PHARM 180 EXAM SCRIPT 2025/2026 QUESTIONS WITH
ANSWERS GRADED A+
✔✔A client with a duodenal ulcer is diagnosed with H. pylori infection. The physician
prescribed amoxicillin (Wymox), pantoprazole (Prevacid), and clarithromycin (Biaxin).
Which statement made by the nurse correctly explains the purpose of these
medications?
A. "These medicines will minimize acid production and will coat the ulcer".
B. "These medicines will stop the acid production and will kill the bacteria".
C. "The ulcer will heal because the medications will kill the bacteria".
D. "These medicines will control the ulcer and motion sickness". - ✔✔Answer: B. "These
medicines will stop the acid production and will kill the bacteria".
The triple therapy treatment of H-pylori infection includes 2 antibiotics (Clarithromycin
and Amoxicillin) and one proton pump inhibitor such as omeprazole, lansoprazole,
pantoprazole, or esomeprazole.
✔✔what type of line is needed for TPN - ✔✔central line
✔✔A nurse is giving discharge instructions to a client who is receiving a bulk-forming
laxative as part of the home medications. All of which are examples of bulk-forming
laxative, except?
A. docusate Sodium (Colace)
B. methylcellulose (Citrucel)
C. polycarbophil (Fibercon)
D. psyllium (Metamucil) - ✔✔Answer: A. Docusate Sodium (Colace)
Docusate Sodium (Colace) is an example of a surfactant laxative that softens the stool
by drawing more water and fat into poo.
Options B, C, & D: These are common examples of bulk-forming laxatives. They retain
fluid in the poo and increase the weight or bulk of the stool.
✔✔What is the priority nursing intervention for a client receiving antiemetic?
A. Monitor intake and output
B. Keep items far away from the bed
C. Give the client privacy by letting him walk around the room
D. Keep bed in low position with side rails up - ✔✔Answer: D. Keep bed in low position
with side rails up
Antiemetics can cause drowsiness; hence the priority nursing intervention is to protect
the client from an injury such as raising the side rails and keeping the bed in a low
position.
✔✔An osmotic laxative will be prescribed for a client. The nurse understands which
medications are osmotic laxative? Select all that apply
A. senna (Senokot)
B. mineral Oil (Kondremul)
C. polyethylene glycol and electrolytes (GoLYTELY)
, D. sodium Phosphate (Fleet enema)
E. bisacodyl (Dulcolax) - ✔✔Answer: C & D
Polyethylene glycol and sodium phosphate are osmotic laxatives that are used to attract
water into the large intestines to produce bulk and stimulate peristalsis. Other osmotic
are Magnesium hydroxide (Milk of Magnesia) and Magnesium citrate (Citrate of
Magnesia).
Options A & E: Senna and bisacodyl are stimulant laxatives.
Option B: Mineral oil is a lubricant laxative.
✔✔Humatrope (somatropin) is being given to a female patient with turner syndrome.
Which of the following findings is associated with this medication?
A. Decreases ALT and AST level
B. Mild hyperglycemia
C. Hypotension
D. Water intoxication - ✔✔Answer: B. Mild hyperglycemia
Humatrope (somatropin) is a growth hormone. Excess growth hormone causes insulin
resistance and hyperglycemia.
Option A: Elevated AST and ALT are expected.
Option C: Hypertension, not hypotension is a side effect.
Option D: Water intoxication is not a related symptom to this medication.
✔✔when to change TPN tubing - ✔✔every 12 hours if lipids inside or every 24 hours if
regular
✔✔A client with diabetes insipidus is taking antidiuretic hormone. Which of the following
symptoms would alert the need to decrease the dosage?
A. Alopecia
B. Jaundice
C. Diarrhea
D. Drowsiness - ✔✔Answer: D. Drowsiness
One of the side effects of taking antidiuretic hormone is water intoxication which is
manifested by a headache, drowsiness, light-headedness, and shortness of breath. This
could indicate the need to reduce the dosage.
✔✔Prednisone is prescribed for a client with diabetes mellitus who is using Humulin
70/30 daily. Which of the following prescription changes does the nurse expect during
the medication therapy?
A. An addition of an oral hypoglycemic medication
B. Increased dosage of prednisone
C. Increased dosage of humulin 70/30
D. Decreased dosage of humulin 70/30 - ✔✔Answer: C. Increased dosage of humulin
70/30
Prednisone, a glucocorticoid, can cause an increase in blood glucose level due to the
ability of the liver to be resistant to insulin during the medication therapy, hence people
with diabetes need to increase the dosage of their insulin.
