PHARM FINAL 100 QUESTIONS ACTUAL EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED HIGHLY RECOMMENDED |NEW AND REVISED

PHARM FINAL 100 QUESTIONS ACTUAL
EXAM ALL QUESTIONS AND WELL
ELABORATED ANSWERS TOP RATED
VERSION FOR ALREADY A+ GRADED
HIGHLY RECOMMENDED |NEW AND
REVISED
1.RARnurseRisRmonitoringRaRclientRwhoRisRreceivingREpoetinRalfaRforRadverseReffects.RTheRnurseRshou
ldRidentifyRwhichRofRtheRfollowingRfindingsRasRanRadverseReffectRofRthisRmedication?

a.REdemaRandRhematuria

b.RBlurredRvisionRandRedema

c.RUrinaryRretentionRandRabdominalRpain

d.RHypertensionRandRheadacheR-RCORRECTRANSWERD.

HypertensionRandRheadache.



2.RARpatientRwithRParkinson'sRdiseaseRisRtakingRlevodopa/carbidopaR[Sinemet]RandRreportsRoccasi
onalRperiodsRofRlossRofRdrugReffectRlastingRfromRminutesRtoRseveralRhours.RTheRnurseRquestionsRth
eRpatientRfurtherRandRdiscoversRthatRtheseRepisodesRoccurRatRdifferentRtimesRrelatedRtoRtheRmedic
ationRadministration.RTheRnurseRwillRcontactRtheRproviderRtoRdiscuss:

a.RadministeringRaRcatechol-O-methyltransferaseR(COMT)Rinhibitor,RsuchRasRentacapone.

b.RaddingRtheRDA-releasingRagentRamantadineRtoRtheRregimen.

c.RgivingRaRdirect-actingRdopamineRagonist.

d.RshorteningRtheRdosingRintervalRofRlevodopa/carbidopa.R-RCORRECTRANSWERA

ThisRpatientRisRdescribingRabruptRlossRofReffect,RorRtheR"off"Rphenomenon,RwhichRisRtreatedRwith

entacaponeRorRanotherRCOMTRinhibitor.RAmantadineRisRusedRtoRtreatRdyskinesias.RARdirect-
actingRdopamineRagonistRisRusefulRforRgradualRlossRofReffect,RwhichRoccursRatRtheRendRofRthe

dosingRintervalRasRtheRdoseRisRwearingRoff.RShorteningRtheRdosingRintervalRdoesRnotRhelpRwith

abruptRlossRofReffect.

,3.RARpatientRwithRatrialRfibrillationRisRreceivingRwarfarinR[Coumadin].RTheRnurseRnotesRthatRtheRpat
ient'sRINRRisR2.7.RBeforeRgivingRtheRnextRdoseRofRwarfarin,RtheRnurseRwillRnotifyRtheRproviderRand:

a.RadministerRtheRdoseRasRordered.

b.RrequestRanRorderRtoRdecreaseRtheRdose.

c.RrequestRanRorderRtoRgiveRvitaminRKR(phytonadione).

d.RrequestRanRorderRtoRincreaseRtheRdose.R-RCORRECTRANSWERA

ThisRpatientRhasRanRINRRinRtheRappropriateRrange,RwhichRisR2RtoR3RforRmostRpatientsRandR2.5Rto

3.5RforRsome,RsoRnoRchangeRinRwarfarinRdosingRisRnecessary.RItRisRnotRcorrectRtoRrequestRanRorder

toReitherRdecreaseRorRincreaseRtheRdoseRofRwarfarin.RItRisRnotRnecessaryRtoRgiveRvitaminRK,RwhichRis
RanRantidoteRforRwarfarinRtoxicity.




4.RAR65-year-
oldRpatientRwhoRreceivesRglucocorticoidsRforRarthritisRisRadmittedRtoRtheRhospitalRforRtreatmentRofR
aRurinaryRtractRinfection.RTheRprescriberRhasRorderedRintravenousRciprofloxacinR[Cipro].RBeforeRad
ministeringRtheRthirdRdoseRofRthisRdrug,RtheRnurseRreviewsRtheRbacterialRcultureRreportRandRnotesR
thatRtheRcausativeRorganismRisREscherichiaRcoli.RTheRbacterialRsensitivityRreportRisRpending.RTheRpa
tientRcomplainsRofRrightRankleRpain.RWhatRwillRtheRnurseRdo?

a.RWithholdRtheRdoseRofRciprofloxacinRandRnotifyRtheRproviderRofRtheRpatient's

symptoms.

b.RInstructRtheRpatientRtoRexerciseRtheRrightRfootRandRankleRtoRminimizeRtheRpain.

c.RQuestionRtheRpatientRaboutRtheRconsumptionRofRmilkRandRanyRotherRdairyRproducts.

d.RRequestRanRorderRtoRincreaseRthisRpatient'sRdoseRofRglucocorticoids.R-RCORRECTRANSWERA

ARrareRbutRseriousRadverseReffectRassociatedRwithRfluoroquinolonesRisRtendonRrupture,RandRthose

atRhighestRriskRareRchildren,RpatientsRolderRthanR60Ryears,RtransplantRpatients,RandRanyRpatients

takingRglucocorticoids.RAnyRpainRinReitherRheelRshouldRbeRreportedRandRtheRdrugRshouldRbe

discontinued.RPatientsRshouldRbeRinstructedRnotRtoRexerciseRuntilRtendonitisRhasRbeenRruledRout.

