ICHS PHARMACOLOGY FINAL EXAM NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
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A patient with diabetes insipidus has been prescribed
desmopressin. Which questions will the nurse ask the patient
during a follow-up visit to assess the effectiveness of
treatment? Select all that apply.
-do you feel very thirsty lately
-how many times do you urinate in a day
-is there any change in the color of your urine?
-is there any change in the color of your sputum?
-do you have excessive bleeding due to minor injuries -
CORRECT ANSWER
- -do you feel very thirsty lately
-how many times do you urinate in a day
A patient with mild diabetes insipidus is prescribed
vasopressin intranasal aqueous preparation. Which patient
instruction does the nurse provide to ensure safe
administration of the drug?
-dilute the drug before administering
-shake the drug preparation before use
-inhale the drug preparation by spraying into nostrils
-apply the drug preparation topically to the nasal membranes
- CORRECT ANSWER - "Apply the drug preparation topically to
the nasal membranes."
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Which action of the patient using intranasal desmopressin
through a nasal pump may need correction during a
demonstration?
-priming the nasal pump once a week
-pressing the pump once to spray a 10mcg dose
-pressing down on the pump twice to prime it
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-replacing the cap on the pump after the procedure - CORRECT
ANSWER - - pressing down on the pump twice to prime it
Desmopressin can be administered intranasally through
pumps. The pump needs to be primed by pressing it down four
times, not two times. The nasal pump should be primed once in
a week for maximum effectiveness. Each spray of the pump
delivers a 10-mcg dose. The cap should be replaced after the
procedure to prevent contamination.
The nurse is caring for a patient with diabetes insipidus who
is receiving intravenous (IV) vasopressin. Which is the best
nursing action to promote safe drug administration?
-make a note of the fluid intake
-assess for signs of dehydration
-watch the iv site for infiltration
-measure the patients urine output regularly - CORRECT
ANSWER - watch the iv side closely for infiltration
Vasopressin may be used in diabetes insipidus to manage
polydipsia, polyuria, and dehydration. IV vasopressin, if
infiltrated, may cause severe vasoconstriction and tissue
necrosis; therefore, the nurse should watch closely for
infiltration. The fluid intake and urine output are routinely
monitored in a patient with diabetes insipidus, but these
actions may not help promote safe drug administration.
Assessing for signs of dehydration helps determine the
patient's condition but does not help promote safety.
A pediatric patient is prescribed somatropin. Which parameter
will the nurse monitor during the follow-up visit? Select all
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that apply.
-height
-weight
-skin turgor
-motor skills
-visual acuity - CORRECT ANSWER -
height weight
motor skills
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 -
CORRECT ANSWER - Growth failure caused by chronic renal
failure
Cachexia or wasting with AIDS
Growth enhancement in children with Turner syndrome
The nurse administers intravenous desmopressin at 0730.
During which time frame would the nurse anticipate giving