Pharmacology Chapter 20 Prep
Examination and All Correct Answers
2025.
1. The LPN is talking to her sister about various birth control methods. Her sister says, "Bill and I
just got married and we don't want to start a family for quite a while. Isn't there something that
works long term but isn't permanent?" Which of the following methods of birth control would
the nurse suggest?
A. Ethinyl estradiol and etonogestrel (NuvaRing)
B. Nonoxynol-9 containing spermicide (Encare)
C. Transdermal patches (Ortho Evra)
D. Levonorgestrel intrauterine device (Mirena) - Answer - levonorgesterel intrauterine device
(Mirena)
2. The LPN is assisting in the care of the client who wants to discuss hormone replacement
therapy (HRT) for menopause. The client states, "My mother died of breast cancer so I want to
avoid anything that increases my chances of getting that." The nurse would base a response on
which of the following principles?
A. There is no link between HRT and breast cancer.
B. HRT increases the risk of breast cancer development.
C. HRT decreases the risk of breast cancer development.
D. Studies involving HRT and breast cancer development have not been done. - Answer HRT
increases the risk of breast cancer development
3. A woman at 42 weeks gestation is in for an appointment with the gynecologist. The woman
reports inconsistent contractions on and off for 3 days and it is determined the cervix is not
dilated at this time. The doctor informs the woman that they would like to provide dinoprostene
(Prepidil). The nurse would help the woman understand this medication by stating which of the
following?
A. "It is given in IV form and is designed to stimulate labor within a few minutes."
B. "It is a gel placed on the cervix to help soften it and should allow labor to start in 6 hours or
less."
C. "It is a cream inserted into the vagina to help prevent cervical dilation and postpone
delivery."
D. "It is an intramuscular injection given to help reduce muscle tension and stop contractions." -
Answer "It is a gel placed on the cervix to help soften it and should allow labor to start in 6
, 4. An LPN working at an obstetrics office is talking to a woman who says, "I just hope I don't
have to have any pitocin. My sister had that when she was in labor and she said it was awful."
The nurse's response would be based on which of the following principles?
A. If pitocin is used during delivery there is increased risk of uterine cancer later in life.
B. Pitocin is given in the physician's office to initiate labor.
C. Women who use pitocin are being prepared for a cesarean section.
D. Pitocin is a synthetic oxytocin used to encourage uterine contractions. - Answer Pitocin is a
synthetic oxytocin used to encourage uterine contractions.
5. The LPN is working in an OB/GYN office and determines which of the following individuals is
most likely to be taking terbutaline (Brethine)?
A. A 28-year-old patient with symptoms of pre-eclampsia
B. A 31-year-old patient in preterm labor
C. A 38-year-old patient at 39 weeks gestation who is experiencing regular contractions
D. A 19-year-old patient who has decided to terminate a possible pregnancy after unprotected
sex 1 week ago - Answer A 31-year-old patient in pre-term labor.
6. An LPN working in a fertility clinic notes that teaching has been effective if the client taking
menotropin (Humegon) states which of the following?
A. "I will swallow this pill every day to help start the ovulation process."
B. "My husband can learn to give me the shots so an egg will ripen and be released."
C. "There are no risks associated with fertility medications."
D. "My husband will need to get the same shots to help increase our chances of becoming
pregnant." - Answer My husband can learn to give me the shots so an egg will ripen and be
released.
7. An LPN working at a community health fair recognizes which of the following individuals is at
highest risk for erectile dysfunction?
A. A 44-year-old man with a history of inguinal hernia
B. A 50-year-old man with a history of asthma
C. A 48-year-old man with a history of diabetes
D. A 52-year-old man with a history of cholecystitis - Answer A 48-year-old man with a history
of diabetes.
Examination and All Correct Answers
2025.
1. The LPN is talking to her sister about various birth control methods. Her sister says, "Bill and I
just got married and we don't want to start a family for quite a while. Isn't there something that
works long term but isn't permanent?" Which of the following methods of birth control would
the nurse suggest?
A. Ethinyl estradiol and etonogestrel (NuvaRing)
B. Nonoxynol-9 containing spermicide (Encare)
C. Transdermal patches (Ortho Evra)
D. Levonorgestrel intrauterine device (Mirena) - Answer - levonorgesterel intrauterine device
(Mirena)
2. The LPN is assisting in the care of the client who wants to discuss hormone replacement
therapy (HRT) for menopause. The client states, "My mother died of breast cancer so I want to
avoid anything that increases my chances of getting that." The nurse would base a response on
which of the following principles?
A. There is no link between HRT and breast cancer.
B. HRT increases the risk of breast cancer development.
C. HRT decreases the risk of breast cancer development.
D. Studies involving HRT and breast cancer development have not been done. - Answer HRT
increases the risk of breast cancer development
3. A woman at 42 weeks gestation is in for an appointment with the gynecologist. The woman
reports inconsistent contractions on and off for 3 days and it is determined the cervix is not
dilated at this time. The doctor informs the woman that they would like to provide dinoprostene
(Prepidil). The nurse would help the woman understand this medication by stating which of the
following?
A. "It is given in IV form and is designed to stimulate labor within a few minutes."
B. "It is a gel placed on the cervix to help soften it and should allow labor to start in 6 hours or
less."
C. "It is a cream inserted into the vagina to help prevent cervical dilation and postpone
delivery."
D. "It is an intramuscular injection given to help reduce muscle tension and stop contractions." -
Answer "It is a gel placed on the cervix to help soften it and should allow labor to start in 6
, 4. An LPN working at an obstetrics office is talking to a woman who says, "I just hope I don't
have to have any pitocin. My sister had that when she was in labor and she said it was awful."
The nurse's response would be based on which of the following principles?
A. If pitocin is used during delivery there is increased risk of uterine cancer later in life.
B. Pitocin is given in the physician's office to initiate labor.
C. Women who use pitocin are being prepared for a cesarean section.
D. Pitocin is a synthetic oxytocin used to encourage uterine contractions. - Answer Pitocin is a
synthetic oxytocin used to encourage uterine contractions.
5. The LPN is working in an OB/GYN office and determines which of the following individuals is
most likely to be taking terbutaline (Brethine)?
A. A 28-year-old patient with symptoms of pre-eclampsia
B. A 31-year-old patient in preterm labor
C. A 38-year-old patient at 39 weeks gestation who is experiencing regular contractions
D. A 19-year-old patient who has decided to terminate a possible pregnancy after unprotected
sex 1 week ago - Answer A 31-year-old patient in pre-term labor.
6. An LPN working in a fertility clinic notes that teaching has been effective if the client taking
menotropin (Humegon) states which of the following?
A. "I will swallow this pill every day to help start the ovulation process."
B. "My husband can learn to give me the shots so an egg will ripen and be released."
C. "There are no risks associated with fertility medications."
D. "My husband will need to get the same shots to help increase our chances of becoming
pregnant." - Answer My husband can learn to give me the shots so an egg will ripen and be
released.
7. An LPN working at a community health fair recognizes which of the following individuals is at
highest risk for erectile dysfunction?
A. A 44-year-old man with a history of inguinal hernia
B. A 50-year-old man with a history of asthma
C. A 48-year-old man with a history of diabetes
D. A 52-year-old man with a history of cholecystitis - Answer A 48-year-old man with a history
of diabetes.
