ICHS PHARMACOLOGY PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

ICHS PHARMACOLOGY PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) Which prescribed medication will the nurse administer to the client with pertussis? A. Antibiotics B. Antihistamines C. Corticosteroids D. Bronchodilators - answer a. Antibiotics 2) the nurse would identify which medication as the most common cause of extrapyramidal side effects (epss)? A. Clozapine B. Haloperidol C. Risperidone D. Aripiprazole - answer b. Haloperidol 3) a client is taking fertility medications for the first time. Which adverse effect of the medication would the nurse inform the client about? A. Vaginitis B. Constipation C. Joint swelling D. Deep vein thrombosis - answer b. Constipation Constipation is seen in clients using fertility medications for the first time. Deep vein thrombosis is an adverse effect of prolonged use of fertility medications 4) a client with cancer experiences severe nausea and vomiting from chemotherapy. The client wants to know if it is true that smoking marijuana will help, how will the nurse respond? - answer "there are some tetrahydrocannabinol (thc) based medications that contain marijuana control chemotherapy-induced nausea and vomiting in some people." 5) a client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question? A. Lubricates the joint B. Reduces inflammation C. Provides physiotherapy D. Prevents ankylosis of the joint - answer b. Reduces inflammation 6) which antidepressant medication is a selective monoamine oxidase-b inhibitor? A. Selegiline B. Phenelzine C. Isocarboxazid D. Tranylcypromine - answer a. Selegiline Selegiline is a selective monoamine oxidase-b inhibitor Phenelzine, isocarboxazid, and tranylcypromine are nonselective monoamine oxidase-a and monoamine oxidase-b inhibitors 7) a client is receiving haloperidol for agitation, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to extrapyramidal tract effect? A. Akathisia B. Opisthotonos C. Oculogyric crisis D. Hypertensive crisis - answer d. Hypertensive crisis 8) which effect would the nurse identify as seen when the fetus is exposed to a teratogen during the embryonic period? A. Delay in growth B. Gross malformations C. Death of the conceptus D. Disruption of brain development - answer b. Gross malformations Gross malformations occur during embryonic period or the first trimester Delay in growth and development of the fetus occurs during the fetal period Death of the conceptus occurs during preimplantation period Disruption of the brain occurs during fetal period (second or third trimester) 9) a client is admitted to the hospital for an adrenalectomy. Before the client's replacement steroid therapy is regulated fully, the nurse will monitor the client for which complication? A. Hypotension B. Hypokalemia C. Hypernatremia D. Hyperglycemia - answer a. Hypotension 10) which medication is used to prevent preterm labor? A. Oxytocin B. Nifedipine C. Raloxifene D. Clomiphene - answer b. Nifedipine 11) oxytocin - answer may be used to induce labor 12) raloxifene - answer used to prevent postmenopausal osteoporosis 13) clomiphene - answer used to cause ovulation 14) which hormone may cause vaginal carcinoma in a female child after birth? A. Estrogen B. Progesterone C. Androgens D. Diethylstilbestrol - answer d. Diethylstilbestrol -progesterone's and androgens may cause masculinization of a female fetus - estrogen may cause congenital defects in the female reproductive system 15) which medication would the nurse identify as being used to induce spontaneous abortions? A. Oxytocin B. Estradiol C. Progestins D. Clomiphene - answer a. Oxytocin 16) estradiol - answer may be given to alleviate postmenopausal hot flashes 17) progestins - answer used for birth control 18) clomiphene - answer used as a fertility medication 19) which cytokine would the nurse teach a client is treatment for multiple sclerosis? A. B-interferon B. Interleukin-2 C. Erythropoietin D. Colony-stimulating factor - answer a. B-interferon 20) interleukin-2 - answer used to treat metastatic melanoma 21) erythropoietin - answer used to treat anemia related to chemotherapy 22) colony-stimulating factor - answer used to treat chemotherapy induced neutropenia 23) after a surgical thyroidectomy a client exhibits carpopedal spasm and tremors. The client reports tingling in the finger and around the mouth. The nurse suspects a deficiency in which mineral? A. Potassium B. Calcium C. Magnesium D. Sodium - answer b. Calcium These are signs of hypocalcemia 24) the health care provider prescribes an oral hypoglycemic medication for the client with type 2 diabetes. Which statement will the nurse need to consider when developing the teaching plan? - answer clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control 