Pharm Midterm Jersey Final
Examination with All Correct Answers
(2025-2026) Updated.
A patient seen in the clinic has symptoms of persistent cough, fever, and night sweats. He
recently entered the United States from the Philippines. Which of the following is the most
plausible explanation for the patient's - Answer Active tuberculosis
A college student has a TB test prior to starting the semester. The tuberculin test site is noted
with a reddened, raised area. What condition will the student be diagnosed with if the chest
radiograph is negative? - Answer Latent tuberculosis
A patient is hospitalized with active tuberculosis. The patient is receiving antitubercular drug
therapy and is not responding to the medications. What do you suspect the patient is suffering
from? - Answer Drug-resistant tuberculosis
A patient being treated for tuberculosis is determined to be drug resistant. Which of the
following medications will the patient be resistant to in the treatment of the tuberculosis? -
Answer Isoniazid (INH) and rifampin
A patient who was frequently homeless over the past several years has begun a drug regimen
consisting solely of isoniazid (INH). What is this patient's most likely diagnosis? - Answer
Latent tuberculosis
A patient is administered isoniazid (INH) for tuberculosis. Which of the following adverse effects
will result in discontinuation of the medication? - Answer jaundice
A patient receiving isoniazid (INH) and rifampin (Rifadin) has a decreased urinary output and
decreased sensation in his great toes. Which laboratory values should be assessed? - Answer
ALT and AST
A nursing student is learning about the effects of bactericidal agents. How does rifampin
(Rifadin) achieve a therapeutic action against both intracellular and extracellular tuberculosis
organisms? - Answer It inhibits synthesis of RNA.
A patient is administered rifampin (Rifadin). Which of the following facts should the patient be
,A patient who is being administered isoniazid (INH) for tuberculosis has a yellow color in the
sclera of her eye. What other finding would lead you to believe that hepatotoxicity has
developed? - Answer Light-colored stools
A patient is being treated for active tuberculosis with ethambutol (Myambutol). The patient
states to the nurse that he cannot identify the red and green on the traffic lights when he is
driving. Based on this finding, what medical intervention is most appropriate? - Answer
Discontinue ethambutol (Myambutol).
A patient is hospitalized due to nonadherence to an antitubercular drug treatment. Which of
the following is most important for the nurse to do? - Answer Observe the patient taking the
medications
A patient with HIV has been infected with Mycobacterium avium complex from an indoor pool.
Which of the following medications is the recommended treatment for MAC? - Answer
Clarithromycin
A homeless man was screened for tuberculosis (TB) during a health consultation at a shelter,
and the results indicate latent TB. The community health nurse who is liaising with the providers
of the shelter would anticipate what component of this man's plan of care? - Answer The man
will be treated for TB using first-line antitubercular drugs.
A female patient has been diagnosed with tuberculosis and begun multiple-drug therapy. The
woman has asked the nurse why it is necessary for her to take several different drugs instead of
one single drug. How should the nurse best respond to the patient's question? - Answer "The
use of multiple drugs prevents the development of drug-resistant TB."
A patient is being treated for latent tuberculosis on an outpatient basis and tells the nurse
during a scheduled follow-up visit, "I've been feeling pretty good lately, so I haven't actually
been all that consistent with taking my drugs." Subsequent health education should focus on
what subject? - Answer The need to consistently take the prescribed drugs in order to cure TB
A patient has been diagnosed with tuberculosis and will soon begin first-line drug treatment.
How will rifampin most likely be administered to this patient by the nurse? - Answer orally on
an empty stomach
The nurse is providing care for a patient who is taking isoniazid and rifampin (Rifadin) for the
treatment of active tuberculosis. The patient should be taught that an improvement in
, this drug may account for which of the following laboratory values? - Answer Increased AST,
ALT, and GGT
A 40-year-old man has been living with HIV for several years but experienced a significant
decrease in his CD4+ levels a few months ago. The patient has just been diagnosed with
Mycobacterium avium complex disease. The nurse should anticipate administering which of the
following medications? Select all that apply. - Answer clarithromycin and azithromycin
A patient presents at the clinic with sneezing and coughing. He is diagnosed with the common
cold. Which type of microorganism causes the common cold? - Answer virus
You are the school nurse educating a group of parents on the prevention of the common cold
among their children. Which of the following preventive measures is most important to teach
the parents? - Answer Frequent handwashing
A 3-year-old child is seen in the pediatric office for a dry, hacking cough. The mother is
requesting a prescription for dextromethorphan. In providing patient education, which of the
following provides the most effective teaching regarding the use of dextromethorphan in
children? - Answer Dextromethorphan is ineffective in children.
A patient is using oxymetazoline (Afrin) to relieve nasal congestion. Which of the following
conditions would contraindicate the use of this drug? - Answer hypertension
A patient is admitted to the emergency room after consuming 50 acetaminophen tablets in a
suicide attempt. What medication will be administered to counteract the effect of the
acetaminophen? - Answer Acetylcysteine (Mucomyst)
A patient is taking a nasal decongestant. Which of the following medications may dangerously
increase the effects of nasal decongestants? - Answer thyroid preparations
A patient is prescribed an antitussive agent with codeine. Which of the following statements by
the patient indicates that the nurse's teaching has been effective? - Answer "This medication
will cause drowsiness, and I will not drive."
A patient has hypertension and wants to take a nasal decongestant for cold symptoms. Which of
the following statements by the nurse best describes the effect of decongestants on blood
pressure? - Answer "The administration of a nasal decongestant will increase blood pressure
Examination with All Correct Answers
(2025-2026) Updated.
