RASMUSSEN PHARMACOLOGY FINAL EXAM | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | JUST
RELEASED
1. 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) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine - CORRECT ANSWERS-C) Ibuprofen
2. Which statement by a client indicates an understanding of self-care
precautions when taking warfarin?
A) "My warfarin dose may need to be readjusted when I take a course of
antibiotics."
B) "I should expect pink urine due to metabolic bi-products of the dye used in
this medication."
C) "Herbal remedies are fine, but I shouldn't take aspirin without consulting my
provider."
D) "I should eat spinach to increase my iron count if my INR goes below two." -
CORRECT ANSWERS-A) "My warfarin dose may need to be readjusted when I
take a course of antibiotics."
3. Male client tells the nurse he awakens once or twice each night to video and
has difficulty starting his stream of urine. He describes these symptoms as "
annoying." The client provider examines him and notes that the prostate is
,moderately enlarged. The client is sexually active and tells the nurse that he
doesn't want to take any medication that will interfere with sexual function. THe
nurse anticipates the provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin - CORRECT ANSWERS-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
nurse. What will the nurse tell the client regarding the side effect of estrogen
therapy?
A) An estrogen progesterone product will increase side effects
B) Transdermal preparations of estrogen therapy have reduced side effects.
C) Side effects of estrogen therapy are uncommon among women of her age.
D) An intravaginal preparation may be best. - CORRECT ANSWERS-B)
Transdermal preparations of estrogen therapy have reduced side effects.
5. A Client has an infection caused by pseudomonas aeruginosa, and the
prescriber has ordered intravenous piperacillin and tobramycin. Why might the
nurse question this 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
ANSWERS-B) Aminoglycosides are inactivated by penicillins.
,6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg
orally, twice daily. Before administering the third dose, the nurse observes the
client has a widespread rash, a temperature and a heart rate of 100 beats/min.
The client looks ill and reports not feeling well. What is the nurse's response?
A) Request an order for intravenous trimethoprim/ sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of the symptoms.
D) Administer the dose and request an order for an antipyretic medication. -
CORRECT ANSWERS-C) Withhold the treatment and notify the provider of
the symptoms.
7. A client with cancer has been taking an opioid analgesic four times daily for
chronic pain and reports needing increased doses for pain. What will the nurse
tell the client?
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
ANSWERS-A- Over time, people can develop tolerance to opioids. We can
discuss increasing your dose with the provider.
8) A client who is suffering from an acute gout attack wants to know 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 pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons -
CORRECT ANSWERS-B) All of these medications should be taken concurrently
during an acute attack, and NSAIDS should be added for pain control.
9. The nurse understands that a bronchodilator would be most therapeutic in
which situation?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes - CORRECT
ANSWERS-D- Shallow breath sounds with wheezing sounds in the upper lobes
10. The parents of a child with asthma ask the nurse why their child cannot use
oral corticosteroids more often because they are so effective. What is the correct
response by the nurse?
A- Frequent use of this drug may lead to a decreased response.
B- Chronic steroid use can show growth
C- A hypersensitivity reaction to this drug may occur.
D- systemic steroids are more toxic in children - CORRECT ANSWERS-B-
Chronic steroid use can show growth
11. A client taking warfarin presents with bruises, dark tarry stools, and an
international normalized ratio (INR) of 4.3. What is the nurse's action?
A) Hold the warfarin and consult the provider regarding the next steps.
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | JUST
RELEASED
1. 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) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine - CORRECT ANSWERS-C) Ibuprofen
2. Which statement by a client indicates an understanding of self-care
precautions when taking warfarin?
A) "My warfarin dose may need to be readjusted when I take a course of
antibiotics."
B) "I should expect pink urine due to metabolic bi-products of the dye used in
this medication."
C) "Herbal remedies are fine, but I shouldn't take aspirin without consulting my
provider."
D) "I should eat spinach to increase my iron count if my INR goes below two." -
CORRECT ANSWERS-A) "My warfarin dose may need to be readjusted when I
take a course of antibiotics."
3. Male client tells the nurse he awakens once or twice each night to video and
has difficulty starting his stream of urine. He describes these symptoms as "
annoying." The client provider examines him and notes that the prostate is
,moderately enlarged. The client is sexually active and tells the nurse that he
doesn't want to take any medication that will interfere with sexual function. THe
nurse anticipates the provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin - CORRECT ANSWERS-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
nurse. What will the nurse tell the client regarding the side effect of estrogen
therapy?
A) An estrogen progesterone product will increase side effects
B) Transdermal preparations of estrogen therapy have reduced side effects.
C) Side effects of estrogen therapy are uncommon among women of her age.
D) An intravaginal preparation may be best. - CORRECT ANSWERS-B)
Transdermal preparations of estrogen therapy have reduced side effects.
5. A Client has an infection caused by pseudomonas aeruginosa, and the
prescriber has ordered intravenous piperacillin and tobramycin. Why might the
nurse question this 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
ANSWERS-B) Aminoglycosides are inactivated by penicillins.
,6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg
orally, twice daily. Before administering the third dose, the nurse observes the
client has a widespread rash, a temperature and a heart rate of 100 beats/min.
The client looks ill and reports not feeling well. What is the nurse's response?
A) Request an order for intravenous trimethoprim/ sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of the symptoms.
D) Administer the dose and request an order for an antipyretic medication. -
CORRECT ANSWERS-C) Withhold the treatment and notify the provider of
the symptoms.
7. A client with cancer has been taking an opioid analgesic four times daily for
chronic pain and reports needing increased doses for pain. What will the nurse
tell the client?
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
ANSWERS-A- Over time, people can develop tolerance to opioids. We can
discuss increasing your dose with the provider.
8) A client who is suffering from an acute gout attack wants to know 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 pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons -
CORRECT ANSWERS-B) All of these medications should be taken concurrently
during an acute attack, and NSAIDS should be added for pain control.
9. The nurse understands that a bronchodilator would be most therapeutic in
which situation?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes - CORRECT
ANSWERS-D- Shallow breath sounds with wheezing sounds in the upper lobes
10. The parents of a child with asthma ask the nurse why their child cannot use
oral corticosteroids more often because they are so effective. What is the correct
response by the nurse?
A- Frequent use of this drug may lead to a decreased response.
B- Chronic steroid use can show growth
C- A hypersensitivity reaction to this drug may occur.
D- systemic steroids are more toxic in children - CORRECT ANSWERS-B-
Chronic steroid use can show growth
11. A client taking warfarin presents with bruises, dark tarry stools, and an
international normalized ratio (INR) of 4.3. What is the nurse's action?
A) Hold the warfarin and consult the provider regarding the next steps.
