NSG 6005 Pharm Midterm Test Questions
AND CORRECT ANSWERS ALREADY
GRADED A 2025/26
James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a corticosteroid) use. He
is at risk for what type of adverse drug reaction?
1. Type B
2. Type C
3. Type E
4. Type F
2. Type C
Immunomodulators such as azathioprine may cause a delayed adverse drug reaction known as a type D
reaction because they are known:
1. Teratogens
2. Carcinogens
3. To cause hypersensitivity reactions
4. Hypothalamus-pituitary-adrenal axis suppressants
2. Carcinogens
A 24-year-old male received multiple fractures in a motor vehicle accident that required significant amounts of
opioid medication to treat his pain. He is at risk for a _____ adverse drug reaction when he no longer requires
the opioids.
1. Rapid
,2. First-dose
3. Late
4. Delayed
3. Late
An example of a first-dose reaction that may occur includes:
1. Orthostatic hypotension that does not occur with repeated doses
2. Purple glove syndrome with phenytoin use
3. Hemolytic anemia from ceftriaxone use
4. Contact dermatitis from neomycin use
1. Orthostatic hypotension that does not occur with repeated doses
Drugs that are prone to cause adverse drug effects include:
1. Diuretics
2. Inhaled anticholinergics
3. Insulins
4. Stimulants
3. Insulins
The U.S. Food and Drug Administration MedWatch system is activated when:
1. There is an adverse event to a vaccine.
,2. The patient has a severe reaction that is noted in the "Severe Reaction" section in the medication label.
3. A lactating woman takes a medication that is potentially toxic to the breastfeeding infant.
4. An adverse event or serious problem occurs with a medication that is not already identified on the label.
4. An adverse event or serious problem occurs with a medication that is not already identified on the label.
The Vaccine Adverse Events Reporting System is:
1. A mandatory reporting system for all health-care providers when they encounter an adverse vaccine event
2. A voluntary reporting system that health-care providers or consumers may use to report vaccine adverse
events
3. Utilized to send out safety alerts regarding emerging vaccine safety issues
4. Activated when a vaccine has been proven to cause significant adverse effects
2. A voluntary reporting system that health-care providers or consumers may use to report vaccine adverse
events
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia.
Doxazosin has been chosen to treat his hypertension because it:
1. Increases peripheral vasoconstriction
2. Decreases detrusor muscle contractility
3. Lowers supine blood pressure more than standing pressure
4. Relaxes smooth muscle in the bladder neck
4. Relaxes smooth muscle in the bladder neck
, To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagonist should do all of the
following EXCEPT:
1. Take the dose at bedtime
2. Sit up slowly and dangle their feet before standing
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
4. Weigh daily and report weight gain of greater than 2 pounds in one day
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
John has clonidine, a centrally acting adrenergic blocker, prescribed for his hypertension. He should:
1. Not miss a dose or stop taking the drug because of potential rebound hypertension
2. Increase fiber in the diet to treat any diarrhea that may occur
3. Reduce fluid intake to less than 2 liters per day to prevent fluid retention
4. Avoid sitting for long periods, as this can lead to deep vein thrombosis
1. Not miss a dose or stop taking the drug because of potential rebound hypertension
Clonidine has several off-label uses, including:
1. Alcohol and nicotine withdrawal
2. Post-herpetic neuralgia
3. Both 1 and 2
4. Neither 1 nor 2
3. Both 1 and 2
AND CORRECT ANSWERS ALREADY
GRADED A 2025/26
James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a corticosteroid) use. He
is at risk for what type of adverse drug reaction?
1. Type B
2. Type C
3. Type E
4. Type F
2. Type C
Immunomodulators such as azathioprine may cause a delayed adverse drug reaction known as a type D
reaction because they are known:
1. Teratogens
2. Carcinogens
3. To cause hypersensitivity reactions
4. Hypothalamus-pituitary-adrenal axis suppressants
2. Carcinogens
A 24-year-old male received multiple fractures in a motor vehicle accident that required significant amounts of
opioid medication to treat his pain. He is at risk for a _____ adverse drug reaction when he no longer requires
the opioids.
1. Rapid
,2. First-dose
3. Late
4. Delayed
3. Late
An example of a first-dose reaction that may occur includes:
1. Orthostatic hypotension that does not occur with repeated doses
2. Purple glove syndrome with phenytoin use
3. Hemolytic anemia from ceftriaxone use
4. Contact dermatitis from neomycin use
1. Orthostatic hypotension that does not occur with repeated doses
Drugs that are prone to cause adverse drug effects include:
1. Diuretics
2. Inhaled anticholinergics
3. Insulins
4. Stimulants
3. Insulins
The U.S. Food and Drug Administration MedWatch system is activated when:
1. There is an adverse event to a vaccine.
,2. The patient has a severe reaction that is noted in the "Severe Reaction" section in the medication label.
3. A lactating woman takes a medication that is potentially toxic to the breastfeeding infant.
4. An adverse event or serious problem occurs with a medication that is not already identified on the label.
4. An adverse event or serious problem occurs with a medication that is not already identified on the label.
The Vaccine Adverse Events Reporting System is:
1. A mandatory reporting system for all health-care providers when they encounter an adverse vaccine event
2. A voluntary reporting system that health-care providers or consumers may use to report vaccine adverse
events
3. Utilized to send out safety alerts regarding emerging vaccine safety issues
4. Activated when a vaccine has been proven to cause significant adverse effects
2. A voluntary reporting system that health-care providers or consumers may use to report vaccine adverse
events
Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia.
Doxazosin has been chosen to treat his hypertension because it:
1. Increases peripheral vasoconstriction
2. Decreases detrusor muscle contractility
3. Lowers supine blood pressure more than standing pressure
4. Relaxes smooth muscle in the bladder neck
4. Relaxes smooth muscle in the bladder neck
, To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagonist should do all of the
following EXCEPT:
1. Take the dose at bedtime
2. Sit up slowly and dangle their feet before standing
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
4. Weigh daily and report weight gain of greater than 2 pounds in one day
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
John has clonidine, a centrally acting adrenergic blocker, prescribed for his hypertension. He should:
1. Not miss a dose or stop taking the drug because of potential rebound hypertension
2. Increase fiber in the diet to treat any diarrhea that may occur
3. Reduce fluid intake to less than 2 liters per day to prevent fluid retention
4. Avoid sitting for long periods, as this can lead to deep vein thrombosis
1. Not miss a dose or stop taking the drug because of potential rebound hypertension
Clonidine has several off-label uses, including:
1. Alcohol and nicotine withdrawal
2. Post-herpetic neuralgia
3. Both 1 and 2
4. Neither 1 nor 2
3. Both 1 and 2
