Test Bank Pharmacology A Patient-Centered
Nursing Process Approach, 11th Edition by
Linda E. McCuistion Chapter 1-58|Latest
2026 Release|Already Graded A+
1. Question A patient tells the nurse that he has started to take an OTC
antihistamine, diphenhydramine. In teaching about side effects, what is most
important for the nurse to tell the patient?
**Answer:** B: Avoid driving a motor vehicle until stabilized on the drug
2. **Question:** A patient complains of a sore throat and has been told it is due to
beta-hemolytic streptococcal infection. The nurse anticipates that the patient has
which acute condition?
**Answer:** C. Pharyngitis
3. **Question:** A patient is prescribed a decongestant nasal spray that contains
oxymetazoline. What will the nurse teach the patient?
**Answer:** D. Limit use of the drug to 5 to 7 days to prevent rebound nasal
congestion
4. **Question:** A patient has been prescribed guaifenesin. The nurse understands
that the purpose of the drug is to accomplish what?
**Answer:** B. Loosen bronchial secretions so coughing can eliminate them
5. **Question:** Beclomethasone has been prescribed for a patient with allergic
rhinitis. What should the nurse teach the patient regarding this medication?
**Answer:** D. With continuous use, dryness of the nasal mucosa/lining may
occur
1
,6. **Question:** The nurse is teaching a patient about diphenhydramine. Which
instructions should the nurse include in the patient's teaching plan? (Select all that
apply)
**Answer:** B. Avoid alcohol and other central nervous system depressants.
C. Notify a health care provider if confusion or hypotension occurs
D. Use sugarless candy, gum, or ice chips for temporary relief of dry mouth.
E. Avoid handling dangerous equipment or performing dangerous activities
until stabilized on the medication
7. **Question:** Fluticasone propionate and salmeterol combination inhalation is
ordered for a patient with COPD. What does the nurse know about this
medication?
**Answer:** B. It is delivered as a dry-powder inhaler.
D. It is taken as one puff two times a day.
E. It promotes bronchodilation.
8. **Question:** A patient with COPD has an acute bronchospasm. The nurse
anticipates that the health care provider will prescribe which medication?
**Answer:** B. Epinephrine
9. **Question:** A patient is prescribed aminophylline-theophylline. For what
adverse effect should the nurse monitor the patient?
**Answer:** C. Increased heart rate
10. **Question:** A patient is receiving intravenous aminophylline. The nurse
checks the patient's lab values and sees the serum theophylline level is 32 mcg/ml.
What action should the nurse take?
**Answer:** C. Notify the health care provider of the level
2
,11. **Question:** A patient with COPD is taking the leukotriene antagonist
montelukast. The nurse is aware that this medication is given for which purpose?
**Answer:** A. Maintenance treatment of asthma
12. **Question:** A patient is to receive a chemotherapy protocol that includes an
alkylating agent, an antimetabolite, and an antitumor antibiotic. The patient asks
the nurse why so much chemotherapy is needed. What is the nurse's best response?
**Answer:** B. Combination chemotherapy increases the extent of tumor cell
killing.
13. **Question:** A patient is scheduled to receive chemotherapy drugs that will
cause myelosuppression. Which action by the nurse will be most important?
**Answer:** A. Monitor for a change in temperature.
14. **Question:** The nurse is caring for a patient with colorectal cancer who is to
receive fluorouracil. Which symptom will be most important for the nurse to report
to the health care provider?
**Answer:** C. Bleeding gums
15. **Question:** A patient in the outpatient oncology clinic complains of fatigue
after receiving chemotherapy. Which initial nursing intervention will be most
appropriate?
**Answer:** A. Assess for other factors contributing to her fatigue, such as
trouble sleeping
16. **Question:** A patient in the outpatient oncology clinic has developed
mucositis after receiving fluorouracil. Which statement made by the patient
indicates the need for additional teaching about mucositis?
**Answer:** C. I will use mouthwash with alcohol to clean my mouth.
3
, 17. **Question:** A patient is scheduled to receive high-dose cyclophosphamide
via an intravenous infusion as treatment for cancer. Which will be the most
important for the nurse to include when teaching the patient about
cyclophosphamide?
**Answer:** B. Drink at least 2 L of fluid per day.
18. **Question:** A nurse is administering doxorubicin to a patient in the
outpatient oncology clinic. Which information would be most important for the
nurse to include in patient teaching?
**Answer:** C. Report any SOB, palpitations, or edema to the health care
provider
19. **Question:** A patient diagnosed with cancer is scheduled to receive
vincristine. Which nursing assessment will have the highest priority when
providing care for this patient?
**Answer:** C. Decreased phenytoin effects
20. **Question:** A patient is experiencing mucositis (stomatitis) after receiving
chemotherapy. Which symptomatic treatments will be appropriate? (Select all that
apply)
**Answer:** A. Frequent mouth rinses
C. Topical anesthetics
E. Antibiotics
21. **Question:** A nurse is teaching a patient who will receive chemotherapy
that will cause thrombocytopenia. Which instructions will the nurse include in the
patient's teaching plan? (Select all that apply)
**Answer:** A. Use an electric razor when shaving.
B. Use a soft-bristled toothbrush.
E. Report any bleeding (gums, petechiae, bruises, hematuria, melena) to the
health care provider.
