• EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
EVOLVE ELSEVIER NUR 140 PHARM EXAM 3
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
What type of hypersensitivity reaction is the cause of systemic lupus erythematosus?
1
Type I
2
Type II
P 1
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
3
Type III
4
Type IV –
Correct Answer :Systemic lupus erythematosus is an example of an immune complex-mediated, or type III,
hypersensitive reaction. Anaphylaxis is an example of a type I or immediate hypersensitive reaction. Cytotoxic or
type II hypersensitive reactions can result in conditions such as myasthenia gravis and Goodpasture syndrome.
Graft rejection and sarcoidosis are conditions that are caused by delayed or type IV hypersensitivity reactions.
nurse is teaching a client about human immunodeficiency virus (HIV). What are the various ways HIV is
transmitted? Select all that apply.
1
Mosquito bites
2
Sharing syringe needles
3
Breastfeeding a newborn
4
Dry kissing the infected partner
5
Anal intercourse –
Correct Answer :Fluids such as blood and semen are highly concentrated with human immunodeficiency virus
(HIV). HIV may be transmitted parenterally by sharing needles and postnatally through breast milk. HIV may also
be transmitted through anal intercourse. HIV is not transmitted by mosquito bites or dry kissing.
P 2
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
the nurse is caring for a client with a respiratory tract infection that started with a common cold but has
progressed to whooping cough. The client also has coughing fits that last for several minutes. Which organism is
responsible for the client's condition?
1
Bacillus anthracis
2
Bordetella pertussis
3
Streptococcus pneumoniae
4
Mycobacterium tuberculosis –
Correct Answer :This disease is caused by Bordetella pertusis. Pertussis is a respiratory tract infection that
begins with the common cold and progresses to whooping cough. The client also develops coughing fits that
last for several minutes.
Which symptoms are common during the fulminant stage of inhalation of anthrax? Select all that apply.
1
Dyspnea
2
Dry cough
3
Diaphoresis
4
Mild chest pain
5
P 3
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
High temperature
- Correct Answer :dyspnea
diaphoresis
high temp
(prodromal phase will have dry cough and mild chest pain)
A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. Why did the
provider add spironolactone to the client's medication regimen?
1
To stimulate sodium excretion
2
To help prevent potassium loss
3
To increase urine specific gravity
4
To reduce arterial blood pressure –
Correct Answer :2 - to help prevent potassium loss
spirnolactone is a potassium sparing diuretic used in conjunction with thiazide diuretics. The provider was
prompted to add spironolactone to the chlorothiazide to prevent potassium loss. Both medications stimulate
sodium excretion. Both medications increase urine specific gravity and reduce arterial blood pressure.
A client who is recuperating from a spinal cord injury at the T4 level wants to use a wheelchair. What should the
nurse teach the client to do in preparation for this activity?
P 4
NUR 140 PHARM 09/07/2026
EXAM
EVOLVE ELSEVIER NUR 140 PHARM EXAM 3
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
What type of hypersensitivity reaction is the cause of systemic lupus erythematosus?
1
Type I
2
Type II
P 1
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
3
Type III
4
Type IV –
Correct Answer :Systemic lupus erythematosus is an example of an immune complex-mediated, or type III,
hypersensitive reaction. Anaphylaxis is an example of a type I or immediate hypersensitive reaction. Cytotoxic or
type II hypersensitive reactions can result in conditions such as myasthenia gravis and Goodpasture syndrome.
Graft rejection and sarcoidosis are conditions that are caused by delayed or type IV hypersensitivity reactions.
nurse is teaching a client about human immunodeficiency virus (HIV). What are the various ways HIV is
transmitted? Select all that apply.
1
Mosquito bites
2
Sharing syringe needles
3
Breastfeeding a newborn
4
Dry kissing the infected partner
5
Anal intercourse –
Correct Answer :Fluids such as blood and semen are highly concentrated with human immunodeficiency virus
(HIV). HIV may be transmitted parenterally by sharing needles and postnatally through breast milk. HIV may also
be transmitted through anal intercourse. HIV is not transmitted by mosquito bites or dry kissing.
P 2
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
the nurse is caring for a client with a respiratory tract infection that started with a common cold but has
progressed to whooping cough. The client also has coughing fits that last for several minutes. Which organism is
responsible for the client's condition?
1
Bacillus anthracis
2
Bordetella pertussis
3
Streptococcus pneumoniae
4
Mycobacterium tuberculosis –
Correct Answer :This disease is caused by Bordetella pertusis. Pertussis is a respiratory tract infection that
begins with the common cold and progresses to whooping cough. The client also develops coughing fits that
last for several minutes.
Which symptoms are common during the fulminant stage of inhalation of anthrax? Select all that apply.
1
Dyspnea
2
Dry cough
3
Diaphoresis
4
Mild chest pain
5
P 3
, • EVOLVE ELSEVIER
NUR 140 PHARM 09/07/2026
EXAM
High temperature
- Correct Answer :dyspnea
diaphoresis
high temp
(prodromal phase will have dry cough and mild chest pain)
A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. Why did the
provider add spironolactone to the client's medication regimen?
1
To stimulate sodium excretion
2
To help prevent potassium loss
3
To increase urine specific gravity
4
To reduce arterial blood pressure –
Correct Answer :2 - to help prevent potassium loss
spirnolactone is a potassium sparing diuretic used in conjunction with thiazide diuretics. The provider was
prompted to add spironolactone to the chlorothiazide to prevent potassium loss. Both medications stimulate
sodium excretion. Both medications increase urine specific gravity and reduce arterial blood pressure.
A client who is recuperating from a spinal cord injury at the T4 level wants to use a wheelchair. What should the
nurse teach the client to do in preparation for this activity?
P 4
