Saunders Pharmacology (2025/2026)
Update|Exam
Questions With Multiple
Choices |Verified & Revised
Answers (New)!!!
1)mAmnursemismcaringmformamclientmwithmhyperparathyroidismmandmnotesmthatmthemclient'smserummc
alciummlevelmism13mmg/dL.mWhichmmedicationmshouldmthemnursempreparemtomadministermasmpresc
ribedmtomthemclient?
m 1.mCalciummchloride
m 2.mCalciummgluconate
m 3.mCalcitoninm(Miacalcin)
m 4.mLargemdosesmofmvitaminmDm-mCORRECTmANSWERSm3.mCalcitoninm(Miacalcin)
Rationale:
Themnormalmserummcalciummlevelmism8.6mtom10.0mmg/dL.mThismclientmismexperiencingmhypercalcem
ia.mCalciummgluconatemandmcalciummchloridemaremmedicationsmusedmformthemtreatmentmofmtetany,
mwhichmoccursmasmamresultmofmacutemhypocalcemia.mInmhypercalcemia,mlargemdosesmofmvitaminmDm
needmtombemavoided.mCalcitonin,mamthyroidmhormone,mdecreasesmthemplasmamcalciummlevelmbymin
hibitingmbonemresorptionmandmloweringmthemserummcalciummconcentration.
2.)mOralmironmsupplementsmaremprescribedmformam6-year-
oldmchildmwithmironmdeficiencymanemia.mThemnurseminstructsmthemmothermtomadministermthemironm
withmwhichmbestmfoodmitem?
m 1.mMilk
m 2.mWater
m 3.mApplemjuice
m 4.mOrangemjuicem-mCORRECTmANSWERSm4.mOrangemjuice
Rationale:
,VitaminmCmincreasesmthemabsorptionmofmironmbymthembody.mThemmothermshouldmbeminstructedmtom
administermthemmedicationmwithmamcitrusmfruitmormamjuicemthatmismhighminmvitaminmC.mMilkmmaymaff
ectmabsorptionmofmthemiron.mWatermwillmnotmassistminmabsorption.mOrangemjuicemcontainsmamgreate
rmamountmofmvitaminmCmthanmapplemjuice.
3.)mSalicylicmacidmismprescribedmformamclientmwithmamdiagnosismofmpsoriasis.mThemnursemmonitorsmth
emclient,mknowingmthatmwhichmofmthemfollowingmwouldmindicatemthempresencemofmsystemicmtoxicit
ymfrommthismmedication?
m 1.mTinnitus
m 2.mDiarrhea
m 3.mConstipation
m 4.mDecreasedmrespirationsm-mCORRECTmANSWERSm1.mTinnitus
Rationale:
Salicylicmacidmismabsorbedmreadilymthroughmthemskin,mandmsystemicmtoxicitym(salicylism)mcanmresult
.mSymptomsmincludemtinnitus,mdizziness,mhyperpnea,mandmpsychologicalmdisturbances.mConstipati
onmandmdiarrheamaremnotmassociatedmwithmsalicylism.
4.)mThemcampmnursemasksmthemchildrenmpreparingmtomswimminmthemlakemifmtheymhavemappliedmsuns
creen.mThemnursemremindsmthemchildrenmthatmchemicalmsunscreensmaremmostmeffectivemwhenmapp
lied:
m 1.mImmediatelymbeforemswimming
m 2.m15mminutesmbeforemexposuremtomthemsun
m 3.mImmediatelymbeforemexposuremtomthemsun
m4.mAtmleastm30mminutesmbeforemexposuremtomthemsunm-
mCORRECTmANSWERSm4.mAtmleastm30mminutesmbeforemexposuremtomthemsun
Rationale:
Sunscreensmaremmostmeffectivemwhenmappliedmatmleastm30mminutesmbeforemexposuremtomthemsunm
somthatmtheymcanmpenetratemthemskin.mAllmsunscreensmshouldmbemreappliedmaftermswimmingmorms
weating.
