RASMUSSEN UNIVERSITY PHARMACOLOGY FINAL EXAM NEWEST ACTUAL EXAM
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Course
RASMUSSEN PHARMACOLOGY
Institution
RASMUSSEN PHARMACOLOGY
RASMUSSEN UNIVERSITY
PHARMACOLOGY FINAL EXAM NEWEST ACTUAL EXAM
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 brea...
RASMUSSEN UNIVERSITY
PHARMACOLOGY FINAL EXAM NEWEST 2024-
2025 ACTUAL EXAM
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?
>>Correct Answer>>C) Ibuprofen
Which statement by a client indicates an understanding of selfcare precautions when taking warfarin?
>>Correct Answer>>A) "My warfarin dose may need to be readjusted when I take a course of
antibiotics."
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?
>>Correct Answer>>D) Doxazosin
4.A 50yearold 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?
>>Correct Answer>>B) Transdermal preparations of estrogen therapy have reduced side effects.
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?
>>Correct Answer>>B) Aminoglycosides are inactivated by penicillins.
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?
>>Correct Answer>>C) Withhold the treatment and notify the provider of the symptoms.
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?
>>Correct Answer>>A Over time, people can develop tolerance to opioids. We can discuss increasing
your dose with the provider.
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?
>>Correct Answer>>B) All of these medications should be taken concurrently during an acute attack,
and NSAIDS should be added for pain control.
The nurse understands that a bronchodilator would be most therapeutic in which situation?
>>Correct Answer>>D Shallow breath sounds with wheezing sounds in the upper lobes
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?
>>Correct Answer>>B Chronic steroid use can show growth
A client taking warfarin presents with bruises, dark tarry stools, and an international normalized ratio
(INR) of 4.3. What is the nurse's action?
, >>Correct Answer>>A) Hold the warfarin and consult the provider regarding the next steps.
The nurse will caution a client taking immunosuppressant drugs to avoid which dietary supplement?
>>Correct Answer>>C) Echinacea
A client will begin taking fexofenadine for hay fever. What education should be included regarding the
use of this secondgeneration antihistamine?
>>Correct Answer>>A) Citrus fruit juices can inactivate this class of medications.
A client is discharged from the hospital with a prescription for trimethoprim/sulfamethoxazole. What
must the nurse include in the discharge teaching?
>>Correct Answer>>D) Drink eight to ten glasses of water each day.
Naloxone is effective because of which action?
>>Correct Answer>>A) Preventing activation of opioid receptors through antagonist actions
Parents ask the nurse why an overthecounter cough suppressant with sedative side effects is not
recommended for infants. Which response by the nurse is correct?
>>Correct Answer>>C) "Infants are more susceptible to central nervous system effects than adults are."
Insulin glargine is prescribed for a hospitalized client who has diabetes. When will the nurse expect to
administer this drug?
>>Correct Answer>>B) Oncedaily at the same time every day.
A client who just took his first dose of glipizide, is now experiencing tremors, pallor, and agitation. How
should the nurse respond?
>>Correct Answer>>D) Check the blood glucose and give carbohydrates if the client is hypoglycemic
Which factors can alter a client's physiologic response to a medication? (SATA)
>>Correct Answer>>B) Age
C) Liver disease D) Genetic Factors E) Gender
The nurse is providing client education for a postmenopausal client; which risks associated with
estrogen/progestin therapy should the nurse discuss with the client?
>>Correct Answer>>A) Stroke B) Deep vein thrombosis
E) Ovarian Cancer
A client who takes 325 mg of aspirin daily is scheduled for major surgery. Which of the following
presurgical orders would the nurse expect to include in her teaching?
>>Correct Answer>>B) Discontinue aspirin 719 days before surgery
A Prescriber has ordered medication for a newborn that is eliminated primarily by hepatic Metabolism.
What would the nurse expect the prescriber to order?
>>Correct Answer>>D) Order a dose that is lower than an adult dose.
Which of these statements best describes the concept of halflife?
>>Correct Answer>>C) It is time it takes for half of the medication to be metabolized for elimination.
When administering medications to infants, it is essential to remember which of the following? SATA
>>Correct Answer>>B) Infants are more sensitive to medications that act on the CNS
C) Immaturity of renal function in infancy causes infants to excrete drugs less efficiently.
E) Breastfeeding infants are more likely to develop toxicity when given lipidsoluble drugs.
The nurse is caring for a pregnant client recently diagnosed with hypothyroidism. The client tells the
nurse she does not want to take medications while she is pregnant.
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