RASMUSSEN PHARMACOLOGY FINAL EXAM |
QUESTIONS AND CORRECT ANSWERS | GRADED A+
| VERIFIED ANSWERS | JUST RELEASED
1. The nurse is talking with a new mother about medications that can be safely
resumed now that she is no longer pregnant. All the following medications are
contraindicated during pregnancy, but which one may be ingested while
breastfeeding without causing known infant harm?
A) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine
Correct Answer: C) Ibuprofen
Rationale: Only a small amount of ibuprofen passes into breast milk, and it's
actually a first-line pain reliever considered safe for nursing mothers.
2. Which statement by a client indicates an understanding of self-care
precautions when taking warfarin?
A) "My warfarin dose may need to be readjusted when I take a course of
antibiotics."
,B) "I should expect pink urine due to metabolic bi-products of the dye used in this
medication."
C) "Herbal remedies are fine, but I shouldn't take aspirin without consulting my
provider."
D) "I should eat spinach to increase my iron count if my INR goes below two."
Correct Answer: A) "My warfarin dose may need to be readjusted when I
take a course of antibiotics."**
Rationale: Antibiotics can alter gut flora that produce vitamin K and can inhibit
the liver enzymes that metabolize warfarin, both of which can raise INR and
bleeding risk — so dose adjustment and closer INR monitoring are often needed
during antibiotic therapy.
3. A male client tells the nurse he awakens once or twice each night to void and
has difficulty starting his stream of urine. He describes these symptoms as
“annoying.” The client's provider examines him and notes that the prostate is
moderately enlarged. The client is sexually active and tells the nurse that he
doesn't want to take any medication that will interfere with sexual function.
The nurse anticipates the provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin
Correct Answer: A) Silodosin
,Rationale: The client has symptoms of benign prostatic hyperplasia (BPH),
including nocturia, difficulty initiating urination, and prostate enlargement.
Silodosin is a selective α₁A-adrenergic blocker that relaxes smooth muscle in the
prostate and bladder neck, improving urinary flow. Compared with nonselective α₁-
blockers and 5-alpha-reductase inhibitors, it has less effect on erectile function,
making it a reasonable choice for a sexually active client concerned about sexual
function.
4. A 50-year-old postmenopausal client who has had a hysterectomy has
moderate to severe hot flashes and is discussing estrogen therapy with the
nurse. What will the nurse tell the client regarding the side effect of estrogen
therapy?
A) An estrogen-progesterone product will increase side effects.
B) Transdermal preparations of estrogen therapy have reduced side effects.
C) Side effects of estrogen therapy are uncommon among women of her age.
D) An intravaginal preparation may be best.
Correct Answer: B) Transdermal preparations of estrogen therapy have
reduced side effects.
Rationale: Transdermal estrogen bypasses first-pass liver metabolism and may
reduce some systemic risks compared with oral estrogen. Because the client has
had a hysterectomy, progesterone is generally unnecessary.
5. A client has an infection caused by Pseudomonas aeruginosa, and the
prescriber has ordered intravenous piperacillin and tobramycin. Why might
the nurse question this combination of antibiotics?
, A) This combination causes tendon rupture.
B) Aminoglycosides are inactivated by penicillins.
C) Aminoglycosides alone are adequate against Pseudomonas. There is no need to
risk penicillin allergy.
D) Aminoglycosides increase the risk of penicillin allergy.
Correct Answer: B) Aminoglycosides are inactivated by penicillins.
Rationale: Penicillins can chemically inactivate aminoglycosides when they are
mixed or administered together in the same solution. They should be administered
separately.
6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800
mg orally twice daily. Before administering the third dose, the nurse observes
that the client has a widespread rash, a fever, and a heart rate of 100
beats/min. The client looks ill and reports not feeling well. What is the nurse's
response?
A) Request an order for intravenous trimethoprim/sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of the symptoms.
D) Administer the dose and request an order for an antipyretic medication.
Correct Answer: C) Withhold the treatment and notify the provider of the
symptoms.
