ESTUDYR
PHARM NURS 1150 FINAL EXAM MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. A nurse is reviewing an older adult patient’s chart before administering medications.
Which finding is of greatest concern?
A. Low serum creatinine
B. Chronic constipation
C. Low serum albumin
D. Increased body fat
✅Correct Answer: C. Low serum albumin
Rationale: Low albumin increases free (unbound) drug levels, significantly raising the risk for
toxicity in older adults.
2. Which actions occur in approximately 90% of fatal medication errors? (Select all that
apply.)
A. Using an infusion device that malfunctions
B. Giving Nasarel instead of Nizoral
C. Writing a prescription illegibly
D. Confusing drugs with similar packaging
E. Giving a drug intravenously instead of intramuscularly
✅Correct Answers: B, C, E
Rationale: Fatal medication errors are most often caused by wrong drug selection, illegible
prescriptions, and incorrect routes of administration.
3. A nurse administers a drug with a narrow therapeutic index. Which statement is true?
A. Therapeutic failure occurs easily when doses are decreased
B. Altered metabolism has no impact
C. Dose changes must be large
D. Dose changes must be closely monitored to prevent toxicity
✅Correct Answer: D
Rationale: Narrow therapeutic index drugs have minimal separation between therapeutic and
toxic levels.
,ESTUDYR
4. A patient with osteopenia asks about hormone therapy. Which response is correct?
A. Estrogen reverses bone loss
B. Bone mass is rapidly lost when hormone therapy stops
C. Hormone therapy does not reduce fracture risk
D. Hormone therapy increases bone resorption
✅Correct Answer: B
Rationale: Hormone therapy only maintains bone density while actively used.
5. Dry mouth, constipation, and urinary retention indicate which type of drug effect?
A. Alpha-adrenergic
B. Anticholinergic
C. Sympathetic
D. Beta-adrenergic
✅Correct Answer: B
Rationale: Anticholinergic drugs block acetylcholine, leading to classic “dry” side effects.
6. A patient taking leuprolide [Lupron Depot] demonstrates understanding when stating:
A. “This medication cures endometriosis.”
B. “I can take it if I become pregnant.”
C. “I may experience menopausal-like symptoms.”
D. “I’ll need it for several years.”
✅Correct Answer: C
Rationale: GnRH agonists suppress estrogen, causing hot flashes and other menopausal
symptoms.
7. What best describes a “drug holiday” for fluoxetine-related sexual dysfunction?
A. Stop the drug for one week
B. Cut the tablet in half anytime
C. Skip the medication on Friday and Saturday
D. Take every other day
✅Correct Answer: C
Rationale: Planned brief interruptions reduce side effects while maintaining efficacy.
,ESTUDYR
8. Antigens binding to antibodies on mast cells trigger which response?
A. Hypersensitivity reaction
B. Autoimmune response
C. Transplant rejection
D. Acquired immunity
✅Correct Answer: A
Rationale: Mast cell degranulation leads to allergic (Type I) hypersensitivity reactions.
9. A patient receiving pancuronium is paralyzed but stable. What should the nurse do?
A. Explain all care and talk to the patient
B. Review for myasthenia gravis
C. Administer antihistamines
D. Check potassium levels
✅Correct Answer: A
Rationale: Neuromuscular blockers paralyze muscles but do not cause sedation or
unconsciousness.
10. Which medication is appropriate for migraine prevention in a patient with asthma?
A. Botulinum toxin
B. Topiramate [Topamax]
C. Timolol
D. Meperidine
✅Correct Answer: B
Rationale: Beta-blockers worsen asthma; topiramate is a first-line preventive agent.
11. Teaching for testosterone injections in a child includes which statement?
A. Annual prostate screening is required
B. Gynecomastia is expected
C. Injections occur every 2–4 weeks for 3–4 years
D. Therapy causes prostate cancer
, ESTUDYR
✅Correct Answer: C
Rationale: Long-term, scheduled dosing mimics physiologic puberty.
12. Which statement about montelukast [Singulair] shows understanding?
A. Treats acute asthma attacks
B. May cause mood or behavior changes
C. Given twice daily
D. Only used short-term
✅Correct Answer: B
Rationale: Montelukast carries a boxed warning for neuropsychiatric effects.
13. Why is epinephrine added to lidocaine?
A. Prolongs anesthesia and reduces systemic absorption
B. Increases absorption
C. Improves blood flow
D. Speeds metabolism
✅Correct Answer: A
Rationale: Vasoconstriction keeps lidocaine localized.
14. A patient misses two OC pills in week three. What should the nurse instruct?
A. Take a pill now, skip placebo pills, start a new pack
B. No action needed
C. Use backup for 7 days only
D. Stop pills entirely
✅Correct Answer: A
Rationale: Missed pills late in the cycle increase pregnancy risk.
15. A patient understands analgesic effects when which outcome occurs?
A. Increased overdose risk
B. Decreased motivation
C. Improved compliance
D. Decreased placebo effect
PHARM NURS 1150 FINAL EXAM MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. A nurse is reviewing an older adult patient’s chart before administering medications.
