Pharmacology Made Easy 5.0 The
Reproductive and Genitourinary System
Test Questions and Answers
Question 1
A nurse is caring for a male client who has hyperthyroidism and is not responding to
treatment. The nurse should identify that hyperthyroidism is a contraindication for
which of the following medications?
Correct Answer
Bethanechol
Bethanechol, a cholinergic medication, can cause cardiac dysrhythmias in clients
who have hyperthyroidism by triggering the release of norepinephrine. This reaction
does not occur in clients who do not have hyperthyroidism.
Question 2
A nurse is providing safety education to a client who is scheduled to begin treatment
with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following
instructions should the nurse include in the teaching?
Correct Answer
Take the medication at the same time every day.
Tamsulosin is prescribed to be taken once daily at the same time each day.
Therefore, the nurse should not instruct the client to take the medication only as
needed. It should be taken 30 min after the same meal. Pts should report weight
gain and edema as this medication should increase the release of fluids.
Page 1 of 12
, Question 3
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction.
Which of the following instructions should the nurse include?
Correct Answer
Do not take the medication with high-fat foods.
High-fat foods delay absorption and reduce peak effects of sildenafil. Clients who
take the medication should not take it with high-fat foods.
- Grapefruit juice and other cytochrome P450 3A4 (CYP3A4) inhibitors reduce the
metabolism of sildenafil, increasing plasma levels and the risk of adverse effects.
Clients who take the medication should avoid grapefruit juice.
Question 4
A nurse is assessing a client who has a new prescription for the combination oral
contraceptive ethinyl estradiol and drospirenone. Which of the following findings
should the nurse identify as a contraindication to use of this medication?
Correct Answer
Smokes half a pack of cigarettes a day
Smoking increases the risks of thromboembolic events, hypertension, and
cardiovascular disease for clients who are taking combination oral contraceptives,
especially for those clients who are older than 35 years. Clients should quit smoking
before starting this medication therapy.
Question 5
After administering terbutaline to a client to inhibit preterm labor, the nurse should
assess which of the following?
Correct Answer
Heart rate
Terbutaline can cause tachycardia, chest pain, and palpitations. The nurse should
monitor the client's ECG for tachycardia and other dysrhythmias and monitor fetal
heart rate and rhythm.
Page 2 of 12
Reproductive and Genitourinary System
Test Questions and Answers
Question 1
A nurse is caring for a male client who has hyperthyroidism and is not responding to
treatment. The nurse should identify that hyperthyroidism is a contraindication for
which of the following medications?
Correct Answer
Bethanechol
Bethanechol, a cholinergic medication, can cause cardiac dysrhythmias in clients
who have hyperthyroidism by triggering the release of norepinephrine. This reaction
does not occur in clients who do not have hyperthyroidism.
Question 2
A nurse is providing safety education to a client who is scheduled to begin treatment
with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following
instructions should the nurse include in the teaching?
Correct Answer
Take the medication at the same time every day.
Tamsulosin is prescribed to be taken once daily at the same time each day.
Therefore, the nurse should not instruct the client to take the medication only as
needed. It should be taken 30 min after the same meal. Pts should report weight
gain and edema as this medication should increase the release of fluids.
Page 1 of 12
, Question 3
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction.
Which of the following instructions should the nurse include?
Correct Answer
Do not take the medication with high-fat foods.
High-fat foods delay absorption and reduce peak effects of sildenafil. Clients who
take the medication should not take it with high-fat foods.
- Grapefruit juice and other cytochrome P450 3A4 (CYP3A4) inhibitors reduce the
metabolism of sildenafil, increasing plasma levels and the risk of adverse effects.
Clients who take the medication should avoid grapefruit juice.
Question 4
A nurse is assessing a client who has a new prescription for the combination oral
contraceptive ethinyl estradiol and drospirenone. Which of the following findings
should the nurse identify as a contraindication to use of this medication?
Correct Answer
Smokes half a pack of cigarettes a day
Smoking increases the risks of thromboembolic events, hypertension, and
cardiovascular disease for clients who are taking combination oral contraceptives,
especially for those clients who are older than 35 years. Clients should quit smoking
before starting this medication therapy.
Question 5
After administering terbutaline to a client to inhibit preterm labor, the nurse should
assess which of the following?
Correct Answer
Heart rate
Terbutaline can cause tachycardia, chest pain, and palpitations. The nurse should
monitor the client's ECG for tachycardia and other dysrhythmias and monitor fetal
heart rate and rhythm.
Page 2 of 12