,5.)mMafenidemacetatem(Sulfamylon)mismprescribedmformthemclientmwithmamburnminjury.mWhenmapplyi
ngmthemmedication,mthemclientmcomplainsmofmlocalmdiscomfortmandmburning.mWhichmofmthemfollow
ingmismthemmostmappropriatemnursingmaction?
m 1.mNotifyingmthemregisteredmnurse
m 2.mDiscontinuingmthemmedication
m 3.mInformingmthemclientmthatmthismismnormal
m4.mApplyingmamthinnermfilmmthanmprescribedmtomthemburnmsitem-
mCORRECTmANSWERSm3.mInformingmthemclientmthatmthismismnormal
Rationale:
Mafenidemacetatemismbacteriostaticmformgram-negativemandmgram-
positivemorganismsmandmismusedmtomtreatmburnsmtomreducembacteriampresentminmavascularmtissues.
mThemclientmshouldmbeminformedmthatmthemmedicationmwillmcausemlocalmdiscomfortmandmburningma
ndmthatmthismismamnormalmreaction;mthereforemoptionsm1,m2,mandm4maremincorrect
6.)mThemburnmclientmismreceivingmtreatmentsmofmtopicalmmafenidemacetatem(Sulfamylon)mtomthemsit
emofminjury.mThemnursemmonitorsmthemclient,mknowingmthatmwhichmofmthemfollowingmindicatesmthat
mamsystemicmeffectmhasmoccurred?
m 1.Hyperventilation
m 2.Elevatedmbloodmpressure
m 3.Localmpainmatmthemburnmsite
m 4.Localmrashmatmthemburnmsitem-mCORRECTmANSWERSm1.Hyperventilation
Rationale:
Mafenidemacetatemismamcarbonicmanhydraseminhibitormandmcanmsuppressmrenalmexcretionmofmacid,m
therebymcausingmacidosis.mClientsmreceivingmthismtreatmentmshouldmbemmonitoredmformsignsmofma
nmacid-
basemimbalancem(hyperventilation).mIfmthismoccurs,mthemmedicationmshouldmbemdiscontinuedmform
1mtom2mdays.mOptionsm3mandm4mdescribemlocalmrathermthanmsystemicmeffects.mAnmelevatedmbloodmp
ressuremmaymbemexpectedmfrommthempainmthatmoccursmwithmamburnminjury.
, 7.)mIsotretinoinmismprescribedmformamclientmwithmseveremacne.mBeforemthemadministrationmofmthism
medication,mthemnursemanticipatesmthatmwhichmlaboratorymtestmwillmbemprescribed?
m 1.mPlateletmcount
m 2.mTriglyceridemlevel
m 3.mCompletembloodmcount
m 4.mWhitembloodmcellmcountm-mCORRECTmANSWERSm2.mTriglyceridemlevel
Rationale:
Isotretinoinmcanmelevatemtriglyceridemlevels.mBloodmtriglyceridemlevelsmshouldmbemmeasuredmbefo
remtreatmentmandmperiodicallymthereaftermuntilmthemeffectmonmthemtriglyceridesmhasmbeenmevaluat
ed.mOptionsm1,m3,mandm4mdomnotmneedmtombemmonitoredmspecificallymduringmthismtreatment.
8.)mAmclientmwithmseveremacnemismseenminmthemclinicmandmthemhealthmcaremproviderm(HCP)mprescrib
esmisotretinoin.mThemnursemreviewsmthemclient'smmedicationmrecordmandmwouldmcontactmthem(HCP
)mifmthemclientmismtakingmwhichmmedication?
m 1.mVitaminmA
m 2.mDigoxinm(Lanoxin)
m 3.mFurosemidem(Lasix)
m 4.mPhenytoinm(Dilantin)m-mCORRECTmANSWERSm1.mVitaminmA
Rationale:
IsotretinoinmismammetabolitemofmvitaminmAmandmcanmproducemgeneralizedmintensificationmofmisotre
tinoinmtoxicity.mBecausemofmthempotentialmformincreasedmtoxicity,mvitaminmAmsupplementsmshouldm
bemdiscontinuedmbeforemisotretinoinmtherapy.mOptionsm2,m3,mandm4maremnotmcontraindicatedmwith
mthemusemofmisotretinoin.
9.)mThemnursemismapplyingmamtopicalmcorticosteroidmtomamclientmwithmeczema.mThemnursemwouldmm
onitormformthempotentialmformincreasedmsystemicmabsorptionmofmthemmedicationmifmthemmedicatio
nmwerembeingmappliedmtomwhichmofmthemfollowingmbodymareas?
m 1.mBack
m 2.mAxilla
Update|Exam
Questions With Multiple
Choices |Verified & Revised
Answers (New)!!!
