Pharma 101 Final Exam Real Verified Questions and Correct Answers |
Latest Version (Rasmussen University)
1) A$nurse$is$performing$a$preoperative$drug$history$on$a$client$who$is$admitted$to$the$
hospital$for$surgery.$To$evaluate$risk$of$hemorrhage,$the$nurse$will$ask$the$client$about$
antiplatelet$and$anticoagulant$medications$as$well$as$which$dietary$supplement?$
A) Coenzyme$Q-10$
B) Gingko)Biloba)
C) Ma$Huang$
D) St.$John’s$Wort$
$
2) A$nurse$is$providing$teaching$for$an$adult$client$with$arthritis$who$has$been$instructed$to$
take$ibuprofen$for$discomfort.$Which$statement$by$the$client$indicates$a$need$for$
further$education?$
A.)I)may)experience)tinnitus)with)higher)doses)of)this)medication)
B.$I$may$take$up$to$1000mg$four$times$daily$for$pain$
C.$I$should$stop$drinking$alcohol$
D.$I$will$take$this$medication$with$meals$to$help$prevent$stomach$upset$
$
3) A$client$who$is$receiving$a$final$dose$of$intravenous$cephalosporin$complains$of$pain$and$
irritation$at$the$infusion$site.$The$nurse$observes$signs$of$redness$at$the$intravenous$
insertion$site$and$along$the$vein.$What$is$the$nurse's$action?$
A.$Apply$warm$packs$to$the$arm$and$infuse$the$medication$at$a$slower$rate$
B.$Continue$the$infusion$while$elevating$the$arm$
C.)Immediately)stop)the)infusion)and)select)an)alternate)intravenous)site)
D.$Request$central$venous$access$
$
$
4) A$nurse$is$teaching$a$group$of$nursing$students$about$administering$medications$to$
older$adult$clients.$Which$statement(s)$by$the$nurse$are$correct?$(Select$all$that$apply)$$
A.$Alteration$in$hepatic$function$requires$more$frequent$drug$dosing$
B.)Changes)in)gastrointestinal)function)in)older)adult)clients)lead)to)an)increase)in)
serum)drug)level)
C.)Many)adverse)drug)reactions)in)older)adult)clients)are)related)to)altered)renal)
function)
D.)Nonadherence)for)medications)among)older)adult)clients)is)due)to)the)cost)of)
medications)
E.$Changes$in$the$renal$system$result$in$increased$clearance$of$drugs$in$the$elderly.$$
$
5) What$should$the$nurse$advise$a$client$on$spironolactone$regarding$necessary$self-care?$
A. Discontinue$taking$this$medication$if$you$feel$well.$$
B. Avoid)salt)substitutes.))
C. Add$as$many$fruits$and$vegetables$to$your$diet$as$possible.$$
D. Check$your$pulse$before$taking$this$medication.$$
$
$
$
,$
6) A$nurse$is$teaching$a$client$who$has$asthma$the$appropriate$use$of$inhaled$fluticasone.$
What$advice$should$the$nurse$give$to$help$the$client$avoid$complications$with$the$use$of$
inhaled$steroids?$
A.$Check$the$pulse$after$taking$this$medication$
B.$Take$the$medication$before$eating$
C.)Rinse)your)mouth)after)inhaling)the)medicine)
D.$Limit$your$caffeine$intake$
$
7) The$diabetic$client$receives$an$injection$of$insulin$glargine.$What$is$the$duration$of$
insulin$glargine?$
A.$15$minutes$
B.$2$to$4$hours$
C.$6$to$14$hours$
D.)18)to)24)hours)
$
8) The$provider$has$ordered$furosemide$10$mg$PO$stat.$Furosemide$is$available$in$
20mg/tablet.$How$many$tablets$should$the$nurse$administer?$(Record$the$answer$to$the$
tenth,$or$one$decimal$place.$Use$a$leading$zero$if$it$applies.$Do$not$use$a$trailing$zero.)$
0.5)
$
9) A$client$has$been$prescribed$81mg$of$enteric$coated$aspirin$every$morning.$Which$of$
these$statements$by$the$client$requires$further$education?$(Select$all$that$apply)$$
A. “If$I$have$black,$tarry$stools$I$should$call$my$provider.$$
B. “I$can$take$this$with$food$to$avoid$stomach$irritation”$
C. “I)should)chew)this)medication)thoroughly”))
D. “I)can)give)this)low-dose)aspirin)to)my)5-year-old)if)he)has)a)fever”)
E. )“I)should)expect)ringing)in)my)ears,)as)this)is)normal”))
$
10) The$nurse$is$talking$with$a$new$mother$about$medications$that$can$be$safely$resumed$
now$that$she$is$no$longer$pregnant.$All$the$following$medications$are$contraindicated$
during$pregnancy,$but$which$one$may$be$ingested$while$breastfeeding$without$causing$
known$infant$harm?$
A.$Methotrexate$
B.)Ibuprofen)
C.$Lithium$
D.$Nicotine$
$
11) A$client$receiving$a$cephalosporin$has$passed$six-$distinct-smelling$unformed$stools$in$
the$first$6$hours$of$the$nurse’s$shift.$What$is$the$nurses$best$action?$
$
A.$Call$the$provider$to$request$an$additional$antibiotic$to$override$the$effects$of$the$
cephalosporin.$$
, B.)Discontinue)the)cephalosporin)and)call)the)provider)to)recommend)vancomycin)or)
metronidazole.))
