PHARM FINAL EXAM QUESTIONS WITH CORRECT ANSWERS 2025

PHARM FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS 2025
TheRnurseRisRteachingRaRstudentRaboutRtheRadministrationRofRopioidRanalgesics.RWhichRstatementR
byRtheRstudentRnurseRindicatesRaRneedRforRfurtherRteaching?



a.RIRwillRcontactRtheRprescriberRifRtheRpatient'sRconditionRdeclinesRafterRreceivingRpainRmedication.

b.RToRmaximizeRanalgesicReffects,RopioidRanalgesicsRareRgivenRwhenRtheRpainRhasRreachedRitsRpeak.

c.ROralRdosesRofRopioidRanalgesicsRmayRbeRgivenRwithRfoodRtoRminimizeRGIRupset.

d.RIRwillRassessRtheRpatient'sRrespiratoryRrateRandRbowelRsoundsRbeforeRadministeringRtheRmorphi
neRdoseRasRordered.R-RCORRECTRANSWERR-B



Rationale:R"OpioidsRorRanyRanalgesicRmustRbeRgivenRbeforeRtheRpainRreachesRitsRpeakRtoRhelpRmaxi
mizeRtheReffectivenessRofRtheRopioidRorRotherRanalgesic."R(Lilley,Rp.R157).RTheRstatementRinRanswer
RBRisRinaccurateRandRthereforeRindicatesRtheRneedRforRfurtherRteaching.RAllRofRtheRotherRanswersRar


eRaccurateRandRdoRnotRrequireRfurtherRteaching.



TrueRorRFalse.R

MorphineRisRsevenRtimesRmoreRpotentRthanRhydromorphoneR(Dilaudid)R-RCORRECTRANSWERR-
False



Rationale:R"HydromorphoneR(Dilaudid)RisRsevenRtimesRmoreRpotentRthanRmorphine."R(Lilley,Rp.R14
3).



WhichRstatementRgivenRbyRtheRpatientRdemonstratesRaRneedRforRfurtherRteachingRbyRtheRnurseRre
gardingRtheRuseRofRantacids?



a.RAntacidsRincreaseRtheRsecretionRofRbicarbonateRfromRtheRglandsRinRtheRstomach.

b.RAntacidsRneutralizeRstomachRacid.

,c.RAntacidsRpromoteRgastricRmucosalRdefensiveRmechanisms.

d.RAntacidsRdecreaseRtheRresponsivenessRofRparietalRcellsRandRincreaseRtheRpHRinRtheRstomach.R-
RCORRECTRANSWERR-D




Rationale:R"AntacidsRworkRbyRneutralizingRgastricRacidity,RpromotingRgastricRmucosalRdefensiveRm
echanisms,RandRstimulateRtheRsecretionRofRmucus,Rprostaglandins,RandRbicarbonateRfromRtheRcell
sRinsideRtheRgastricRglands"R(Lilley,R2562).RThereforeRtheRanswerRisRD.R"H2RreceptorRantagonistsRm
akeRtheRparietalRcellRlessRresponsive.RTheReffectRofRtheseRdrugsRisRreducedRhydrogenRionRsecretionR
fromRtheRparietalRcells,RwhichRresultsRinRanRincreaseRinRtheRpHRofRtheRstomach"R(Lilley,R2570).



WhenRtheRnurseRisRadministeringRLansoprazoleR(Prevacid)RwhichRactionRbyRtheRnurseRisRcorrect?



a.RTheRnurseRwillRadministerRLansoprazoleRalongRwithRTums.

b.RTheRcapsuleRofRLansoprazoleRcanRbeRopenedRandRmixedRwithRwaterRandRputRinRanRNGT.

c.RTheRnurseRwillRclarifyRtheRorderRwithRtheRHCPRwhenRLansoprazoleRcomesRasRaRcapsule.

d.RTheRnurseRwillRadministerRLansoprazoleRduringRtheRmeal.R-RCORRECTRANSWERR-B



Rationale:R"TheRcapsulesRcanRbeRopenedRandRmixedR(notRcrushedRwithRappleRjuiceRforRadministrat
ionRviaRNGRtube"R(Lilley,R2578).R"ARisRwrongRbecauseRantacidsRshouldRbeRgivenRwithinR1-
2RhoursRofRotherRmedications,RbecauseRantacidsRmayRimpairRabsorptionRofRotherRoralRmedications
"R(Lilley,R2587).RCRisRwrongRbecauseRtheRcapsuleRcanRbeRopenRandRmixedR(Lilley,R2578).R"DRisRwrong
RbecauseRPPIsRareRtoRbeRtakenRbeforeRmeals"R(Lilley,R2590).




ARclientRwithRhistoryRofRopioidRabuseRisRhospitalizedRforRsurgery.RTheRnurseRentersRtheRroomRtoRfin
dRtheRclientRunresponsive,RandRhasRpinpointRpupils.RWhichRprescribedRmedicationRshouldRbeRadmi
nistered?



a.RDiazepamR(Valium)

b.RNaloxoneR(Narcan)

, c.RClonidine(Catapres)

d.RMethadone(Dolophine)R-RCORRECTRANSWERR-B



Rationale:R"BasedRonRclient'sRassessment,RitRisRindicativeRofRopioidRoverdose,RnaloxoneR(opioidRan
tagonist)RshouldRbeRgivenRtoRpreventRtheRclientRfromRgoingRintoRrespiratoryRarrest."R(p.R275)



TrueRorRFalse.



ARpatientRwhoRisRtakingRDisulfiramR(Antabuse)RhasRconsumedRhalfRofRaRbeer.RAsRaRresultRofRtheRme
chanismRofRactionRofRtheRmedicationRheRisRtaking,RtheRpatientRshouldRexpectRtoRexperienceRcopiou
sRvomiting.R-RCORRECTRANSWERR-True



Rationale:R"DisulfiramRaltersRtheRmetabolismRofRalcohol,RwhichRproducesRadverseReffectsRwithinR5
-
10RminutesRafterRalcoholRconsumption,RtheseReffectsRincludeRcopiousRvomiting,RthrobbingRinRtheR
headRandRneck,RdiaphoresisRandRblurredRvision.RAsRlittleRasR7mlRofRalcoholRwillRcauseRmildRsympto
msRinRaRsensitiveRpersonRandRtheReffectsRlastRfromR30RminutesRtoRseveralRhours.R(p.R278)"



DuringRpreoperativeRcare,RtheRnurseRappliesRaRscopolamineRpatchRtoRpreventRpostoperativeRnaus
eaRandRvomiting.RWhichRofRtheRfollowingRdemonstratesRincorrectRnursingRcare?



a.RTheRnurseRappliesRtheRpatchRbehindRtheRpatient'sRear.

b.RTheRnurseRtakesRoffRtheRtransdermalRpatchR72RhoursRafterRapplicationRandRdocumentsRtheRrem
oval.

c.RTheRnurseRappliesRaRbarrierRcreamRtoRtheRskinRbeforeRputtingRonRtheRpatchRtoRpreventRskinRirrita
tion.

d.RIfRtheRpatchRfallsRoff,RtheRnurseRwashesRoffRtheRresidualRdrugRandRappliesRaRnewRpatch.R-
RCORRECTRANSWERR-C