EXAM
Exam Solution vc
Lehne’s Pharmacotherapeutics for Advanced Nurses an vc vc vc vc vc
d Physician Assistants (2nd Edition Rosenthal Test Ban
vc vc vc vc vc vc vc
k) 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AN
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D VERIFIED ANSWERS (D915A)
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QUESTION 1 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 598. A patient will begin taking hydroxychl
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oroquine [Plaquenil] for rheumatoid arthritis. The patient is currently taking high-
vc vc vc vc vc vc vc vc vc vc
dose NSAIDs and methotrexate. What will the nurse teach the patient?
vc vc vc vc vc vc vc vc vc vc
ANSWER
a. That an eye examination is necessary at the beginning of therapy with this drug
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 599. A patient will begin taking etanercept [
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Enbrel] for severe rheumatoid arthritis. The patient has been taking methotrexate [Rheu
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matrex]. The patient asks if the etanercept is stronger than the methotrexate. The nurse
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
will tell the patient that etanercept methotrexate.
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ANSWER
c. is better at delaying progression of joint damage than
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QUESTION 3 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 600. A patient with rheumatoid arthritis is t
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aking leflunomide [Arava] and an oral contraceptive. She tells the nurse she would like t
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o get pregnant. What will the nurse tell her?
vc vc vc vc vc vc vc vc
ANSWER
c. To ask her provider about an 11-day course of cholestyramine
vc vc vc vc vc vc vc vc vc vc
,QUESTION 4 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 601. A patient is beginning therapy with or
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
al methotrexate [Rheumatrex] for rheumatoid arthritis. The nurse will teach this patient
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about the importance of:
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ANSWER
a. having routine renal and hepatic function tests.
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QUESTION 5 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 602. A nurse is discussing the administratio
vc vc vc vc vc vc vc vc vc vc vc vc vc
n of an intravenous infusion of rituximab (Rituxan) with a nursing student. Which state
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ment by the student indicates a need for further education about the care of a patient re
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ceiving this drug? vc vc
ANSWER
a. "Angioedema and hypersensitivity may occur, but they are usually self-limiting and mild."
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 6 vc
Ch 60 Drug Therapy of Gout 604. A patient who has gout will begin taking febuxostat [Ul
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
oric] and colchicine. What will the nurse include when teaching this patient about this dr
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ug regimen? vc
ANSWER
e. That colchicine is used prophylactically to prevent acute gout attacks when starting febuxostat
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
Ch 60 Drug Therapy of Gout 605. A patient with chronic gout is admitted to the hospital f
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
or treatment for an infection. The patient is receiving allopurinol and ampicillin. The nur
vc vc vc vc vc vc vc vc vc vc vc vc vc
se is preparing to administer medications and notes that the patient has a temperature o
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
f 101° F and a rash. What will the nurse do?
vc vc vc vc vc vc vc vc vc vc
ANSWER
a. Withhold the allopurinol and notify the prescriber of the drug reaction.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 8 vc
Ch 60 Drug Therapy of Gout 606. A patient with chronic gout has an acute gouty episode
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
and is admitted to the hospital. The patient has been taking nonsteroidal anti-
vc vc vc vc vc vc vc vc vc vc vc vc
inflammatory drugs for several months. The prescriber plans to begin therapy with prob
vc vc vc vc vc vc vc vc vc vc vc vc
enecid. What will the nurse do? vc vc vc vc vc
,ANSWER
d. Suggest delaying the probenecid therapy until the acute episode has subsided.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
Ch 60 Drug Therapy of Gout 607. A patient is being treated with warfarin [Coumadin] to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
prevent thrombus. The patient develops hyperuricemia, and the provider orders allopur
vc vc vc vc vc vc vc vc vc vc
inol [Zyloprim]. The nurse will contact the provider to discuss the dose.
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
d. reducing; warfarin
vc vc
QUESTION 10 vc
Ch 60 Drug Therapy of Gout 608. A patient who will begin taking colchicine for gout repo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rts taking nonsteroidal anti-
vc vc vc
inflammatory drugs, simvastatin, amoxicillin, and digoxin. What will the nurse do?
vc vc vc vc vc vc vc vc vc vc
ANSWER
b. Notify the provider about the potential risk of muscle injury when simvastatin is taken with colchicin
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e.
QUESTION 11 vc
Ch 60 Drug Therapy of Gout 609. A patient who is hospitalized for an acute gout attack h
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
as received several doses of hourly oral colchicine but still reports moderate to severe p
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ain. As the nurse prepares to administer the next dose, the patient begins vomiting. Wha
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t will the nurse do?
vc vc vc vc
ANSWER
b. Hold the medication and notify the prescriber.
vc vc vc vc vc vc vc
QUESTION 12 vc
Ch 60 Drug Therapy of Gout 610. A patient with gout who has increasingly frequent acut
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e gouty attacks will begin receiving allopurinol [Zyloprim] and colchicine. The nurse will
vc vc vc vc vc vc vc vc vc vc vc vc v
include which statement when teaching the patient about this drug regimen?
c vc vc vc vc vc vc vc vc vc vc
ANSWER
d. "You will take both drugs initially and then stop taking the colchicine."