1)mAmnursemismcaringmformamclientmwithmhyperparathyroidismmandmnotesmthatmthemclient'smserummc
alciummlevelmism13mmg/dL.mWhichmmedicationmshouldmthemnursempreparemtomadministermasmpresc
ribedmtomthemclient?
m 1.mCalciummchloride
m 2.mCalciummgluconate
m 3.mCalcitoninm(Miacalcin)
m 4.mLargemdosesmofmvitaminmDm-mCORRECTmANSWERSm3.mCalcitoninm(Miacalcin)
Rationale:
Themnormalmserummcalciummlevelmism8.6mtom10.0mmg/dL.mThismclientmismexperiencingmhypercalcem
ia.mCalciummgluconatemandmcalciummchloridemaremmedicationsmusedmformthemtreatmentmofmtetany,
mwhichmoccursmasmamresultmofmacutemhypocalcemia.mInmhypercalcemia,mlargemdosesmofmvitaminmDm
needmtombemavoided.mCalcitonin,mamthyroidmhormone,mdecreasesmthemplasmamcalciummlevelmbymin
hibitingmbonemresorptionmandmloweringmthemserummcalciummconcentration.
2.)mOralmironmsupplementsmaremprescribedmformam6-year-
oldmchildmwithmironmdeficiencymanemia.mThemnurseminstructsmthemmothermtomadministermthemironm
withmwhichmbestmfoodmitem?
m 1.mMilk
m 2.mWater
m 3.mApplemjuice
m 4.mOrangemjuicem-mCORRECTmANSWERSm4.mOrangemjuice
Rationale:
,VitaminmCmincreasesmthemabsorptionmofmironmbymthembody.mThemmothermshouldmbeminstructedmtom
administermthemmedicationmwithmamcitrusmfruitmormamjuicemthatmismhighminmvitaminmC.mMilkmmaymaff
ectmabsorptionmofmthemiron.mWatermwillmnotmassistminmabsorption.mOrangemjuicemcontainsmamgreate
rmamountmofmvitaminmCmthanmapplemjuice.
3.)mSalicylicmacidmismprescribedmformamclientmwithmamdiagnosismofmpsoriasis.mThemnursemmonitorsmth
emclient,mknowingmthatmwhichmofmthemfollowingmwouldmindicatemthempresencemofmsystemicmtoxicit
ymfrommthismmedication?
m 1.mTinnitus
m 2.mDiarrhea
m 3.mConstipation
m 4.mDecreasedmrespirationsm-mCORRECTmANSWERSm1.mTinnitus
Rationale:
Salicylicmacidmismabsorbedmreadilymthroughmthemskin,mandmsystemicmtoxicitym(salicylism)mcanmresult
.mSymptomsmincludemtinnitus,mdizziness,mhyperpnea,mandmpsychologicalmdisturbances.mConstipati
onmandmdiarrheamaremnotmassociatedmwithmsalicylism.
4.)mThemcampmnursemasksmthemchildrenmpreparingmtomswimminmthemlakemifmtheymhavemappliedmsuns
creen.mThemnursemremindsmthemchildrenmthatmchemicalmsunscreensmaremmostmeffectivemwhenmapp
lied:
m 1.mImmediatelymbeforemswimming
m 2.m15mminutesmbeforemexposuremtomthemsun
m 3.mImmediatelymbeforemexposuremtomthemsun
m4.mAtmleastm30mminutesmbeforemexposuremtomthemsunm-
mCORRECTmANSWERSm4.mAtmleastm30mminutesmbeforemexposuremtomthemsun
Rationale:
Sunscreensmaremmostmeffectivemwhenmappliedmatmleastm30mminutesmbeforemexposuremtomthemsunm
somthatmtheymcanmpenetratemthemskin.mAllmsunscreensmshouldmbemreappliedmaftermswimmingmorms
weating.
