ADVANCED PHARMACOLOGY- EXAM #2 WITH 74 QUESTIONS
AND ANSWERS
A 2-year-old child with asthma has been diagnosis with influenza A. Appropriate treatment would be: - -
Oseltamivir phosphate (Tamiflu)
-A patient is being treated with isoniazid (INH), rifampin, and pyrazinamide in phase I of treatment for
tuberculosis. The organism develops resistance to isoniazid. Which drug will the nurse anticipate the
provider will order to replace the isoniazid?
a. Ciprofloxacin (Cipro)
b. Ethambutol (Myambutol)
c. Kanamycin
d. Streptomycin sulfate - -Ethambutol (Myambutol)
-A patient is diagnosed with histoplasmosis and will begin taking ketoconazole. What information will
the nurse include when teaching this patient about this medication?
a. Take the medicine twice daily.
b. Take the medication with food.
c. You may consume small amounts of alcohol.
d. You will not need lab tests while taking this drug. - -Take the medication with food.
-A patient is diagnosed with tinea capitis. The provider will order which systemic antifungal medication
for this patient?
a. Anidulafungin (Eraxis)
b. Fluconazole (Diflucan)
c. Griseofulvin (Fulvicin)
d. Ketoconazole (Nizoral) - -Griseofulvin (Fulvicin)
-A patient who has AIDS is at risk to contract aspergillosis. The nurse will anticipate that which antifungal
medication will be ordered prophylactically for this patient?
a. Metronidazole (Flagyl)
b. Micafungin (Mycamine)
c. Posaconazole (Noxafil)
d. Voriconazole (Vfend) - -Posaconazole (Noxafil)
-A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB). The
nurse will counsel this patient to contact the provider to discuss
a. chest x-ray.
b. a TB skin test.
c. liver function tests (LFTs).
d. prophylactic antitubercular drugs. - -a TB skin test.
-A patient who has completed the first phase of a three-drug regimen for tuberculosis has a positive
sputum acid- bacilli test. The nurse will tell the patient that
a. drug resistance has probably occurred.
b. it may be another month before this test is negative.
, c. the provider will change the pyrazinamide to ethambutol.
d. there may be a need to remain in the first phase of therapy for several weeks. - -it may be another
month before this test is negative.
-A patient who has oral candidiasis will begin using nystatin suspension to treat the infection. What
information will the nurse include when teaching this patient?
a. Coat the buccal mucosa with the drug and then rinse your mouth.
b. Gargle with the nystatin and then spit it out without swallowing.
c. Mix the suspension with 4 ounces of water and then drink it.
d. Swish the liquid in your mouth and then swallow after a few minutes. - -Swish the liquid in your
mouth and then swallow after a few minutes.
-A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse
will explain that multi-drug therapy is used to reduce the likelihood of
a. disease relapse.
b. drug hypersensitivity reactions.
c. drug resistance.
d. drug adverse effects - -drug resistance.
-A patient who is taking isoniazid (INH) as part of a two-drug tuberculosis treatment regimen reports
tingling of the fingers and toes. The nurse will recommend discussing which treatment with the
provider?
a. Adding pyrazinamide
b. Changing to ethambutol
c. Increasing oral fluid intake
d. Taking pyridoxine (B6) - -Taking pyridoxine (B6)
-A patient who is taking metronidazole (Flagyl) reports reddish-brown urine. Which action will the nurse
take?
a. Obtain an order for BUN and creatinine levels.
b. Reassure the patient that this is a harmless effect.
c. Request an order for a urinalysis.
d. Test her urine for occult blood. - -Reassure the patient that this is a harmless effect.
