Transcript Pharmacology MCQs 1

Pharmacology MCQs
A child is receiving prednisolone. Which of the following statements makes the
nurse know that the mother understands the teaching about her child’s
prednisolone therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
Isoniazid (INH) and rifampicin has been ordered for a patient with tuberculosis.
Which comment by the patient indicates correct understanding of the medications
regimen?
A. I’ll take the medications until I regain my strength
B. I’ll take the medications ass prescribed for over a year
C. I’ll take the medications with citrus juice
D. I’ll take the medications until my white blood cell count is normal
The answer is B. The therapy for tuberculosis is usually taken for 6 months
to 24 months depending on which type of TB it is or which organ is
affected. The patient has to continue to take the medications even though
they feel cured.
Erythromycin is instilled into the neonate’s eyes shortly after birth. This is to
prevent :
A. Ophthalmia neonatorum
B. Retrolental fibroplasia
C. Corneal keratitis
D. Acute uveitis
The answer is A. The antibiotic Erythromycin prevents ophthalmia
neonatorum (Ocular Gonorrheal infection).
A patient is receiving Clonidine (Catapress). An appropriate nursing action is :
A. Teach the patient to change position slowly
B. Give the medication before meals
C. Instruct the patient to take the medication with orange juice
D. Offer the patient a cup of tea with meals
The answer is A. When people take antihypertensives sudden change of position
like sitting up or standing up will cause orthostatic hypotension and the patient
may feel giddy.
Clonidine can be taken before or after food
It is not necessary to take with orange juice
Offering tea which is a stimulant is not to be encouraged
While the nurse is teaching a patient about warfarin sodium (coumadin)
medication which statement by the patient indicates that he has not understood the
instructions well?
A. I’ll use an electric razor when shaving
B. I’ll need to have periodic blood coagulation tests
C. I’ll expect my urine to be dark brown
D. I’ll check my skin to see whether I am bruising more easily
The answer is C. The patient is not supposed to have dark brown urine. Dark brown urine
indicates overdose of an anticoagulant. Haematuria may be the cause of the discoloration.
Using an electric razor reduces the chances of injury
The patient should monitor the clotting time and hence needs periodic tests
Bruising indicates that there is bleeding under the skin and hence the dose has to be reduced
The doctor has prescribed ibuprofen for a patient with osteoarthritis. The nurse
should instruct the patient to take the drug with any of the following except :
A. Food
B. An antacid
C. Milk
D. Aspirin
The answer is D. Simultaneous use fo aspirin is not needed.
A.,B.,C. are all helpful in preventing gastric irritation and are
recommended
One of the side effects of Ferrous Sulfate ( Fersolate) is :
A. Tinnitus
B. Ataxia
C. Blurred vision
D. Black stools
The answer is D. The stools may be black or dark green after consumption
of iron preparations.
A patient who has iron deficiency anemia has been prescribed ferrous gluconate.
How is it administered?
A. Undiluted, with a dropper
B. Undiluted, from a teaspoon
C. Diluted with milk, in a glass
D. Diluted with water through a straw
The answer is D. Ferrous gluconate should be well diluted and
administered by a straw or placed on the back of the tongue with a
dropper to prevent staining and to mask the taste.
The preparation is not compatible with milk
Which one of the following is the side effect of Digoxin?
A. Blurred vision
B. Hand tremours
C. Urinary retention
D. Hearing loss
The answer is A. The adverse effects of digoxin are nausea, vomiting,
anorexia, and vision disturbances like blurred or yellow vision.
B.,C., and D. are not the adverse effects of digoxin
Which of the following medicine counteracts the adverse effects of heparin sodium?
A. Calcium gluconate
B. Protamine sulphate
C. Chlorambucil
D. Lithium carbonate
The answer is B. The specific antidote for Heparin sodium is Protamine
sulphate. When given intravenously it binds with heparin and renders it
ineffective within a few minutes.
Which one of the following is most likely to cause Peptic Ulcer?
A. Taking ibuprofen daily for arthritis pain
B. Working on a photocopy machine 8 hours a day, 5 days a week
C. Strict vegetarian diet always
D. Family history of severe psoriasis
The answer is A. Ibuprofen is an NSAID. It can erode the gastric mucosal
barrier predisposing to ulcer formation.