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
, Ch 60 Drug Therapy of Gout 611. A patient has had three gouty flare-
vc vc vc vc vc vc vc vc vc vc vc vc vc
ups in the past year. Which drug class will the nurse expect the provider to order for this
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
patient?
vc
ANSWER
d. Urate-lowering drugs
vc vc
QUESTION 14 vc
Ch 60 Drug Therapy of Gout 612. A patient is admitted for treatment of gout that has bee
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n refractory to treatment with allopurinol and probenecid. The patient is taking colchici
vc vc vc vc vc vc vc vc vc vc vc vc
ne, and the prescriber orders pegloticase [Krystexxa]. Before administering this drug, th
vc vc vc vc vc vc vc vc vc vc vc
e nurse will expect to:
vc vc vc vc
ANSWER
a. administer an antihistamine and a glucocorticoid.
vc vc vc vc vc vc
QUESTION 15 vc
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 613. A nurse provides tea
vc vc vc vc vc vc vc vc vc vc vc vc vc
ching for a woman who will begin taking supplemental calcium. Which statement by the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
woman indicates understanding of the teaching?
vc vc vc vc vc
ANSWER
b. "I should not take more than 600 mg of calcium at one time."
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 16 vc
Ch 62 Drugs for Asthma and Chronic Obstructive Pulmonary Disease 630. A patient with
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
stable COPD is prescribed a bronchodilator medication. Which type of bronchodilator is
vc vc vc vc vc vc vc vc vc vc vc vc
preferred for this patient? vc vc vc
ANSWER
a. A long-acting inhaled beta2 agonist
vc vc vc vc vc
QUESTION 17 vc
Ch 63 Drugs for Allergic Rhinitis, Cough, and Colds 648. A patient who has seasonal aller
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
gies in the spring and fall asks the nurse about oral antihistamines.
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
d. "You should take oral antihistamines daily during each allergy season to get maximum effects."
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Exam Solution vc
Lehne’s Pharmacotherapeutics for Advanced Nurses an vc vc vc vc vc
d Physician Assistants (2nd Edition Rosenthal Test Ban
vc vc vc vc vc vc vc
k) 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AN
vc vc vc vc vc vc vc
D VERIFIED ANSWERS (D915A)
vc vc vc
QUESTION 1 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 598. A patient will begin taking hydroxychl
vc vc vc vc vc vc vc vc vc vc vc vc vc
oroquine [Plaquenil] for rheumatoid arthritis. The patient is currently taking high-
vc vc vc vc vc vc vc vc vc vc
dose NSAIDs and methotrexate. What will the nurse teach the patient?
vc vc vc vc vc vc vc vc vc vc
ANSWER
a. That an eye examination is necessary at the beginning of therapy with this drug
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 599. A patient will begin taking etanercept [
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Enbrel] for severe rheumatoid arthritis. The patient has been taking methotrexate [Rheu
vc vc vc vc vc vc vc vc vc vc vc
matrex]. The patient asks if the etanercept is stronger than the methotrexate. The nurse
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
will tell the patient that etanercept methotrexate.
vc vc vc vc vc vc
ANSWER
c. is better at delaying progression of joint damage than
vc vc vc vc vc vc vc vc vc
QUESTION 3 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 600. A patient with rheumatoid arthritis is t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
aking leflunomide [Arava] and an oral contraceptive. She tells the nurse she would like t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
o get pregnant. What will the nurse tell her?
vc vc vc vc vc vc vc vc
ANSWER
c. To ask her provider about an 11-day course of cholestyramine
vc vc vc vc vc vc vc vc vc vc
,QUESTION 4 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 601. A patient is beginning therapy with or
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
al methotrexate [Rheumatrex] for rheumatoid arthritis. The nurse will teach this patient
vc vc vc vc vc vc vc vc vc vc vc v
about the importance of:
c vc vc vc
ANSWER
a. having routine renal and hepatic function tests.
vc vc vc vc vc vc vc
QUESTION 5 vc
Ch 59 Drug Therapy of Rheumatoid Arthritis 602. A nurse is discussing the administratio
vc vc vc vc vc vc vc vc vc vc vc vc vc
n of an intravenous infusion of rituximab (Rituxan) with a nursing student. Which state
vc vc vc vc vc vc vc vc vc vc vc vc vc
ment by the student indicates a need for further education about the care of a patient re
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ceiving this drug? vc vc
ANSWER
a. "Angioedema and hypersensitivity may occur, but they are usually self-limiting and mild."
