PHARMACOLOGY FINAL EXAM RASMUSSEN
NEWEST 2024 ACTUAL EXAM
- The nurse is talking with a new mother about medications that can be
safely resumed now that she is no longer pregnant. All the following
medications are contraindicated during pregnancy, but which one may
be ingested while breastfeeding without causing known infant harm?
A) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine – ANSWER- C) Ibuprofen - Which statement by a client indicates an understanding of self-care
precautions when taking warfarin?
A) “My warfarin dose may need to be readjusted when I take a course of
antibiotics.”
B) “I should expect pink urine due to metabolic bi-products of the dye
used in this medication.”
C) “Herbal remedies are fine, but I shouldn’t take aspirin without
consulting my provider.”
D) “I should eat spinach to increase my iron count if my INR goes below
two.” – ANSWER- A) “My warfarin dose may need to be readjusted
when I take a course of antibiotics.”
- Male client tells the nurse he awakens once or twice each night to
video and has difficulty starting his stream of urine. He describes these
symptoms as ” annoying.” The client provider examines him and notes
that the prostate is moderately enlarged. The client is sexually active and
tells the nurse that he doesn’t want to take any medication that will
interfere with sexual function. THe nurse anticipates the provider will
order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin – ANSWER- D) Doxazosin
4.A 50-year-old postmenopausal cleint who has had a hysterectomy has
moderate to severe hot flashes and is discussing estrogen therapy with
the nurse. What will the nurse tell the client regarding the side effect of
estrogen therapy?
A) An estrogen progesterone product will increase side effects
B) Transdermal preparations of estrogen therapy have reduced side
effects.
C) Side effects of estrogen therapy are uncommon among women of her
age.
D) An intravaginal preparation may be best. – ANSWER- B)
Transdermal preparations of estrogen therapy have reduced side effects.
- A Client has an infection caused by pseudomonas aeruginosa, and the
prescriber has ordered intravenous piperacillin and tobramycin. Why
might the nurse question this combination of antibiotics?
A) This combination causes tendon rupture.
B) Aminoglycosides are inactivated by penicillins.
C) Aminoglycosides alone are adequate against pseudomonas. There is
no need to risk penicillin allergy.
D) Aminoglycosides increase the risk of penicillin allergy. – ANSWERB) Aminoglycosides are inactivated by penicillins. - A client with bronchitis is taking trimethoprim/sulfamethoxazole
160/800 mg orally, twice daily. Before administering the third dose, the
nurse observes the client has a widespread rash, a temperature and a
heart rate of 100 beats/min. The client looks ill and reports not feeling
well. What is the nurse’s response?
A) Request an order for intravenous trimethoprim/ sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of the symptoms.
D) Administer the dose and request an order for an antipyretic
medication. – ANSWER- C) Withhold the treatment and notify the
provider of the symptoms. - A client with cancer has been taking an opioid analgesic four times
daily for chronic pain and reports needing increased doses for pain.
What will the nurse tell the client?
A- Over time, people can develop tolerance to opioids. We can discuss
increasing your dose with the provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication. We can
discuss this with your provider.
D- The risk of respiratory depression increases over time – ANSWERA- Over time, people can develop tolerance to opioids. We can discuss
increasing your dose with the provider.
8) A client who is suffering from an acute gout attack wants to know
how colchicine differs from probenecid and allopurinol in its actions.
Which of these statements shows the need for further teaching regarding
purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B- All of these medications should be taken concurrently during an acute
attack, and NSAIDS should be added for pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons –
ANSWER- B) All of these medications should be taken concurrently
during an acute attack, and NSAIDS should be added for pain control.
- The nurse understands that a bronchodilator would be most
therapeutic in which situation?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes –
ANSWER- D- Shallow breath sounds with wheezing sounds in the
upper lobes
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