An intramuscular injection of iron dextran (Jectocos) is administered for iron
deficiency. Which of the following nursing action is appropriate while
administering Iron injection?
A. Asking the patient whether he consumes alcoholic beverages daily
B. Finding out if he is allergic to fish oil
C. Administer the intramuscular injection by Z-track method
D. Use a 1” 25G needle to inject to minimize the pain of the injection
The answer is C. The IM injection has to be given by the Z-track method so that the
drug will not leak out to the subcutaneous plane and cause staining of the
subcutaneous tissues.
A. & B. are irrelevant
D. The drug has to be injected deep into the muscle. An one inch needle may
deposit the drug in the subcutaneous tissue. It will not reach the muscle at all. A
2” 19G or 20G needle will be preferable
A patient has received two units of whole blood following an episode of GI
bleeding. Which of the following laboratory reports would the nurse monitor most
closely?
A. Bleeding time
B. Hemoglobin and hematocrit
C. White blood cells
D. Platelets
The answer is B. Hemoglobin and hematocrit. The post transfusion
haematocrit provides immediate information on red cell replacement and
about continued blood loss
A patient of congestive heart failure has been prescribed Lanoxin (digoxin). What
would the nurse expect to find when evaluating for therapeutic effectiveness of
Lanoxin?
A. Diaphoresis with decreased urinary output
B. Increased heart rate with increased respiratory rate
C. Improved respiratory status and increased urinary output
D. Decreased chest pain and decreased blood pressure
The answer is C. Digoxin is a cardiac glycoside. It is used in congestive cardiac failure to slow down the
Heart Rate and to increase the strength of the cardiac contraction so that the cardiac output increases.
Increased cardiac output will improve renal perfusion and increase urinary output
Adverse effects of digoxin are : bradycardia, dysrhythmia, visual and GI disturbances. Patients receiving
digoxin should have their apical pulse monitored for one full minute before and after administration of
this drug
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
The nurse is caring for a patient receiving a blood transfusion who develops
urticarial in 30 minutes. What is the first action to be taken by the nurse?
A. Stop the infusion
B. Slow the rate of infusion
C. Take vital signs and observe for further deterioration
D. Administer Benadryl and continue the infusion
The answer is A. Stop the infusion that is the first action. Urticaria indicates
an allergic reaction to the plasma protein.
A patient is receiving heparin therapy for Deep Vein Thrombosis. Which of the
following laboratory values must be closely monitored?
A. Bleeding time
B. Platelet count
C. Activated PTT
D. Clotting time
The answer is C. Activated PTT. Heparin is used to prevent further clots
from being formed and to prevent the present clot from enlarging. The
Activated Prothromboplastin Time (APTT) is a highly sensitive test to
monitor the patient on heparin therapy.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
A patient is being discharged with a prescription for chlorpromazine. Before
leaving for home which of these findings should the nurse teach the patient to
report?
A. Change in libido, breast enargement
B. Sore throat, fever
C. Abdominal pain, nausea, diarrhea
D. Dyspnoea, nasal congestion
The answer is B. Sore throat and fever may be symptoms of
agranulocytosis, a side effect of chlorpromazine.
While providing home care to a client with congestive heart failure, the nurse is
asked how long diuretics must be taken. What is the nurse’s best response?
A. As you urinate more, you will need less medication to control fluid.
B. You will have to take this medication for about a year.
C. The medication must be continued so the fluid problem is
controlled
D. Please talk to your health care provider about medications and
treatments.
The answer is C. The patient may have to continue the diuretics indefinitely.
Hence the patient is informed that he has to continue the drug to control
the fluid retention and prevent pulmonary oedema and pedal oedema.
Non Steroidal Anti-imflammatory drugs such as ibuprofen are beneficial in
managing arthritis pain. But the nurse should caution the patients about which of
the following common side effects?
A. Urinary incontinence
B. Constipation
C. Nystagmus
D. Occult bleeding
The answer is D. NSAID taken for long perods of time may cause serios
side effects including bleeding in the gastrointestinal tract. This can be
looked for by doing an occult blood in stools test.
A mother asks the school nurse how to eliminate lice from her child. What is the
most appropriate response by the nurse?
A. Cut the child’s hair short to remove the nits.
B. Apply warm soaks to the head twice daily.
C. Wash the child’s linen and clothing ina bleach solution
D. Apply pediculicides.
The answer is D. Treatment of head lice consists of application of
pediculicides. Pediculicides should be applied after carefully reading the
directions given with the pack and should be followed carefully.
