ATI Pharmacology Study Guide with Answers 2nd Set
Answers Marked With *
Urinary Incontinence and Benign Prostatic Hypertrophy (BPH)
1. Bethanechol (Urecholine) is a:
A. Peripherally acting muscle relaxant
B. Muscle paralytic agent
C. Muscarinic agonists used for urinary retention *
D. Centrally acting muscle relaxant
2. A nurse is caring for an 80 year-old female client who has a prescription for bethanechol
(Urecholine) 50 mg PO three times a day. The nurse should recognize that all except for
which one of the following findings is a clinical manifestation of extreme muscarinic
stimulation of the parasympathetic nervous system?
A. Sweating
B. Tearing
C. Bradycardia
D. Hypertension *
3. A nurse in a provider’s office is reviewing the health care record of an 82-year old
woman who reported urinary incontinence and asked about a prescription for oxybutynin
(Ditropan). This drug is a muscarinic antagonist and inhibits muscarinic receptors of the
detrusor muscle of the bladder, which prevents contractions of the bladder and the urge to
void. The nurse should recognize that oxybutynin has anticholinergic effects and is
contraindicated in the presence of all except for which of the following conditions?
A. Glaucoma
B. Myasthenia gravis
C. Paralytic ileus
D. Depression *
4. Pharmacological intervention for patients with urge incontinence include:
A. Pseudoephedrine
B. Olterodine (Detrol) *
C. Doxazosin (Cardura)
D. Finasteride (Proscar)
5. A client, Mrs. Jones, age 70, has begun taking an anticholinergic medication, Tylenol PM
with Benadryl for insomnia. The nurse should make it a priority to assess for which
unintended manifestations?
A. Tachycardia and hypertension
B. Urinary retention, hesitancy, and constipation *
C. Pain resembling the pattern associated with cholecystitis
, D. Pain resembling renal colic
6. Finasteride (Proscar, Propecia) and dutasteride (Avodart) are helpful in the treatment of
BPH because of their effect on
A. Bladder contractility
B. Prostate size *
C. Bladder pressure
D. Activity at select bladder receptor sites
7. Tamsulosin (Flovent) is helpful in the treatment of BPH because of its effect on
A. Activity at select bladder receptor sites *
B. Bladder pressure
C. Bladder contractility
D. Prostate size
8. Mr. Houser has come to the clinic asking for medication for his erectile dysfunction.
Which of the following medications for erectile dysfunction treatment has the longest
half-life?
A. Sildenafil (Viagra)
B. Avanafil (Stendra)
C. Tadalafil (Cialis) *
D. Vardenafil (Levitra)
9. When taking a PDE-5 inhibitor, concomitant use of which medication must be avoided?
A. Statins
B. Sulfonylurea
C. ACE inhibitors
D. Nitrates *
10. Which of the following drugs is an alpha1 adrenergic blocker that causes venous and
arterial dilation, smooth muscle relaxation of the prostatic capsule and is used to treat
benign prostatic hyperplasia (BPH)?
A. Terazosin (Hytrin) *
B. Captopril (Capoten)
C. Losartan (Cozaar)
D. Clonidine (Catapres)
Non-Steroidal Anti-inflammatory Drugs (NSAIDS)
11. When taking a nonsteroidal anti-inflammatory drug, the client should take the
medication:
A. Before bedtime
B. With food, a full glass of milk, or antacids *
C. One hour before meals
D. Four hours before bedtime
,12. To decrease the risk of ulcer formation, NSAIDS should be prescribed with another drug
such as all EXCEPT FOR which one of the following?
A. Misoprostol (Cytotec)
B. Omeprazole (Prilosec)
C. Ranitidine (Zantac)
D. Warfarin (Coumadin) *
13. A nurse is teaching a client who has a new prescription for ergotamine (Ergomar) to treat
migraine headaches. The nurse should instruct the client to stop taking the medication
and notify the provider for all EXCEPT for which one of the following reasons?
A. Muscle pain
B. Visual disturbances *
C. Positive home pregnancy test
D. Numbness and tingling in fingers
14. Mrs. Gray is taking baby aspirin each day. She thinks she took an overdose of the
aspirin. What would be the signs?
A. Vomiting
B. Hyperexcitability
C. Headache
D. Tinnitus *
15. Mr. Jackson, age 80 (above) became severely depressed and took an overdose of
acetaminophen. What drug would he get IV in the ICU as an antidote?
