Pharmacotherapeutics Exam 3 - Practice
Questions 2024/2025 Exam Questions
and Answers | A+ Score Assured
A patient with systemic lupus erythematosus is prescribed
prednisone. It is most important for the nurse to monitor the patient for what?
A. Hypotension
B. Elevated potassium levels
C. Neck and back pain
D. Hypoglycemia - 🧠ANSWER ✔✔Answer: C
Rationale: Neck and back pain from a vertebral compression fracture may occur
because of the development of osteoporosis as a result of glucocorticoid
therapy. Other possible adverse effects of prednisone include hypertension,
hypokalemia, and hyperglycemia.
*Reference Ch. 72 - Gluocorticoids*
A patient has been prescribed pharmacologic doses of glucocorticoids. It is most
important for the nurse to teach the patient to do what?
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,A. Increase intake of dietary sodium.
B. Take antibiotics to prevent infection.
C. Never abruptly withdraw therapy.
D. Have an eye examination every year. - 🧠ANSWER ✔✔Answer: C
Rationale: Abrupt withdrawal of glucocorticoids may cause adrenal insufficiency
or an adrenal crisis. Infection should be prevented, but the use of antibiotics
without a known infection is inappropriate. Sodium intake should be restricted
while the patient is taking glucocorticoids. Eye examinations are recommended
every 6 months for patients on glucocorticoid therapy.
*Reference Ch. 72 - Glucocorticoids*
A patient has been receiving long-term prednisone therapy for treatment of
rheumatoid arthritis. The chart indicates that the patient has developed
Cushing's syndrome. When performing a physical assessment, the nurse
anticipates finding all but which manifestation of Cushing's syndrome?
A. Hypoglycemia
B. Muscle weakness
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, C. Glucosuria
D. "Buffalo hump" - 🧠ANSWER ✔✔Answer: A
Rationale: Cushing's syndrome is manifested by hyperglycemia, glycosuria, fluid
and electrolyte disturbances, osteoporosis, muscle weakness, cutaneous
striations, and lowered resistance to infection. Redistribution of fat produces a
"potbelly," "moon face," and "buffalo hump."
*Reference Ch. 72 - Glucocorticoids*
A patient with rheumatoid arthritis has been taking high-dose aspirin and
complains of gastric upset and pain. What does the nurse anticipate will be
prescribed for this patient?
A. Taking a lower dose of aspirin
B. Biweekly injections of methotrexate [Rheumatrex]
C. Obtaining a prescription for celecoxib [Celebrex]
D. Daily drug therapy with prednisone - 🧠ANSWER ✔✔Answer: C
Rationale: If aspirin causes gastrointestinal upset or pain, a cyclooxygenase-2
(COX-2) inhibitor (celecoxib) should be considered. Methotrexate is
Page 3 of 30
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
Questions 2024/2025 Exam Questions
and Answers | A+ Score Assured
A patient with systemic lupus erythematosus is prescribed
prednisone. It is most important for the nurse to monitor the patient for what?
A. Hypotension
B. Elevated potassium levels
C. Neck and back pain
D. Hypoglycemia - 🧠ANSWER ✔✔Answer: C
Rationale: Neck and back pain from a vertebral compression fracture may occur
because of the development of osteoporosis as a result of glucocorticoid
therapy. Other possible adverse effects of prednisone include hypertension,
hypokalemia, and hyperglycemia.
*Reference Ch. 72 - Gluocorticoids*
A patient has been prescribed pharmacologic doses of glucocorticoids. It is most
important for the nurse to teach the patient to do what?
Page 1 of 30
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
,A. Increase intake of dietary sodium.
B. Take antibiotics to prevent infection.
C. Never abruptly withdraw therapy.
D. Have an eye examination every year. - 🧠ANSWER ✔✔Answer: C
Rationale: Abrupt withdrawal of glucocorticoids may cause adrenal insufficiency
or an adrenal crisis. Infection should be prevented, but the use of antibiotics
without a known infection is inappropriate. Sodium intake should be restricted
while the patient is taking glucocorticoids. Eye examinations are recommended
every 6 months for patients on glucocorticoid therapy.
*Reference Ch. 72 - Glucocorticoids*
A patient has been receiving long-term prednisone therapy for treatment of
rheumatoid arthritis. The chart indicates that the patient has developed
Cushing's syndrome. When performing a physical assessment, the nurse
anticipates finding all but which manifestation of Cushing's syndrome?
A. Hypoglycemia
B. Muscle weakness
Page 2 of 30
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
, C. Glucosuria
D. "Buffalo hump" - 🧠ANSWER ✔✔Answer: A
Rationale: Cushing's syndrome is manifested by hyperglycemia, glycosuria, fluid
and electrolyte disturbances, osteoporosis, muscle weakness, cutaneous
striations, and lowered resistance to infection. Redistribution of fat produces a
"potbelly," "moon face," and "buffalo hump."
*Reference Ch. 72 - Glucocorticoids*
A patient with rheumatoid arthritis has been taking high-dose aspirin and
complains of gastric upset and pain. What does the nurse anticipate will be
prescribed for this patient?
A. Taking a lower dose of aspirin
B. Biweekly injections of methotrexate [Rheumatrex]
C. Obtaining a prescription for celecoxib [Celebrex]
D. Daily drug therapy with prednisone - 🧠ANSWER ✔✔Answer: C
Rationale: If aspirin causes gastrointestinal upset or pain, a cyclooxygenase-2
(COX-2) inhibitor (celecoxib) should be considered. Methotrexate is
Page 3 of 30
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
