NUR 2474 Pharmacology Final Exam NCLEX Style Practice
Questions With Complete Solutions
A 1-year-old child with cretinism has been receiving 8
mcg/kg/day of levothyroxine (Synthroid). The child comes to
the clinic for a well-child check up. The nurse will expect the
provider to:
a.change the dose of levothyroxine to 6 mcg/kg/day.
b.discontinue the drug if the child's physical and mental
development is normal.
c.increase the dose to accommodate the child's increased
growth.
d.stop the drug for 4 weeks and check the child's TSH level.
Correct Answer a.change the dose of levothyroxine to 6
mcg/kg/day.
A 14-year-old male patient who plays football is admitted to the
hospital. The nurse notes that the patient has short stature for his
age according to a standard growth chart. The patient is
muscular, has a deep voice, and needs to shave. The nurse
notifies the provider of these findings. Which test will the nurse
expect the provider to order?
a.Coagulation studies
b.Complete blood count (CBC) with differential
c.Liver function tests and serum cholesterol
d.Serum glucose and hemoglobin A1c Correct Answer c.Liver
function tests and serum cholesterol
,A 50-year-old postmenopausal patient who has had a
hysterectomy has moderate to severe vasomotor symptoms and
is discussing estrogen therapy (ET) with the nurse. The patient is
concerned about adverse effects of ET. The nurse will tell her
that:
a.an estrogen-progesterone product will reduce side effects.
b.an intravaginal preparation may be best for her.
c.side effects of ET are uncommon among women her age.
d.transdermal preparations have fewer side effects. Correct
Answer d.transdermal preparations have fewer side effects.
A 7-year-old child with asthma uses a daily inhaled
glucocorticoid and an albuterol MDI as needed. The provider
has added montelukast (Singulair) to the child's regimen. Which
statement by the child's parent indicates understanding of this
medication?
a."I may notice mood changes in my child."
b."I should give this medication twice daily."
c."I will give my child one 4-mg chewable tablet daily."
d."This drug can alleviate symptoms during an acute attack."
Correct Answer a."I may notice mood changes in my child."
A breast-feeding patient must take a prescription medication for
2 weeks. The medication is safe, but the patient wants to make
sure her baby receives as little of the drug as possible. What will
the nurse tell the patient?
a.To give the baby formula as long as the mother is taking the
medication
,b.To take the medication immediately after breast-feeding
c.To pump breast milk and feed the baby by bottle
d.To take the medication 1 hour before breast-feeding Correct
Answer b.To take the medication immediately after breast-
feeding
A child is receiving a combination albuterol/ipratropium
(DuoNeb) inhalation treatment. The patient complains of a dry
mouth and sore throat. What will the nurse do?
a.Contact the provider to report systemic anticholinergic side
effects.
b.Discontinue the aerosol treatment immediately.
c.Notify the provider of a possible allergic reaction.
d.Reassure the patient that these are expected side effects.
Correct Answer d.Reassure the patient that these are expected
side effects.
A child is to begin long-term glucocorticoid therapy. The
parents ask the nurse about the effects of this drug on the child's
growth. Which response by the nurse is correct?
a."A smaller dose may be indicated for your child."
b."Ask your provider about every other day dosing."
c."Long-acting glucocorticoid preparations should prevent
growth suppression."
d."Oral glucocorticoids rarely cause growth suppression."
Correct Answer b."Ask your provider about every other day
dosing."
, A clinic nurse is assessing an adolescent male patient who has
been receiving androgen therapy for hypogonadism via a
transdermal patch. The patient's last clinic visit was 4 weeks
earlier. Which part of the interval history is of most concern to
the nurse?
a.Five pound weight gain
b.Rash at the site of the patch
c.Breast enlargement
d.Presence of acne Correct Answer a.Five pound weight gain
A clinic patient who has been taking a glucocorticoid for
arthritis for several months remarks to the nurse, "It's a good
thing my symptoms are better, because my mother has been
quite ill, and I have to take care of her." The patient's blood
pressure is 100/60 mm Hg. The nurse will report this to the
provider and ask about:
a.reducing the patient's dose.
b.using every other day dosing.
c.increasing the patient's dose.
d.tapering the dose. Correct Answer c.increasing the patient's
dose.
A hospitalized patient complains of acute chest pain. The nurse
administers a 0.3 mg sublingual nitroglycerin tablet, but the
patient continues to complain of pain. Vital signs remain stable.
What is the nurse's next step?
a.Apply a nitroglycerin transdermal patch.
b.Continue dosing at 10-minute intervals.
