Pharmacology Chapter 47 (elsevier) Exam
UPDATED QUESTIONS AND CORRECT
ANSWERS
Which antitumor necrosis factor is used in the treatment of ankylosing spondylitis? -
CORRECT ANSWER Infliximab
A patient is admitted with early-stage breast cancer. Following the instruction of the
oncologist, the nurse administers trastuzumab to the patient. The patient experiences severe
adverse effects after the administration of the drug. What is a possible reason for such
symptoms? - CORRECT ANSWER The patient had ventricular dysfunction.
The nurse administers methotrexate to a patient with rheumatoid arthritis. The nurse suspects
that the patient has developed bone marrow suppression after administration of the drug.
Which symptom confirms bone marrow suppression in the patient? - CORRECT
ANSWER Severe bone pain
A patient is prescribed aldesleukin for the treatment of metastatic melanoma. The nurse
observes that the albumin and protein levels in the patient's serum have increased in a week.
Which is a possible reason for such an event? - CORRECT ANSWER Capillary leak
syndrome
A patient receives lithium as a part of treatment for bipolar disorder. The patient develops
neutropenia and is prescribed filgrastim. Which is a possible result after administering the
drug? - CORRECT ANSWER The patient experiences serious drug interactions.
Which biologic or chemical substance is recognized as foreign by the body's immune system?
- CORRECT ANSWER Antigen
A patient with a low platelet count is prescribed a drug to stimulate platelet production.
Which drug would the nurse anticipate being prescribed? - CORRECT
ANSWER Oprelvekin
, Which cells are activated by aldesleukin (interleukin-2)? - CORRECT ANSWER T-
cells
A patient who has dust allergy develops an acute allergic reaction after exposure to dust. If
the patient has 4,000 T helper cells, how many T suppressor cells does the patient have? -
CORRECT ANSWER 2,000
Which symptom would the nurse instruct the caregiver of a patient who is on hematopoietic
drugs to expect as an adverse effect? - CORRECT ANSWER Alopecia
The health care provider examines a patient with ankylosing spondylitis and prescribes an
intravenous (IV) administration of 5 mg/kg of a drug at 0, 2, and 6 weeks, and then every 6
weeks. The drug carries a Food and Drug Administration (FDA) black box warning for
patients with heart failure or latent tuberculosis. Which drug was most likely prescribed to the
patient? - CORRECT ANSWER Infliximab
A patient is given abatacept for the treatment of rheumatoid arthritis. Following a month of
treatment, the patient develops a severe upper respiratory infection. What is a possible reason
for this infection? - CORRECT ANSWER The patient is taking the herb Echinacea.
A patient is administered aldesleukin for the treatment of metastatic melanoma. The nurse
finds that the patient's blood pressure has dropped to a critical level. What is a possible reason
for hypotension in the patient? - CORRECT ANSWER The patient had been
administered antihypertensive drugs.
Patients receiving filgrastim should be taught to expect which side effect? - CORRECT
ANSWER Bone pain
A patient is receiving an immunomodulating drug for the treatment of multiple sclerosis.
Which immunomodulating drugs are contraindicated in the treatment if the patient has an
allergy to human albumin? - CORRECT ANSWER Interferon beta-1a
Which adverse effect is associated with interferons? - CORRECT
ANSWER Hallucinations
UPDATED QUESTIONS AND CORRECT
ANSWERS
Which antitumor necrosis factor is used in the treatment of ankylosing spondylitis? -
CORRECT ANSWER Infliximab
A patient is admitted with early-stage breast cancer. Following the instruction of the
oncologist, the nurse administers trastuzumab to the patient. The patient experiences severe
adverse effects after the administration of the drug. What is a possible reason for such
symptoms? - CORRECT ANSWER The patient had ventricular dysfunction.
The nurse administers methotrexate to a patient with rheumatoid arthritis. The nurse suspects
that the patient has developed bone marrow suppression after administration of the drug.
Which symptom confirms bone marrow suppression in the patient? - CORRECT
ANSWER Severe bone pain
A patient is prescribed aldesleukin for the treatment of metastatic melanoma. The nurse
observes that the albumin and protein levels in the patient's serum have increased in a week.
Which is a possible reason for such an event? - CORRECT ANSWER Capillary leak
syndrome
A patient receives lithium as a part of treatment for bipolar disorder. The patient develops
neutropenia and is prescribed filgrastim. Which is a possible result after administering the
drug? - CORRECT ANSWER The patient experiences serious drug interactions.
Which biologic or chemical substance is recognized as foreign by the body's immune system?
- CORRECT ANSWER Antigen
A patient with a low platelet count is prescribed a drug to stimulate platelet production.
Which drug would the nurse anticipate being prescribed? - CORRECT
ANSWER Oprelvekin
, Which cells are activated by aldesleukin (interleukin-2)? - CORRECT ANSWER T-
cells
A patient who has dust allergy develops an acute allergic reaction after exposure to dust. If
the patient has 4,000 T helper cells, how many T suppressor cells does the patient have? -
CORRECT ANSWER 2,000
Which symptom would the nurse instruct the caregiver of a patient who is on hematopoietic
drugs to expect as an adverse effect? - CORRECT ANSWER Alopecia
The health care provider examines a patient with ankylosing spondylitis and prescribes an
intravenous (IV) administration of 5 mg/kg of a drug at 0, 2, and 6 weeks, and then every 6
weeks. The drug carries a Food and Drug Administration (FDA) black box warning for
patients with heart failure or latent tuberculosis. Which drug was most likely prescribed to the
patient? - CORRECT ANSWER Infliximab
A patient is given abatacept for the treatment of rheumatoid arthritis. Following a month of
treatment, the patient develops a severe upper respiratory infection. What is a possible reason
for this infection? - CORRECT ANSWER The patient is taking the herb Echinacea.
A patient is administered aldesleukin for the treatment of metastatic melanoma. The nurse
finds that the patient's blood pressure has dropped to a critical level. What is a possible reason
for hypotension in the patient? - CORRECT ANSWER The patient had been
administered antihypertensive drugs.
Patients receiving filgrastim should be taught to expect which side effect? - CORRECT
ANSWER Bone pain
A patient is receiving an immunomodulating drug for the treatment of multiple sclerosis.
Which immunomodulating drugs are contraindicated in the treatment if the patient has an
allergy to human albumin? - CORRECT ANSWER Interferon beta-1a
Which adverse effect is associated with interferons? - CORRECT
ANSWER Hallucinations
