ACTUAL MARYVILLE NURS 615 PHARM EXAM 3 |2025-2026 LATEST
UPDATED| REAL EXAM QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of th
following options which would be the best treatment for Mr. Holloway? - (answer)Low-dose colchicine
How is low dose colchicine prescribed? - (answer)1.2 mg followed by 0.6 mg one hour later or 1.8 mg total
How is high dose colchicine prescribed? - (answer)1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg total
Patient education when prescribing colchicine includes? - (answer)Colchicine always causes some degree of diarrhea
You have a patient who is taking allopurinol to prevent gout. What labs will you monitor for this patient on allopurinol?
(answer)BUN, creatinine, and creatinine clearance
Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be educated on what to expect.
(answer)Gout may worsen with therapy
Ms. Jensen has been on prednisone for 6 months. Patients who have been on prednisone for some time should be assesse
for what - (answer)Osteoporosis
,What dose predinisone do in diabetics? - (answer)Worsen blood glucose control
What teaching do you given patients taking prednisone? - (answer)report and black, tarry stools or abdominal pain
When you place a patient on prednisone and the total dose exceeds 1 gram, what additional drug should you prescribe -
(answer)Omeprazole, a proton-pump inhibitor to prevent PUD
Janet has fractured her ankle and you give her a prescription for Vicodin (acetaminophen +hydrocodone). What educatio
should you provide before they leave your clinic? - (answer)Patient should not take any other medications that contain
acetaminophen
What is the first line of pain control? - (answer)NSAIDS
Margaret has been on 60 mg of prednisone for 10 days for her severe asthma exacerbation. Since she is breathing much
better it is time to discontinue the medication. What should you know when discontinuing this drug? - (answer)Develop
tapering schedule to slowly wean Margaret off the prednisone
Why must steroids be tapered? - (answer)avoid both recurrent activity of the underlying disease process and possible
cortisol deficiency resulting from the hypothalamic-pituitary-adrenal axis (HPA) suppression during the period of steroi
therapy.
,Patients who are currently on or will start chronic corticosteroid therapy should be monitored for what? - (answer)serum
glucose
Patients with rheumatoid arthritis who are on a chronic low-dose prednisone will need co-treatment with which
medications to prevent further adverse effects - (answer)Vitamin D, calcium supplement, and bisphosphate
What is the FDA Black Box Warning for ALL nonsteroidal anti-inflammatory drugs (NSAIDS)? - (answer)Increased ris
of CV thrombotic events, Stroke, MI Potential for causing life-threatening gastrointestinal bleeds
What do NSAIDs increase the risk of? - (answer)CV thrombotic events, MI, stroke
If you are getting ready to prescribe an NSAID, a complete drug history should be conducted as NSAIDs interact with
which drug? - (answer)Warfarin
Gabriella is a 3-year old diagnosed with otitis media and an upper respiratory infection. You prescribe her an antibiotic
(probably amoxicillin) and ibuprofen. What education should the parents receive? - (answer)Need to keep well hydrate
while taking ibuprofen
William is a 78-year old who takes two aspirin every morning while he reads his newspaper to treat arthritis pain in his
back. He states the aspirin helps him to "get moving" each day. Lately he has had some heartburn from the aspirin. Afte
, you rule out an acute GI bleed, what would be an appropriate course of treatment for William? - (answer)Add an H2
blocker such as ranitidine to his therapy
Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin
toxicity is? - (answer)Tinnitus
You have a patient that is on long-tern aspirin therapy and what lab should be conducted annually? - (answer)CBC
Monitoring a patient on a high-dose aspirin level includes - (answer)Salicylate level, CBC, Urine pH
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms of hypoglycemi
include - (answer)Dizziness, confusion, diaphoresis, and tachycardia
What are the signs and symptoms of hyperglycemia? - (answer)polyuria, polydispsia, weight loss
DKA- Fruity breath, tachypnea, lethargy, obtunded
Nonselective beta-blockers and consuming alcohol can create serious drug interactions with insulin because they do
what? - (answer)Mask the s/s of altered glucose levels
Lispro is an insulin analogue produced by recombinant DNA technology. Based on the statements below which is NOT
TRUE?