A. Naloxane (Narcan)
B. Acetylcysteine (Mucomyst) *
C. Misoprostol (Cytotec)
D. Flumazenil (Romazicon)
16. All of the following are NSAIDS with COX-1 and COX-2 inhibition except for which
one?
, A. Ketorolac (Toradol)
B. Meloxicam (Mobic)
C. Indomethacin (Indocin)
D. Celecoxib (Celebrex) *
17. Mr. Keller, age 56, has kidney stones and has been taking an NSAID, ketorolac
(Toradol), via intramuscular injections. Toradol is used to treat acute pain and is only for
short-term use. It is not for extended periods use or for chronic pain. Since this drug
interferes with platelet aggregation, you should check your patient for:
A. Blood in his urine
B. Jaundice
C. Cyanosis
D. Bruising *
18. You are caring for Mr. Duke, age 60, who is diagnosed with salicylism. The patient
would demonstrate all of the following findings EXCEPT FOR which one?
A. Tinnitus
B. Headache
C. Dizziness
D. Diarrhea *
19. Mrs. Lambert is babysitting for one of her grandchildren, age 6, who has flu symptoms.
The child has a fever and Mrs. Lambert looks in her cabinet for baby aspirin. Aspirin is
contraindicated in children with viral illnesses because it can cause:
A. Reye’s Syndrome *
B. Tinnitus
C. Gastro-intestinal bleeding
D. Diarrhea
20. Mrs. Cameron became very depressed and took an overdose of aspirin. A nurse in an
emergency department is performing an admission assessment for her, knowing that she
may have severe aspirin toxicity. Which of the following findings should the nurse
expect to find?
A. Cool, dry skin
B. Hyperventilation from metabolic acidosis *
C. Bradycardia
D. Hypothermia
21. You are taking a health history for a client, Mrs. Smith, age 71, who reports that she is
taking aspirin about four times daily for a sprained wrist. Which of the following
prescribed medications taken by the client is contraindicated with aspirin?
A. Digoxin (Lanoxin)
B. Nitroglycerin (Nitro-Dur)
C. Warfarin (Coumadin) *
D. Metformin (Glucophage)
Answers Marked With *
Urinary Incontinence and Benign Prostatic Hypertrophy (BPH)
1. Bethanechol (Urecholine) is a:
A. Peripherally acting muscle relaxant
B. Muscle paralytic agent
C. Muscarinic agonists used for urinary retention *
D. Centrally acting muscle relaxant
2. A nurse is caring for an 80 year-old female client who has a prescription for bethanechol
(Urecholine) 50 mg PO three times a day. The nurse should recognize that all except for
which one of the following findings is a clinical manifestation of extreme muscarinic
stimulation of the parasympathetic nervous system?
A. Sweating
B. Tearing
C. Bradycardia
D. Hypertension *
3. A nurse in a provider’s office is reviewing the health care record of an 82-year old
woman who reported urinary incontinence and asked about a prescription for oxybutynin
(Ditropan). This drug is a muscarinic antagonist and inhibits muscarinic receptors of the
detrusor muscle of the bladder, which prevents contractions of the bladder and the urge to
void. The nurse should recognize that oxybutynin has anticholinergic effects and is
contraindicated in the presence of all except for which of the following conditions?
A. Glaucoma
B. Myasthenia gravis
C. Paralytic ileus
D. Depression *
4. Pharmacological intervention for patients with urge incontinence include:
A. Pseudoephedrine
B. Olterodine (Detrol) *
C. Doxazosin (Cardura)
D. Finasteride (Proscar)
5. A client, Mrs. Jones, age 70, has begun taking an anticholinergic medication, Tylenol PM
with Benadryl for insomnia. The nurse should make it a priority to assess for which
unintended manifestations?
A. Tachycardia and hypertension
B. Urinary retention, hesitancy, and constipation *
C. Pain resembling the pattern associated with cholecystitis
, D. Pain resembling renal colic
6. Finasteride (Proscar, Propecia) and dutasteride (Avodart) are helpful in the treatment of
BPH because of their effect on
A. Bladder contractility
B. Prostate size *
C. Bladder pressure
D. Activity at select bladder receptor sites
7. Tamsulosin (Flovent) is helpful in the treatment of BPH because of its effect on
A. Activity at select bladder receptor sites *
B. Bladder pressure
C. Bladder contractility
D. Prostate size
8. Mr. Houser has come to the clinic asking for medication for his erectile dysfunction.
Which of the following medications for erectile dysfunction treatment has the longest
half-life?