Why is it important for the nurse to monitor blood pressure in clients receiving
antipsychotic drugs?
A. Orthostatic hypotension is a common side effect
B. Most antipsychotic drugs cause elevated blood pressure
C. This provides information on the amount of sodium allowed in the
diet
D. It will indicate the need to institute anti parkinsonian drugs
The answer is A. The nurse should monitor BP of the patient in sitting and
standing positions because postural hypotension is common in patients in
patients receiving antipsychotic drugs. The patient may have dizziness and
vasovagal syncope on sudden changes of positions. The patient should be
instructed to change positions slowly and to remain beside the bed for a few
minutes.
The nurse is asked to give iron injection by deep intramuscular route to a patient.
The reason for this special instruction is to :
A. Enhance absorption of the medication
B. Ensure that the entire dose of medication is given
C. Provide more even distribution of the drug
D. Prevent the drug from tissue irritation
The answer is D. Deep intramuscular injection by Z-track or zigzag method
of iron injection prevents oozing of the drug through the tract created by
the needle into subcutaneous tissue. The ooze irritates the subcutaneous
tissue and stains the skin.
The patient who is prescribed alprazolam (anxit, alprax) is informed that :
A. Sedative hypnotics are effective anagesics
B. Sudden cessation of alprazolam can cause rebound insomnia and
nightmares
C. Caffeine beverages can increase the effect of sedative hypnotics
D. Avoidance of excessive exercise and high temperature is
recommended
The answer is B. Sudden cessation of alprazolam can cause rebound
insomnia and nightmares.
A patient recovering from a hip replacement and is taking Tylenol#3 every 3 hours
for pain. In checking the client, which finding suggests a side of the analgesic?
A. Bruising at the operative site
B. Elevated heart rate
C. Decreased platelet count
D. No bowel movement for 3 days
The answer is D. While taking opioid analgesics respiratory depression, sedation
and constipation may occur. Bruising is not related to Tylenol. But could be the
result of corticosteroids or previously used anticoagulants. Elevated heart rate
could be the result of bronchodilators. Some antibiotics may lower platelet
counts.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
The nurse is teaching a patient about insulin injection to an Insulin Dependent
Diabetic. Which statement by the patient indicates a need for further explanation?
A. I use a sliding scale to adjust regular insulin to my sugar level
B. Since my eye sight is so bad, I ask the nurse to fill several syringes.
C. I keep my regular insulin bottle in the refrigerator
D. I always make sure to shake the NPH bottle hard to mix it well
The answer is D. The bottle should be rolled gently, not shaken.
A nurse is taking care of a patient with depression who is taking MAO inhibitors
regularly. Which of the following precautions does the nurse insist upon?
A. Avoid chocolate and cheese
B. Take frequent naps
C. Take the medication with milk
D. Avoid walking without assistance
The answer is A. Foods which are rich in tryptophan, tyramine and caffeine,
such as chocolate and cheese may precipitate hypertensive crisis.
A patient of cirrhosis of the liver is taking spironolactone (Aldactone, lasilactone).
This drug spares the elimination of which of the following?
A. Sodium
B. Potassium
C. Phosphate
D. Albumin
The answer is B. If the patient is ascetic potassium sparing diuretics are
prescribed such as aldactone. It inhibits the action of aldosterone on the
kidneys and avoids hypokalemia.
A child is to be administered an IM injection of an antibiotic. The total volume of
the injection is 2 ml. The correct action is to
A. Administer the injection in 2 separate injections
B. Give the medication in the dorsal gluteal site
C. Call to get a smaller volume ordered
D. Check with the pharmacy for a syrup form of the medication
The answer is A. IM injections should not exceed a volume of 1 ml for small
children. The injection should be split into 2 separate injections of 1 ml
each. In adults the maximum volume that can be given by IM is 5 ml per
site.
A patient with amyotrophic lateral sclerosis has a percutaneous endoscopic
gastrostomy (PEG) tube for the administration of feedings and medications. Which
nursing action is appropriate?
A. Pulverize all medications to a powdery condition
B. Squeeze the tube before using it to break up stagnant liquids
C. Cleanse the skin around the tube daily with hydrogen peroxide
D. Flush adequately with water before and after using the tube
The answer is D. Flushing the tube before and after use not only provides for good
flow and keeps the tube patent, it also provides water to maintain hydration.
