NURS 310 PHARM FINAL EXAM QUESTIONS
WITH ACCURATE ANSWERS RATED A+
Combined estrogen-progesterone products increases risk for thrombotic events.
Women should not... - ANSWER smoke while taking these drugs
The patient is prescribed phenobarbital. What adverse effects should the nurse monitor
for? - ANSWER CNS depression, respiratory depression
What is the mechanism of action of imipramine? - ANSWER inhibits reuptake of
norepinephrine and serotonin
Phenelzine has an interaction when the patient eats what kinds of foods? - ANSWER
tyramine rich foods (yogurt, aged cheeses, distilled liquors, fruits, sour cream)
The patient is taking phenytoin. Why might they be prescribed this medication? -
ANSWER seizures
What is the therapeutic blood level of phenytoin? - ANSWER 10-20 mcg/mL
Possible adverse effects of testosterone include: - ANSWER androgenic effects (acne,
deep voice)
Anabolic steroids promote body tissue building processes. These medications should
be monitored for which adverse effect? - ANSWER liver dysfunction
A potentially lethal drug interaction can occur if a PDE5 Inhibitor, such as sildenafil, is
combined with: - ANSWER nitrates or alpha-blockers
The nurse is administering insulin subcutaneously that has a less than 20 minutes
onset. This would include: glulisine, lispro, and ___________________. - ANSWER
aspart
An important intervention for a diabetic patient taking steroids would be: - ANSWER
check blood glucose frequently
The antidiabetic agent pramlintide.... - ANSWER has a rapid onset of action
is given 2 inches away from the insulin injection site
should not be used if the patient cannot eat
, What is the only oral antidiabetic drug approved for children 10 years or older? -
ANSWER metformin
A patient has been given an injection of glucagon for a blood glucose of 40 mg/dL. What
should happen next? - ANSWER blood glucose should increase
What is the onset of glusiline insulin and when should it be given? - ANSWER 2-5
minutes, with meals
What are the signs and symptoms of hyperthyroidism or taking too much levothyroxine?
- ANSWER tremors, nervousness, tachycardia
What lab is important to monitor for patients taking methimazole because of bone
marrow suppression? - ANSWER CBC
When is the best time of day to take levothyroxine? - ANSWER before breakfast
What is the drug of choice for children diagnosed with hypothyroidism? - ANSWER
levothyroxine
Two major nursing diagnoses for a patient taking long-term steroid therapy would be: -
ANSWER Risk for infection
Impaired wound healing
Parents should be taught to apply topical steroids sparingly to children because: -
ANSWER the amount of drug absorbed in relation to weight is greater in kids
Adrenocortical hormones are released in a diurnal rhythm. When are peak levels? -
ANSWER around 8 AM
Patients taking prednisone may be immunosuppressed so they should not: - ANSWER
receive a live vaccine
What is an expected finding if a patient is taking desmopressin? - ANSWER decrease in
urine output
A patient taking drospirenone is at high risk for: - ANSWER hyperkalemia
Estrogens are contraindicated for which patients? - ANSWER history of CVA or other
thrombolic events
breast cancer
heavy smokers
What is the correct way to administer bisphosphonates (alendronate, ibandronate,
risedronate)? - ANSWER PO in the AM, 30 minutes before food, with a full glass of
water
WITH ACCURATE ANSWERS RATED A+
Combined estrogen-progesterone products increases risk for thrombotic events.
Women should not... - ANSWER smoke while taking these drugs
The patient is prescribed phenobarbital. What adverse effects should the nurse monitor
for? - ANSWER CNS depression, respiratory depression
What is the mechanism of action of imipramine? - ANSWER inhibits reuptake of
norepinephrine and serotonin
Phenelzine has an interaction when the patient eats what kinds of foods? - ANSWER
tyramine rich foods (yogurt, aged cheeses, distilled liquors, fruits, sour cream)
The patient is taking phenytoin. Why might they be prescribed this medication? -
ANSWER seizures
What is the therapeutic blood level of phenytoin? - ANSWER 10-20 mcg/mL
Possible adverse effects of testosterone include: - ANSWER androgenic effects (acne,
deep voice)
Anabolic steroids promote body tissue building processes. These medications should
be monitored for which adverse effect? - ANSWER liver dysfunction
A potentially lethal drug interaction can occur if a PDE5 Inhibitor, such as sildenafil, is
combined with: - ANSWER nitrates or alpha-blockers
The nurse is administering insulin subcutaneously that has a less than 20 minutes
onset. This would include: glulisine, lispro, and ___________________. - ANSWER
aspart
An important intervention for a diabetic patient taking steroids would be: - ANSWER
check blood glucose frequently
The antidiabetic agent pramlintide.... - ANSWER has a rapid onset of action
is given 2 inches away from the insulin injection site
should not be used if the patient cannot eat
, What is the only oral antidiabetic drug approved for children 10 years or older? -
ANSWER metformin
A patient has been given an injection of glucagon for a blood glucose of 40 mg/dL. What
should happen next? - ANSWER blood glucose should increase
What is the onset of glusiline insulin and when should it be given? - ANSWER 2-5
minutes, with meals
What are the signs and symptoms of hyperthyroidism or taking too much levothyroxine?
- ANSWER tremors, nervousness, tachycardia
What lab is important to monitor for patients taking methimazole because of bone
marrow suppression? - ANSWER CBC
When is the best time of day to take levothyroxine? - ANSWER before breakfast
What is the drug of choice for children diagnosed with hypothyroidism? - ANSWER
levothyroxine
Two major nursing diagnoses for a patient taking long-term steroid therapy would be: -
ANSWER Risk for infection
Impaired wound healing
Parents should be taught to apply topical steroids sparingly to children because: -
ANSWER the amount of drug absorbed in relation to weight is greater in kids
Adrenocortical hormones are released in a diurnal rhythm. When are peak levels? -
ANSWER around 8 AM
Patients taking prednisone may be immunosuppressed so they should not: - ANSWER
receive a live vaccine
What is an expected finding if a patient is taking desmopressin? - ANSWER decrease in
urine output
A patient taking drospirenone is at high risk for: - ANSWER hyperkalemia
Estrogens are contraindicated for which patients? - ANSWER history of CVA or other
thrombolic events
breast cancer
heavy smokers
What is the correct way to administer bisphosphonates (alendronate, ibandronate,
risedronate)? - ANSWER PO in the AM, 30 minutes before food, with a full glass of
water
