolism problem caused by an ADH deficiency), not
SIADH. The increase in plasma volume causes an increase in the glomerular filtration rate that inhibits the release
of rennin and aldosterone, which results in an increased sodium loss in urine, leading to greater hyponatremia,
not (D).
P 3
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
What types of medications should the nurse expect to administer to a client during an acute respiratory distress
episode?
A) Vasodilators and hormones.
B) Analgesics and sedatives.
C) Anticoagulants and expectorants.
D) Bronchodilators and steroids. –
Correct Answer :D) Bronchodilators and steroids.
Besides supplemental oxygen, the ARDS client needs medications to widen air passages, increase air space, and
reduce alveolar membrane inflammation, i.e., bronchodilators and steroids (D). (A) would not help the
condition. (B) would further depress the client and compromise the ability to breathe. Anticoagulants would be
contraindicated since clotting of the blood is not yet a problem, and expectorants are not appropriate for this
critically ill client (C).
Which postmenopausal client's complaint should the nurse refer to the healthcare provider?
A) Breasts feel lumpy when palpated.
B) History of white nipple discharge.
C) Episodes of vaginal bleeding.
D) Excessive diaphoresis occurs at night. - Correct Answer :C) Episodes of vaginal bleeding.
Postmenopausal vaginal bleeding (C) may be an indication of endometrial cancer, which should be reported to
the healthcare provider. Compared to a new-onset of a single lump, breasts that feel lumpy (A) overall may be a
normal variant or a finding consistent with nonmalignant fibrocystic disease. Up to 80% of women experience
(B), depending on sexual stimulation or hormonal levels, and is no longer recommended as a reportable
symptom when discovered during breast self-exam (BSE). The client may need further teaching concerning (D),
a disturbing symptom, but it is not as important as (C).
Dysrhythmias are a concern for any client. However, the presence of a dysrhythmia is more serious in an elderly
person because
P 4