ANSWERS GRADED A+
✔✔A client with a duodenal ulcer is diagnosed with H. pylori infection. The physician
prescribed amoxicillin (Wymox), pantoprazole (Prevacid), and clarithromycin (Biaxin).
Which statement made by the nurse correctly explains the purpose of these
medications?
A. "These medicines will minimize acid production and will coat the ulcer".
B. "These medicines will stop the acid production and will kill the bacteria".
C. "The ulcer will heal because the medications will kill the bacteria".
D. "These medicines will control the ulcer and motion sickness". - ✔✔Answer: B. "These
medicines will stop the acid production and will kill the bacteria".
The triple therapy treatment of H-pylori infection includes 2 antibiotics (Clarithromycin
and Amoxicillin) and one proton pump inhibitor such as omeprazole, lansoprazole,
pantoprazole, or esomeprazole.
✔✔what type of line is needed for TPN - ✔✔central line
✔✔A nurse is giving discharge instructions to a client who is receiving a bulk-forming
laxative as part of the home medications. All of which are examples of bulk-forming
laxative, except?
A. docusate Sodium (Colace)
B. methylcellulose (Citrucel)
C. polycarbophil (Fibercon)
D. psyllium (Metamucil) - ✔✔Answer: A. Docusate Sodium (Colace)
Docusate Sodium (Colace) is an example of a surfactant laxative that softens the stool
by drawing more water and fat into poo.
Options B, C, & D: These are common examples of bulk-forming laxatives. They retain
fluid in the poo and increase the weight or bulk of the stool.
✔✔What is the priority nursing intervention for a client receiving antiemetic?
A. Monitor intake and output
B. Keep items far away from the bed
C. Give the client privacy by letting him walk around the room
D. Keep bed in low position with side rails up - ✔✔Answer: D. Keep bed in low position
with side rails up
Antiemetics can cause drowsiness; hence the priority nursing intervention is to protect
the client from an injury such as raising the side rails and keeping the bed in a low
position.
✔✔An osmotic laxative will be prescribed for a client. The nurse understands which
medications are osmotic laxative? Select all that apply
A. senna (Senokot)
B. mineral Oil (Kondremul)
C. polyethylene glycol and electrolytes (GoLYTELY)
, D. sodium Phosphate (Fleet enema)
E. bisacodyl (Dulcolax) - ✔✔Answer: C & D
Polyethylene glycol and sodium phosphate are osmotic laxatives that are used to attract
water into the large intestines to produce bulk and stimulate peristalsis. Other osmotic
are Magnesium hydroxide (Milk of Magnesia) and Magnesium citrate (Citrate of
Magnesia).
Options A & E: Senna and bisacodyl are stimulant laxatives.
Option B: Mineral oil is a lubricant laxative.
✔✔Humatrope (somatropin) is being given to a female patient with turner syndrome.
Which of the following findings is associated with this medication?
A. Decreases ALT and AST level
B. Mild hyperglycemia
C. Hypotension
D. Water intoxication - ✔✔Answer: B. Mild hyperglycemia
Humatrope (somatropin) is a growth hormone. Excess growth hormone causes insulin
resistance and hyperglycemia.
Option A: Elevated AST and ALT are expected.
Option C: Hypertension, not hypotension is a side effect.
Option D: Water intoxication is not a related symptom to this medication.
✔✔when to change TPN tubing - ✔✔every 12 hours if lipids inside or every 24 hours if
regular
✔✔A client with diabetes insipidus is taking antidiuretic hormone. Which of the following
symptoms would alert the need to decrease the dosage?
A. Alopecia
B. Jaundice
C. Diarrhea
D. Drowsiness - ✔✔Answer: D. Drowsiness
One of the side effects of taking antidiuretic hormone is water intoxication which is
manifested by a headache, drowsiness, light-headedness, and shortness of breath. This
could indicate the need to reduce the dosage.
✔✔Prednisone is prescribed for a client with diabetes mellitus who is using Humulin
70/30 daily. Which of the following prescription changes does the nurse expect during
the medication therapy?
A. An addition of an oral hypoglycemic medication
B. Increased dosage of prednisone
C. Increased dosage of humulin 70/30
D. Decreased dosage of humulin 70/30 - ✔✔Answer: C. Increased dosage of humulin
70/30
Prednisone, a glucocorticoid, can cause an increase in blood glucose level due to the
ability of the liver to be resistant to insulin during the medication therapy, hence people
with diabetes need to increase the dosage of their insulin.
