EXAM 250 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED CORRECT
ANSWERS/ALREADY GRADED A+:-RASMUSSEN
UNIVERSITY
1. The caregiver 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 - ...CORRECT ANS:>>>...C) Ibuprofen
2. Which statement by a patient indicates an understanding ofself-care
precautions when taking warfarin?
A) "My warfarin dose may need to be readjusted when I takea course of
antibiotics."
B) "I should expect pink urine due to metabolic bi-products ofthe dye used in
this medication."
C) "Herbal remedies are fine, but I shouldn't take aspirinwithout
consulting my provider."
D) "I should eat spinach to increase my iron count if my INRgoes below two."
,- ...CORRECT ANS:>>>...A) "My warfarin dose may need to be readjusted
when I take a course of antibiotics."
3. Male patient tells the caregiver he awakens once or twice eachnight to
video and has difficulty starting his stream of urine. He describes these
symptoms as " annoying." The patient
provider examines him and notes that the prostate is moderately enlarged. The
patient is sexually active and tells thecaregiver that he doesn't want to take any
medication that will interfere with sexual function. THe caregiver anticipates
the provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomyC)
Finasteride
D) Doxazosin - ...CORRECT ANS:>>>...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
caregiver. What will thecaregiver tell the patient regarding the side effect
of estrogen therapy?
A) An estrogen progesterone product will increase side effectsB) Transdermal
preparations of estrogen therapy have reducedside effects.
C) Side effects of estrogen therapy are uncommon amongwomen of her
age.
,D) An intravaginal preparation may be best. -
...CORRECT ANS:>>>...B) Transdermal preparations of estrogen
therapy have reduced side effects.
5. A Patient has an infection caused by pseudomonas aeruginosa, and the
prescriber has ordered intravenous piperacillin and tobramycin. Why might
the caregiver questionthis 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. -
...CORRECT ANS:>>>...B) Aminoglycosides are inactivated by
penicillins.
6. A patient with bronchitis is taking trimethoprim/sulfamethoxazole 160/800
mg orally, twice daily. Before administering the third dose, the caregiver
observes the patient has a widespread rash, a temperature and a heart rateof 100
beats/min. The patient looks ill and reports not feeling well. What is the
caregiver's response?
A) Request an order for intravenous trimethoprim/
sulfamethoxazole.
, B) Initiate probiotics.
C) Withhold the treatment and notify the provider of thesymptoms.
D) Administer the dose and request an order for an antipyreticmedication. -
...CORRECT ANS:>>>...C) Withhold the treatment and notify the provider of
the symptoms.
7. A patient with cancer has been taking an opioid analgesic four times
daily for chronic pain and reports needing increased doses for pain. What
will the caregiver tell the patient?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 -
...CORRECT ANS:>>>...A- Over time, people can develop tolerance to
opioids. We can discuss increasing your dose with the provider.
8) A patient who is suffering from an acute gout attack wants toknow 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 paincontrol.