A patient seen in the clinic has symptoms of persistent cough, fever, and night sweats. He
recently entered the United States from the Philippines. Which of the following is the most
plausible explanation for the patient's - Answer Active tuberculosis
A college student has a TB test prior to starting the semester. The tuberculin test site is noted
with a reddened, raised area. What condition will the student be diagnosed with if the chest
radiograph is negative? - Answer Latent tuberculosis
A patient is hospitalized with active tuberculosis. The patient is receiving antitubercular drug
therapy and is not responding to the medications. What do you suspect the patient is suffering
from? - Answer Drug-resistant tuberculosis
A patient being treated for tuberculosis is determined to be drug resistant. Which of the
following medications will the patient be resistant to in the treatment of the tuberculosis? -
Answer Isoniazid (INH) and rifampin
A patient who was frequently homeless over the past several years has begun a drug regimen
consisting solely of isoniazid (INH). What is this patient's most likely diagnosis? - Answer
Latent tuberculosis
A patient is administered isoniazid (INH) for tuberculosis. Which of the following adverse effects
will result in discontinuation of the medication? - Answer jaundice
A patient receiving isoniazid (INH) and rifampin (Rifadin) has a decreased urinary output and
decreased sensation in his great toes. Which laboratory values should be assessed? - Answer
ALT and AST
A nursing student is learning about the effects of bactericidal agents. How does rifampin
(Rifadin) achieve a therapeutic action against both intracellular and extracellular tuberculosis
organisms? - Answer It inhibits synthesis of RNA.
A patient is administered rifampin (Rifadin). Which of the following facts should the patient be
,A patient who is being administered isoniazid (INH) for tuberculosis has a yellow color in the
sclera of her eye. What other finding would lead you to believe that hepatotoxicity has
developed? - Answer Light-colored stools
A patient is being treated for active tuberculosis with ethambutol (Myambutol). The patient
states to the nurse that he cannot identify the red and green on the traffic lights when he is
driving. Based on this finding, what medical intervention is most appropriate? - Answer
Discontinue ethambutol (Myambutol).
A patient is hospitalized due to nonadherence to an antitubercular drug treatment. Which of
the following is most important for the nurse to do? - Answer Observe the patient taking the
medications
A patient with HIV has been infected with Mycobacterium avium complex from an indoor pool.
Which of the following medications is the recommended treatment for MAC? - Answer
Clarithromycin
A homeless man was screened for tuberculosis (TB) during a health consultation at a shelter,
and the results indicate latent TB. The community health nurse who is liaising with the providers
of the shelter would anticipate what component of this man's plan of care? - Answer The man
will be treated for TB using first-line antitubercular drugs.
A female patient has been diagnosed with tuberculosis and begun multiple-drug therapy. The
woman has asked the nurse why it is necessary for her to take several different drugs instead of
one single drug. How should the nurse best respond to the patient's question? - Answer "The
use of multiple drugs prevents the development of drug-resistant TB."
A patient is being treated for latent tuberculosis on an outpatient basis and tells the nurse
during a scheduled follow-up visit, "I've been feeling pretty good lately, so I haven't actually
been all that consistent with taking my drugs." Subsequent health education should focus on
what subject? - Answer The need to consistently take the prescribed drugs in order to cure TB
A patient has been diagnosed with tuberculosis and will soon begin first-line drug treatment.
How will rifampin most likely be administered to this patient by the nurse? - Answer orally on
an empty stomach
The nurse is providing care for a patient who is taking isoniazid and rifampin (Rifadin) for the
treatment of active tuberculosis. The patient should be taught that an improvement in
, this drug may account for which of the following laboratory values? - Answer Increased AST,
ALT, and GGT
A 40-year-old man has been living with HIV for several years but experienced a significant
decrease in his CD4+ levels a few months ago. The patient has just been diagnosed with
Mycobacterium avium complex disease. The nurse should anticipate administering which of the
following medications? Select all that apply. - Answer clarithromycin and azithromycin
A patient presents at the clinic with sneezing and coughing. He is diagnosed with the common
cold. Which type of microorganism causes the common cold? - Answer virus
You are the school nurse educating a group of parents on the prevention of the common cold
among their children. Which of the following preventive measures is most important to teach
the parents? - Answer Frequent handwashing
A 3-year-old child is seen in the pediatric office for a dry, hacking cough. The mother is
requesting a prescription for dextromethorphan. In providing patient education, which of the
following provides the most effective teaching regarding the use of dextromethorphan in
children? - Answer Dextromethorphan is ineffective in children.
A patient is using oxymetazoline (Afrin) to relieve nasal congestion. Which of the following
conditions would contraindicate the use of this drug? - Answer hypertension
A patient is admitted to the emergency room after consuming 50 acetaminophen tablets in a
suicide attempt. What medication will be administered to counteract the effect of the
acetaminophen? - Answer Acetylcysteine (Mucomyst)
A patient is taking a nasal decongestant. Which of the following medications may dangerously
increase the effects of nasal decongestants? - Answer thyroid preparations
A patient is prescribed an antitussive agent with codeine. Which of the following statements by
the patient indicates that the nurse's teaching has been effective? - Answer "This medication
will cause drowsiness, and I will not drive."
A patient has hypertension and wants to take a nasal decongestant for cold symptoms. Which of
the following statements by the nurse best describes the effect of decongestants on blood
pressure? - Answer "The administration of a nasal decongestant will increase blood pressure