-A patient who takes an oral sulfonylurea medication will begin taking fluconazole (Diflucan). The nurse
will expect to monitor which lab values in this patient?
a. Blood urea nitrogen (BUN) and creatinine
b. Electrolytes
c. Fluconazole levels
d. Glucose - -Glucose
-A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis. Before
administering this medication, the nurse will review which laboratory values in the patients medical
record?
a. Complete blood count (CBC) with differential white cell count
b. Blood urea nitrogen (BUN) and creatinine
c. Potassium and magnesium levels
d. Serum fasting glucose - -Blood urea nitrogen (BUN) and creatinine
AND ANSWERS
A 2-year-old child with asthma has been diagnosis with influenza A. Appropriate treatment would be: - -
Oseltamivir phosphate (Tamiflu)
-A patient is being treated with isoniazid (INH), rifampin, and pyrazinamide in phase I of treatment for
tuberculosis. The organism develops resistance to isoniazid. Which drug will the nurse anticipate the
provider will order to replace the isoniazid?
a. Ciprofloxacin (Cipro)
b. Ethambutol (Myambutol)
c. Kanamycin
d. Streptomycin sulfate - -Ethambutol (Myambutol)
-A patient is diagnosed with histoplasmosis and will begin taking ketoconazole. What information will
the nurse include when teaching this patient about this medication?
a. Take the medicine twice daily.
b. Take the medication with food.
c. You may consume small amounts of alcohol.
d. You will not need lab tests while taking this drug. - -Take the medication with food.
-A patient is diagnosed with tinea capitis. The provider will order which systemic antifungal medication
for this patient?
a. Anidulafungin (Eraxis)
b. Fluconazole (Diflucan)
c. Griseofulvin (Fulvicin)
d. Ketoconazole (Nizoral) - -Griseofulvin (Fulvicin)
-A patient who has AIDS is at risk to contract aspergillosis. The nurse will anticipate that which antifungal
medication will be ordered prophylactically for this patient?
a. Metronidazole (Flagyl)
b. Micafungin (Mycamine)
c. Posaconazole (Noxafil)
d. Voriconazole (Vfend) - -Posaconazole (Noxafil)
-A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB). The
nurse will counsel this patient to contact the provider to discuss
a. chest x-ray.
b. a TB skin test.
c. liver function tests (LFTs).
d. prophylactic antitubercular drugs. - -a TB skin test.
-A patient who has completed the first phase of a three-drug regimen for tuberculosis has a positive
sputum acid- bacilli test. The nurse will tell the patient that
a. drug resistance has probably occurred.
b. it may be another month before this test is negative.
, c. the provider will change the pyrazinamide to ethambutol.
d. there may be a need to remain in the first phase of therapy for several weeks. - -it may be another
month before this test is negative.
-A patient who has oral candidiasis will begin using nystatin suspension to treat the infection. What
information will the nurse include when teaching this patient?
a. Coat the buccal mucosa with the drug and then rinse your mouth.
b. Gargle with the nystatin and then spit it out without swallowing.
c. Mix the suspension with 4 ounces of water and then drink it.
d. Swish the liquid in your mouth and then swallow after a few minutes. - -Swish the liquid in your
mouth and then swallow after a few minutes.
-A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse
will explain that multi-drug therapy is used to reduce the likelihood of
a. disease relapse.
b. drug hypersensitivity reactions.
c. drug resistance.
d. drug adverse effects - -drug resistance.
-A patient who is taking isoniazid (INH) as part of a two-drug tuberculosis treatment regimen reports
tingling of the fingers and toes. The nurse will recommend discussing which treatment with the
provider?
a. Adding pyrazinamide
b. Changing to ethambutol
c. Increasing oral fluid intake
d. Taking pyridoxine (B6) - -Taking pyridoxine (B6)
-A patient who is taking metronidazole (Flagyl) reports reddish-brown urine. Which action will the nurse
take?
a. Obtain an order for BUN and creatinine levels.
b. Reassure the patient that this is a harmless effect.
c. Request an order for a urinalysis.
d. Test her urine for occult blood. - -Reassure the patient that this is a harmless effect.
-A patient who takes an oral sulfonylurea medication will begin taking fluconazole (Diflucan). The nurse
will expect to monitor which lab values in this patient?
a. Blood urea nitrogen (BUN) and creatinine
b. Electrolytes
c. Fluconazole levels
d. Glucose - -Glucose
-A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis. Before
administering this medication, the nurse will review which laboratory values in the patients medical
record?
a. Complete blood count (CBC) with differential white cell count
b. Blood urea nitrogen (BUN) and creatinine
c. Potassium and magnesium levels
d. Serum fasting glucose - -Blood urea nitrogen (BUN) and creatinine
