Comprehensive
257 Pharmacology Exam Practice Questions and Study Guide
Comprehensive Pharmacology Exam
Practice Questions and Study Guide
Comprehensive Pharmacology Exam Practice Questions and Study Guide.pdf
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Comprehensive
1 Pharmacology Exam Practice Questions and Study Guide.pdf
,2 of 257 Page 2 of 257 Comprehensive Pharmacology Exam Practice Questions
Exam 1 - Q1: A nurse is reviewing adverse effects for a client receiving St. John's wort. Which
finding or complication is the priority medication-related concern? | A. hepatotoxicity and
peripheral neuropathy | B. allergy/anaphylaxis and possible cross-sensitivity with severe
penicillin allergy | C. nephrotoxicity, ototoxicity, and infusion-related flushing/hypotension |
D. serotonin syndrome and major CYP-mediated drug interactions
Correct Answer: D. serotonin syndrome and major CYP-mediated drug interactions |
Rationale: St. John's wort include photosensitivity, dizziness, and GI effects.
Exam 1 - Q2: A nurse is teaching a client who is prescribed St. John's wort. Which client
statement or instruction should the nurse emphasize? | A. monitor renal function and
neurologic status | B. avoid combining it with serotonergic drugs and report symptoms of
serotonin excess | C. report abnormal vaginal bleeding, leg swelling, chest pain, or dyspnea
| D. report severe or unexpected symptoms and keep CBC/ANC monitoring appointments
Correct Answer: B. avoid combining it with serotonergic drugs and report symptoms of
serotonin excess | Rationale: St. This teaching helps prevent or detect the major risk:
serotonin syndrome and major CYP-mediated drug interactions.
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,3 of 257 Page 3 of 257 Comprehensive Pharmacology Exam Practice Questions
Exam 1 - Q3: A nurse is planning care for a client receiving St. John's wort. Which monitoring
or safety point is most appropriate? | A. its enzyme induction can reduce the effectiveness
of oral contraceptives and other medications | B. the drug raises neutrophil counts, so
CBC/absolute neutrophil count are key | C. wheezing, stridor, hypotension, or urticaria
require immediate evaluation | D. baseline and ongoing eye monitoring is important during
long-term therapy
Correct Answer: A. its enzyme induction can reduce the effectiveness of oral contraceptives
and other medications | Rationale: St. The monitoring plan is tied to the medication's major
concern: serotonin syndrome and major CYP-mediated drug interactions.
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, 4 of 257 Page 4 of 257 Comprehensive Pharmacology Exam Practice Questions
Exam 1 - Q4: A nurse is evaluating a prescription for St. John's wort. Which therapeutic use or
expected purpose is most consistent with this medication? | A. nausea and motion sickness |
B. mild depressive symptoms | C. respiratory and atypical infections | D. HIV infection
Correct Answer: B. mild depressive symptoms | Rationale: St.
Exam 1 - Q5: A nurse is reviewing adverse effects for a client receiving Ginger root. Which
finding or complication is the priority medication-related concern? | A. increased bleeding
tendency at high doses | B. hepatotoxicity and QT prolongation | C. tooth discoloration,
impaired bone development, and photosensitivity | D. serotonin syndrome and major CYP-
mediated drug interactions
Correct Answer: A. increased bleeding tendency at high doses | Rationale: Ginger root:
increased bleeding tendency at high doses. Other expected or less urgent effects
associated with Ginger root include GI irritation.
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