PHARM EXAM 2-GI PRACTICE WITH 30 QUESTIONS AND
ANSWERS
A 36-year-old woman who is taking bismuth subsalicylate,
tetracycline, and metronidazole experiences black-colored
stool. What is the priority nursing action?
a. Completing an abdominal assessment
b. Consulting the prescriber
c. Continuing nursing care; this is a harmless effect
of bismuth
d. Teaching that tetracycline can discolor fetal teeth
if the patient gets pregnant - -A- completing an abdominal assessment
-A 47-year-old woman who has been taking nonsteroidal
anti-inflammatory drug (NSAID) for rheumatoid arthritis
and an oral contraceptive is prescribed misoprostol to treat
gastrointestinal (GI) distress relating to NSAID use. She
informs the nurse that she has stopped taking her oral
contraceptives because she has not had a period for 2
months and thinks she could be in menopause. What should
the nurse do?
a. Administer all the medications as ordered and
consult the prescriber regarding tests for
menopause.
b. Administer the NSAID and misoprostol, hold the
oral contraceptive, and inform the prescriber.
c. Administer all the medications as ordered and
inform the prescriber that the patient has not
been taking the oral contraceptives.
d. Hold the medications and consult the prescriber
regarding a pregnancy test. - -C- administer all the meds and inform the prescriber that the ptient has
not been taking the contraceptives
-A healthy pregnant patient complains of chronic
constipation. Which would be the best initial intervention?
498
a. Bulk-forming laxative daily and increase fiber
and fluid in diet
b. Moderate exercise after meals and increase fiber
and fluid in diet
c. Stool softener and increase fiber and fluid in diet
d. Stool softener and moderate exercise after meals - -B- moderate exercise after meals and increase
fiber and fluid in diet
-A patient had been prescribed omeprazole capsules for
GERD. The patient recently had a percutaneous endoscopic
, gastrostomy (PEG) tube inserted, and the pharmacy
substituted omeprazole immediate-release oral suspension
because omeprazole capsules cannot be crushed. Because of
differences between these two formulations, which
concurrent diagnoses would be a reason for the nurse to
consult the prescriber? (Select all that apply.)
a. Chronic obstructive pulmonary disease
b. Heart failure
c. Diabetes mellitus
d. Hyperthyroidism
e. Uncontrolled hypertension - -BE
-A patient is prescribed alosetron 1 mg once a day. The
patient should be told to call the prescriber if there are no
results in:
a. 12 hours
b. 1 week
c. 4 weeks
d. 4 months - -C- 4 weeks
-A patient is prescribed drug therapy including bismuth
subsalicylate, metronidazole, tetracycline, and omeprazole.
The patient reveals to the nurse that she does not like taking
so many medications. The nurse should explain that it is
important for the patient to take the therapy as prescribed,
because failure to take the medications as prescribed may
lead to:
a. Increased risk of developing resistance.
b. Increased incidence of adverse effects.
c. Increased risk of cancer.
d. Increased incidence of nausea and diarrhea. - -A- increased risk for developing resistance
-A patient is prescribed sulfasalazine for moderate
ulcerative colitis. The nurse would consult the prescriber if
which allergy was listed on the patient's chart? (Select all
that apply.)
a. Cefazolin
b. Glipizide
c. Meperidine
d. Nafcillin
e. Quinapril
f. Trimethoprim-sulfamethoxazole - -BF
-A patient who has a history of type 2 diabetes mellitus
(T2DM) and hypertension who takes insulin,
hydrochlorothiazide, and valsartan is having bowel
preparation for a colonoscopy. The patient asks why the
prescriber has ordered polyethylene glycol-electrolyte
ANSWERS
A 36-year-old woman who is taking bismuth subsalicylate,
tetracycline, and metronidazole experiences black-colored
stool. What is the priority nursing action?
a. Completing an abdominal assessment
b. Consulting the prescriber
c. Continuing nursing care; this is a harmless effect
of bismuth
d. Teaching that tetracycline can discolor fetal teeth
if the patient gets pregnant - -A- completing an abdominal assessment
-A 47-year-old woman who has been taking nonsteroidal
anti-inflammatory drug (NSAID) for rheumatoid arthritis
and an oral contraceptive is prescribed misoprostol to treat
gastrointestinal (GI) distress relating to NSAID use. She
informs the nurse that she has stopped taking her oral
contraceptives because she has not had a period for 2
months and thinks she could be in menopause. What should
the nurse do?
a. Administer all the medications as ordered and
consult the prescriber regarding tests for
menopause.
b. Administer the NSAID and misoprostol, hold the
oral contraceptive, and inform the prescriber.
c. Administer all the medications as ordered and
inform the prescriber that the patient has not
been taking the oral contraceptives.
d. Hold the medications and consult the prescriber
regarding a pregnancy test. - -C- administer all the meds and inform the prescriber that the ptient has
not been taking the contraceptives
-A healthy pregnant patient complains of chronic
constipation. Which would be the best initial intervention?
498
a. Bulk-forming laxative daily and increase fiber
and fluid in diet
b. Moderate exercise after meals and increase fiber
and fluid in diet
c. Stool softener and increase fiber and fluid in diet
d. Stool softener and moderate exercise after meals - -B- moderate exercise after meals and increase
fiber and fluid in diet
-A patient had been prescribed omeprazole capsules for
GERD. The patient recently had a percutaneous endoscopic
, gastrostomy (PEG) tube inserted, and the pharmacy
substituted omeprazole immediate-release oral suspension
because omeprazole capsules cannot be crushed. Because of
differences between these two formulations, which
concurrent diagnoses would be a reason for the nurse to
consult the prescriber? (Select all that apply.)
a. Chronic obstructive pulmonary disease
b. Heart failure
c. Diabetes mellitus
d. Hyperthyroidism
e. Uncontrolled hypertension - -BE
-A patient is prescribed alosetron 1 mg once a day. The
patient should be told to call the prescriber if there are no
results in:
a. 12 hours
b. 1 week
c. 4 weeks
d. 4 months - -C- 4 weeks
-A patient is prescribed drug therapy including bismuth
subsalicylate, metronidazole, tetracycline, and omeprazole.
The patient reveals to the nurse that she does not like taking
so many medications. The nurse should explain that it is
important for the patient to take the therapy as prescribed,
because failure to take the medications as prescribed may
lead to:
a. Increased risk of developing resistance.
b. Increased incidence of adverse effects.
c. Increased risk of cancer.
d. Increased incidence of nausea and diarrhea. - -A- increased risk for developing resistance
-A patient is prescribed sulfasalazine for moderate
ulcerative colitis. The nurse would consult the prescriber if
which allergy was listed on the patient's chart? (Select all
that apply.)
a. Cefazolin
b. Glipizide
c. Meperidine
d. Nafcillin
e. Quinapril
f. Trimethoprim-sulfamethoxazole - -BF
-A patient who has a history of type 2 diabetes mellitus
(T2DM) and hypertension who takes insulin,
hydrochlorothiazide, and valsartan is having bowel
preparation for a colonoscopy. The patient asks why the
prescriber has ordered polyethylene glycol-electrolyte
