2025 PHARM FINAL EXAM | PHARM FINAL EXAM
WITH QUESTIONS AND ANSWERS LATEST STUDY
GUIDE
1. Nurse at the hospital with 4 patients, which one is Priority?
Patient that is not eating, Glucose of 80 and just got 20 units of 70/30
2. What type of insulin do you give to patients that is going to eat breakfast within the
next 5 minutes or so?
Lispro
3. Insulin glargine
Is long acting
4. How many times a day do you give Insulin glargine?
Once
5. Diabetic with hypertension on a beta blocked. What is to be be worried about?
Worry about beta blocker since it can mask hypoglycemia
6. Patient on Glipizide should stay away from?
Alcohol, because it causes low blood sugar
1|Page
,7. What should you do with a Patient scheduled for a CT exam who is on metformin?
Hold the medication 24 hours before, or hold the day of.
8. What should you do after the patient that is on metformin gets their CT scan?
Hold the medication for 48 hours after
9. When should levothyroxine be taken?
In the morning 1 hour before breakfast
10. If a patient is taking Coumadin, What should the Nurse discuss with the patient that
can impact the medication?
Antibiotics, because they cause an increase risk for bleeding
11. How do you monitor for an increase risk for bleeding with a patient on warfarin and
an antibiotic?
Monitor INR and look for Bruising
12. Do you stop the medication on a patient that is pregnant and has to take
levothyroxine because she has hypothyroidism?
No, because stopping could potentially cause harm to the fetus
13. Postmenopausal patient that is taking hormone replacement therapy, what should
we discuss
Risk associated Stroke DVT Ovarian cancer
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, 14. What hormone replacement therapy has the least side effect?
Transdermal (Patch or cream) since they do not go into the system orally.
15. What do Hormone replacement help do?
Help balance estrogen and progesterone levels during or near menopause.
16. Do you ever put hormone replacement therapy in genital areas?
No, Patches - upper arm, thigh, back, abdomen Gels - shoulders upper arm,
abdomen
17. when taking Oral androgens, when is it important to notify the doctor?
A patient that complains of BPH The patient does not want to take medication
because its impairing sexual function switch to doxazosin
18. In a patient that complains of BPH, but does not take medication because it
interferes with sexual activity, what do you switch them too
Doxazosin
19. A patient who is on Sildenafil (Viagra), what should they not take with this?
Nitro
20. A post-op patient with a Respiratory rate below 12 and low HR what do we think?
Opioid Overdose
3|Page
WITH QUESTIONS AND ANSWERS LATEST STUDY
GUIDE
1. Nurse at the hospital with 4 patients, which one is Priority?
Patient that is not eating, Glucose of 80 and just got 20 units of 70/30
2. What type of insulin do you give to patients that is going to eat breakfast within the
next 5 minutes or so?
Lispro
3. Insulin glargine
Is long acting
4. How many times a day do you give Insulin glargine?
Once
5. Diabetic with hypertension on a beta blocked. What is to be be worried about?
Worry about beta blocker since it can mask hypoglycemia
6. Patient on Glipizide should stay away from?
Alcohol, because it causes low blood sugar
1|Page
,7. What should you do with a Patient scheduled for a CT exam who is on metformin?
Hold the medication 24 hours before, or hold the day of.
8. What should you do after the patient that is on metformin gets their CT scan?
Hold the medication for 48 hours after
9. When should levothyroxine be taken?
In the morning 1 hour before breakfast
10. If a patient is taking Coumadin, What should the Nurse discuss with the patient that
can impact the medication?
Antibiotics, because they cause an increase risk for bleeding
11. How do you monitor for an increase risk for bleeding with a patient on warfarin and
an antibiotic?
Monitor INR and look for Bruising
12. Do you stop the medication on a patient that is pregnant and has to take
levothyroxine because she has hypothyroidism?
No, because stopping could potentially cause harm to the fetus
13. Postmenopausal patient that is taking hormone replacement therapy, what should
we discuss
Risk associated Stroke DVT Ovarian cancer
2|Page
, 14. What hormone replacement therapy has the least side effect?
Transdermal (Patch or cream) since they do not go into the system orally.
15. What do Hormone replacement help do?
Help balance estrogen and progesterone levels during or near menopause.
16. Do you ever put hormone replacement therapy in genital areas?
No, Patches - upper arm, thigh, back, abdomen Gels - shoulders upper arm,
abdomen
17. when taking Oral androgens, when is it important to notify the doctor?
A patient that complains of BPH The patient does not want to take medication
because its impairing sexual function switch to doxazosin
18. In a patient that complains of BPH, but does not take medication because it
interferes with sexual activity, what do you switch them too
Doxazosin
19. A patient who is on Sildenafil (Viagra), what should they not take with this?
Nitro
20. A post-op patient with a Respiratory rate below 12 and low HR what do we think?
Opioid Overdose
3|Page
