NR 293 EXAM 1 ALL CHAPTER’S TEST BANK |
COMPREHENSIVE PHARMACOLOGY STUDY GUIDE,
PRACTICE QUESTIONS & ANSWERS 2026/2027
1 of 153
Term
4. A patient who has received chemotherapy has a critically low
platelet count. The nurse expects which drug or drug class to be used
to stimulate platelet cell production?
a. Filgrastim (Neupogen)
b. Interferons
c. Oprelvekin (Neumega)
d. Epoetin alfa (Epogen)
Give this one a go later!
, ANS: C
Oprelvekin (Neumega) stimulates bone marrow cells, specifically
megakaryocytes, which eventually form platelets. The other options are
incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 753
TOP: NURSING PROCESS: Planning
ANS: C
Decreased white blood cell counts are an indication of reduction of infection and
are a therapeutic effect of antibiotic therapy. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 620
TOP: NURSING PROCESS: Evaluation
ANS: C
Vancomycin is the drug of choice for the treatment of MRSA. The other drugs are
not used for MRSA.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 633
TOP: NURSING PROCESS: Assessment
ANS: D
Concurrent use of aminoglycosides, such as gentamicin, with loop diuretics
increases the risk for ototoxicity. The other drugs and drug classes do not cause
interactions.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 627
TOP: NURSING PROCESS: Assessment
Don't know?
2 of 153
,Term
8. A patient has been diagnosed with carbapenemase-resistant
Enterobacteriaceae (CRE). The nurse expects to see orders for which
drug?
a. Dapsone (Cubicin), a miscellaneous antibiotic
b. Ciprofloxacin (Cipro), a quinolone
c. Linezolid (Zyvox), an oxazolidinone
d. Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic
Give this one a go later!
ANS: B
Assess fluid volume status because muromonab-CD3 is contraindicated in the
presence of fluid overload. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 777
TOP: NURSING PROCESS: Assessment
ANS: B
High-dose methotrexate is associated with bone marrow suppression, and it is
always given in conjunction with the rescue drug leucovorin, which is an antidote for
folic acid antagonists. Basically, leucovorin rescues the healthy cells from
methotrexate. The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 719
TOP: NURSING PROCESS: Implementation
, ANS: C
Cardiac toxicity may occur, so frequent checking of heart and breath sounds is
necessary and daily weights need to be recorded (with reporting of an increase of 2
pounds or more in 24 hours or 5 pounds or more in 1 week).
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 743
TOP: NURSING PROCESS: Assessment
ANS: D
Colistimethate (Coly-Mycin), commonly referred to as colistin, is now being
used again, often as one of the only drugs available to treat CRE. The other
options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 630
TOP: NURSING PROCESS: Evaluation
Don't know?
3 of 153
Term
7. A patient with a severe fungal infection has orders for voriconazole
(Vfend). The nurse is reviewing the patient's medical record and would
be concerned if which assessment finding is noted?
a. Decreased breath sounds in the lower lobes
b. History of cardiac dysrhythmias
c. History of type 2 diabetes
d. Potassium level of 4.0 mEq/L
Give this one a go later!
ANS: C
Iodine compounds are contraindicated in patients with allergies to seafood. The
other options are incorrect.
COMPREHENSIVE PHARMACOLOGY STUDY GUIDE,
PRACTICE QUESTIONS & ANSWERS 2026/2027
1 of 153
Term
4. A patient who has received chemotherapy has a critically low
platelet count. The nurse expects which drug or drug class to be used
to stimulate platelet cell production?
a. Filgrastim (Neupogen)
b. Interferons
c. Oprelvekin (Neumega)
d. Epoetin alfa (Epogen)
Give this one a go later!
, ANS: C
Oprelvekin (Neumega) stimulates bone marrow cells, specifically
megakaryocytes, which eventually form platelets. The other options are
incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 753
TOP: NURSING PROCESS: Planning
ANS: C
Decreased white blood cell counts are an indication of reduction of infection and
are a therapeutic effect of antibiotic therapy. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 620
TOP: NURSING PROCESS: Evaluation
ANS: C
Vancomycin is the drug of choice for the treatment of MRSA. The other drugs are
not used for MRSA.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 633
TOP: NURSING PROCESS: Assessment
ANS: D
Concurrent use of aminoglycosides, such as gentamicin, with loop diuretics
increases the risk for ototoxicity. The other drugs and drug classes do not cause
interactions.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 627
TOP: NURSING PROCESS: Assessment
Don't know?
2 of 153
,Term
8. A patient has been diagnosed with carbapenemase-resistant
Enterobacteriaceae (CRE). The nurse expects to see orders for which
drug?
a. Dapsone (Cubicin), a miscellaneous antibiotic
b. Ciprofloxacin (Cipro), a quinolone
c. Linezolid (Zyvox), an oxazolidinone
d. Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic
Give this one a go later!
ANS: B
Assess fluid volume status because muromonab-CD3 is contraindicated in the
presence of fluid overload. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 777
TOP: NURSING PROCESS: Assessment
ANS: B
High-dose methotrexate is associated with bone marrow suppression, and it is
always given in conjunction with the rescue drug leucovorin, which is an antidote for
folic acid antagonists. Basically, leucovorin rescues the healthy cells from
methotrexate. The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 719
TOP: NURSING PROCESS: Implementation
, ANS: C
Cardiac toxicity may occur, so frequent checking of heart and breath sounds is
necessary and daily weights need to be recorded (with reporting of an increase of 2
pounds or more in 24 hours or 5 pounds or more in 1 week).
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 743
TOP: NURSING PROCESS: Assessment
ANS: D
Colistimethate (Coly-Mycin), commonly referred to as colistin, is now being
used again, often as one of the only drugs available to treat CRE. The other
options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 630
TOP: NURSING PROCESS: Evaluation
Don't know?
3 of 153
Term
7. A patient with a severe fungal infection has orders for voriconazole
(Vfend). The nurse is reviewing the patient's medical record and would
be concerned if which assessment finding is noted?
a. Decreased breath sounds in the lower lobes
b. History of cardiac dysrhythmias
c. History of type 2 diabetes
d. Potassium level of 4.0 mEq/L
Give this one a go later!
ANS: C
Iodine compounds are contraindicated in patients with allergies to seafood. The
other options are incorrect.
