PHARM FINAL PRACTICE QUESTIONS
AND CORRECT ANSWERS || PHARM
FINAL 350 QUESTIONS AND ANSWERS
GUARANTEED SUCCESS
when administering medications to pediatric patients, the nurse
understands that the dosage calculations for pediatric patients are
different than for adults because pediatric patients:
a. are more likely to develop edema
b. have more stomach acid
c. have skin that is less permeable
d. have immature liver and kidney function, resulting in impaired drug
metabolism and excretion - ANSWER- d. have immature liver and
kidney function, resulting in impaired drug metabolism and excretion
Which information will the nurse include when teaching a patient about
denosumab (depo-provera)?
a. menstruation ceases 1 month after receiving denosumab
b. do not take denosumab if you are breastfeeding
,c. increase calcium and vitamin D in your diet
d. denosumab is administered once a week - ANSWER- c. increase
calcium and vitamin D in your diet
What information will the nurse include when teaching a patient about
hormonal methods of contraception?
a. "you will need to have at least two mammograms a year because you
are not at an increased risk of developing breast cancer"
b. "you can expect your menstrual flow to be heavier and longer"
c. "call your health care provider if you experience severe abdominal
pain, chest pain or shortness of breath, headaches, eye disorders, or
severe leg pain or swelling"
d. "you may experience a possible increase in libido" - ANSWER- c.
"call your health care provider if you experience severe abdominal pain,
chest pain or shortness of breath, headaches, eye disorders, or severe leg
pain or swelling" (ACHES)
- does not affect risk for breast cancer, menstrual flow will be lighter and
shorter, may decrease libido
A patient is taking a combined hormonal contraceptive and reports the
most troubling side effect to be depression. The patient has also
experienced weight gain. The nurse knows that these are usually
associated with:
a. estrogen deficiency
b. progestin deficiency
c. excess progestin
d. excess of estrogen - ANSWER- c. excess progestin
,considering common concerns of teenage girls, which oral contraceptive
benefit does the nurse realize would be most likely to motivate use?
a. protection against breast disease
b. dysmenorrhea relief
c. reduction in iron deficiency anemia
d. decreased risk of endometrial cancer - ANSWER- b. dysmenorrhea
relief
the nurse teaches a patient that sildenafil is contraindicated for patients
taking which category of medications?
a. sulfonylureas
b. beta blockers
c. nitrates
d. proton pump inhibitors - ANSWER- c. nitrates
a patient with reactive depression is ordered to receive fluoxetine. which
information will the nurse include when teaching this patient?
a. the medication takes effect in 1 to 2 days
b. the medication increases libido
c. the medication should be taken with grapefruit juice
d. the medications may cause headaches and insomnia - ANSWER- d.
the medication may cause headaches and insomnia
the drug takes 2-4 weeks to take effect, has no interaction with grapefruit
juice, and decreases libido
, a patient with major depression has been prescribed fluoxetine. what
nursing diagnosis would be most appropriate?
a. social isolation
b. mobility, impaired physical
c. urinary elimination, impaired
d. sensory perception disturbed - ANSWER- a. social isolation
the nurse realizes more medication teaching is necessary when the 30-
year-old patient taking lorazepam states:
a. "I must stop drinking coffee and colas"
b. "I can stop this drug after 3 weeks if I feel better"
c. "I must stop drinking alcoholic beverages"
d. "I should not become pregnant while taking this drug" - ANSWER- b.