A. Sildenafil (Viagra)
B. Avanafil (Stendra)
C. Tadalafil (Cialis) *
D. Vardenafil (Levitra)
9. When taking a PDE-5 inhibitor, concomitant use of which medication must be avoided?
A. Statins
B. Sulfonylurea
C. ACE inhibitors
D. Nitrates *
10. Which of the following drugs is an alpha1 adrenergic blocker that causes venous and
arterial dilation, smooth muscle relaxation of the prostatic capsule and is used to treat
benign prostatic hyperplasia (BPH)?
A. Terazosin (Hytrin) *
B. Captopril (Capoten)
C. Losartan (Cozaar)
D. Clonidine (Catapres)
Non-Steroidal Anti-inflammatory Drugs (NSAIDS)
11. When taking a nonsteroidal anti-inflammatory drug, the client should take the
medication:
A. Before bedtime
B. With food, a full glass of milk, or antacids *
C. One hour before meals
D. Four hours before bedtime
,12. To decrease the risk of ulcer formation, NSAIDS should be prescribed with another drug
such as all EXCEPT FOR which one of the following?
A. Misoprostol (Cytotec)
B. Omeprazole (Prilosec)
C. Ranitidine (Zantac)
D. Warfarin (Coumadin) *
13. A nurse is teaching a client who has a new prescription for ergotamine (Ergomar) to treat
migraine headaches. The nurse should instruct the client to stop taking the medication
and notify the provider for all EXCEPT for which one of the following reasons?
A. Muscle pain
B. Visual disturbances *
C. Positive home pregnancy test
D. Numbness and tingling in fingers
14. Mrs. Gray is taking baby aspirin each day. She thinks she took an overdose of the
aspirin. What would be the signs?
A. Vomiting
B. Hyperexcitability
C. Headache
D. Tinnitus *
15. Mr. Jackson, age 80 (above) became severely depressed and took an overdose of
acetaminophen. What drug would he get IV in the ICU as an antidote?
A. Naloxane (Narcan)
B. Acetylcysteine (Mucomyst) *
C. Misoprostol (Cytotec)
D. Flumazenil (Romazicon)
16. All of the following are NSAIDS with COX-1 and COX-2 inhibition except for which
one?
, A. Ketorolac (Toradol)
B. Meloxicam (Mobic)
C. Indomethacin (Indocin)
D. Celecoxib (Celebrex) *
17. Mr. Keller, age 56, has kidney stones and has been taking an NSAID, ketorolac
(Toradol), via intramuscular injections. Toradol is used to treat acute pain and is only for
short-term use. It is not for extended periods use or for chronic pain. Since this drug
interferes with platelet aggregation, you should check your patient for:
A. Blood in his urine
B. Jaundice
C. Cyanosis
D. Bruising *
18. You are caring for Mr. Duke, age 60, who is diagnosed with salicylism. The patient
would demonstrate all of the following findings EXCEPT FOR which one?
A. Tinnitus
B. Headache
C. Dizziness
D. Diarrhea *
19. Mrs. Lambert is babysitting for one of her grandchildren, age 6, who has flu symptoms.
The child has a fever and Mrs. Lambert looks in her cabinet for baby aspirin. Aspirin is
contraindicated in children with viral illnesses because it can cause:
A. Reye’s Syndrome *
B. Tinnitus
C. Gastro-intestinal bleeding
D. Diarrhea
20. Mrs. Cameron became very depressed and took an overdose of aspirin. A nurse in an
emergency department is performing an admission assessment for her, knowing that she
may have severe aspirin toxicity. Which of the following findings should the nurse
expect to find?
A. Cool, dry skin
B. Hyperventilation from metabolic acidosis *
C. Bradycardia
D. Hypothermia
21. You are taking a health history for a client, Mrs. Smith, age 71, who reports that she is
taking aspirin about four times daily for a sprained wrist. Which of the following
prescribed medications taken by the client is contraindicated with aspirin?
A. Digoxin (Lanoxin)
B. Nitroglycerin (Nitro-Dur)
C. Warfarin (Coumadin) *
D. Metformin (Glucophage)
