NURS 1140 Pharm Final Exam EAQs
Which condition may be a cause of nausea and vomiting during pregnancy?
A. Obesity
B. Diabetes
C. Thyroid disease
D. Gallbladder disease - A. Obesity
What are the priority assessments involved in the basic assessment of nausea and vomiting? Select all
that apply.
A. Obtain baseline vital signs.
B. Assess and record signs of hydration.
C. Observe the size and shape of the abdomen.
D. Assess bowel habits before nausea and vomiting.
E. Analyze bowel sounds in all four quadrants of the abdomen.
F. Assess liver enzymes at presentation of nausea and vomiting. - A, B, C, E
A patient is diagnosed with diabetic gastroparesis. Which medication does the nurse recognize as
appropriate in treating a patient with diabetic gastroparesis?
A. Omeprazole
B. Dexlansoprazole
C. Metoclopramide
D. Famotidine - C. Metoclopramide
Arrange the sequence of events occurring during vomiting chronologically. - 1. Stimulation of the
vomiting center (VC)
2. Increase in abdominal pressure
3. Raising of the soft palate and closure of the epiglottis
, 4. Contraction of the pyloric sphincter and relaxation of the cardiac sphincter
5. Increased flow of saliva to aid in expulsion of vomitus
The nurse would assess for which increased risk factor during a follow-up for a patient taking a high dose
of omeprazole (Prilosec) for more than a year?
A. Constipation
B. Hepatotoxicity
C. Hypomagnesemia
D. Hip, wrist, or spine fractures - D. Hip, wrist, or spine fractures
Which action describes the function of the chemoreceptor trigger zone (CTZ)? Select all that apply.
A. Initiating vomiting
B. Coordinating the vomiting reflex
C. Receiving stimuli from the cerebral cortex
D. Responding to stimuli originating in the inner ear
E. Evaluating the spinal fluid for potentially toxic substances - C, E
Which antiulcer medications act by antagonizing histamine-2 (H2) receptors? Select all that apply.
A. Nizatidine (Axid)
B. Famotidine (Pepcid)
C. Misoprostol (Cytotec)
D. Cimetidine (Tagamet)
E. Esomeprazole (Nexium) - A, B, D
Which basic principle does the nurse consider when scheduling the administration of drugs used to treat
patients with GERD or peptic ulcer disease (PUD)?
A. These drugs must be given with meals or snacks.
B. Individualized scheduling is required to avoid drug interactions.
C. These drugs are taken only in the presence of active symptomatology.
Which condition may be a cause of nausea and vomiting during pregnancy?
A. Obesity
B. Diabetes
C. Thyroid disease
D. Gallbladder disease - A. Obesity
What are the priority assessments involved in the basic assessment of nausea and vomiting? Select all
that apply.
A. Obtain baseline vital signs.
B. Assess and record signs of hydration.
C. Observe the size and shape of the abdomen.
D. Assess bowel habits before nausea and vomiting.
E. Analyze bowel sounds in all four quadrants of the abdomen.
F. Assess liver enzymes at presentation of nausea and vomiting. - A, B, C, E
A patient is diagnosed with diabetic gastroparesis. Which medication does the nurse recognize as
appropriate in treating a patient with diabetic gastroparesis?
A. Omeprazole
B. Dexlansoprazole
C. Metoclopramide
D. Famotidine - C. Metoclopramide
Arrange the sequence of events occurring during vomiting chronologically. - 1. Stimulation of the
vomiting center (VC)
2. Increase in abdominal pressure
3. Raising of the soft palate and closure of the epiglottis
, 4. Contraction of the pyloric sphincter and relaxation of the cardiac sphincter
5. Increased flow of saliva to aid in expulsion of vomitus
The nurse would assess for which increased risk factor during a follow-up for a patient taking a high dose
of omeprazole (Prilosec) for more than a year?
A. Constipation
B. Hepatotoxicity
C. Hypomagnesemia
D. Hip, wrist, or spine fractures - D. Hip, wrist, or spine fractures
Which action describes the function of the chemoreceptor trigger zone (CTZ)? Select all that apply.
A. Initiating vomiting
B. Coordinating the vomiting reflex
C. Receiving stimuli from the cerebral cortex
D. Responding to stimuli originating in the inner ear
E. Evaluating the spinal fluid for potentially toxic substances - C, E
Which antiulcer medications act by antagonizing histamine-2 (H2) receptors? Select all that apply.
A. Nizatidine (Axid)
B. Famotidine (Pepcid)
C. Misoprostol (Cytotec)
D. Cimetidine (Tagamet)
E. Esomeprazole (Nexium) - A, B, D
Which basic principle does the nurse consider when scheduling the administration of drugs used to treat
patients with GERD or peptic ulcer disease (PUD)?
A. These drugs must be given with meals or snacks.
B. Individualized scheduling is required to avoid drug interactions.
C. These drugs are taken only in the presence of active symptomatology.