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 6 vc
Ch 60 Drug Therapy of Gout 604. A patient who has gout will begin taking febuxostat [Ul
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
oric] and colchicine. What will the nurse include when teaching this patient about this dr
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ug regimen? vc
ANSWER
e. That colchicine is used prophylactically to prevent acute gout attacks when starting febuxostat
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
Ch 60 Drug Therapy of Gout 605. A patient with chronic gout is admitted to the hospital f
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
or treatment for an infection. The patient is receiving allopurinol and ampicillin. The nur
vc vc vc vc vc vc vc vc vc vc vc vc vc
se is preparing to administer medications and notes that the patient has a temperature o
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
f 101° F and a rash. What will the nurse do?
vc vc vc vc vc vc vc vc vc vc
ANSWER
a. Withhold the allopurinol and notify the prescriber of the drug reaction.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 8 vc
Ch 60 Drug Therapy of Gout 606. A patient with chronic gout has an acute gouty episode
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
and is admitted to the hospital. The patient has been taking nonsteroidal anti-
vc vc vc vc vc vc vc vc vc vc vc vc
inflammatory drugs for several months. The prescriber plans to begin therapy with prob
vc vc vc vc vc vc vc vc vc vc vc vc
enecid. What will the nurse do? vc vc vc vc vc
,ANSWER
d. Suggest delaying the probenecid therapy until the acute episode has subsided.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
Ch 60 Drug Therapy of Gout 607. A patient is being treated with warfarin [Coumadin] to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
prevent thrombus. The patient develops hyperuricemia, and the provider orders allopur
vc vc vc vc vc vc vc vc vc vc
inol [Zyloprim]. The nurse will contact the provider to discuss the dose.
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
d. reducing; warfarin
vc vc
QUESTION 10 vc
Ch 60 Drug Therapy of Gout 608. A patient who will begin taking colchicine for gout repo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rts taking nonsteroidal anti-
vc vc vc
inflammatory drugs, simvastatin, amoxicillin, and digoxin. What will the nurse do?
vc vc vc vc vc vc vc vc vc vc
ANSWER
b. Notify the provider about the potential risk of muscle injury when simvastatin is taken with colchicin
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e.
QUESTION 11 vc
Ch 60 Drug Therapy of Gout 609. A patient who is hospitalized for an acute gout attack h
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
as received several doses of hourly oral colchicine but still reports moderate to severe p
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ain. As the nurse prepares to administer the next dose, the patient begins vomiting. Wha
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
t will the nurse do?
vc vc vc vc
ANSWER
b. Hold the medication and notify the prescriber.
vc vc vc vc vc vc vc
QUESTION 12 vc
Ch 60 Drug Therapy of Gout 610. A patient with gout who has increasingly frequent acut
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e gouty attacks will begin receiving allopurinol [Zyloprim] and colchicine. The nurse will
vc vc vc vc vc vc vc vc vc vc vc vc v
include which statement when teaching the patient about this drug regimen?
c vc vc vc vc vc vc vc vc vc vc
ANSWER
d. "You will take both drugs initially and then stop taking the colchicine."
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
, Ch 60 Drug Therapy of Gout 611. A patient has had three gouty flare-
vc vc vc vc vc vc vc vc vc vc vc vc vc
ups in the past year. Which drug class will the nurse expect the provider to order for this
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
patient?
vc
ANSWER
d. Urate-lowering drugs
vc vc
QUESTION 14 vc
Ch 60 Drug Therapy of Gout 612. A patient is admitted for treatment of gout that has bee
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n refractory to treatment with allopurinol and probenecid. The patient is taking colchici
vc vc vc vc vc vc vc vc vc vc vc vc
ne, and the prescriber orders pegloticase [Krystexxa]. Before administering this drug, th
vc vc vc vc vc vc vc vc vc vc vc
e nurse will expect to:
vc vc vc vc
ANSWER
a. administer an antihistamine and a glucocorticoid.
vc vc vc vc vc vc
QUESTION 15 vc
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 613. A nurse provides tea
vc vc vc vc vc vc vc vc vc vc vc vc vc
ching for a woman who will begin taking supplemental calcium. Which statement by the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
woman indicates understanding of the teaching?
vc vc vc vc vc
ANSWER
b. "I should not take more than 600 mg of calcium at one time."
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 16 vc
Ch 62 Drugs for Asthma and Chronic Obstructive Pulmonary Disease 630. A patient with
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
stable COPD is prescribed a bronchodilator medication. Which type of bronchodilator is
vc vc vc vc vc vc vc vc vc vc vc vc
preferred for this patient? vc vc vc
ANSWER
a. A long-acting inhaled beta2 agonist
vc vc vc vc vc
QUESTION 17 vc
Ch 63 Drugs for Allergic Rhinitis, Cough, and Colds 648. A patient who has seasonal aller
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
gies in the spring and fall asks the nurse about oral antihistamines.
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
d. "You should take oral antihistamines daily during each allergy season to get maximum effects."
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
