INTRODUCTORY CLINICAL
PHARMACOLOGY TEST.
1.A female client with inoperable advanced breast cancer is prescribed
methyltestosterone. The nurse would be alert for the development of which of the
following? Select all that apply.
A) Amenorrhea
B) Acne
C) Facial hair growth
D) Somnolence
E) Mania
Answer: A, B,
C
Response:
A nurse should advise a female client beginning therapy with methyltestosterone
(Testred) for the treatment of inoperable advanced breast carcinoma of the following
adverse reactions: amenorrhea, other menstrual irregularities, acne, male-pattern
baldness, and virilization (facial hair growth, voice deepening, and clitoromegaly).
2. A nurse suspects a client might be abusing anabolic steroids. Which of the following
signs might a client exhibit that would indicate abuse of anabolic steroids? Select all that
apply.
A) Uncontrolled rage
B) Jaundice
C) Inability to concentrate
D) Acne
E) Severe depression Answer: A, B, C, D, E Response:
A client abusing anabolic steroids might exhibit the following signs: uncontrolled rage,
severe depression, suicidal tendencies, malignant or benign liver tumors, aggressive
behavior, inability to concentrate, personality changes, acne, jaundice, anorexia, male-
pattern baldness, fluid and electrolyte imbalances, and muscle cramps.
3. A nurse's preadministration assessment for a client about the receive oxymetholone
(Anadrol-50) should include which of the following? Select all that apply.
A) Weight
B) Blood glucose
C) Serum lipid levels
D) Hepatic function tests
E) Pain assessment Answer: A, C, D Response:
A nurse's preadministration assessment for a client about the receive oxymetholone
(Anadrol-50) should include weight, blood pressure, pulse, respiratory rate, complete
blood count, hepatic function tests, serum electrolytes, and serum lipid levels.
4. A nurse is describing the action of estrogen in the female body to a client. Which of
the following would the nurse include? Select all that apply.
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, A) Diuresis
B) Calcium and phosphorus conservation
C) Thinning of the cervical mucus
D) Protein catabolism
E) Stimulation of fallopian tube contraction Answer: B, C, E Response:
The actions of estrogen on the female body include fluid retention, calcium and
phosphorus conservation, protein anabolism, thinning of the cervical mucus, stimulation
of fallopian tube contraction, growth of axillary and pubic hair, restoration of the
endometrium after menstruation, and at puberty promotion of growth and development
of the vagina, uterus, fallopian tubes, and breasts.
5. A female client is prescribed norethindrone (Aygestin). The nurse understands that this
drug is indicated for which of the following? Select all that apply.
A) Treatment of amenorrhea
B) Treatment of edema
C) Treatment of endometriosis
D) Pregnancy prevention
E) Prevention of estrogen-dependent breast carcinoma Answer: A, C, D Response:
Progestins, like norethindrone (Aygestin), are used to treat amenorrhea, endometriosis,
and functional uterine bleeding and to prevent pregnancy.
6. A nurse is teaching a client about the use of estradiol (Estrace). The nurse warns the
client of which of the following dermatologic reactions that may continue after drug
discontinuation? Select all that apply.
A) Dermatitis
B) Stevens-Johnson syndrome
C) Pruritus
D) Chloasma E) Melasma
Answer: D, E Response:
Chloasma and melasma are dermatologic reactions that can result from the use of
estrogens, like estradiol (Estrace), and may continue when use of the drug is
discontinued.
7. A client with estrogen excess may report which of the following symptoms to the nurse
during ongoing assessment during treatment with Ortho-Novum 7/7/7? Select all that
apply.
A) Nausea
B) Early breakthrough bleeding
C) Cervical mucorrhea
D) Edema
E) Increased spotting Answer: A, C, D Response:
Signs of excess estrogen include nausea, bloating, cervical mucorrhea, polyposis,
hypertension, migraine headache, breast fullness or tenderness, and edema.
