NURS 615 Pharm exam 3
Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the
following, which would be the best treatment for Henry? 1. High-dose colchicine 2. Low-dose colchicine
3. High-dose aspirin 4. Acetaminophen with codeine *** 1. 2. Low-dose colchicine
Patient education when prescribing colchicine includes: 1. Colchicine may be constipating. 2. Colchicine
always causes some degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amounts of
alcohol are safe with colchicine. *** 2. Ans: 2 ____
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes: 1.
Complete blood count 2. Blood glucose 3. C-reactive protein 4. BUN, creatinine, and creatinine clearance
*** 3. Ans: 4 ____
Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: 1.
Gout may worsen with therapy. 2. Febuxostat may cause severe diarrhea. 3. He should consume a high-
calcium diet. 4. He will need frequent CBC monitoring. *** 4. Ans: 1 ____
Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for: 1.
Gout 2. Iron deficiency anemia 3. Osteoporosis 4. Renal dysfunction *** 5. Ans: 3 ____
Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription
for: 1. Metformin, a biguanide to prevent diabetes 2. Omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease 3. Naproxen, an NSAID to treat joint pain 4. Furosemide, a diuretic to treat fluid
retention *** 6.Ans: 2 ____
Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to
discontinue the prednisone. How is prednisone discontinued? 1. Patients with asthma are transitioned
directly off the prednisone onto inhaled corticosteroids. 2. Prednisone can be abruptly discontinued
with no adverse effects. 3. Develop a tapering schedule to slowly wean Daniel off the prednisone. 4.
Substitute the prednisone with another anti-inflammatory such as ibuprofen. *** 7. Ans: 3 ____
,Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with
which medications to prevent further adverse effects? 1. A bisphosphonate 2. Calcium supplementation
3. Vitamin D 4. All of the above *** 8.Ans: 4 ____
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of: 1. Serum
glucose 2. Stool culture 3. Folate levels 4. Vitamin B12 *** 9. Ans: 1 ____
Patients who are on chronic long-term corticosteroid therapy need education regarding: 1. Receiving all
vaccinations, especially the live flu vaccine 2. Reporting black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small amounts of alcohol are generally tolerated. *** 10.
Ans: 2 ____
All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding: 1.
Potential for causing life-threatening GI bleeds 2. Increased risk of developing systemic arthritis with
prolonged use 3. Risk of life-threatening rashes, including Stevens-Johnson 4. Potential for transient
changes in serum glucose *** 11. Ans: 1 ____
Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone
(Vicodin). Education when prescribing Vicodin includes: 1. It is okay to double the dose of Vicodin if the
pain is severe. 2. Vicodin is not habit-forming. 3. He should not take any other acetaminophen-
containing medications. 4. Vicodin may cause diarrhea; increase his fluid intake. *** 12. Ans: 3 ____
When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these
drugs: 1. Omeprazole, a proton pump inhibitor 2. Combined oral contraceptives 3. Diphenhydramine, an
antihistamine 4. Warfarin, an anticoagulant *** 13. Ans: 4 ____
Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection. Along with an
antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education would
her parent need regarding ibuprofen? 1. They can cut an adult ibuprofen tablet in half to give Josefina.
2. The ibuprofen dose can be doubled for severe pain. 3. Josefina needs to be well-hydrated while taking
ibuprofen. 4. Ibuprofen is completely safe in children with no known adverse effects. *** 14. Ans: 3
____
, Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states
the aspirin helps him to "get going" each day. Lately he has had some heartburn from the aspirin. After
ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry? 1. Add an H2
blocker such as ranitidine to his therapy. 2. Discontinue the aspirin and switch him to Vicodin for the
pain. 3. Decrease the aspirin dose to one tablet daily. 4. Have Henry take an antacid 15 minutes before
taking the aspirin each day. *** 15. Ans: 1 ____
The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for
rheumatoid arthritis is: 1. 48 hours 2. 4 to 6 days 3. 4 weeks 4. 2 months *** 16. Ans: 2 ____
Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign
of aspirin toxicity is: 1. Black tarry stools 2. Vomiting 3. Tremors 4. Tinnitus *** 17. Ans: 4 ____
Monitoring a patient on a high-dose aspirin level includes: 1. Salicylate level 2. Complete blood count 3.
Urine pH 4. All of the above *** 18. Ans: 4 ____
Patients who are on long-term aspirin therapy should have ______ annually. 1. Complete blood count 2.
Salicylate level 3. Amylase 4. Urine analysis *** 19. Ans: 1
Both men and women experience bone loss with aging. The bones most likely to demonstrate significant
loss are: 1. Cortical bones 2. Femoral neck bones 3. Cervical vertebrae 4. Pelvic bones *** 1. Ans: 2 ____
Bisphosphonates treat or prevent osteoporosis by: 1. Inhibiting osteoclastic activity 2. Fostering bone
resorption 3. Enhancing calcium uptake in the bone 4. Strengthening the osteoclastic proton pump ***
2. Ans: 1
Prophylactic use of bisphosphonates is recommended for patients with early osteopenia related to long-
term use of which of the following drugs? 1. Selective estrogen receptor modulators 2. Aspirin 3.
