PHARMACOLOGY EXAM 4 TEST PAPER
QUESTIONS AND SOLUTIONS 100% CORRECT
FOR THE 2026 FINAL ASSESSMENT.
◍ Sample Question for Acyclovir. Ans: What is a priority teaching
point for a patient starting oral acyclovir? c) Complete the full course
◍ IV Hydrocortisone. Ans: Type: Corticosteroid; Use: Adrenal
insufficiency, severe inflammation, allergic reactions
◍ Nursing Considerations for IV Hydrocortisone. Ans: Monitor
blood glucose, electrolytes (esp. potassium); Taper off—don't stop
suddenly; Risk of infection (immunosuppression)
◍ Patient Education for IV Hydrocortisone. Ans: Report signs of
infection; Can increase blood sugar; Take with food to prevent GI
upset
◍ Key Info for IV Hydrocortisone. Ans: Can cause mood changes,
hyperglycemia, fluid retention
◍ Sample Question for IV Hydrocortisone. Ans: A patient is
receiving IV hydrocortisone. Which lab value is most concerning? a)
Potassium 3.2 mEq/L
, ◍ Sample Question for IV Hydrocortisone. Ans: What is the most
important teaching point for a patient being discharged on
corticosteroids? c) Avoid crowds due to infection risk
◍ Sample Question for IV Hydrocortisone. Ans: Which of the
following is a possible adverse effect of corticosteroid therapy? c)
Hypertension
◍ Desmopressin (DDAVP). Ans: Type: Synthetic ADH analog; Use:
Diabetes insipidus, bedwetting (nocturnal enuresis), von Willebrand
disease
◍ Nursing Considerations for Desmopressin. Ans: Monitor for water
intoxication (headache, drowsiness, confusion); Monitor sodium
levels; Assess I&O closely
◍ Patient Education for Desmopressin. Ans: Don't drink excessive
fluids; Report headache or confusion; Take at bedtime (if for enuresis)
◍ Key Info for Desmopressin. Ans: Risk for hyponatremia due to
water retention
◍ Sample Question for Desmopressin. Ans: A nurse is caring for a
patient receiving desmopressin. Which symptom suggests water
intoxication? c) Headache and lethargy
, ◍ Sample Question for Desmopressin. Ans: Which electrolyte
imbalance is a concern with desmopressin? b) Hyponatremia
◍ Sample Question for Desmopressin. Ans: What is an important
teaching point for a parent of a child using desmopressin nasal spray
for enuresis? c) Avoid drinking large amounts in the evening
◍ Radioactive Iodine (Iodine-131). Ans: Type: Antithyroid agent
(radioactive isotope); Use: Hyperthyroidism, thyroid cancer
◍ Nursing Considerations for Radioactive Iodine. Ans:
Contraindicated in pregnancy and lactation; Monitor thyroid function
post-treatment (hypothyroidism risk); Isolation precautions due to
radiation (especially in hospital)
◍ Patient Education for Radioactive Iodine. Ans: Avoid close contact
with others (especially children/pregnant people) for several days;
Use private toilet and flush twice; Don't share food, utensils, or
towels; Monitor for signs of hypothyroidism
◍ Key Info for Radioactive Iodine. Ans: Effects may take 6-8 weeks;
May require thyroid hormone replacement
◍ Iodine-131 treatment long-term effect. Ans: Hypothyroidism
◍ Patient contraindicated for radioactive iodine. Ans: A 20-year-old
nursing mother
QUESTIONS AND SOLUTIONS 100% CORRECT
FOR THE 2026 FINAL ASSESSMENT.
◍ Sample Question for Acyclovir. Ans: What is a priority teaching
point for a patient starting oral acyclovir? c) Complete the full course
◍ IV Hydrocortisone. Ans: Type: Corticosteroid; Use: Adrenal
insufficiency, severe inflammation, allergic reactions
◍ Nursing Considerations for IV Hydrocortisone. Ans: Monitor
blood glucose, electrolytes (esp. potassium); Taper off—don't stop
suddenly; Risk of infection (immunosuppression)
◍ Patient Education for IV Hydrocortisone. Ans: Report signs of
infection; Can increase blood sugar; Take with food to prevent GI
upset
◍ Key Info for IV Hydrocortisone. Ans: Can cause mood changes,
hyperglycemia, fluid retention
◍ Sample Question for IV Hydrocortisone. Ans: A patient is
receiving IV hydrocortisone. Which lab value is most concerning? a)
Potassium 3.2 mEq/L
, ◍ Sample Question for IV Hydrocortisone. Ans: What is the most
important teaching point for a patient being discharged on
corticosteroids? c) Avoid crowds due to infection risk
◍ Sample Question for IV Hydrocortisone. Ans: Which of the
following is a possible adverse effect of corticosteroid therapy? c)
Hypertension
◍ Desmopressin (DDAVP). Ans: Type: Synthetic ADH analog; Use:
Diabetes insipidus, bedwetting (nocturnal enuresis), von Willebrand
disease
◍ Nursing Considerations for Desmopressin. Ans: Monitor for water
intoxication (headache, drowsiness, confusion); Monitor sodium
levels; Assess I&O closely
◍ Patient Education for Desmopressin. Ans: Don't drink excessive
fluids; Report headache or confusion; Take at bedtime (if for enuresis)
◍ Key Info for Desmopressin. Ans: Risk for hyponatremia due to
water retention
◍ Sample Question for Desmopressin. Ans: A nurse is caring for a
patient receiving desmopressin. Which symptom suggests water
intoxication? c) Headache and lethargy
, ◍ Sample Question for Desmopressin. Ans: Which electrolyte
imbalance is a concern with desmopressin? b) Hyponatremia
◍ Sample Question for Desmopressin. Ans: What is an important
teaching point for a parent of a child using desmopressin nasal spray
for enuresis? c) Avoid drinking large amounts in the evening
◍ Radioactive Iodine (Iodine-131). Ans: Type: Antithyroid agent
(radioactive isotope); Use: Hyperthyroidism, thyroid cancer
◍ Nursing Considerations for Radioactive Iodine. Ans:
Contraindicated in pregnancy and lactation; Monitor thyroid function
post-treatment (hypothyroidism risk); Isolation precautions due to
radiation (especially in hospital)
◍ Patient Education for Radioactive Iodine. Ans: Avoid close contact
with others (especially children/pregnant people) for several days;
Use private toilet and flush twice; Don't share food, utensils, or
towels; Monitor for signs of hypothyroidism
◍ Key Info for Radioactive Iodine. Ans: Effects may take 6-8 weeks;
May require thyroid hormone replacement
◍ Iodine-131 treatment long-term effect. Ans: Hypothyroidism
◍ Patient contraindicated for radioactive iodine. Ans: A 20-year-old
nursing mother
