NURS 1150
EXAM 3
(Nurse Pharmacology I)
Actual Questions w/Correct Answers
(NCLEX (NGN) style)
Northwest College (NWC)
What you Will Get:
• 50 verified questions
• MCQ, SATA, Correct Answers, and Rationales
• Ideal for exam preparation and concept reinforcement.
,Question 1. A patient in her twenties has frequent urinary tract infections, and her
prescriber suggests drinking cranberry juice. She asks the nurse how drinking
this can help. The nurse will tell her that cranberry juice:
A. acidifies the urine to slow the growth of the bacteria.
B. reduces the odor of the urine.
C. prevents bacteria from adhering to the urinary tract wall.
D. helps treat established infections.
Correct Answer: C
Rationale:
Cranberry products are thought to help reduce recurrence of some UTIs by interfering
with bacterial adhesion to urinary tract epithelium.
Option A: Incorrect. The principal mechanism identified in the course content is
not urine acidification.
Question 2. A patient has just purchased a 1-year supply of 28-day-cycle oral
contraceptives. She tells the nurse she wishes she had planned things better,
because she has calculated that her period will begin during her upcoming
honeymoon. What will the nurse suggest?
A. She should discuss a prescription for an extended-cycle product with her provider.
B. She should discuss DMPA (Depo-Provera) injections in addition to the OC with her
provider.
C. She should discontinue the oral contraceptives and use an alternative form of birth
control.
D. She should discard the inert pills and start a new pack during the honeymoon.
Correct Answer: D
Rationale:
Skipping the hormone-free inert tablets and beginning a new package of active pills can
postpone withdrawal bleeding.
Option A: Incorrect. An extended-cycle product is not necessary to manage this single
planned episode.
Option B: Incorrect. Adding DMPA to an existing combination OC is unnecessary.
Option C: Incorrect. Discontinuing the OC could reduce contraceptive protection and
precipitate bleeding.
Option D: Correct. Continuing active hormone exposure can delay withdrawal bleeding.
, Question 3. A pregnant patient with fever, flank pain, and chills has a history of
two previous bladder infections before getting pregnant. She is allergic to several
antibiotics. She reports having taken methenamine successfully in the past. What
will the nurse tell her?
A. “You will need to take this medication with meals to avoid gastric upset.”
B. “This agent is not effective against infections of the upper urinary tract.”
C. “This drug is linked to many serious birth defects and is not recommended during
pregnancy.”
D. “This antiseptic agent is safe for use during pregnancy and has no drug resistance.”
Correct Answer: B
Rationale:
Fever, chills, and flank pain suggest an upper urinary tract infection such as
pyelonephritis. Methenamine is primarily used for suppression of lower urinary
infections and is not adequate treatment for an upper tract infection.
Option A: Incorrect. Gastric administration instructions do not address the major
problem.
Question 4. The parent of a child who attends day care questions the need for
Varivax. What will the nurse tell the parent?
A. “Varicella in adults can have serious consequences.”
B. “The child will be protected by herd immunity and does not need the vaccine.”
C. “Varicella is an uncomfortable disease, but it is not that serious.”
D. “Chickenpox is not as contagious as other communicable diseases.”
Correct Answer: A
Rationale:
Varicella infection tends to cause more severe disease and complications in
adolescents and adults than in young children. Vaccination provides protection before
later exposure.
Option A: Correct. Adult varicella can cause serious complications.
Option B: Incorrect. Herd immunity does not eliminate the need for routine vaccination.
Option C: Incorrect. Varicella can cause clinically significant complications.
Option D: Incorrect. Varicella is highly contagious.
EXAM 3
(Nurse Pharmacology I)
Actual Questions w/Correct Answers
(NCLEX (NGN) style)
Northwest College (NWC)
What you Will Get:
• 50 verified questions
• MCQ, SATA, Correct Answers, and Rationales
• Ideal for exam preparation and concept reinforcement.
,Question 1. A patient in her twenties has frequent urinary tract infections, and her
prescriber suggests drinking cranberry juice. She asks the nurse how drinking
this can help. The nurse will tell her that cranberry juice:
A. acidifies the urine to slow the growth of the bacteria.
B. reduces the odor of the urine.
C. prevents bacteria from adhering to the urinary tract wall.
D. helps treat established infections.
Correct Answer: C
Rationale:
Cranberry products are thought to help reduce recurrence of some UTIs by interfering
with bacterial adhesion to urinary tract epithelium.
Option A: Incorrect. The principal mechanism identified in the course content is
not urine acidification.
Question 2. A patient has just purchased a 1-year supply of 28-day-cycle oral
contraceptives. She tells the nurse she wishes she had planned things better,
because she has calculated that her period will begin during her upcoming
honeymoon. What will the nurse suggest?
A. She should discuss a prescription for an extended-cycle product with her provider.
B. She should discuss DMPA (Depo-Provera) injections in addition to the OC with her
provider.
C. She should discontinue the oral contraceptives and use an alternative form of birth
control.
D. She should discard the inert pills and start a new pack during the honeymoon.
Correct Answer: D
Rationale:
Skipping the hormone-free inert tablets and beginning a new package of active pills can
postpone withdrawal bleeding.
Option A: Incorrect. An extended-cycle product is not necessary to manage this single
planned episode.
Option B: Incorrect. Adding DMPA to an existing combination OC is unnecessary.
Option C: Incorrect. Discontinuing the OC could reduce contraceptive protection and
precipitate bleeding.
Option D: Correct. Continuing active hormone exposure can delay withdrawal bleeding.
, Question 3. A pregnant patient with fever, flank pain, and chills has a history of
two previous bladder infections before getting pregnant. She is allergic to several
antibiotics. She reports having taken methenamine successfully in the past. What
will the nurse tell her?
A. “You will need to take this medication with meals to avoid gastric upset.”
B. “This agent is not effective against infections of the upper urinary tract.”
C. “This drug is linked to many serious birth defects and is not recommended during
pregnancy.”
D. “This antiseptic agent is safe for use during pregnancy and has no drug resistance.”
Correct Answer: B
Rationale:
Fever, chills, and flank pain suggest an upper urinary tract infection such as
pyelonephritis. Methenamine is primarily used for suppression of lower urinary
infections and is not adequate treatment for an upper tract infection.
Option A: Incorrect. Gastric administration instructions do not address the major
problem.
Question 4. The parent of a child who attends day care questions the need for
Varivax. What will the nurse tell the parent?
A. “Varicella in adults can have serious consequences.”
B. “The child will be protected by herd immunity and does not need the vaccine.”
C. “Varicella is an uncomfortable disease, but it is not that serious.”
D. “Chickenpox is not as contagious as other communicable diseases.”
Correct Answer: A
Rationale:
Varicella infection tends to cause more severe disease and complications in
adolescents and adults than in young children. Vaccination provides protection before
later exposure.
Option A: Correct. Adult varicella can cause serious complications.
Option B: Incorrect. Herd immunity does not eliminate the need for routine vaccination.
Option C: Incorrect. Varicella can cause clinically significant complications.
Option D: Incorrect. Varicella is highly contagious.
