Pharmacology at Concordia, St. Paul
Actual Questions and Answers
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Multiple choice (single best answer)
Multiple response
Fill-in-the-blank for drug names or mechanisms
Case-based questions (clinical scenarios)
Matching questions
1. During a routine checkup, a patient states that she is unable to take the prescribed
antihistamine because of one of its most common adverse effects. The nurse suspects that
which adverse effect has been bothering this patient?
a. constipation
b. abdominal cramps
, c. drowsiness
d. decreased libido
Answer: Drowsiness
2. A gardener needs a decongestant because of sinus problems and asks the nurse whether
he should take an oral form or a nasal spray. Which of these is a benefit of orally
administered decongestants?
a. immediate onset
b. a more potent effect
c. lack of rebound congestion
d. shorter duration
Answer: lack of rebound congestion
3. A patient is taking guaifenesin as part of treatment for sinus infection. Which instruction will
the nurse include during patient teaching?
a. increase fluid intake to help loosen and liquefy secretions
b. report clear-colored sputum to the prescriber
c. avoid driving a car or operating heavy machinery because of the sedating effects
d. report symptoms that last longer than 2 days
Answer: increase fluid intake to help loosen and liquefy secretions
4. The nurse will instruct patients about a possible systemic effect that may occur if excessive
amounts of topically applied adrenergic nasal decongestants are used. Which systemic
effect may occur?
a. heartburn
b. bradycardia
c. drowsiness
d. palpitations
Answer: palpitations
5. A patient with a tracheostomy has difficulty removing excessive, thick mucus from the
respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of
mucus?
a. guaifenesin
b. benzonatate
c. diphenhydramine
d. dextromethorphan
Answer: guaifenesin
6. A patient has been advised to add an adrenergic decongestant nasal spray to treat a cold.
The nurse will include which instruction?