PHARM 180 TEST PAPER 2025/2026 QUESTIONS WITH
ANSWERS GRADED A+
✔✔Clients who are immunosuppressed, such as HIV or organ transplant clients, are ....
- ✔✔very non-resistant to serious infections.
✔✔Oral Nystatin can be ordered with instructions to .... - ✔✔swish and spit or swish and
swallow.
✔✔If the patient who is prescribed Oral Nystatin cannot tolerate swallowing the
medication, the nurse can... - ✔✔suggest to the patient to just swish and spit and then
the nurse notify the physician.
✔✔___________ levels are normally necessary for drugs that have a narrow
therapeutic index - ✔✔Peak and Trough
✔✔Females that are going to start taking antibiotic therapy, must be educated that if
they are using oral contraceptives they must .... - ✔✔use another method as well, as
antibiotics, mainly penicillin can decrease the effectiveness of the oral contraceptive
drugs.
✔✔When a patient is receiving IV Vancomycin, and if they develop decreased urinary
output along with upper body rashes, nurse should... - ✔✔hold the next dose and notify
the physician.
✔✔Drug Epoetin Alfa is used in patients.... - ✔✔-Chronic renal failure
-Undergoing cancer chemotherapy
✔✔Epoetin alfa is used for: - ✔✔the stimulation of RBC production
✔✔Epoetin alfa is used for Chronic renal failure because... - ✔✔Cannot secrete enough
endogenous erythropoietin
✔✔Epoetin alfa is used for patients undergoing cancer chemotherapy to... -
✔✔Counteract the anemia caused by antineoplastic drugs.
✔✔Important Considerations when giving Epoetin alfa.... - ✔✔-Do not shake the vial
(roll to warm and mix)
-Vials are kept under refrigeration and should be gently warmed in the hand before use.
-All vials are for one-time use only and any remaining amount should be discarded.
✔✔Adverse effects of Epoetin alfa... - ✔✔Hypertension*** may occur in as many as
30% of patients receiving the drug.
-Assess patients b/p
, -Concurrent antihypertensive drug may be indicated
✔✔Filgrastim (Granix, Neupogen) is used for... - ✔✔A I D S-related immunosuppression
✔✔Administration alerts for Filgrastim (Granix, Neupogen)... - ✔✔Do not administer
within 24 hours before or after chemotherapy with cytotoxic drugs because this will
greatly decrease the effectiveness of filgrastim.
Pregnancy category C.
✔✔Adverse effects of Filgrastim (Granix, Neupogen)... - ✔✔Bone pain may occur in up
to 33% of patients receiving filgrastim.
✔✔Filgrastim is not administered until at least ____ hours after a chemotherapy
session. - ✔✔24
✔✔Antianemic Agents... - ✔✔-Cyanocobalamin (Nascobal, others)
-Ferrous sulfate (Feosol, others)
✔✔Cyanocobalamin (Nascobal) is used for... - ✔✔-Pernicious anemia - absence of the
intrinsic factor***
-Protein secreted by the stomach cells.***
-Required for B12 to be absorbed from the intestines
-Inflammatory disease of stomach
-Surgical removal of stomach
-Strict vegetarian diet
✔✔S/S of B12 deficiency - ✔✔Memory loss, confusion, tingling numbness in the limbs,
mood disturbances
✔✔Administration alerts for Cyanocobalamin (Nascobal)... - ✔✔Pregnancy category A
in pill form (C when used parenterally).
✔✔Adverse effects of Cyanocobalamin (Nascobal)... - ✔✔Adverse effects from
cyanocobalamin are uncommon. Hypokalemia is possible; thus, serum potassium levels
are monitored periodically.
✔✔Contraindications of Cyanocobalamin (Nascobal)... - ✔✔Contraindications include
sensitivity to cobalt and folic acid-deficiency anemia.
✔✔Administration Alerts for administering Ferrous Sulfate IV... - ✔✔When administering
IV be careful to prevent infiltration because iron is highly irritating to tissues.