While medications should be crushed to pass through the tube, it is flushing
that moves them through. Stagnant liquids are reduced by flushing after tube
use. Cleansing the skin is important, but soap and water are sufficient without
the added irritation of hydrogen peroxide.
The nurse has given discharge instructions to parent of a child on phenytoin
sodium (Dilantin sodium). Which of the following statements suggests that the
teaching was effective?
A. We will call the health care provider if the child develops acne
B. Our child should brush and floss carefully after every meal
C. We will skip the next dose if vomiting or fever occur
D. When our child is seizure-free for 6 months, we can stop the
medication
The answer is B. Phenytoin sodium causes lymphoid hyperplasia that is
most noticeable in the gums. Frequent gum massage and careful
attention to good oral hygiene may reduce the gingival hyperplasia.
A patient is receiving intravenous heparin therapy. What medication should the
nurse have available in the event of an overdose of heparin?
A. Protamine
B. Amicar
C. Imferon
D. Diltiazem
The answer is A. protamine binds heparin making it ineffective.
The nurse is teaching a patient about precautions with Coumadin therapy. The
patient should be instructed to avoid which over-the-counter medication?
A. Non-steroidal anti-inflammatory drugs
B. Cough medicines with guaphenesin
C. Histamine blockers
D. Laxatives containing magnesium salts
The answer is A. Medications with NSAIDs may increase the response to
Coumadin (Warfarin) and increase the risk of bleeding.
A Cromolyn sodium (Intal ) inhaler is presctibed to a patient with asthma. A nurse
provides instructions regarding the side effects of this medication. The nurse tells
theclient that which undesirable effect is associated with this medication?
A. Wheezing
B. Insomnia
C. Hypotension
D. Constipation
The answer is A. Cromolyn sodium is used to prevent asthma attacks in people
with bronchial asthma. Undesirable side effects associated wwith the use of
inhaler is wheezing, coough, nasal congestion, bronchospasmand throat
irritation. Options B, C and D are not related to the medication
A cromolyn sodium (Intal) inhaler is prescribed to a patient with asthma. A nurse
provides instructions regarding the side effects of this medication. The nurse tells
the patient thet which undesirable effect is associated with this medication?
A. Wheezing
B. insomnia
C. Hypotension.
D. constipation
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.
A patient is prescribed Guaphenesin (Mucinex) . The nurse determines that the
patient understands the proper administration of this medication if the patient
states that he or she will:
A. Drink extra fluids while taking this medication
B. Take the medication with meals only
C. Take an additional dose once fever and cough persist
D. Limit orall fluid intake
Guaphenesin is an expectorant. Drinking extra fluids helps to loosen the
congestion and lubricates the throat while taking this medication. Option B :
The medication does not have to be taken with meals. Option C: Additional
doses should not be taken without the prescription of the doctor. Option D :
Fluids are needed to loosen the secretions.
A nurse is about to administer Abuterol (Ventolin HFA) 2 puff and Budesonide
(Pulmicort turbohaler) 2 puff by metered dose inhaler. The nurse plans to
administer by?
A. Alternating with a single puff each, starting with albuterol
B. Alternating with a single puff each, starting with budesonide
C. Budesonide inhaler first then the albuterol
D. Albuterol inhaler first then the budesonide
The answer is D. If two different inhaled medications are prescribed and one of the
medications contains a corticosteroid, administer the bronchodilator (Albuterol)
first and the corticosteroid (Budesonide) second. This will alloww for the
wwidening of the air passages by the bronchodilator, making the corticosteroids
more effective.
A nurse is about to administer Naloxone hydrochloride (Narcan) to a client with
known opioid overdose. Which of the following equipment should be readily
available at the bedside?
A. Suction machine
B. Resuscitative equipment
C. Nasogastric tube
D. Dressing tray
The answer is B. While administering Narcan, resuscitation equipment,
oxygen, mechanical ventilator should be readily available. Options A,C
and D are not used during the medication therapy.
A patient is receiving theophylline intravenously. After seeral dosages, the patient
started to become restless and complains of palpitations. The nurse determines that
the client is experiencing theophylline toxicity in which of the following?
