ICHS PHARMACOLOGY UPDATED TEST PAPER
QUESTIONS AND ANSWERS SET A+
Vasopressin can cause excessive water retention, progressing to water intoxication.
Clinical manifestations include drowsiness, headache, listlessness, seizures, and coma.
Vasopressin and desmopressin are used to prevent or control polyuria, polydipsia
(excessive thirst), and dehydration in patients with diabetes insipidus caused by a
deficiency of endogenous antidiuretic hormone (ADH).p. 487
\✔✔Which effect results from drug therapy for growth hormone deficiency in children?
Select all that apply.
-lower plasma albumin levels
-increased lipid mobilization
-retention of potassium levels
-increased retention of sodium
-improved tissue building processes. - ✔✔Increased lipid mobilization
Increased retention of sodium
Improved tissue-building processes
\✔✔The nurse is caring for a patient who has esophageal varices. Which drug will the
nurse expect to administer to this patient?
-octretide
-somatropin
-vasopressin
-desmopressin - ✔✔Octreotide
\✔✔A patient with carcinoid crisis has severe diarrhea, flushing, and life-threatening
hypotension. Which drug will be ordered to manage the patient's condition?
-octretide
-somatropin
-vasopressin
-desmopressin - ✔✔Octretide
\✔✔Which alcohol-drug interaction is the reason for the instruction to avoid alcohol
when taking desmopressin?
-produces an additive effect
, -causes prolongation of QT interval
-reduces the effects of desmoressin
-enhances the effects of desmopressin - ✔✔reduces the effects of desmopressin
\✔✔What are the possible adverse effects of octreotide? Select all that apply.
-malaise
-dyspnea
-arthralgia
-constipation
-hypercalciuria - ✔✔malaise, dyspnea, arthralgia
\✔✔Which baseline measurements does the nurse obtain before administering pituitary
hormones? Select all that apply.
-weight
-BP
-liver enzyme levels
-blood glucose levels
-renal function studies - ✔✔weight, bp, blood glucose levels
\✔✔Which function of somatropin is therapeutic for a patient who has human
immunodeficiency virus (HIV)?
-decrease growth
-reduces fat levels
-reduces weight loss
-decreases fluid retention - ✔✔reduces weight loss
\✔✔Which history of symptoms and conditions will the nurse evaluate before
administering desmopressin to prevent complications? Select all that apply.
-seizure
-asthma
-Diabetes insipidus
-cardiovascular disease
-type 1 von willebrand - ✔✔Seizure, Asthma, Cardiovascular disease
\✔✔The nurse is caring for a child who is diagnosed with growth hormone deficiency
and is receiving somatropin. Which medication may be the reason this child does not
show improvement in linear growth?
-cyclosporine
-ciprofloxacin
-fludrocortisone
-glucocorticoids - ✔✔glucocorticoids
\✔✔The nurse notes that a patient who has cancer is prescribed octreotide. Which
condition does this medication treat?
-hypokalemia
-hyponatremia
-hyperglycemia
-orthostatic hypotension - ✔✔Orthostatic hypotension
\✔✔The nurse is caring for a patient who has vasodilatory shock. On further
assessment, the nurse finds that the patient has persisting orthostatic hypotension even
QUESTIONS AND ANSWERS SET A+
Vasopressin can cause excessive water retention, progressing to water intoxication.
Clinical manifestations include drowsiness, headache, listlessness, seizures, and coma.
Vasopressin and desmopressin are used to prevent or control polyuria, polydipsia
(excessive thirst), and dehydration in patients with diabetes insipidus caused by a
deficiency of endogenous antidiuretic hormone (ADH).p. 487
\✔✔Which effect results from drug therapy for growth hormone deficiency in children?
Select all that apply.
-lower plasma albumin levels
-increased lipid mobilization
-retention of potassium levels
-increased retention of sodium
-improved tissue building processes. - ✔✔Increased lipid mobilization
Increased retention of sodium
Improved tissue-building processes
\✔✔The nurse is caring for a patient who has esophageal varices. Which drug will the
nurse expect to administer to this patient?
-octretide
-somatropin
-vasopressin
-desmopressin - ✔✔Octreotide
\✔✔A patient with carcinoid crisis has severe diarrhea, flushing, and life-threatening
hypotension. Which drug will be ordered to manage the patient's condition?
-octretide
-somatropin
-vasopressin
-desmopressin - ✔✔Octretide
\✔✔Which alcohol-drug interaction is the reason for the instruction to avoid alcohol
when taking desmopressin?
-produces an additive effect
, -causes prolongation of QT interval
-reduces the effects of desmoressin
-enhances the effects of desmopressin - ✔✔reduces the effects of desmopressin
\✔✔What are the possible adverse effects of octreotide? Select all that apply.
-malaise
-dyspnea
-arthralgia
-constipation
-hypercalciuria - ✔✔malaise, dyspnea, arthralgia
\✔✔Which baseline measurements does the nurse obtain before administering pituitary
hormones? Select all that apply.
-weight
-BP
-liver enzyme levels
-blood glucose levels
-renal function studies - ✔✔weight, bp, blood glucose levels
\✔✔Which function of somatropin is therapeutic for a patient who has human
immunodeficiency virus (HIV)?
-decrease growth
-reduces fat levels
-reduces weight loss
-decreases fluid retention - ✔✔reduces weight loss
\✔✔Which history of symptoms and conditions will the nurse evaluate before
administering desmopressin to prevent complications? Select all that apply.
-seizure
-asthma
-Diabetes insipidus
-cardiovascular disease
-type 1 von willebrand - ✔✔Seizure, Asthma, Cardiovascular disease
\✔✔The nurse is caring for a child who is diagnosed with growth hormone deficiency
and is receiving somatropin. Which medication may be the reason this child does not
show improvement in linear growth?
-cyclosporine
-ciprofloxacin
-fludrocortisone
-glucocorticoids - ✔✔glucocorticoids
\✔✔The nurse notes that a patient who has cancer is prescribed octreotide. Which
condition does this medication treat?
-hypokalemia
-hyponatremia
-hyperglycemia
-orthostatic hypotension - ✔✔Orthostatic hypotension
\✔✔The nurse is caring for a patient who has vasodilatory shock. On further
assessment, the nurse finds that the patient has persisting orthostatic hypotension even