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PHARMACOLOGY TEST.
1.A female client with inoperable advanced breast cancer is prescribed
methyltestosterone. The nurse would be alert for the development of which of the
following? Select all that apply.
A) Amenorrhea
B) Acne
C) Facial hair growth
D) Somnolence
E) Mania
Answer: A, B,
C
Response:
A nurse should advise a female client beginning therapy with methyltestosterone
(Testred) for the treatment of inoperable advanced breast carcinoma of the following
adverse reactions: amenorrhea, other menstrual irregularities, acne, male-pattern
baldness, and virilization (facial hair growth, voice deepening, and clitoromegaly).
2. A nurse suspects a client might be abusing anabolic steroids. Which of the following
signs might a client exhibit that would indicate abuse of anabolic steroids? Select all that
apply.
A) Uncontrolled rage
B) Jaundice
C) Inability to concentrate
D) Acne
E) Severe depression Answer: A, B, C, D, E Response:
A client abusing anabolic steroids might exhibit the following signs: uncontrolled rage,
severe depression, suicidal tendencies, malignant or benign liver tumors, aggressive
behavior, inability to concentrate, personality changes, acne, jaundice, anorexia, male-
pattern baldness, fluid and electrolyte imbalances, and muscle cramps.
3. A nurse's preadministration assessment for a client about the receive oxymetholone
(Anadrol-50) should include which of the following? Select all that apply.
A) Weight
B) Blood glucose
C) Serum lipid levels
D) Hepatic function tests
E) Pain assessment Answer: A, C, D Response:
A nurse's preadministration assessment for a client about the receive oxymetholone
(Anadrol-50) should include weight, blood pressure, pulse, respiratory rate, complete
blood count, hepatic function tests, serum electrolytes, and serum lipid levels.
4. A nurse is describing the action of estrogen in the female body to a client. Which of
the following would the nurse include? Select all that apply.
Page 2
, A) Diuresis
B) Calcium and phosphorus conservation
C) Thinning of the cervical mucus
D) Protein catabolism
E) Stimulation of fallopian tube contraction Answer: B, C, E Response:
The actions of estrogen on the female body include fluid retention, calcium and
phosphorus conservation, protein anabolism, thinning of the cervical mucus, stimulation
of fallopian tube contraction, growth of axillary and pubic hair, restoration of the
endometrium after menstruation, and at puberty promotion of growth and development
of the vagina, uterus, fallopian tubes, and breasts.
5. A female client is prescribed norethindrone (Aygestin). The nurse understands that this
drug is indicated for which of the following? Select all that apply.
A) Treatment of amenorrhea
B) Treatment of edema
C) Treatment of endometriosis
D) Pregnancy prevention
E) Prevention of estrogen-dependent breast carcinoma Answer: A, C, D Response:
Progestins, like norethindrone (Aygestin), are used to treat amenorrhea, endometriosis,
and functional uterine bleeding and to prevent pregnancy.
6. A nurse is teaching a client about the use of estradiol (Estrace). The nurse warns the
client of which of the following dermatologic reactions that may continue after drug
discontinuation? Select all that apply.
A) Dermatitis
B) Stevens-Johnson syndrome
C) Pruritus
D) Chloasma E) Melasma
Answer: D, E Response:
Chloasma and melasma are dermatologic reactions that can result from the use of
estrogens, like estradiol (Estrace), and may continue when use of the drug is
discontinued.
7. A client with estrogen excess may report which of the following symptoms to the nurse
during ongoing assessment during treatment with Ortho-Novum 7/7/7? Select all that
apply.
A) Nausea
B) Early breakthrough bleeding
C) Cervical mucorrhea
D) Edema
E) Increased spotting Answer: A, C, D Response:
Signs of excess estrogen include nausea, bloating, cervical mucorrhea, polyposis,
hypertension, migraine headache, breast fullness or tenderness, and edema.
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