NURS 1150
EXAM 3
(Nurse Pharmacology I)
Actual Questions w/Correct Answers
(NCLEX (NGN) style)
Northwest College (NWC)
What you Will Get:
• 70+ verified questions
• MCQ, SATA, Correct Answers, and Rationales
• Ideal for exam preparation and concept reinforcement.
,Question 1. A nurse provides teaching to a group of nursing students about the
risks and benefits of hormone therapy (HT), including estrogen therapy (ET) and
combination estrogen/progestin therapy (EPT). Which statement by a student
indicates understanding of the teaching?
A. “The principle benefits of ET are suppression of menopausal symptoms and
prevention of bone loss.”
B. “Estrogen therapy eliminates all cardiovascular risks.”
C. “EPT should be used by every postmenopausal patient.”
D. “Hormone therapy permanently prevents osteoporosis after it is discontinued.”
Correct Answer: A
Rationale:
Estrogen therapy can effectively reduce moderate-to-severe menopausal vasomotor
symptoms and decrease bone loss while therapy is being used.
Option B: Incorrect. Estrogen therapy does not eliminate cardiovascular or
thromboembolic risk.
Option C: Incorrect. Therapy must be individualized; EPT is generally used when
endometrial protection is needed.
Option D: Incorrect. Bone protection decreases after hormone therapy is discontinued.
Question 2. Which statement is false regarding biomarkers?
A. Biomarkers may indicate normal biologic processes.
B. Biomarkers can be used to evaluate disease processes.
C. Biomarkers cannot be measured.
D. Biomarkers may help evaluate responses to treatment.
Correct Answer: C
Rationale:
Biomarkers are measurable biologic characteristics used to evaluate physiologic
processes, disease, or treatment response.
Option A: Incorrect as a selection because biomarkers can represent normal biologic
activity.
Option B: Incorrect as a selection because biomarkers can help characterize disease.
Option D: Incorrect as a selection because treatment response may be assessed using
biomarkers.
,Question 3. A patient who takes aspirin for rheumatoid arthritis is admitted to the
hospital complaining of headache and ringing in the ears. The plasma salicylate
level is 300 mcg/mL, and the urine pH is 6.0. What will the nurse do?
A. Administer another aspirin dose immediately.
B. Withhold the aspirin until the patient’s symptoms have subsided.
C. Encourage the patient to double the next aspirin dose.
D. Tell the patient that tinnitus is unrelated to aspirin.
Correct Answer: B
Rationale:
Headache and tinnitus are classic manifestations of salicylism. withholding
aspirin until symptoms resolve.
Option A: Incorrect. Additional aspirin could worsen toxicity.
Option C: Incorrect. Doubling the dose would increase salicylate concentrations.
Option D: Incorrect. Tinnitus is a classic early manifestation of excessive salicylate
exposure.
Question 4. The parent of a 5-year-old child who has had four urinary tract
infections in the past year asks the nurse why the provider doesn’t just order an
antibiotic for the child’s current symptoms of low-grade fever, flank pain, and
dysuria since these are similar symptoms as before. Which is the most important
reason given by the nurse?
A. “Children never require antibiotics for urinary tract infections.”
B. “Your child may need tests to assess for urinary tract abnormalities.”
C. “Flank pain is never associated with urinary tract disease.”
D. “Antibiotics are contraindicated before puberty.”
Correct Answer: B
Rationale:
Recurrent UTIs in a young child may indicate an underlying structural or functional
urinary tract abnormality. Evaluation is important rather than repeatedly treating
symptoms without investigating the cause.
Option A: Incorrect. Bacterial UTIs commonly require antimicrobial treatment.
Option C: Incorrect. Flank pain can occur with upper urinary tract involvement.
Option D: Incorrect. Appropriate antibiotics are routinely used in pediatric infections.
, Question 5. A nursing student is preparing to give a medication that has a boxed
warning. The student asks the nurse what this means. What will the nurse explain
about boxed warnings?
A. They indicate that the drug is available without a prescription.
B. They mean the medication has no serious adverse effects.
C. They alert prescribers to measures to mitigate potential harm from side effects.
D. They guarantee that a medication is safe in pregnancy.
Correct Answer: C
Rationale:
A boxed warning highlights particularly serious or potentially life-threatening risks and
may identify precautions needed to reduce harm.
Option A: Incorrect. Boxed warnings are unrelated to OTC status.
Option B: Incorrect. A boxed warning signals significant safety concerns.
Option D: Incorrect. It does not indicate pregnancy safety.
Question 6. A nurse is teaching a class on addiction. Which statement by one of
the class participants indicates a need for further teaching?
A. “Addictive substances can strongly activate brain reward pathways.”
B. “Addictive drugs lead to dopamine release in amounts similar to those released by
normal reward circuits.”
C. “Repeated exposure to addictive substances may change brain reward function.”
D. “Dopamine is involved in reinforcement and reward.”
Correct Answer: B
Rationale:
Addictive drugs can produce dopamine responses that are stronger or more persistent
than those associated with ordinary rewarding experiences.
Option A: Incorrect as a selection because the statement is accurate.
Option B: Correct as the statement requiring further teaching.
Option C: Incorrect as a selection because chronic exposure can cause neuroadaptive
changes.
Option D: Incorrect as a selection because dopamine is central to many reward
pathways.