Glucocorticoids 4. Calcium supplements *** 3. Ans: 3 ____
Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the
following, which would be the best treatment for Henry? 1. High-dose colchicine 2. Low-dose colchicine
3. High-dose aspirin 4. Acetaminophen with codeine *** 1. 2. Low-dose colchicine
Patient education when prescribing colchicine includes: 1. Colchicine may be constipating. 2. Colchicine
always causes some degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amounts of
alcohol are safe with colchicine. *** 2. Ans: 2 ____
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes: 1.
Complete blood count 2. Blood glucose 3. C-reactive protein 4. BUN, creatinine, and creatinine clearance
*** 3. Ans: 4 ____
Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: 1.
Gout may worsen with therapy. 2. Febuxostat may cause severe diarrhea. 3. He should consume a high-
calcium diet. 4. He will need frequent CBC monitoring. *** 4. Ans: 1 ____
Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for: 1.
Gout 2. Iron deficiency anemia 3. Osteoporosis 4. Renal dysfunction *** 5. Ans: 3 ____
Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription
for: 1. Metformin, a biguanide to prevent diabetes 2. Omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease 3. Naproxen, an NSAID to treat joint pain 4. Furosemide, a diuretic to treat fluid
retention *** 6.Ans: 2 ____
Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to
discontinue the prednisone. How is prednisone discontinued? 1. Patients with asthma are transitioned
directly off the prednisone onto inhaled corticosteroids. 2. Prednisone can be abruptly discontinued
with no adverse effects. 3. Develop a tapering schedule to slowly wean Daniel off the prednisone. 4.
Substitute the prednisone with another anti-inflammatory such as ibuprofen. *** 7. Ans: 3 ____
,Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with
which medications to prevent further adverse effects? 1. A bisphosphonate 2. Calcium supplementation
3. Vitamin D 4. All of the above *** 8.Ans: 4 ____
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of: 1. Serum
glucose 2. Stool culture 3. Folate levels 4. Vitamin B12 *** 9. Ans: 1 ____
Patients who are on chronic long-term corticosteroid therapy need education regarding: 1. Receiving all
vaccinations, especially the live flu vaccine 2. Reporting black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small amounts of alcohol are generally tolerated. *** 10.
Ans: 2 ____
All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding: 1.
Potential for causing life-threatening GI bleeds 2. Increased risk of developing systemic arthritis with
prolonged use 3. Risk of life-threatening rashes, including Stevens-Johnson 4. Potential for transient
changes in serum glucose *** 11. Ans: 1 ____
Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone
(Vicodin). Education when prescribing Vicodin includes: 1. It is okay to double the dose of Vicodin if the
pain is severe. 2. Vicodin is not habit-forming. 3. He should not take any other acetaminophen-
containing medications. 4. Vicodin may cause diarrhea; increase his fluid intake. *** 12. Ans: 3 ____
When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these
drugs: 1. Omeprazole, a proton pump inhibitor 2. Combined oral contraceptives 3. Diphenhydramine, an
antihistamine 4. Warfarin, an anticoagulant *** 13. Ans: 4 ____
Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection. Along with an
antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education would
her parent need regarding ibuprofen? 1. They can cut an adult ibuprofen tablet in half to give Josefina.
2. The ibuprofen dose can be doubled for severe pain. 3. Josefina needs to be well-hydrated while taking
ibuprofen. 4. Ibuprofen is completely safe in children with no known adverse effects. *** 14. Ans: 3
____
, Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states
the aspirin helps him to "get going" each day. Lately he has had some heartburn from the aspirin. After
ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry? 1. Add an H2
blocker such as ranitidine to his therapy. 2. Discontinue the aspirin and switch him to Vicodin for the
pain. 3. Decrease the aspirin dose to one tablet daily. 4. Have Henry take an antacid 15 minutes before
taking the aspirin each day. *** 15. Ans: 1 ____
The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for
rheumatoid arthritis is: 1. 48 hours 2. 4 to 6 days 3. 4 weeks 4. 2 months *** 16. Ans: 2 ____
Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign
of aspirin toxicity is: 1. Black tarry stools 2. Vomiting 3. Tremors 4. Tinnitus *** 17. Ans: 4 ____
Monitoring a patient on a high-dose aspirin level includes: 1. Salicylate level 2. Complete blood count 3.
Urine pH 4. All of the above *** 18. Ans: 4 ____
Patients who are on long-term aspirin therapy should have ______ annually. 1. Complete blood count 2.
Salicylate level 3. Amylase 4. Urine analysis *** 19. Ans: 1
Both men and women experience bone loss with aging. The bones most likely to demonstrate significant
loss are: 1. Cortical bones 2. Femoral neck bones 3. Cervical vertebrae 4. Pelvic bones *** 1. Ans: 2 ____
Bisphosphonates treat or prevent osteoporosis by: 1. Inhibiting osteoclastic activity 2. Fostering bone
resorption 3. Enhancing calcium uptake in the bone 4. Strengthening the osteoclastic proton pump ***
2. Ans: 1
Prophylactic use of bisphosphonates is recommended for patients with early osteopenia related to long-
term use of which of the following drugs? 1. Selective estrogen receptor modulators 2. Aspirin 3.
Glucocorticoids 4. Calcium supplements *** 3. Ans: 3 ____