ANSWERS GRADED A+
✔✔Clients who are immunosuppressed, such as HIV or organ transplant clients, are ....
- ✔✔very non-resistant to serious infections.
✔✔Oral Nystatin can be ordered with instructions to .... - ✔✔swish and spit or swish and
swallow.
✔✔If the patient who is prescribed Oral Nystatin cannot tolerate swallowing the
medication, the nurse can... - ✔✔suggest to the patient to just swish and spit and then
the nurse notify the physician.
✔✔___________ levels are normally necessary for drugs that have a narrow
therapeutic index - ✔✔Peak and Trough
✔✔Females that are going to start taking antibiotic therapy, must be educated that if
they are using oral contraceptives they must .... - ✔✔use another method as well, as
antibiotics, mainly penicillin can decrease the effectiveness of the oral contraceptive
drugs.
✔✔When a patient is receiving IV Vancomycin, and if they develop decreased urinary
output along with upper body rashes, nurse should... - ✔✔hold the next dose and notify
the physician.
✔✔Drug Epoetin Alfa is used in patients.... - ✔✔-Chronic renal failure
-Undergoing cancer chemotherapy
✔✔Epoetin alfa is used for: - ✔✔the stimulation of RBC production
✔✔Epoetin alfa is used for Chronic renal failure because... - ✔✔Cannot secrete enough
endogenous erythropoietin
✔✔Epoetin alfa is used for patients undergoing cancer chemotherapy to... -
✔✔Counteract the anemia caused by antineoplastic drugs.
✔✔Important Considerations when giving Epoetin alfa.... - ✔✔-Do not shake the vial
(roll to warm and mix)
-Vials are kept under refrigeration and should be gently warmed in the hand before use.
-All vials are for one-time use only and any remaining amount should be discarded.
✔✔Adverse effects of Epoetin alfa... - ✔✔Hypertension*** may occur in as many as
30% of patients receiving the drug.
-Assess patients b/p
, -Concurrent antihypertensive drug may be indicated
✔✔Filgrastim (Granix, Neupogen) is used for... - ✔✔A I D S-related immunosuppression
✔✔Administration alerts for Filgrastim (Granix, Neupogen)... - ✔✔Do not administer
within 24 hours before or after chemotherapy with cytotoxic drugs because this will
greatly decrease the effectiveness of filgrastim.
Pregnancy category C.
✔✔Adverse effects of Filgrastim (Granix, Neupogen)... - ✔✔Bone pain may occur in up
to 33% of patients receiving filgrastim.
✔✔Filgrastim is not administered until at least ____ hours after a chemotherapy
session. - ✔✔24
✔✔Antianemic Agents... - ✔✔-Cyanocobalamin (Nascobal, others)
-Ferrous sulfate (Feosol, others)
✔✔Cyanocobalamin (Nascobal) is used for... - ✔✔-Pernicious anemia - absence of the
intrinsic factor***
-Protein secreted by the stomach cells.***
-Required for B12 to be absorbed from the intestines
-Inflammatory disease of stomach
-Surgical removal of stomach
-Strict vegetarian diet
✔✔S/S of B12 deficiency - ✔✔Memory loss, confusion, tingling numbness in the limbs,
mood disturbances
✔✔Administration alerts for Cyanocobalamin (Nascobal)... - ✔✔Pregnancy category A
in pill form (C when used parenterally).
✔✔Adverse effects of Cyanocobalamin (Nascobal)... - ✔✔Adverse effects from
cyanocobalamin are uncommon. Hypokalemia is possible; thus, serum potassium levels
are monitored periodically.
✔✔Contraindications of Cyanocobalamin (Nascobal)... - ✔✔Contraindications include
sensitivity to cobalt and folic acid-deficiency anemia.
✔✔Administration Alerts for administering Ferrous Sulfate IV... - ✔✔When administering
IV be careful to prevent infiltration because iron is highly irritating to tissues.