UPDATED| REAL EXAM QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of th
following options which would be the best treatment for Mr. Holloway? - (answer)Low-dose colchicine
How is low dose colchicine prescribed? - (answer)1.2 mg followed by 0.6 mg one hour later or 1.8 mg total
How is high dose colchicine prescribed? - (answer)1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg total
Patient education when prescribing colchicine includes? - (answer)Colchicine always causes some degree of diarrhea
You have a patient who is taking allopurinol to prevent gout. What labs will you monitor for this patient on allopurinol?
(answer)BUN, creatinine, and creatinine clearance
Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be educated on what to expect.
(answer)Gout may worsen with therapy
Ms. Jensen has been on prednisone for 6 months. Patients who have been on prednisone for some time should be assesse
for what - (answer)Osteoporosis
,What dose predinisone do in diabetics? - (answer)Worsen blood glucose control
What teaching do you given patients taking prednisone? - (answer)report and black, tarry stools or abdominal pain
When you place a patient on prednisone and the total dose exceeds 1 gram, what additional drug should you prescribe -
(answer)Omeprazole, a proton-pump inhibitor to prevent PUD
Janet has fractured her ankle and you give her a prescription for Vicodin (acetaminophen +hydrocodone). What educatio
should you provide before they leave your clinic? - (answer)Patient should not take any other medications that contain
acetaminophen
What is the first line of pain control? - (answer)NSAIDS
Margaret has been on 60 mg of prednisone for 10 days for her severe asthma exacerbation. Since she is breathing much
better it is time to discontinue the medication. What should you know when discontinuing this drug? - (answer)Develop
tapering schedule to slowly wean Margaret off the prednisone
Why must steroids be tapered? - (answer)avoid both recurrent activity of the underlying disease process and possible
cortisol deficiency resulting from the hypothalamic-pituitary-adrenal axis (HPA) suppression during the period of steroi
therapy.
,Patients who are currently on or will start chronic corticosteroid therapy should be monitored for what? - (answer)serum
glucose
Patients with rheumatoid arthritis who are on a chronic low-dose prednisone will need co-treatment with which
medications to prevent further adverse effects - (answer)Vitamin D, calcium supplement, and bisphosphate
What is the FDA Black Box Warning for ALL nonsteroidal anti-inflammatory drugs (NSAIDS)? - (answer)Increased ris
of CV thrombotic events, Stroke, MI Potential for causing life-threatening gastrointestinal bleeds
What do NSAIDs increase the risk of? - (answer)CV thrombotic events, MI, stroke
If you are getting ready to prescribe an NSAID, a complete drug history should be conducted as NSAIDs interact with
which drug? - (answer)Warfarin
Gabriella is a 3-year old diagnosed with otitis media and an upper respiratory infection. You prescribe her an antibiotic
(probably amoxicillin) and ibuprofen. What education should the parents receive? - (answer)Need to keep well hydrate
while taking ibuprofen
William is a 78-year old who takes two aspirin every morning while he reads his newspaper to treat arthritis pain in his
back. He states the aspirin helps him to "get moving" each day. Lately he has had some heartburn from the aspirin. Afte
, you rule out an acute GI bleed, what would be an appropriate course of treatment for William? - (answer)Add an H2
blocker such as ranitidine to his therapy
Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin
toxicity is? - (answer)Tinnitus
You have a patient that is on long-tern aspirin therapy and what lab should be conducted annually? - (answer)CBC
Monitoring a patient on a high-dose aspirin level includes - (answer)Salicylate level, CBC, Urine pH
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms of hypoglycemi
include - (answer)Dizziness, confusion, diaphoresis, and tachycardia
What are the signs and symptoms of hyperglycemia? - (answer)polyuria, polydispsia, weight loss
DKA- Fruity breath, tachypnea, lethargy, obtunded
Nonselective beta-blockers and consuming alcohol can create serious drug interactions with insulin because they do
what? - (answer)Mask the s/s of altered glucose levels
Lispro is an insulin analogue produced by recombinant DNA technology. Based on the statements below which is NOT
TRUE?
