ICHS Pharmacology Final Exam – Actual
Exam Questions with Complete Solutions |
Grade A+ Assured
Question 1
In addition to treating primary growth failure, somatropin has
therapeutic uses in which situations? (Select all that apply.)
A) Growth failure caused by chronic renal failure
B) Cachexia or wasting with AIDS
C) Growth failure caused by untreated thyroid hormone deficiency
D) In cases in which an anti-aging drug is desired
E) Growth enhancement in children with Turner syndrome
Correct Answer: A, B, E
Rationale: Somatropin is approved for growth failure associated
with chronic renal failure and Turner syndrome. It is also used
to treat cachexia in patients with AIDS. It is not an anti-aging
drug and is ineffective if growth failure is due to uncorrected
thyroid deficiency.
Question 2
The nurse administers intravenous desmopressin at 0730. During
which time frame would the nurse anticipate the drug's effects to
wear off, potentially requiring another dose?
A) 0830 to 1030
B) 1000 to 1200
C) 1530 to 1930
D) 0730 the next day
,Correct Answer: C) 1530 to 1930
Rationale: The duration of action for IV desmopressin is
typically 8 to 12 hours. Therefore, 8–12 hours after 0730 would
be between 1530 and 1930, when the drug’s effects may wear
off.
Question 3
Octreotide should be used with caution in patients with which pre-
existing disorders? (Select all that apply.)
A) Asthma
B) Heart failure
C) Hypothyroidism
D) Hepatic impairment
E) Chronic kidney disease
Correct Answer: B, D, E
Rationale: Octreotide can cause cardiac conduction
abnormalities, posing risk in patients with heart failure. It is
metabolized by the liver and excreted by the kidneys, so
hepatic or renal impairment requires caution. Asthma and
hypothyroidism are not primary contraindications.
Question 4
A child is receiving somatropin for growth failure. During follow-up
visits, which data is essential for the nurse to monitor? (Select all
that apply.)
A) Blood glucose level for hypoglycemia
B) Serial changes on a height and weight chart
C) Blood calcium levels for hypocalcemia
D) Presence of anti-recombinant human growth hormone
,(anti-rhGH) antibodies
E) Thyroid levels for hypothyroidism
Correct Answer: B, D, E
Rationale: Monitoring height and weight tracks growth. Anti-
rhGH antibodies can reduce efficacy. Somatropin may suppress
thyroid function, leading to hypothyroidism. Blood glucose
monitoring is important for hyperglycemia, not hypoglycemia.
Calcium monitoring is not routinely required.
Question 5
In the pediatric clinic, a 17-year-old boy whose epiphyseal plates
have closed asks about receiving growth hormone to increase his
height for basketball. How should the nurse respond?
A) "We'll need to draw labs first to see if you need growth
hormones."
B) "That is a possibility, but you need to see the health care
provider."
C) "Growth hormones have significant side effects and would not
be safe for you."
D) "Growth hormone is only effective at increasing height
before the growth plates in your long bones have closed."
Correct Answer: D
Rationale: Somatropin stimulates linear growth only while
epiphyseal plates are open. Once the plates are fused (closed),
growth hormone cannot increase height.
Question 6
The spouse of a patient receiving desmopressin calls the clinic to
report that her husband is nauseated, listless, and confused.
, Which action is the nurse's priority?
A) Reassure the spouse that these are temporary side effects.
B) Instruct the spouse to bring the patient to the clinic or
emergency department for evaluation.
C) Tell the spouse to hold the medication for a day and then
resume therapy.
D) Encourage the spouse to have the patient drink an electrolyte
solution and rest.
Correct Answer: B
Rationale: These are signs of severe water intoxication and
hyponatremia, a life-threatening adverse effect of
desmopressin. Immediate medical evaluation is required.
Question 7
What assessment finding indicates that vasopressin has been
effective for a patient with diabetes insipidus?
A) Increased urine specific gravity
B) Decreased serum albumin
C) Decreased adrenocorticotropic hormone levels
D) Decreased reports of pain
Correct Answer: A
Rationale: Vasopressin reduces water excretion, concentrating
urine. Increased urine specific gravity confirms efficacy.
Question 8
Which hormones are produced by the anterior pituitary gland?
(Select all that apply.)
