ESTUDYR
ICHS PHARMACOLOGY FINAL UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1.
In addition to treating primary growth failure, somatropin has therapeutic uses in
which situations? (Select all that apply.)
A. Growth failure caused by chronic renal failure
B. Cachexia or wasting associated with AIDS
C. Growth failure caused by thyroid hormone deficiency
D. Anti-aging therapy
E. Athletic performance enhancement
F. Growth enhancement in children with Turner syndrome
✅Correct Answers: A, B, F
Rationale:
Somatropin is approved for growth failure due to chronic renal failure, AIDS-
related wasting, and Turner syndrome. It is not indicated for thyroid deficiency,
anti-aging, or athletic enhancement.
2.
A nurse administers IV desmopressin at 0730. When should the nurse anticipate
administering the next dose?
A. 0830–1030
B. 1000–1200
C. 1530–1930
D. 0730 the next day
✅Correct Answer: C
Rationale:
IV desmopressin has a duration of action of approximately 6–12 hours.
,ESTUDYR
3.
Octreotide should be used with caution in patients with which disorders? (Select all
that apply.)
A. Asthma
B. Heart failure
C. Thyroid deficiency
D. Hepatic impairment
E. Psychiatric disorders
F. Chronic kidney disease
✅Correct Answers: B, D, F
Rationale:
Octreotide can alter cardiac conduction, hepatic metabolism, and renal clearance.
4.
A child is receiving somatropin. Which parameters should the nurse monitor
during follow-up visits? (Select all that apply.)
A. Blood glucose for hypoglycemia
B. Serial height and weight measurements
C. Blood calcium levels
D. Anti-rhGH antibody formation
E. Thyroid function levels
F. Family-reported side effects
✅Correct Answers: B, D, E, F
Rationale:
Growth response, immune response, thyroid suppression, and adverse effects must
be monitored.
, ESTUDYR
5.
An adolescent requests growth hormone therapy to improve basketball
performance. What is the best nursing response?
A. “We will draw labs to check your GH levels.”
B. “This is possible if prescribed.”
C. “Growth hormone may help your height.”
D. “Growth hormone may not increase height and can cause side effects.”
✅Correct Answer: D
Rationale:
GH is not prescribed for cosmetic or performance reasons, and epiphyseal
closure limits benefit.
6.
A patient receiving desmopressin reports nausea and confusion. What is the
nurse’s priority action?
A. Reassure the patient
B. Instruct the spouse to bring the patient to the clinic
C. Hold medication for one day
D. Encourage oral fluids
✅Correct Answer: B
Rationale:
Symptoms suggest water intoxication and hyponatremia, requiring immediate
evaluation.
7.
Which finding indicates vasopressin (Pitressin) therapy has been effective?
A. Decreased serum albumin
B. Reduced ACTH levels
ICHS PHARMACOLOGY FINAL UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1.
In addition to treating primary growth failure, somatropin has therapeutic uses in
which situations? (Select all that apply.)
A. Growth failure caused by chronic renal failure
B. Cachexia or wasting associated with AIDS
C. Growth failure caused by thyroid hormone deficiency
D. Anti-aging therapy
E. Athletic performance enhancement
F. Growth enhancement in children with Turner syndrome
✅Correct Answers: A, B, F
Rationale:
Somatropin is approved for growth failure due to chronic renal failure, AIDS-
related wasting, and Turner syndrome. It is not indicated for thyroid deficiency,
anti-aging, or athletic enhancement.
2.
A nurse administers IV desmopressin at 0730. When should the nurse anticipate
administering the next dose?
A. 0830–1030
B. 1000–1200
C. 1530–1930
D. 0730 the next day
✅Correct Answer: C
Rationale:
IV desmopressin has a duration of action of approximately 6–12 hours.
,ESTUDYR
3.
Octreotide should be used with caution in patients with which disorders? (Select all
that apply.)
A. Asthma
B. Heart failure
C. Thyroid deficiency
D. Hepatic impairment
E. Psychiatric disorders
F. Chronic kidney disease
✅Correct Answers: B, D, F
Rationale:
Octreotide can alter cardiac conduction, hepatic metabolism, and renal clearance.
4.
A child is receiving somatropin. Which parameters should the nurse monitor
during follow-up visits? (Select all that apply.)
A. Blood glucose for hypoglycemia
B. Serial height and weight measurements
C. Blood calcium levels
D. Anti-rhGH antibody formation
E. Thyroid function levels
F. Family-reported side effects
✅Correct Answers: B, D, E, F
Rationale:
Growth response, immune response, thyroid suppression, and adverse effects must
be monitored.
, ESTUDYR
5.
An adolescent requests growth hormone therapy to improve basketball
performance. What is the best nursing response?
A. “We will draw labs to check your GH levels.”
B. “This is possible if prescribed.”
C. “Growth hormone may help your height.”
D. “Growth hormone may not increase height and can cause side effects.”
✅Correct Answer: D
Rationale:
GH is not prescribed for cosmetic or performance reasons, and epiphyseal
closure limits benefit.
6.
A patient receiving desmopressin reports nausea and confusion. What is the
nurse’s priority action?
A. Reassure the patient
B. Instruct the spouse to bring the patient to the clinic
C. Hold medication for one day
D. Encourage oral fluids
✅Correct Answer: B
Rationale:
Symptoms suggest water intoxication and hyponatremia, requiring immediate
evaluation.
7.
Which finding indicates vasopressin (Pitressin) therapy has been effective?
A. Decreased serum albumin
B. Reduced ACTH levels