EXAM 3
(Nurse Pharmacology I)
Actual Questions w/Correct Answers
(NCLEX (NGN) style)
Northwest College (NWC)
What you Will Get:
• 70+ verified questions
• MCQ, SATA, Correct Answers, and Rationales
• Ideal for exam preparation and concept reinforcement.
,Question 1. A nurse provides teaching to a group of nursing students about the
risks and benefits of hormone therapy (HT), including estrogen therapy (ET) and
combination estrogen/progestin therapy (EPT). Which statement by a student
indicates understanding of the teaching?
A. “The principle benefits of ET are suppression of menopausal symptoms and
prevention of bone loss.”
B. “Estrogen therapy eliminates all cardiovascular risks.”
C. “EPT should be used by every postmenopausal patient.”
D. “Hormone therapy permanently prevents osteoporosis after it is discontinued.”
Correct Answer: A
Rationale:
Estrogen therapy can effectively reduce moderate-to-severe menopausal vasomotor
symptoms and decrease bone loss while therapy is being used.
Option B: Incorrect. Estrogen therapy does not eliminate cardiovascular or
thromboembolic risk.
Option C: Incorrect. Therapy must be individualized; EPT is generally used when
endometrial protection is needed.
Option D: Incorrect. Bone protection decreases after hormone therapy is discontinued.
Question 2. Which statement is false regarding biomarkers?
A. Biomarkers may indicate normal biologic processes.
B. Biomarkers can be used to evaluate disease processes.
C. Biomarkers cannot be measured.
D. Biomarkers may help evaluate responses to treatment.
Correct Answer: C
Rationale:
Biomarkers are measurable biologic characteristics used to evaluate physiologic
processes, disease, or treatment response.
Option A: Incorrect as a selection because biomarkers can represent normal biologic
activity.
Option B: Incorrect as a selection because biomarkers can help characterize disease.
Option D: Incorrect as a selection because treatment response may be assessed using
biomarkers.
,Question 3. A patient who takes aspirin for rheumatoid arthritis is admitted to the
hospital complaining of headache and ringing in the ears. The plasma salicylate
level is 300 mcg/mL, and the urine pH is 6.0. What will the nurse do?
A. Administer another aspirin dose immediately.
B. Withhold the aspirin until the patient’s symptoms have subsided.
C. Encourage the patient to double the next aspirin dose.
D. Tell the patient that tinnitus is unrelated to aspirin.
Correct Answer: B
Rationale:
Headache and tinnitus are classic manifestations of salicylism. withholding
aspirin until symptoms resolve.
Option A: Incorrect. Additional aspirin could worsen toxicity.
Option C: Incorrect. Doubling the dose would increase salicylate concentrations.
Option D: Incorrect. Tinnitus is a classic early manifestation of excessive salicylate
exposure.
Question 4. The parent of a 5-year-old child who has had four urinary tract
infections in the past year asks the nurse why the provider doesn’t just order an
antibiotic for the child’s current symptoms of low-grade fever, flank pain, and
dysuria since these are similar symptoms as before. Which is the most important
reason given by the nurse?
A. “Children never require antibiotics for urinary tract infections.”
B. “Your child may need tests to assess for urinary tract abnormalities.”
C. “Flank pain is never associated with urinary tract disease.”
D. “Antibiotics are contraindicated before puberty.”
Correct Answer: B
Rationale:
Recurrent UTIs in a young child may indicate an underlying structural or functional
urinary tract abnormality. Evaluation is important rather than repeatedly treating
symptoms without investigating the cause.
Option A: Incorrect. Bacterial UTIs commonly require antimicrobial treatment.
Option C: Incorrect. Flank pain can occur with upper urinary tract involvement.
Option D: Incorrect. Appropriate antibiotics are routinely used in pediatric infections.
, Question 5. A nursing student is preparing to give a medication that has a boxed
warning. The student asks the nurse what this means. What will the nurse explain
about boxed warnings?
A. They indicate that the drug is available without a prescription.
B. They mean the medication has no serious adverse effects.
C. They alert prescribers to measures to mitigate potential harm from side effects.
D. They guarantee that a medication is safe in pregnancy.
Correct Answer: C
Rationale:
A boxed warning highlights particularly serious or potentially life-threatening risks and
may identify precautions needed to reduce harm.
Option A: Incorrect. Boxed warnings are unrelated to OTC status.
Option B: Incorrect. A boxed warning signals significant safety concerns.
Option D: Incorrect. It does not indicate pregnancy safety.
Question 6. A nurse is teaching a class on addiction. Which statement by one of
the class participants indicates a need for further teaching?
A. “Addictive substances can strongly activate brain reward pathways.”
B. “Addictive drugs lead to dopamine release in amounts similar to those released by
normal reward circuits.”
C. “Repeated exposure to addictive substances may change brain reward function.”
D. “Dopamine is involved in reinforcement and reward.”
Correct Answer: B
Rationale:
Addictive drugs can produce dopamine responses that are stronger or more persistent
than those associated with ordinary rewarding experiences.
Option A: Incorrect as a selection because the statement is accurate.
Option B: Correct as the statement requiring further teaching.
Option C: Incorrect as a selection because chronic exposure can cause neuroadaptive
changes.
Option D: Incorrect as a selection because dopamine is central to many reward
pathways.