"I can stop this drug after 3 weeks if I feel better"
- should not be discontinued abruptly, caffeine & alcohol should be
avoided with benzos, this drug should not be taken during pregnancy
A nurse caring for a patient in an outpatient setting notes that the patient
is currently taking lorazepam for anxiety and her breath smells of
alcohol. the nurse reports this to the healthcare provider because:
a. taking alcohol with Ativan can be fatal
b. taking alcohol with Ativan may increase sedative effects
c. all patients using alcohol should be referred for assistance
AND CORRECT ANSWERS || PHARM
FINAL 350 QUESTIONS AND ANSWERS
GUARANTEED SUCCESS
when administering medications to pediatric patients, the nurse
understands that the dosage calculations for pediatric patients are
different than for adults because pediatric patients:
a. are more likely to develop edema
b. have more stomach acid
c. have skin that is less permeable
d. have immature liver and kidney function, resulting in impaired drug
metabolism and excretion - ANSWER- d. have immature liver and
kidney function, resulting in impaired drug metabolism and excretion
Which information will the nurse include when teaching a patient about
denosumab (depo-provera)?
a. menstruation ceases 1 month after receiving denosumab
b. do not take denosumab if you are breastfeeding
,c. increase calcium and vitamin D in your diet
d. denosumab is administered once a week - ANSWER- c. increase
calcium and vitamin D in your diet
What information will the nurse include when teaching a patient about
hormonal methods of contraception?
a. "you will need to have at least two mammograms a year because you
are not at an increased risk of developing breast cancer"
b. "you can expect your menstrual flow to be heavier and longer"
c. "call your health care provider if you experience severe abdominal
pain, chest pain or shortness of breath, headaches, eye disorders, or
severe leg pain or swelling"
d. "you may experience a possible increase in libido" - ANSWER- c.
"call your health care provider if you experience severe abdominal pain,
chest pain or shortness of breath, headaches, eye disorders, or severe leg
pain or swelling" (ACHES)
- does not affect risk for breast cancer, menstrual flow will be lighter and
shorter, may decrease libido
A patient is taking a combined hormonal contraceptive and reports the
most troubling side effect to be depression. The patient has also
experienced weight gain. The nurse knows that these are usually
associated with:
a. estrogen deficiency
b. progestin deficiency
c. excess progestin
d. excess of estrogen - ANSWER- c. excess progestin
,considering common concerns of teenage girls, which oral contraceptive
benefit does the nurse realize would be most likely to motivate use?
a. protection against breast disease
b. dysmenorrhea relief
c. reduction in iron deficiency anemia
d. decreased risk of endometrial cancer - ANSWER- b. dysmenorrhea
relief
the nurse teaches a patient that sildenafil is contraindicated for patients
taking which category of medications?
a. sulfonylureas
b. beta blockers
c. nitrates
d. proton pump inhibitors - ANSWER- c. nitrates
a patient with reactive depression is ordered to receive fluoxetine. which
information will the nurse include when teaching this patient?
a. the medication takes effect in 1 to 2 days
b. the medication increases libido
c. the medication should be taken with grapefruit juice
d. the medications may cause headaches and insomnia - ANSWER- d.
the medication may cause headaches and insomnia
the drug takes 2-4 weeks to take effect, has no interaction with grapefruit
juice, and decreases libido
, a patient with major depression has been prescribed fluoxetine. what
nursing diagnosis would be most appropriate?
a. social isolation
b. mobility, impaired physical
c. urinary elimination, impaired
d. sensory perception disturbed - ANSWER- a. social isolation
the nurse realizes more medication teaching is necessary when the 30-
year-old patient taking lorazepam states:
a. "I must stop drinking coffee and colas"
b. "I can stop this drug after 3 weeks if I feel better"
c. "I must stop drinking alcoholic beverages"
d. "I should not become pregnant while taking this drug" - ANSWER- b.
"I can stop this drug after 3 weeks if I feel better"
- should not be discontinued abruptly, caffeine & alcohol should be
avoided with benzos, this drug should not be taken during pregnancy
A nurse caring for a patient in an outpatient setting notes that the patient
is currently taking lorazepam for anxiety and her breath smells of
alcohol. the nurse reports this to the healthcare provider because:
a. taking alcohol with Ativan can be fatal
b. taking alcohol with Ativan may increase sedative effects
c. all patients using alcohol should be referred for assistance