Questions With Complete Solutions
A 1-year-old child with cretinism has been receiving 8
mcg/kg/day of levothyroxine (Synthroid). The child comes to
the clinic for a well-child check up. The nurse will expect the
provider to:
a.change the dose of levothyroxine to 6 mcg/kg/day.
b.discontinue the drug if the child's physical and mental
development is normal.
c.increase the dose to accommodate the child's increased
growth.
d.stop the drug for 4 weeks and check the child's TSH level.
Correct Answer a.change the dose of levothyroxine to 6
mcg/kg/day.
A 14-year-old male patient who plays football is admitted to the
hospital. The nurse notes that the patient has short stature for his
age according to a standard growth chart. The patient is
muscular, has a deep voice, and needs to shave. The nurse
notifies the provider of these findings. Which test will the nurse
expect the provider to order?
a.Coagulation studies
b.Complete blood count (CBC) with differential
c.Liver function tests and serum cholesterol
d.Serum glucose and hemoglobin A1c Correct Answer c.Liver
function tests and serum cholesterol
,A 50-year-old postmenopausal patient who has had a
hysterectomy has moderate to severe vasomotor symptoms and
is discussing estrogen therapy (ET) with the nurse. The patient is
concerned about adverse effects of ET. The nurse will tell her
that:
a.an estrogen-progesterone product will reduce side effects.
b.an intravaginal preparation may be best for her.
c.side effects of ET are uncommon among women her age.
d.transdermal preparations have fewer side effects. Correct
Answer d.transdermal preparations have fewer side effects.
A 7-year-old child with asthma uses a daily inhaled
glucocorticoid and an albuterol MDI as needed. The provider
has added montelukast (Singulair) to the child's regimen. Which
statement by the child's parent indicates understanding of this
medication?
a."I may notice mood changes in my child."
b."I should give this medication twice daily."
c."I will give my child one 4-mg chewable tablet daily."
d."This drug can alleviate symptoms during an acute attack."
Correct Answer a."I may notice mood changes in my child."
A breast-feeding patient must take a prescription medication for
2 weeks. The medication is safe, but the patient wants to make
sure her baby receives as little of the drug as possible. What will
the nurse tell the patient?
a.To give the baby formula as long as the mother is taking the
medication
,b.To take the medication immediately after breast-feeding
c.To pump breast milk and feed the baby by bottle
d.To take the medication 1 hour before breast-feeding Correct
Answer b.To take the medication immediately after breast-
feeding
A child is receiving a combination albuterol/ipratropium
(DuoNeb) inhalation treatment. The patient complains of a dry
mouth and sore throat. What will the nurse do?
a.Contact the provider to report systemic anticholinergic side
effects.
b.Discontinue the aerosol treatment immediately.
c.Notify the provider of a possible allergic reaction.
d.Reassure the patient that these are expected side effects.
Correct Answer d.Reassure the patient that these are expected
side effects.
A child is to begin long-term glucocorticoid therapy. The
parents ask the nurse about the effects of this drug on the child's
growth. Which response by the nurse is correct?
a."A smaller dose may be indicated for your child."
b."Ask your provider about every other day dosing."
c."Long-acting glucocorticoid preparations should prevent
growth suppression."
d."Oral glucocorticoids rarely cause growth suppression."
Correct Answer b."Ask your provider about every other day
dosing."
, A clinic nurse is assessing an adolescent male patient who has
been receiving androgen therapy for hypogonadism via a
transdermal patch. The patient's last clinic visit was 4 weeks
earlier. Which part of the interval history is of most concern to
the nurse?
a.Five pound weight gain
b.Rash at the site of the patch
c.Breast enlargement
d.Presence of acne Correct Answer a.Five pound weight gain
A clinic patient who has been taking a glucocorticoid for
arthritis for several months remarks to the nurse, "It's a good
thing my symptoms are better, because my mother has been
quite ill, and I have to take care of her." The patient's blood
pressure is 100/60 mm Hg. The nurse will report this to the
provider and ask about:
a.reducing the patient's dose.
b.using every other day dosing.
c.increasing the patient's dose.
d.tapering the dose. Correct Answer c.increasing the patient's
dose.
A hospitalized patient complains of acute chest pain. The nurse
administers a 0.3 mg sublingual nitroglycerin tablet, but the
patient continues to complain of pain. Vital signs remain stable.
What is the nurse's next step?
a.Apply a nitroglycerin transdermal patch.
b.Continue dosing at 10-minute intervals.
