PHARMACOLOGY FINAL EXAM RASMUSSEN
NEWEST 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
|ALREADY GRADED A+
1. The nurse is talking with a new mother about medications
that can be safely resumed now that she is no longer
pregnant. All the following medications are contraindicated
during pregnancy, but which one may be ingested while
breastfeeding without causing known infant harm?
A) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine - ...ANSWER...C) Ibuprofen
2. Which statement by a client indicates an understanding
of self-care precautions when taking warfarin?
A) "My warfarin dose may need to be readjusted when I take
a course of antibiotics."
B) "I should expect pink urine due to metabolic bi-products of
the dye used in this medication."
C) "Herbal remedies are fine, but I shouldn't take
aspirin without consulting my provider."
D) "I should eat spinach to increase my iron count if my INR
goes below two." - ...ANSWER...A) "My warfarin dose may
need to be readjusted when I take a course of antibiotics."
3. Male client tells the nurse he awakens once or twice each
night to video and has difficulty starting his stream of urine.
He describes these symptoms as " annoying." The client
,provider examines him and notes that the prostate is
moderately enlarged. The client is sexually active and tells the
nurse that he doesn't want to take any medication that will
interfere with sexual function. THe nurse anticipates the
provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin - ...ANSWER...D) Doxazosin
4. A 50-year-old postmenopausal cleint who has had a
hysterectomy has moderate to severe hot flashes and is
discussing estrogen therapy with the nurse. What will
the nurse tell the client regarding the side effect of
estrogen therapy?
A) An estrogen progesterone product will increase side effects
B) Transdermal preparations of estrogen therapy have
reduced side effects.
C) Side effects of estrogen therapy are uncommon
among women of her age.
D) An intravaginal preparation may be best. -
...ANSWER...B) Transdermal preparations of estrogen
therapy have reduced side effects.
5. A Client has an infection caused by pseudomonas
aeruginosa, and the prescriber has ordered intravenous
piperacillin and tobramycin. Why might the nurse
question this combination of antibiotics?
A) This combination causes tendon rupture.
B) Aminoglycosides are inactivated by penicillins.
C) Aminoglycosides alone are adequate against
pseudomonas. There is no need to risk penicillin allergy.
,D) Aminoglycosides increase the risk of penicillin allergy. -
...ANSWER...B) Aminoglycosides are inactivated by
penicillins.
6. A client with bronchitis is taking
trimethoprim/sulfamethoxazole 160/800 mg orally, twice
daily. Before administering the third dose, the nurse observes
the client has a widespread rash, a temperature and a heart
rate of 100 beats/min. The client looks ill and reports not
feeling well. What is the nurse's response?
A) Request an order for intravenous trimethoprim/
sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of
the symptoms.
D) Administer the dose and request an order for an
antipyretic medication. - ...ANSWER...C) Withhold the
treatment and notify the provider of the symptoms.
7. A client with cancer has been taking an opioid analgesic
four times daily for chronic pain and reports needing
increased doses for pain. What will the nurse tell the
client? A- Over time, people can develop tolerance to
opioids. We can discuss increasing your dose with the
provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication.
We can discuss this with your provider.
D- The risk of respiratory depression increases over time -
...ANSWER...A- Over time, people can develop tolerance to
opioids. We can discuss increasing your dose with the
provider.
, 8) A client who is suffering from an acute gout attack wants to
know how colchicine differs from probenecid and allopurinol
in its actions. Which of these statements shows the need for
further teaching regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B- All of these medications should be taken concurrently
during an acute attack, and NSAIDS should be added for pain
control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the
nephrons - ...ANSWER...B) All of these medications should
be taken concurrently during an acute attack, and NSAIDS
should be added for pain control.
9. The nurse understands that a bronchodilator would be
most therapeutic in which situation?
A- Irregular respiration, snoring, and intermittent episodes of
apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper
lobes - ...ANSWER...D- Shallow breath sounds with
wheezing sounds in the upper lobes
10. The parents of a child with asthma ask the nurse why
their child cannot use oral corticosteroids more often because
they are so effective. What is the correct response by the
nurse?
A- Frequent use of this drug may lead to a decreased
response.
B- Chronic steroid use can show growth
C- A hypersensitivity reaction to this drug may occur.
