Pharmacology Alternate Item Format
UPDATED Exam Questions and
CORRECT Answers
A client with a history of duodenal ulcer is admitted to the hospital with status asthmaticus.
Which of the following medications should the nurse question? Select all that apply.
Select one or more:
a. lisinopril
b. naproxen
c. furosemide
d. prednisone
e. sucralfate - Correct Answer- b. naproxen
d. prednisone
NSAIDs such as naproxen can contribute to gastric irritation.
Corticosteroids such as prednisone are associated with an increased incidence of peptic
ulcers and thus should be questioned if prescribed to a client with a history of duodenal ulcer.
A client asks "Why can't I take Prednisone every day for my arthritis like my grandmother
did?" The nurse correctly explains that corticosteroids can have which of the following
adverse effects when used continuously? Select all that apply.
Select one or more:
a. Susceptibility to infection
b. Hypoglycemia
c. Osteoporosis
d. Bronze coloration of the skin
e. Truncal obesity - Correct Answer- a. Susceptibility to infection
c. Osteoporosis
, e. Truncal obesity
Continuous administration of high dose glucocorticoids will cause Cushing's syndrome.
Cushing's syndrome includes fluid retention, hypertension, weight gain, and fat redistribution
with truncal obesity, 'moon face', and 'buffalo hump.' Additional symptoms may include:
susceptibility to infection, hyperglycemia, osteoporosis, menstrual irregularities, thin fragile
skin, and hirsutism.
A nurse is providing education for a client prescribed digoxin. Which of the following
statements by the client demonstrates an understanding? Select all that apply.
Select one or more:
a. "This medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
c. "This medication will change the color of my urine."
d. "I understand I need weekly laboratory testing."
e. "I will contact my provider if I experience excessive nausea". - Correct Answer- a. "This
medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
e. "I will contact my provider if I experience excessive nausea".
Digoxin will cause the client's heart rate to beat slower. Digoxin slows electrical conduction
between the atria and the ventricles of the heart and is useful in treating abnormally rapid
atrial rhythms such as atrial fibrillation, atrial flutter, and atrial tachycardia.
The client will need to seek medical attention right away if experiencing visual changes. This
is a severe side effect of the medication and could mean that the client is receiving too much
of the medication.
The client will need to seek medical attention right away if experiencing severe or excessive
nausea. This is a severe side effect of the medication and could mean that the client is
receiving too much of the medication.
A nurse is providing education to a client diagnosed with glaucoma. The nurse should instruct
the client to avoid which of the following medications? Select all that apply.
UPDATED Exam Questions and
CORRECT Answers
A client with a history of duodenal ulcer is admitted to the hospital with status asthmaticus.
Which of the following medications should the nurse question? Select all that apply.
Select one or more:
a. lisinopril
b. naproxen
c. furosemide
d. prednisone
e. sucralfate - Correct Answer- b. naproxen
d. prednisone
NSAIDs such as naproxen can contribute to gastric irritation.
Corticosteroids such as prednisone are associated with an increased incidence of peptic
ulcers and thus should be questioned if prescribed to a client with a history of duodenal ulcer.
A client asks "Why can't I take Prednisone every day for my arthritis like my grandmother
did?" The nurse correctly explains that corticosteroids can have which of the following
adverse effects when used continuously? Select all that apply.
Select one or more:
a. Susceptibility to infection
b. Hypoglycemia
c. Osteoporosis
d. Bronze coloration of the skin
e. Truncal obesity - Correct Answer- a. Susceptibility to infection
c. Osteoporosis
, e. Truncal obesity
Continuous administration of high dose glucocorticoids will cause Cushing's syndrome.
Cushing's syndrome includes fluid retention, hypertension, weight gain, and fat redistribution
with truncal obesity, 'moon face', and 'buffalo hump.' Additional symptoms may include:
susceptibility to infection, hyperglycemia, osteoporosis, menstrual irregularities, thin fragile
skin, and hirsutism.
A nurse is providing education for a client prescribed digoxin. Which of the following
statements by the client demonstrates an understanding? Select all that apply.
Select one or more:
a. "This medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
c. "This medication will change the color of my urine."
d. "I understand I need weekly laboratory testing."
e. "I will contact my provider if I experience excessive nausea". - Correct Answer- a. "This
medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
e. "I will contact my provider if I experience excessive nausea".
Digoxin will cause the client's heart rate to beat slower. Digoxin slows electrical conduction
between the atria and the ventricles of the heart and is useful in treating abnormally rapid
atrial rhythms such as atrial fibrillation, atrial flutter, and atrial tachycardia.
The client will need to seek medical attention right away if experiencing visual changes. This
is a severe side effect of the medication and could mean that the client is receiving too much
of the medication.
The client will need to seek medical attention right away if experiencing severe or excessive
nausea. This is a severe side effect of the medication and could mean that the client is
receiving too much of the medication.
A nurse is providing education to a client diagnosed with glaucoma. The nurse should instruct
the client to avoid which of the following medications? Select all that apply.
