PHARMACOLOGY NRS 2020 EXAM 3
LATEST 2026/2027 QUESTION AND
ANSWER GRADED A OAKLAND
UNIVERSITY
A patient is taking ibuprofen 800 mg three times a day by mouth as treatment for
OA. While taking a health history, the nurse finds out that the patient has a few
beers on weekends. What concern would there be with the interaction of the
alcohol and ibuprofen?
Reduced anti-inflammatory effects of the NSAID
Increased nephrotoxic effects
Increased risk for falls
Increased chance for GI bleeding
Increased chance for GI bleeding
A nurse cares for a patient who has hypothyroidism as a result of Hashimoto's
thyroiditis. The patient asks, "How long will I need to take this thyroid
medication?" How does the nurse respond?
"You'll need thyroid pills for life because your thyroid won't start working again."
"When blood tests indicate normal thyroid function, you can stop the
medication."
"You will need to take the thyroid medication until the goiter is completely gone."
"Thyroiditis is cured with antibiotics. Then you won't need thyroid medication."
"You'll need thyroid pills for life because your thyroid won't start working again."
,When is a patient most susceptible to hypoglycemic symptoms after the
administration of insulin?
Onset
Peak
Duration and Peak
Duration
Peak
The client diagnosed with hyperthyroidism is prescribed propylthiouracil. Which
laboratory data should the nurse monitor?
The client's white blood cell (WBC) count.
The client's red blood cell (RBC) count.
The client's arterial blood gases (ABGs).
The client's serum potassium level.
The client's white blood cell (WBC) count.
The nurse in the medical department is preparing to administer insulin lispro to a
client diagnosed with type 1 diabetes. Which intervention should the nurse
implement?
Administer the lispro 30 minutes before meal.
Make sure the client eats the food on the meal tray that is at the bedside.
Ensure the client is wearing a MedicAlert bracelet.
Assess the client for hyperosmolar, hyperglycemic, nonketotic coma.
Make sure the client eats the food on the meal tray that is at the bedside.
, The nurse notes in a patient's medication history that the patient is taking
allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient
has which disorder?
Gout
Systemic lupus erythematosus
rheumatoid arthritis
osteoarthritis
Gout
A patient is beginning therapy with oral methotrexate [Rheumatrex] for
rheumatoid arthritis. The nurse will teach this patient about the importance of:
limiting folic acid consumption.
having routine renal and hepatic function tests.
reporting alopecia and rash.
taking the medication on a daily basis.
having routine renal and hepatic function tests.
A first day postoperative client on a PCA pump reports that the pain control is
inadequate. What is the first action you should take?
Assess the pain for location, quality, and intensity.
Try non-pharmacological comfort measures.
Contact the physician to increase the dose
Deliver the bolus dose per standing order.
Assess the pain for location, quality, and intensity.
LATEST 2026/2027 QUESTION AND
ANSWER GRADED A OAKLAND
UNIVERSITY
A patient is taking ibuprofen 800 mg three times a day by mouth as treatment for
OA. While taking a health history, the nurse finds out that the patient has a few
beers on weekends. What concern would there be with the interaction of the
alcohol and ibuprofen?
Reduced anti-inflammatory effects of the NSAID
Increased nephrotoxic effects
Increased risk for falls
Increased chance for GI bleeding
Increased chance for GI bleeding
A nurse cares for a patient who has hypothyroidism as a result of Hashimoto's
thyroiditis. The patient asks, "How long will I need to take this thyroid
medication?" How does the nurse respond?
"You'll need thyroid pills for life because your thyroid won't start working again."
"When blood tests indicate normal thyroid function, you can stop the
medication."
"You will need to take the thyroid medication until the goiter is completely gone."
"Thyroiditis is cured with antibiotics. Then you won't need thyroid medication."
"You'll need thyroid pills for life because your thyroid won't start working again."
,When is a patient most susceptible to hypoglycemic symptoms after the
administration of insulin?
Onset
Peak
Duration and Peak
Duration
Peak
The client diagnosed with hyperthyroidism is prescribed propylthiouracil. Which
laboratory data should the nurse monitor?
The client's white blood cell (WBC) count.
The client's red blood cell (RBC) count.
The client's arterial blood gases (ABGs).
The client's serum potassium level.
The client's white blood cell (WBC) count.
The nurse in the medical department is preparing to administer insulin lispro to a
client diagnosed with type 1 diabetes. Which intervention should the nurse
implement?
Administer the lispro 30 minutes before meal.
Make sure the client eats the food on the meal tray that is at the bedside.
Ensure the client is wearing a MedicAlert bracelet.
Assess the client for hyperosmolar, hyperglycemic, nonketotic coma.
Make sure the client eats the food on the meal tray that is at the bedside.
, The nurse notes in a patient's medication history that the patient is taking
allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient
has which disorder?
Gout
Systemic lupus erythematosus
rheumatoid arthritis
osteoarthritis
Gout
A patient is beginning therapy with oral methotrexate [Rheumatrex] for
rheumatoid arthritis. The nurse will teach this patient about the importance of:
limiting folic acid consumption.
having routine renal and hepatic function tests.
reporting alopecia and rash.
taking the medication on a daily basis.
having routine renal and hepatic function tests.
A first day postoperative client on a PCA pump reports that the pain control is
inadequate. What is the first action you should take?
Assess the pain for location, quality, and intensity.
Try non-pharmacological comfort measures.
Contact the physician to increase the dose
Deliver the bolus dose per standing order.
Assess the pain for location, quality, and intensity.