25) a client is admitted for dehydration, and an intravenous (iv) infusion of normal saline is started at 125 ml/hr. One hour later, the client begins screaming, "i can't breathe!" how would the nurse respond? - answer elevate the head of the client's bed and obtain vital signs 26) 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 thyroid hormone deficiency D - in cases in which an antiaging drug is desired E - muscle building and athletic performance enhancement F - growth enhancement in children with turner syndrome - answer growth failure caused by chronic renal failure Cachexia or wasting with aids Growth enhancement in children with turner syndrome 27) The nurse administers intravenous desmopressin at 0730. During which time frame would the nurse anticipate giving another dosage of this drug? 0830 to 1030 1000 to 1200 1530 to 1930 0730 the next day - answer 1530 to 1930 28) Octreotide should be used with caution in patients with which disorders? Select all that apply. Asthma Heart failure Thyroid deficiency Hepatic impairment Psychiatric disorders Chronic kidney disease - answer heart failure Hepatic impairment Chronic kidney disease 29) A child is receiving somatropin for growth failure. During follow-up visits, which data would the nurse monitor? Select all that apply. Blood glucose level for hypoglycemia Serial changes in height and weight chart Blood calcium levels for hypocalcemia Presence of antirecombinant human growth hormone (anti-rhgh) antibodies Thyroid levels for hypothyroidism Side effects of therapy reported by family. - answer serial changes in height and weight chart Presence of antirecombinant human growth hormone (anti-rhgh) antibodies Thyroid levels for hypothyroidism Side effects of therapy reported by family. 30) In the pediatric clinic, a child is receiving growth hormone (gh). The adolescent sibling asks about receiving the same medication. He would like to play basketball but is too short. How should the nurse respond? "we'll need to draw labs first to see if you need growth hormones." "that is a possibility, but you need to see the health care provider." "growth hormones may not help your height and have side effects." "you have stopped growing and can't take growth hormone." - answer "you have stopped growing and can't take growth hormone." 31) The spouse of a patient receiving desmopressin calls the clinic to report that her husband is not feeling well and is nauseated and confused. Which action would the nurse take? Reassure the spouse that these symptoms are temporary and should resolve soon. Instruct the spouse to bring the patient to the clinic for further evaluation. Tell the spouse to hold the medication for a day and then resume therapy. Encourage spouse to have the patient drink orange juice or an electrolyte solution and rest. - answer instruct the spouse to bring the patient to the clinic for further evaluation. 32) What assessment finding indicates to the nurse that vasopressin (pitressin) has been effective? - answer increased urine specific gravity Vasopressin (pitressin) causes decreased water excretion in the renal tubule, thus increasing urine specific gravity. It is used to treat diabetes insipidus, which presents with a low urine specific gravity. This medication does not affect serum albumin, decrease adrenocorticotropic hormone levels, or decrease pain. 33) Which hormones are produced by the anterior pituitary gland? (select all that apply.) A. Thyroxine B. Aldosterone C. Growth hormone (gh) D. Thyroid-stimulating hormone (tsh) E. Thyrotropin-releasing hormone (trh) F. Adrenocorticotropic hormone (acth) - answer c. Growth hormone (gh) D. Thyroid-stimulating hormone (tsh) F. Adrenocorticotropic hormone (acth)gh, tsh, and acth are produced by the anterior pituitary gland. Aldosterone is secreted from the adrenal cortex. Trh is released from the hypothalamus. Thyroxine is released from the thyroid gland. 34) Which hormone inhibits the release of gh - answer somatostatin 35) Which condition is contraindicated with humatrope - answer acromegaly 36) A patient is in pulseless cardiac arrest. Which medication does the nurse anticipate administering? A. Vasopressin B. Desmopressin C. Cosyntropin D. Somatropin - answer vasopressin Rationale: vasopressin is also a potent vasoconstrictor in larger doses and is therefore used in certain hypotensive emergencies, such as vasodilatory shock (septic shock). It is also used in the (acls) guidelines for treatment of pulseless cardiac arrest. Desmopressin is useful in treating certain blood disorders. Cosyntropin is used in the diagnosis of adrenocortical insufficiency. Somatropin and somatrem are effective in stimulating skeletal growth in patients with an inadequate secretion of normal endogenous gh.