Which finding is of greatest concern?
A. Low serum creatinine
B. Chronic constipation
C. Low serum albumin
D. Increased body fat
✅Correct Answer: C. Low serum albumin
Rationale: Low albumin increases free (unbound) drug levels, significantly raising the risk for
toxicity in older adults.
2. Which actions occur in approximately 90% of fatal medication errors? (Select all that
apply.)
A. Using an infusion device that malfunctions
B. Giving Nasarel instead of Nizoral
C. Writing a prescription illegibly
D. Confusing drugs with similar packaging
E. Giving a drug intravenously instead of intramuscularly
✅Correct Answers: B, C, E
Rationale: Fatal medication errors are most often caused by wrong drug selection, illegible
prescriptions, and incorrect routes of administration.
3. A nurse administers a drug with a narrow therapeutic index. Which statement is true?
A. Therapeutic failure occurs easily when doses are decreased
B. Altered metabolism has no impact
C. Dose changes must be large
D. Dose changes must be closely monitored to prevent toxicity
✅Correct Answer: D
Rationale: Narrow therapeutic index drugs have minimal separation between therapeutic and
toxic levels.
,ESTUDYR
4. A patient with osteopenia asks about hormone therapy. Which response is correct?
A. Estrogen reverses bone loss
B. Bone mass is rapidly lost when hormone therapy stops
C. Hormone therapy does not reduce fracture risk
D. Hormone therapy increases bone resorption
✅Correct Answer: B
Rationale: Hormone therapy only maintains bone density while actively used.
5. Dry mouth, constipation, and urinary retention indicate which type of drug effect?
A. Alpha-adrenergic
B. Anticholinergic
C. Sympathetic
D. Beta-adrenergic
✅Correct Answer: B
Rationale: Anticholinergic drugs block acetylcholine, leading to classic “dry” side effects.
6. A patient taking leuprolide [Lupron Depot] demonstrates understanding when stating:
A. “This medication cures endometriosis.”
B. “I can take it if I become pregnant.”
C. “I may experience menopausal-like symptoms.”
D. “I’ll need it for several years.”
✅Correct Answer: C
Rationale: GnRH agonists suppress estrogen, causing hot flashes and other menopausal
symptoms.
7. What best describes a “drug holiday” for fluoxetine-related sexual dysfunction?
A. Stop the drug for one week
B. Cut the tablet in half anytime
C. Skip the medication on Friday and Saturday
D. Take every other day
✅Correct Answer: C
Rationale: Planned brief interruptions reduce side effects while maintaining efficacy.
,ESTUDYR
8. Antigens binding to antibodies on mast cells trigger which response?
A. Hypersensitivity reaction
B. Autoimmune response
C. Transplant rejection
D. Acquired immunity
✅Correct Answer: A
Rationale: Mast cell degranulation leads to allergic (Type I) hypersensitivity reactions.
9. A patient receiving pancuronium is paralyzed but stable. What should the nurse do?
A. Explain all care and talk to the patient
B. Review for myasthenia gravis
C. Administer antihistamines
D. Check potassium levels
✅Correct Answer: A
Rationale: Neuromuscular blockers paralyze muscles but do not cause sedation or
unconsciousness.
10. Which medication is appropriate for migraine prevention in a patient with asthma?
A. Botulinum toxin
B. Topiramate [Topamax]
C. Timolol
D. Meperidine
✅Correct Answer: B
Rationale: Beta-blockers worsen asthma; topiramate is a first-line preventive agent.
11. Teaching for testosterone injections in a child includes which statement?
A. Annual prostate screening is required
B. Gynecomastia is expected
C. Injections occur every 2–4 weeks for 3–4 years
D. Therapy causes prostate cancer
, ESTUDYR
✅Correct Answer: C
Rationale: Long-term, scheduled dosing mimics physiologic puberty.
12. Which statement about montelukast [Singulair] shows understanding?
A. Treats acute asthma attacks
B. May cause mood or behavior changes
C. Given twice daily
D. Only used short-term
✅Correct Answer: B
Rationale: Montelukast carries a boxed warning for neuropsychiatric effects.
13. Why is epinephrine added to lidocaine?
A. Prolongs anesthesia and reduces systemic absorption
B. Increases absorption
C. Improves blood flow
D. Speeds metabolism
✅Correct Answer: A
Rationale: Vasoconstriction keeps lidocaine localized.
14. A patient misses two OC pills in week three. What should the nurse instruct?
A. Take a pill now, skip placebo pills, start a new pack
B. No action needed
C. Use backup for 7 days only
D. Stop pills entirely
✅Correct Answer: A
Rationale: Missed pills late in the cycle increase pregnancy risk.
15. A patient understands analgesic effects when which outcome occurs?
A. Increased overdose risk
B. Decreased motivation
C. Improved compliance
D. Decreased placebo effect