D- systemic steroids are more toxic in children -
...ANSWER...B- Chronic steroid use can show growth
NEWEST 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
|ALREADY GRADED A+
1. The nurse is talking with a new mother about medications
that can be safely resumed now that she is no longer
pregnant. All the following medications are contraindicated
during pregnancy, but which one may be ingested while
breastfeeding without causing known infant harm?
A) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine - ...ANSWER...C) Ibuprofen
2. Which statement by a client indicates an understanding
of self-care precautions when taking warfarin?
A) "My warfarin dose may need to be readjusted when I take
a course of antibiotics."
B) "I should expect pink urine due to metabolic bi-products of
the dye used in this medication."
C) "Herbal remedies are fine, but I shouldn't take
aspirin without consulting my provider."
D) "I should eat spinach to increase my iron count if my INR
goes below two." - ...ANSWER...A) "My warfarin dose may
need to be readjusted when I take a course of antibiotics."
3. Male client tells the nurse he awakens once or twice each
night to video and has difficulty starting his stream of urine.
He describes these symptoms as " annoying." The client
,provider examines him and notes that the prostate is
moderately enlarged. The client is sexually active and tells the
nurse that he doesn't want to take any medication that will
interfere with sexual function. THe nurse anticipates the
provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin - ...ANSWER...D) Doxazosin
4. A 50-year-old postmenopausal cleint who has had a
hysterectomy has moderate to severe hot flashes and is
discussing estrogen therapy with the nurse. What will
the nurse tell the client regarding the side effect of
estrogen therapy?
A) An estrogen progesterone product will increase side effects
B) Transdermal preparations of estrogen therapy have
reduced side effects.
C) Side effects of estrogen therapy are uncommon
among women of her age.
D) An intravaginal preparation may be best. -
...ANSWER...B) Transdermal preparations of estrogen
therapy have reduced side effects.
5. A Client has an infection caused by pseudomonas
aeruginosa, and the prescriber has ordered intravenous
piperacillin and tobramycin. Why might the nurse
question this combination of antibiotics?
A) This combination causes tendon rupture.
B) Aminoglycosides are inactivated by penicillins.
C) Aminoglycosides alone are adequate against
pseudomonas. There is no need to risk penicillin allergy.
,D) Aminoglycosides increase the risk of penicillin allergy. -
...ANSWER...B) Aminoglycosides are inactivated by
penicillins.
6. A client with bronchitis is taking
trimethoprim/sulfamethoxazole 160/800 mg orally, twice
daily. Before administering the third dose, the nurse observes
the client has a widespread rash, a temperature and a heart
rate of 100 beats/min. The client looks ill and reports not
feeling well. What is the nurse's response?
A) Request an order for intravenous trimethoprim/
sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of
the symptoms.
D) Administer the dose and request an order for an
antipyretic medication. - ...ANSWER...C) Withhold the
treatment and notify the provider of the symptoms.
7. A client with cancer has been taking an opioid analgesic
four times daily for chronic pain and reports needing
increased doses for pain. What will the nurse tell the
client? A- Over time, people can develop tolerance to
opioids. We can discuss increasing your dose with the
provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication.
We can discuss this with your provider.
D- The risk of respiratory depression increases over time -
...ANSWER...A- Over time, people can develop tolerance to
opioids. We can discuss increasing your dose with the
provider.
, 8) A client who is suffering from an acute gout attack wants to
know how colchicine differs from probenecid and allopurinol
in its actions. Which of these statements shows the need for
further teaching regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B- All of these medications should be taken concurrently
during an acute attack, and NSAIDS should be added for pain
control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the
nephrons - ...ANSWER...B) All of these medications should
be taken concurrently during an acute attack, and NSAIDS
should be added for pain control.
9. The nurse understands that a bronchodilator would be
most therapeutic in which situation?
A- Irregular respiration, snoring, and intermittent episodes of
apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper
lobes - ...ANSWER...D- Shallow breath sounds with
wheezing sounds in the upper lobes
10. The parents of a child with asthma ask the nurse why
their child cannot use oral corticosteroids more often because
they are so effective. What is the correct response by the
nurse?
A- Frequent use of this drug may lead to a decreased
response.
B- Chronic steroid use can show growth
C- A hypersensitivity reaction to this drug may occur.
D- systemic steroids are more toxic in children -
...ANSWER...B- Chronic steroid use can show growth