4
Nursing Process Approach, 11th Edition by
Linda E. McCuistion Chapter 1-58|Latest
2026 Release|Already Graded A+
1. Question A patient tells the nurse that he has started to take an OTC
antihistamine, diphenhydramine. In teaching about side effects, what is most
important for the nurse to tell the patient?
**Answer:** B: Avoid driving a motor vehicle until stabilized on the drug
2. **Question:** A patient complains of a sore throat and has been told it is due to
beta-hemolytic streptococcal infection. The nurse anticipates that the patient has
which acute condition?
**Answer:** C. Pharyngitis
3. **Question:** A patient is prescribed a decongestant nasal spray that contains
oxymetazoline. What will the nurse teach the patient?
**Answer:** D. Limit use of the drug to 5 to 7 days to prevent rebound nasal
congestion
4. **Question:** A patient has been prescribed guaifenesin. The nurse understands
that the purpose of the drug is to accomplish what?
**Answer:** B. Loosen bronchial secretions so coughing can eliminate them
5. **Question:** Beclomethasone has been prescribed for a patient with allergic
rhinitis. What should the nurse teach the patient regarding this medication?
**Answer:** D. With continuous use, dryness of the nasal mucosa/lining may
occur
1
,6. **Question:** The nurse is teaching a patient about diphenhydramine. Which
instructions should the nurse include in the patient's teaching plan? (Select all that
apply)
**Answer:** B. Avoid alcohol and other central nervous system depressants.
C. Notify a health care provider if confusion or hypotension occurs
D. Use sugarless candy, gum, or ice chips for temporary relief of dry mouth.
E. Avoid handling dangerous equipment or performing dangerous activities
until stabilized on the medication
7. **Question:** Fluticasone propionate and salmeterol combination inhalation is
ordered for a patient with COPD. What does the nurse know about this
medication?
**Answer:** B. It is delivered as a dry-powder inhaler.
D. It is taken as one puff two times a day.
E. It promotes bronchodilation.
8. **Question:** A patient with COPD has an acute bronchospasm. The nurse
anticipates that the health care provider will prescribe which medication?
**Answer:** B. Epinephrine
9. **Question:** A patient is prescribed aminophylline-theophylline. For what
adverse effect should the nurse monitor the patient?
**Answer:** C. Increased heart rate
10. **Question:** A patient is receiving intravenous aminophylline. The nurse
checks the patient's lab values and sees the serum theophylline level is 32 mcg/ml.
What action should the nurse take?
**Answer:** C. Notify the health care provider of the level
2
,11. **Question:** A patient with COPD is taking the leukotriene antagonist
montelukast. The nurse is aware that this medication is given for which purpose?
**Answer:** A. Maintenance treatment of asthma
12. **Question:** A patient is to receive a chemotherapy protocol that includes an
alkylating agent, an antimetabolite, and an antitumor antibiotic. The patient asks
the nurse why so much chemotherapy is needed. What is the nurse's best response?
**Answer:** B. Combination chemotherapy increases the extent of tumor cell
killing.
13. **Question:** A patient is scheduled to receive chemotherapy drugs that will
cause myelosuppression. Which action by the nurse will be most important?
**Answer:** A. Monitor for a change in temperature.
14. **Question:** The nurse is caring for a patient with colorectal cancer who is to
receive fluorouracil. Which symptom will be most important for the nurse to report
to the health care provider?
**Answer:** C. Bleeding gums
15. **Question:** A patient in the outpatient oncology clinic complains of fatigue
after receiving chemotherapy. Which initial nursing intervention will be most
appropriate?
**Answer:** A. Assess for other factors contributing to her fatigue, such as
trouble sleeping
16. **Question:** A patient in the outpatient oncology clinic has developed
mucositis after receiving fluorouracil. Which statement made by the patient
indicates the need for additional teaching about mucositis?
**Answer:** C. I will use mouthwash with alcohol to clean my mouth.
3
, 17. **Question:** A patient is scheduled to receive high-dose cyclophosphamide
via an intravenous infusion as treatment for cancer. Which will be the most
important for the nurse to include when teaching the patient about
cyclophosphamide?
**Answer:** B. Drink at least 2 L of fluid per day.
18. **Question:** A nurse is administering doxorubicin to a patient in the
outpatient oncology clinic. Which information would be most important for the
nurse to include in patient teaching?
**Answer:** C. Report any SOB, palpitations, or edema to the health care
provider
19. **Question:** A patient diagnosed with cancer is scheduled to receive
vincristine. Which nursing assessment will have the highest priority when
providing care for this patient?
**Answer:** C. Decreased phenytoin effects
20. **Question:** A patient is experiencing mucositis (stomatitis) after receiving
chemotherapy. Which symptomatic treatments will be appropriate? (Select all that
apply)
**Answer:** A. Frequent mouth rinses
C. Topical anesthetics
E. Antibiotics
21. **Question:** A nurse is teaching a patient who will receive chemotherapy
that will cause thrombocytopenia. Which instructions will the nurse include in the
patient's teaching plan? (Select all that apply)
**Answer:** A. Use an electric razor when shaving.
B. Use a soft-bristled toothbrush.
E. Report any bleeding (gums, petechiae, bruises, hematuria, melena) to the
health care provider.
4