,5.)mMafenidemacetatem(Sulfamylon)mismprescribedmformthemclientmwithmamburnminjury.mWhenmapplyi
ngmthemmedication,mthemclientmcomplainsmofmlocalmdiscomfortmandmburning.mWhichmofmthemfollow
ingmismthemmostmappropriatemnursingmaction?
m 1.mNotifyingmthemregisteredmnurse
m 2.mDiscontinuingmthemmedication
m 3.mInformingmthemclientmthatmthismismnormal
m4.mApplyingmamthinnermfilmmthanmprescribedmtomthemburnmsitem-
mCORRECTmANSWERSm3.mInformingmthemclientmthatmthismismnormal
Rationale:
Mafenidemacetatemismbacteriostaticmformgram-negativemandmgram-
positivemorganismsmandmismusedmtomtreatmburnsmtomreducembacteriampresentminmavascularmtissues.
mThemclientmshouldmbeminformedmthatmthemmedicationmwillmcausemlocalmdiscomfortmandmburningma
ndmthatmthismismamnormalmreaction;mthereforemoptionsm1,m2,mandm4maremincorrect
6.)mThemburnmclientmismreceivingmtreatmentsmofmtopicalmmafenidemacetatem(Sulfamylon)mtomthemsit
emofminjury.mThemnursemmonitorsmthemclient,mknowingmthatmwhichmofmthemfollowingmindicatesmthat
mamsystemicmeffectmhasmoccurred?
m 1.Hyperventilation
m 2.Elevatedmbloodmpressure
m 3.Localmpainmatmthemburnmsite
m 4.Localmrashmatmthemburnmsitem-mCORRECTmANSWERSm1.Hyperventilation
Rationale:
Mafenidemacetatemismamcarbonicmanhydraseminhibitormandmcanmsuppressmrenalmexcretionmofmacid,m
therebymcausingmacidosis.mClientsmreceivingmthismtreatmentmshouldmbemmonitoredmformsignsmofma
nmacid-
basemimbalancem(hyperventilation).mIfmthismoccurs,mthemmedicationmshouldmbemdiscontinuedmform
1mtom2mdays.mOptionsm3mandm4mdescribemlocalmrathermthanmsystemicmeffects.mAnmelevatedmbloodmp
ressuremmaymbemexpectedmfrommthempainmthatmoccursmwithmamburnminjury.
, 7.)mIsotretinoinmismprescribedmformamclientmwithmseveremacne.mBeforemthemadministrationmofmthism
medication,mthemnursemanticipatesmthatmwhichmlaboratorymtestmwillmbemprescribed?
m 1.mPlateletmcount
m 2.mTriglyceridemlevel
m 3.mCompletembloodmcount
m 4.mWhitembloodmcellmcountm-mCORRECTmANSWERSm2.mTriglyceridemlevel
Rationale:
Isotretinoinmcanmelevatemtriglyceridemlevels.mBloodmtriglyceridemlevelsmshouldmbemmeasuredmbefo
remtreatmentmandmperiodicallymthereaftermuntilmthemeffectmonmthemtriglyceridesmhasmbeenmevaluat
ed.mOptionsm1,m3,mandm4mdomnotmneedmtombemmonitoredmspecificallymduringmthismtreatment.
8.)mAmclientmwithmseveremacnemismseenminmthemclinicmandmthemhealthmcaremproviderm(HCP)mprescrib
esmisotretinoin.mThemnursemreviewsmthemclient'smmedicationmrecordmandmwouldmcontactmthem(HCP
)mifmthemclientmismtakingmwhichmmedication?
m 1.mVitaminmA
m 2.mDigoxinm(Lanoxin)
m 3.mFurosemidem(Lasix)
m 4.mPhenytoinm(Dilantin)m-mCORRECTmANSWERSm1.mVitaminmA
Rationale:
IsotretinoinmismammetabolitemofmvitaminmAmandmcanmproducemgeneralizedmintensificationmofmisotre
tinoinmtoxicity.mBecausemofmthempotentialmformincreasedmtoxicity,mvitaminmAmsupplementsmshouldm
bemdiscontinuedmbeforemisotretinoinmtherapy.mOptionsm2,m3,mandm4maremnotmcontraindicatedmwith
mthemusemofmisotretinoin.
9.)mThemnursemismapplyingmamtopicalmcorticosteroidmtomamclientmwithmeczema.mThemnursemwouldmm
onitormformthempotentialmformincreasedmsystemicmabsorptionmofmthemmedicationmifmthemmedicatio
nmwerembeingmappliedmtomwhichmofmthemfollowingmbodymareas?
m 1.mBack
m 2.mAxilla
