Pharm Study Questions Test 3 NSAIDs, Corticosteroids, Vaccines, Respiratory
Pharm Study Questions for Test 3: NSAIDs, Corticosteroids, Vaccines, Respiratory
1. A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine.
Which of the following instructions should the nurse give regarding the adverse effect
of dry mouth associated with diphenhydramine?
A: “Administer the medication with food.”
B: “Chew on sugarless gum or suck on hard, sour candies.”
C: “Place a humidifier at your bedside every evening.”
D: “Discontinue the medication and notify your
provider.” Correct answer is B
Clients who report dry mouth can get the most effective relief by sucking on hard candies
(especially the sour varieties that stimulate salivation), chewing gum, or rinsing the mouth
frequently. It is the local effect of these actions that provides comfort to the client.
2. A nurse is providing teaching to a client who has gout and a new prescription for
allopurinol. Which of the following statements by the client indicated an understanding
of the teaching?
A: “If I get a rash from this medication, I will take my usual antihistamine.”
B: “I need to increase my fluid intake while taking this medication.”
C: “I should take this medicine on an empty stomach.”
D: “If I get a fever while taking this medication, I will take some aspirin.”
Correct answer is B
Clients who have gout should increase their fluid intake 2 to 3L per day to prevent
toxicity of allopurinol and decrease uric acid levels.
3. A nurse is teaching an adolescent about medication therapy with oral acetylcysteine.
Which of the following information should the nurse include in the teaching?
A: “You should avoid eating
eggs.” B: “Your mouth will
become dry.”
C: “It is necessary to monitor your serum electrolyte levels.”
D: “This medication has a very unusual odor.”
Correct answer is D
This medication has an odor similar to rotten eggs due to the presence of disulfide
linkages
4. A nurse is teaching a client who is begin long-term therapy with prednisone to treat
rheumatoid arthritis. The nurse should instruct the client to take which of the
following supplements while taking this medication?
A: Calcium and vitamin D
B: Biotin and vitamin B2
C: Folic acid and Vitamin
C
D: Pantothenic acid and vitamin B6
Correct answer is A
Long-term use of glucocorticoids, such as prednisone, places the client at risk for
osteoporosis. The nurse should instruct the client to take calcium and vit D supplements to
reduce the risk.
, Pharm Study Questions Test 3 NSAIDs, Corticosteroids, Vaccines, Respiratory
5. A nurse is preparing to administer indomethacin 75 mg PO bid. Available is indomethacin
25 mg/5mL. How many mL should the nurse administer per dose? (round to nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct answer is 15 mL
6. A nurse is providing teaching to a client who has asthma and a new prescription for
inhaled beclomethasone. Which of the following instructions should the nurse
provide?
A: Check the pulse after medication administration
B: Take the medication with meals
C: Rinse the moth after administration
D: Limit caffeine intake
Correct answer is C
Use of glucocorticoids by metered dose inhaler can allow a fungal overgrowth in the
mouth. Rinsing the mouth after administration can lessen the likelihood of this complication.
7. A nurse is reviewing the medical records of four older adult clients. The nurse should
plan to administer the herpes zoster vaccine to which of the following clients?
A: A client who takes omeprazole for peptic ulcer disease
B: A client who takes prednisone 20 mg per day for rheumatoid arthritis
C: A client who is receiving chemotherapy for breast cancer
D: A client who has HIV and is
immunocompromised Correct answer is A
Clients who are 60 or older should receive one dose of the herpes zoster vaccine unless
they have a contraindication, such as a depressed immune system from medications; an allergy to
neomycin or any other component of the vaccine; or a disorder that weakens the immune system
8. A nurse is teaching a client who has chronic tophaceous gout about his new prescription
for allopurinol. The nurse should explain that the purpose of this medication is to
reduce blood levels of which of the following substances?
A: Uric acid
B: Chloride
C: Interleukin 1
D: Potassium
Correct answer is A
Hyperuricemia is the underlying cause of gout. Clients who have chronic gout develop
tophi. The purpose of allopurinol is to reduce the synthesis of uric acid.