A) Thyroxine
B) Aldosterone
Exam Questions with Complete Solutions |
Grade A+ Assured
Question 1
In addition to treating primary growth failure, somatropin has
therapeutic uses in which situations? (Select all that apply.)
A) Growth failure caused by chronic renal failure
B) Cachexia or wasting with AIDS
C) Growth failure caused by untreated thyroid hormone deficiency
D) In cases in which an anti-aging drug is desired
E) Growth enhancement in children with Turner syndrome
Correct Answer: A, B, E
Rationale: Somatropin is approved for growth failure associated
with chronic renal failure and Turner syndrome. It is also used
to treat cachexia in patients with AIDS. It is not an anti-aging
drug and is ineffective if growth failure is due to uncorrected
thyroid deficiency.
Question 2
The nurse administers intravenous desmopressin at 0730. During
which time frame would the nurse anticipate the drug's effects to
wear off, potentially requiring another dose?
A) 0830 to 1030
B) 1000 to 1200
C) 1530 to 1930
D) 0730 the next day
,Correct Answer: C) 1530 to 1930
Rationale: The duration of action for IV desmopressin is
typically 8 to 12 hours. Therefore, 8–12 hours after 0730 would
be between 1530 and 1930, when the drug’s effects may wear
off.
Question 3
Octreotide should be used with caution in patients with which pre-
existing disorders? (Select all that apply.)
A) Asthma
B) Heart failure
C) Hypothyroidism
D) Hepatic impairment
E) Chronic kidney disease
Correct Answer: B, D, E
Rationale: Octreotide can cause cardiac conduction
abnormalities, posing risk in patients with heart failure. It is
metabolized by the liver and excreted by the kidneys, so
hepatic or renal impairment requires caution. Asthma and
hypothyroidism are not primary contraindications.
Question 4
A child is receiving somatropin for growth failure. During follow-up
visits, which data is essential for the nurse to monitor? (Select all
that apply.)
A) Blood glucose level for hypoglycemia
B) Serial changes on a height and weight chart
C) Blood calcium levels for hypocalcemia
D) Presence of anti-recombinant human growth hormone
,(anti-rhGH) antibodies
E) Thyroid levels for hypothyroidism
Correct Answer: B, D, E
Rationale: Monitoring height and weight tracks growth. Anti-
rhGH antibodies can reduce efficacy. Somatropin may suppress
thyroid function, leading to hypothyroidism. Blood glucose
monitoring is important for hyperglycemia, not hypoglycemia.
Calcium monitoring is not routinely required.
Question 5
In the pediatric clinic, a 17-year-old boy whose epiphyseal plates
have closed asks about receiving growth hormone to increase his
height for basketball. How should the nurse respond?
A) "We'll need to draw labs first to see if you need growth
hormones."
B) "That is a possibility, but you need to see the health care
provider."
C) "Growth hormones have significant side effects and would not
be safe for you."
D) "Growth hormone is only effective at increasing height
before the growth plates in your long bones have closed."
Correct Answer: D
Rationale: Somatropin stimulates linear growth only while
epiphyseal plates are open. Once the plates are fused (closed),
growth hormone cannot increase height.
Question 6
The spouse of a patient receiving desmopressin calls the clinic to
report that her husband is nauseated, listless, and confused.
, Which action is the nurse's priority?
A) Reassure the spouse that these are temporary side effects.
B) Instruct the spouse to bring the patient to the clinic or
emergency department for evaluation.
C) Tell the spouse to hold the medication for a day and then
resume therapy.
D) Encourage the spouse to have the patient drink an electrolyte
solution and rest.
Correct Answer: B
Rationale: These are signs of severe water intoxication and
hyponatremia, a life-threatening adverse effect of
desmopressin. Immediate medical evaluation is required.
Question 7
What assessment finding indicates that vasopressin has been
effective for a patient with diabetes insipidus?
A) Increased urine specific gravity
B) Decreased serum albumin
C) Decreased adrenocorticotropic hormone levels
D) Decreased reports of pain
Correct Answer: A
Rationale: Vasopressin reduces water excretion, concentrating
urine. Increased urine specific gravity confirms efficacy.
Question 8
Which hormones are produced by the anterior pituitary gland?
(Select all that apply.)
A) Thyroxine
B) Aldosterone