C.$Stop$all$antibiotics$and$implement$strict$use$of$alcohol-based$hand$sanitizer.$$
D.$Increase$the$dose$of$the$cephalosporin$and$provide$isolation$measures.$
$
12) The$nurse$reinforces$instructions$regarding$when$to$take$levothyroxine$and$determines$
teaching$was$effective$when$the$client$states$the$medication$should$be$taken$in$which$
manner?$
A.$With$an$antacid$
B.$At$bedtime$
C.$When$they$feel$fatigued$
D.)30)to)60)minutes)before)breakfast)
$
13) A$client$will$begin$taking$fexofenadine$for$hay$fever.$What$education$should$be$included$
regarding$the$use$of$this$second-generation$antihistamine?$
A.$Fexofenadine$must$be$taken$at$bedtime$
B.)Citrus)fruit)juices)can)inactivate)this)class)of)medications)
C.$Fexofenadine$must$be$taken$apart$from$food$
D.$Fexofenadine$has$cholinergic$side$effects.$It$can$cause$excessive$salivation$
$
14) A$client$who$has$erectile$dysfunction$asks$a$nurse$whether$sildenafil$would$be$suitable$
medication.$Which$aspect$of$this$client's$history$would$be$of$most$concern?$
A.$BPH$
B.$Mild$Hypertension$
C.)Occasional)use)of)nitroglycerin)
D.$Taking$finasteride$
$
15) A$nurse$is$preparing$discharge$teaching$for$a$client$who$will$be$going$home$on$warfarin.$
Which$of$these$client$statements$indicates$the$need$for$further$instruction?$
A.$I$should$avoid$alcohol$and$herbal$remedies$while$I$am$taking$warfarin.$
B.$I$should$be$consistent$with$my$intake$of$leafy$greens$while$I$am$taking$warfarin.$$
C.)If)I)notice)sings)of)bleeding,)I)will)stop)taking)my)warfarin)and)follow)up)with)my)
provider)in)a)week.))
D.$I$should$have$my$INR$checked$regularly$while$I$am$on$warfarin.$$
$
16) A$client$arrives$in$the$ER$with$localized$swelling$of$lips$and$tongue.$The$client’s$
medication$list$includes$the$following$medications.$Which$of$the$following$medications$
does$the$nurse$anticipate$the$provider$discontinuing?$
A. Captopril)
B. Simvastatin$
C. Amlodipine$
D. Budesonide$
$
$
Latest Version (Rasmussen University)
1) A$nurse$is$performing$a$preoperative$drug$history$on$a$client$who$is$admitted$to$the$
hospital$for$surgery.$To$evaluate$risk$of$hemorrhage,$the$nurse$will$ask$the$client$about$
antiplatelet$and$anticoagulant$medications$as$well$as$which$dietary$supplement?$
A) Coenzyme$Q-10$
B) Gingko)Biloba)
C) Ma$Huang$
D) St.$John’s$Wort$
$
2) A$nurse$is$providing$teaching$for$an$adult$client$with$arthritis$who$has$been$instructed$to$
take$ibuprofen$for$discomfort.$Which$statement$by$the$client$indicates$a$need$for$
further$education?$
A.)I)may)experience)tinnitus)with)higher)doses)of)this)medication)
B.$I$may$take$up$to$1000mg$four$times$daily$for$pain$
C.$I$should$stop$drinking$alcohol$
D.$I$will$take$this$medication$with$meals$to$help$prevent$stomach$upset$
$
3) A$client$who$is$receiving$a$final$dose$of$intravenous$cephalosporin$complains$of$pain$and$
irritation$at$the$infusion$site.$The$nurse$observes$signs$of$redness$at$the$intravenous$
insertion$site$and$along$the$vein.$What$is$the$nurse's$action?$
A.$Apply$warm$packs$to$the$arm$and$infuse$the$medication$at$a$slower$rate$
B.$Continue$the$infusion$while$elevating$the$arm$
C.)Immediately)stop)the)infusion)and)select)an)alternate)intravenous)site)
D.$Request$central$venous$access$
$
$
4) A$nurse$is$teaching$a$group$of$nursing$students$about$administering$medications$to$
older$adult$clients.$Which$statement(s)$by$the$nurse$are$correct?$(Select$all$that$apply)$$
A.$Alteration$in$hepatic$function$requires$more$frequent$drug$dosing$
B.)Changes)in)gastrointestinal)function)in)older)adult)clients)lead)to)an)increase)in)
serum)drug)level)
C.)Many)adverse)drug)reactions)in)older)adult)clients)are)related)to)altered)renal)
function)
D.)Nonadherence)for)medications)among)older)adult)clients)is)due)to)the)cost)of)
medications)
E.$Changes$in$the$renal$system$result$in$increased$clearance$of$drugs$in$the$elderly.$$
$
5) What$should$the$nurse$advise$a$client$on$spironolactone$regarding$necessary$self-care?$