9. A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available
is hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose?
Correct answer is 0.8 mL
Pharm Study Questions for Test 3: NSAIDs, Corticosteroids, Vaccines, Respiratory
1. A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine.
Which of the following instructions should the nurse give regarding the adverse effect
of dry mouth associated with diphenhydramine?
A: “Administer the medication with food.”
B: “Chew on sugarless gum or suck on hard, sour candies.”
C: “Place a humidifier at your bedside every evening.”
D: “Discontinue the medication and notify your
provider.” Correct answer is B
Clients who report dry mouth can get the most effective relief by sucking on hard candies
(especially the sour varieties that stimulate salivation), chewing gum, or rinsing the mouth
frequently. It is the local effect of these actions that provides comfort to the client.
2. A nurse is providing teaching to a client who has gout and a new prescription for
allopurinol. Which of the following statements by the client indicated an understanding
of the teaching?
A: “If I get a rash from this medication, I will take my usual antihistamine.”
B: “I need to increase my fluid intake while taking this medication.”
C: “I should take this medicine on an empty stomach.”
D: “If I get a fever while taking this medication, I will take some aspirin.”
Correct answer is B
Clients who have gout should increase their fluid intake 2 to 3L per day to prevent
toxicity of allopurinol and decrease uric acid levels.
3. A nurse is teaching an adolescent about medication therapy with oral acetylcysteine.
Which of the following information should the nurse include in the teaching?
A: “You should avoid eating
eggs.” B: “Your mouth will
become dry.”
C: “It is necessary to monitor your serum electrolyte levels.”
D: “This medication has a very unusual odor.”
Correct answer is D
This medication has an odor similar to rotten eggs due to the presence of disulfide
linkages
4. A nurse is teaching a client who is begin long-term therapy with prednisone to treat
rheumatoid arthritis. The nurse should instruct the client to take which of the
following supplements while taking this medication?
A: Calcium and vitamin D
B: Biotin and vitamin B2
C: Folic acid and Vitamin
C
D: Pantothenic acid and vitamin B6
Correct answer is A
Long-term use of glucocorticoids, such as prednisone, places the client at risk for
osteoporosis. The nurse should instruct the client to take calcium and vit D supplements to
reduce the risk.
, Pharm Study Questions Test 3 NSAIDs, Corticosteroids, Vaccines, Respiratory
5. A nurse is preparing to administer indomethacin 75 mg PO bid. Available is indomethacin
25 mg/5mL. How many mL should the nurse administer per dose? (round to nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct answer is 15 mL
6. A nurse is providing teaching to a client who has asthma and a new prescription for
inhaled beclomethasone. Which of the following instructions should the nurse
provide?
A: Check the pulse after medication administration
B: Take the medication with meals
C: Rinse the moth after administration
D: Limit caffeine intake
Correct answer is C
Use of glucocorticoids by metered dose inhaler can allow a fungal overgrowth in the
mouth. Rinsing the mouth after administration can lessen the likelihood of this complication.
7. A nurse is reviewing the medical records of four older adult clients. The nurse should
plan to administer the herpes zoster vaccine to which of the following clients?
A: A client who takes omeprazole for peptic ulcer disease
B: A client who takes prednisone 20 mg per day for rheumatoid arthritis
C: A client who is receiving chemotherapy for breast cancer
D: A client who has HIV and is
immunocompromised Correct answer is A
Clients who are 60 or older should receive one dose of the herpes zoster vaccine unless
they have a contraindication, such as a depressed immune system from medications; an allergy to
neomycin or any other component of the vaccine; or a disorder that weakens the immune system
8. A nurse is teaching a client who has chronic tophaceous gout about his new prescription
for allopurinol. The nurse should explain that the purpose of this medication is to
reduce blood levels of which of the following substances?
A: Uric acid
B: Chloride
C: Interleukin 1
D: Potassium
Correct answer is A
Hyperuricemia is the underlying cause of gout. Clients who have chronic gout develop
tophi. The purpose of allopurinol is to reduce the synthesis of uric acid.
9. A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available
is hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose?
Correct answer is 0.8 mL