QUESTIONS AND CORRECT ANSWERS | GRADED A+
| VERIFIED ANSWERS | JUST RELEASED
1. The nurse is talking with a new mother about medications that can be safely
resumed now that she is no longer pregnant. All the following medications are
contraindicated during pregnancy, but which one may be ingested while
breastfeeding without causing known infant harm?
A) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine
Correct Answer: C) Ibuprofen
Rationale: Only a small amount of ibuprofen passes into breast milk, and it's
actually a first-line pain reliever considered safe for nursing mothers.
2. Which statement by a client indicates an understanding of self-care
precautions when taking warfarin?
A) "My warfarin dose may need to be readjusted when I take a course of
antibiotics."
,B) "I should expect pink urine due to metabolic bi-products of the dye used in this
medication."
C) "Herbal remedies are fine, but I shouldn't take aspirin without consulting my
provider."
D) "I should eat spinach to increase my iron count if my INR goes below two."
Correct Answer: A) "My warfarin dose may need to be readjusted when I
take a course of antibiotics."**
Rationale: Antibiotics can alter gut flora that produce vitamin K and can inhibit
the liver enzymes that metabolize warfarin, both of which can raise INR and
bleeding risk — so dose adjustment and closer INR monitoring are often needed
during antibiotic therapy.
3. A male client tells the nurse he awakens once or twice each night to void and
has difficulty starting his stream of urine. He describes these symptoms as
“annoying.” The client's provider examines him and notes that the prostate is
moderately enlarged. The client is sexually active and tells the nurse that he
doesn't want to take any medication that will interfere with sexual function.
The nurse anticipates the provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin
Correct Answer: A) Silodosin
,Rationale: The client has symptoms of benign prostatic hyperplasia (BPH),
including nocturia, difficulty initiating urination, and prostate enlargement.
Silodosin is a selective α₁A-adrenergic blocker that relaxes smooth muscle in the
prostate and bladder neck, improving urinary flow. Compared with nonselective α₁-
blockers and 5-alpha-reductase inhibitors, it has less effect on erectile function,
making it a reasonable choice for a sexually active client concerned about sexual
function.
4. A 50-year-old postmenopausal client who has had a hysterectomy has
moderate to severe hot flashes and is discussing estrogen therapy with the
nurse. What will the nurse tell the client regarding the side effect of estrogen
therapy?
A) An estrogen-progesterone product will increase side effects.
B) Transdermal preparations of estrogen therapy have reduced side effects.
C) Side effects of estrogen therapy are uncommon among women of her age.
D) An intravaginal preparation may be best.
Correct Answer: B) Transdermal preparations of estrogen therapy have
reduced side effects.
Rationale: Transdermal estrogen bypasses first-pass liver metabolism and may
reduce some systemic risks compared with oral estrogen. Because the client has
had a hysterectomy, progesterone is generally unnecessary.
5. A client has an infection caused by Pseudomonas aeruginosa, and the
prescriber has ordered intravenous piperacillin and tobramycin. Why might
the nurse question this combination of antibiotics?
, A) This combination causes tendon rupture.
B) Aminoglycosides are inactivated by penicillins.
C) Aminoglycosides alone are adequate against Pseudomonas. There is no need to
risk penicillin allergy.
D) Aminoglycosides increase the risk of penicillin allergy.
Correct Answer: B) Aminoglycosides are inactivated by penicillins.
Rationale: Penicillins can chemically inactivate aminoglycosides when they are
mixed or administered together in the same solution. They should be administered
separately.
6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800
mg orally twice daily. Before administering the third dose, the nurse observes
that the client has a widespread rash, a fever, and a heart rate of 100
beats/min. The client looks ill and reports not feeling well. What is the nurse's
response?
A) Request an order for intravenous trimethoprim/sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of the symptoms.
D) Administer the dose and request an order for an antipyretic medication.
Correct Answer: C) Withhold the treatment and notify the provider of the
symptoms.