DairyRproductsRcanRreduceRtheRabsorptionRofRciprofloxacin,RsoRthisRisRnotRaRconcernRwithRthis

,patient.RBecauseRtheRpainRmayRbeRcausedRbyRtendonitisRassociatedRwithRciprofloxacin,RitRisRnot

correctRtoRrequestRanRincreaseRinRtheRglucocorticoidRdosing.



5.RARpatientRwhoRisRanRopioidRaddictRhasRundergoneRdetoxificationRwithRbuprenorphineR[Subutex]

andRhasRbeenRgivenRaRprescriptionRforRbuprenorphineRwithRnaloxoneR[Suboxone].RTheRpatient

asksRtheRnurseRwhyRtheRdrugRwasRchanged.RWhichRresponseRbyRtheRnurseRisRcorrect?

a.R"SuboxoneRhasRaRlowerRriskRofRabuse."

b.R"SuboxoneRhasRaRlongerRhalf-life."

c.R"SubutexRcausesRmoreRrespiratoryRdepression."

d.R"SubutexRhasRmoreRbuprenorphine."R-RCORRECTRANSWERA

TheRcombinationRofRbuprenorphineRandRnaloxoneR[Suboxone]RdiscouragesRintravenousRabuse,

becauseRwithRIVRuse,RtheRnaloxoneRprecipitatesRwithdrawal;RthisReffectRdoesRnotRoccurRwith

sublingualRdosingR[Subutex].RSuboxoneRdoesRnotRdifferRfromRSubutexRinRtermsRofRdrugRhalflife.

SubutexRdoesRnotRcauseRmoreRrespiratoryRdepressionRandRdoesRnotRcontainRmore

buprenorphine.



6.RARclinicRpatientRwhoRhasRbeenRtakingRaRglucocorticoidRforRarthritisRforRseveralRmonthsRremarks

toRtheRnurse,R"It'sRaRgoodRthingRmyRsymptomsRareRbetter,RbecauseRmyRmotherRhasRbeenRquiteRill,

andRIRhaveRtoRtakeRcareRofRher."RTheRpatient'sRbloodRpressureRisR100/60RmmRHg.RTheRnurseRwill

reportRthisRtoRtheRproviderRandRaskRabout:

a.RreducingRtheRpatient'sRdose.

b.RusingReveryRotherRdayRdosing.

c.RincreasingRtheRpatient'sRdose.

d.RtaperingRtheRdose.R-RCORRECTRANSWERC

BecauseRofRtheirRadrenalRsuppression,RpatientsRtakingRglucocorticoidsRlongRtermRrequire

increasedRdosesRatRtimesRofRstressRandRevenRforRaRtimeRafterRstoppingRtheRdrugRuntilRadrenal

, functionRreturns.RThisRpatient'sRlowerRbloodRpressureRisRanRindicationRthatRglucocorticoidRlevels

mayRbeRdepleted.RReducingRtheRdoseRwouldRonlyRexacerbateRtheRpatient'sRproblems.REvery

otherRdayRdosingRisRusedRearlyRinRglucocorticoidRtherapyRtoRreduceRadrenalRsuppression,RbutRit

wouldRnotRbeRusefulRnow.RTaperingRofRdosesRisRusedRtoRallowRadrenalRfunctionRtoRrecoverRasRthe

drugRisRdiscontinued.



7.RAR30-year-oldRmaleRpatientRwillRbeginRaRthree-drugRregimenRtoRtreatRpepticRulcerRdisease.RThe

regimenRwillRconsistRofRbismuthRsubsalicylate,Rtetracycline,RandRcimetidineR[Tagamet].RThe

nurseRwillRincludeRwhichRinformationRwhenRteachingRthisRpatientRaboutRthisRdrugRregimen?

a.RBlackRdiscolorationRofRtheRtongueRandRstoolsRshouldRbeRreportedRimmediately.

b.RCentralRnervousRsystemRdepressionRandRconfusionRareRlikelyRtoRoccur.

c.RDecreasedRlibido,Rimpotence,RandRgynecomastiaRareRreversibleRsideReffects.

d.RStainingRofRtheRteethRmayRoccurRandRisRanRindicationRforRdiscontinuationRofRthese

drugs.R-RCORRECTRANSWERC

CimetidineRhasRantiandrogenicReffectsRandRcanRcauseRdecreasedRlibido,Rimpotence,Rand

gynecomastia.RTheseReffectsRareRreversible.RBlackRstoolsRandRdiscolorationRofRtheRtongueRare

sideReffectsRassociatedRwithRbismuthRbutRareRnotRharmful.RCentralRnervousRsystemR(CNS)

depressionRandRconfusionRareRnotRlikely.RStainingRofRtheRteethRassociatedRwithRtetracyclineRuse

occursRonlyRinRdevelopingRteeth;RitRisRaRproblemRinRchildrenRyoungerRthanR8RyearsRandRin

pregnantRwomanRbecauseRofRthisRriskRtoRtheRfetus.



8.RARnurseRprovidesRteachingRtoRaRpatientRwhoRwillRbeginRtakingRoralRcyclophosphamideRtoRtreat

non-Hodgkin'sRlymphoma.RWhichRstatementRbyRtheRpatientRindicatesRanRunderstandingRabout

howRtoRminimizeRsideReffectsRwhileRtakingRthisRdrug?

a.R"IRdon'tRneedRtoRworryRaboutRboneRmarrowRsuppressionRwithRthisRdrug."

b.R"IRshouldRdrinkRplentyRofRfluidsRwhileRtakingRthisRdrug."