NURS 615 PHARM EXAM 3 – MARYVILLE UPDATED ACTUAL
Questions and CORRECT Answers
1. Henry presents to clinic with a significantly swollen, 1. 2. Low-dose colchicine
painful great toe and is diagnosed with gout. Of the
following, which would be the best treatment for Hen-
ry? 1. High-dose colchicine 2. Low-dose colchicine 3.
High-dose aspirin 4. Acetaminophen with codeine
2. Patient education when prescribing colchicine in- 2. Ans: 2
cludes: 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.
3. Larry is taking allopurinol to prevent gout. Monitor- 3. Ans: 4
ing 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
4. Phil is starting treatment with febuxostat (Uloric). Edu- 4. Ans: 1
cation 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.
5. Sallie has been taking 10 mg per day of prednisone 5. Ans: 3
for the past 6 months. She should be assessed for:
1. Gout 2. Iron deficiency anemia 3. Osteoporosis 4.
Renal dysfunction
6. Patients whose total dose of prednisone will exceed 6.Ans: 2
1 gram will most likely need a second prescription
for: 1. Metformin, a biguanide to prevent diabetes 2.
, NURS 615 PHARM EXAM 3 – MARYVILLE UPDATED ACTUAL
Questions and CORRECT Answers
Omeprazole, a proton pump inhibitor to prevent pep-
tic ulcer disease 3. Naproxen, an NSAID to treat joint
pain 4. Furosemide, a diuretic to treat fluid retention
7. Daniel has been on 60 mg of prednisone for 10 days 7. Ans: 3
to treat a severe asthma exacerbation. It is time to dis-
continue the prednisone. How is prednisone discon-
tinued? 1. Patients with asthma are transitioned di-
rectly 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.
8. Patients with rheumatoid arthritis who are on chron- 8.Ans: 4
ic 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
9. Patients who are on or who will be starting chronic 9. Ans: 1
corticosteroid therapy need monitoring of: 1. Serum
glucose 2. Stool culture 3. Folate levels 4. Vitamin B12
10. Patients who are on chronic long-term corticosteroid 10. Ans: 2
therapy need education regarding: 1. Receiving all
vaccinations, especially the live flu vaccine 2. Report-
ing black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small
amounts of alcohol are generally tolerated.
, NURS 615 PHARM EXAM 3 – MARYVILLE UPDATED ACTUAL
Questions and CORRECT Answers
11. All nonsteroidal anti-inflammatory drugs (NSAIDS) 11. Ans: 1
have an FDA Black Box Warning regarding: 1. Po-
tential for causing life-threatening GI bleeds 2. In-
creased risk of developing systemic arthritis with pro-
longed use 3. Risk of life-threatening rashes, including
Stevens-Johnson 4. Potential for transient changes in
serum glucose
12. Jamie has fractured his ankle and has received a pre- 12. Ans: 3
scription for acetaminophen and hydrocodone (Vi-
codin). 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 med-
ications. 4. Vicodin may cause diarrhea; increase his
fluid intake.
13. When prescribing NSAIDS, a complete drug history 13. Ans: 4
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
14. Josefina is a 2-year-old child with acute otitis media 14. Ans: 3
and an upper respiratory infection. Along with an an-
tibiotic 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.
Questions and CORRECT Answers
1. Henry presents to clinic with a significantly swollen, 1. 2. Low-dose colchicine
painful great toe and is diagnosed with gout. Of the
following, which would be the best treatment for Hen-
ry? 1. High-dose colchicine 2. Low-dose colchicine 3.
High-dose aspirin 4. Acetaminophen with codeine
2. Patient education when prescribing colchicine in- 2. Ans: 2
cludes: 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.
3. Larry is taking allopurinol to prevent gout. Monitor- 3. Ans: 4
ing 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
4. Phil is starting treatment with febuxostat (Uloric). Edu- 4. Ans: 1
cation 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.
5. Sallie has been taking 10 mg per day of prednisone 5. Ans: 3
for the past 6 months. She should be assessed for:
1. Gout 2. Iron deficiency anemia 3. Osteoporosis 4.
Renal dysfunction
6. Patients whose total dose of prednisone will exceed 6.Ans: 2
1 gram will most likely need a second prescription
for: 1. Metformin, a biguanide to prevent diabetes 2.
, NURS 615 PHARM EXAM 3 – MARYVILLE UPDATED ACTUAL
Questions and CORRECT Answers
Omeprazole, a proton pump inhibitor to prevent pep-
tic ulcer disease 3. Naproxen, an NSAID to treat joint
pain 4. Furosemide, a diuretic to treat fluid retention
7. Daniel has been on 60 mg of prednisone for 10 days 7. Ans: 3
to treat a severe asthma exacerbation. It is time to dis-
continue the prednisone. How is prednisone discon-
tinued? 1. Patients with asthma are transitioned di-
rectly 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.
8. Patients with rheumatoid arthritis who are on chron- 8.Ans: 4
ic 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
9. Patients who are on or who will be starting chronic 9. Ans: 1
corticosteroid therapy need monitoring of: 1. Serum
glucose 2. Stool culture 3. Folate levels 4. Vitamin B12
10. Patients who are on chronic long-term corticosteroid 10. Ans: 2
therapy need education regarding: 1. Receiving all
vaccinations, especially the live flu vaccine 2. Report-
ing black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small
amounts of alcohol are generally tolerated.
, NURS 615 PHARM EXAM 3 – MARYVILLE UPDATED ACTUAL
Questions and CORRECT Answers
11. All nonsteroidal anti-inflammatory drugs (NSAIDS) 11. Ans: 1
have an FDA Black Box Warning regarding: 1. Po-
tential for causing life-threatening GI bleeds 2. In-
creased risk of developing systemic arthritis with pro-
longed use 3. Risk of life-threatening rashes, including
Stevens-Johnson 4. Potential for transient changes in
serum glucose
12. Jamie has fractured his ankle and has received a pre- 12. Ans: 3
scription for acetaminophen and hydrocodone (Vi-
codin). 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 med-
ications. 4. Vicodin may cause diarrhea; increase his
fluid intake.
13. When prescribing NSAIDS, a complete drug history 13. Ans: 4
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
14. Josefina is a 2-year-old child with acute otitis media 14. Ans: 3
and an upper respiratory infection. Along with an an-
tibiotic 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.