A. Discontinue$taking$this$medication$if$you$feel$well.$$
B. Avoid)salt)substitutes.))
C. Add$as$many$fruits$and$vegetables$to$your$diet$as$possible.$$
D. Check$your$pulse$before$taking$this$medication.$$
$
$
$
,$
6) A$nurse$is$teaching$a$client$who$has$asthma$the$appropriate$use$of$inhaled$fluticasone.$
What$advice$should$the$nurse$give$to$help$the$client$avoid$complications$with$the$use$of$
inhaled$steroids?$
A.$Check$the$pulse$after$taking$this$medication$
B.$Take$the$medication$before$eating$
C.)Rinse)your)mouth)after)inhaling)the)medicine)
D.$Limit$your$caffeine$intake$
$
7) The$diabetic$client$receives$an$injection$of$insulin$glargine.$What$is$the$duration$of$
insulin$glargine?$
A.$15$minutes$
B.$2$to$4$hours$
C.$6$to$14$hours$
D.)18)to)24)hours)
$
8) The$provider$has$ordered$furosemide$10$mg$PO$stat.$Furosemide$is$available$in$
20mg/tablet.$How$many$tablets$should$the$nurse$administer?$(Record$the$answer$to$the$
tenth,$or$one$decimal$place.$Use$a$leading$zero$if$it$applies.$Do$not$use$a$trailing$zero.)$
0.5)
$
9) A$client$has$been$prescribed$81mg$of$enteric$coated$aspirin$every$morning.$Which$of$
these$statements$by$the$client$requires$further$education?$(Select$all$that$apply)$$
A. “If$I$have$black,$tarry$stools$I$should$call$my$provider.$$
B. “I$can$take$this$with$food$to$avoid$stomach$irritation”$
C. “I)should)chew)this)medication)thoroughly”))
D. “I)can)give)this)low-dose)aspirin)to)my)5-year-old)if)he)has)a)fever”)
E. )“I)should)expect)ringing)in)my)ears,)as)this)is)normal”))
$
10) 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.$Methotrexate$
B.)Ibuprofen)
C.$Lithium$
D.$Nicotine$
$
11) A$client$receiving$a$cephalosporin$has$passed$six-$distinct-smelling$unformed$stools$in$
the$first$6$hours$of$the$nurse’s$shift.$What$is$the$nurses$best$action?$
$
A.$Call$the$provider$to$request$an$additional$antibiotic$to$override$the$effects$of$the$
cephalosporin.$$
, B.)Discontinue)the)cephalosporin)and)call)the)provider)to)recommend)vancomycin)or)
metronidazole.))
C.$Stop$all$antibiotics$and$implement$strict$use$of$alcohol-based$hand$sanitizer.$$
D.$Increase$the$dose$of$the$cephalosporin$and$provide$isolation$measures.$
$
12) The$nurse$reinforces$instructions$regarding$when$to$take$levothyroxine$and$determines$
teaching$was$effective$when$the$client$states$the$medication$should$be$taken$in$which$
manner?$
A.$With$an$antacid$
B.$At$bedtime$
C.$When$they$feel$fatigued$
D.)30)to)60)minutes)before)breakfast)
$
13) A$client$will$begin$taking$fexofenadine$for$hay$fever.$What$education$should$be$included$
regarding$the$use$of$this$second-generation$antihistamine?$
A.$Fexofenadine$must$be$taken$at$bedtime$
B.)Citrus)fruit)juices)can)inactivate)this)class)of)medications)
C.$Fexofenadine$must$be$taken$apart$from$food$
D.$Fexofenadine$has$cholinergic$side$effects.$It$can$cause$excessive$salivation$
$
14) A$client$who$has$erectile$dysfunction$asks$a$nurse$whether$sildenafil$would$be$suitable$
medication.$Which$aspect$of$this$client's$history$would$be$of$most$concern?$
A.$BPH$
B.$Mild$Hypertension$
C.)Occasional)use)of)nitroglycerin)
D.$Taking$finasteride$
$
15) A$nurse$is$preparing$discharge$teaching$for$a$client$who$will$be$going$home$on$warfarin.$
Which$of$these$client$statements$indicates$the$need$for$further$instruction?$
A.$I$should$avoid$alcohol$and$herbal$remedies$while$I$am$taking$warfarin.$
B.$I$should$be$consistent$with$my$intake$of$leafy$greens$while$I$am$taking$warfarin.$$
C.)If)I)notice)sings)of)bleeding,)I)will)stop)taking)my)warfarin)and)follow)up)with)my)
provider)in)a)week.))
D.$I$should$have$my$INR$checked$regularly$while$I$am$on$warfarin.$$
$
16) A$client$arrives$in$the$ER$with$localized$swelling$of$lips$and$tongue.$The$client’s$
medication$list$includes$the$following$medications.$Which$of$the$following$medications$
does$the$nurse$anticipate$the$provider$discontinuing?$
A. Captopril)
B. Simvastatin$
C. Amlodipine$
D. Budesonide$
$
$