A. Theophylline level of 10mc g/ ml
B. Theophylline level of 15 mcg/ml
C. Theophylline level of 20 mcg/ml
D. Theophylline level of 25 mcg/ml
The answer is D. Theophylline toxicity is likely to occur when the serum
level is higher than 20 mcg/ml. Early signs of toxicity include
restlessness, nervousness, tachycardia, tremors and palpitations.
A patient with a chronic obstructive pulmonary disease is prescribed with
Ipratropium (Combivent). Upon reviewing the medical history of the patient, the
nurse questions the prescription if which of the following is noted?
A. History of smoking
B. History of allergy to egg
C. History of allergy to peanut
D. History of a previous infection
The answer is C. The patient with a peanut allergy should not take
ipratropium because the product contains soy lecithin, which is in the
same plant family as peanuts.
Montelukast (Singulair) is prescribed to a client with asthma. During the
medication therapy, which of the following laboratories should be monitored?
A. Complete blood count (CBC)
B. Sodium and potassium
C. Calcium and Platelet count
D. ALT and AST
The answer is D. Montelukast isa leukotriene receptor and is used with caution in
patients with impaired renal function. Alanine aminotransferase (ALT) and
Aspartate aminotransferase (AST) should be moitored while taking this
medication. Options A, B and C are not related to the use of this medication.
The nurse is giving medication teachings to a patient receiving theophylline. The
nurse instructs the patient to limit the intake of which of the following?
A. Apple and banana
B. Yogurt and cheese
C. Tuna and oysters
D. Cola and chocolate
The answer is D. Theophylline is a methylxanthine bronchodilator. The
nurse instructs the patient to limit the intake of xanthine-containing
foods such as chocolate, cola and coffee.
A nurse is teaching a patient receiving Desloratadine (Clarinex). Which of the
following statements made by the patient will need further instructions?
A. I can eat gum after I drink the medicine
B. I can take the medicine on an empty stomach
C. I should avoid using alcohol
D. I will avoid driving while using this medication
The answer is B. This medicine should be taken with food or milk to minimize
gastrointestinal upset. Option A : Use gum or hard candy to minimize dry
mouth. Options C and D : The medication causes drowsiness so avoid taking
alcohol or engaging in activities which require mental alertness such as driving
a car.
A pediatric patient with asthma has just received Omalizumab (Xolair). The nurse
determines that the patient might be suffering a life-threatening effect in which of
the following?
A. Headache and dizziness
B. Nausea and vomiting
C. Swelling of the tongue
D. Joint pain
The answer is C. Omalizumab (Xolair) is an anti-inflammatory that is used to treat
moderate to severe asthma that is caused by allergies. An anaphylactic reaction
may happen such as flushing, rash, wheezing or swelling of the face, lips or
tongue. Options A, B, and D are some of the side effects but will not alert the
nurse for an anaphylactic reaction.
A patient with influenza is prescribed with an antiviral drug. The nurse determines
that the patient indicates an understanding of the treatment if he or she states the
following:
A. I will take the medication exactly as prescribed
B. I will not be able to infect others while I am on this treatment
C. I will stop medication once I feel okay.
D. I will resume my usual activities because these medications have
minimal undesirable effects.
The answer is A. Antiviral drugs are taken exactly as prescribed. Option B :
Antiviral drugs do not prevent the spread of influenza and patients are still
contagious for up to two days after the start of the therapy. Option C : The
durations for the medications are followed until the last day of the treatment
Option D : Side effects such as dizziness and drowsiness will alert the patient to
be careful resuming their daily activities
A patient is to begin taking Rifampicin. The nurse correctly teaches the patient this
medication :
A. Is to be discontinued after three months
B. Is to be taken with food and antacids.
C. Take an additional dose once with skip dose
D. Will cause orange discoloration of sweat, urine, and faeces.
The answer is D. Rifampicin causes red-orange discolorations of bodily secretions
such as sweat, urine, tears and faeces. Option A : The patient should not stopthe
therapy unless with a doctor's advice. Option B : The medication is taken on an
empty stomach. Option C : Doses are not to be doubled or skipped.
A nurse is caring for a patient who is starting a long-term therapy of isoniazid
(INH). The nurse plans to instruct the patient to which of the following?
A. To discontinue vitamin supplements such as Vit B6
B. To report an incidence of yellowish skin
C. To increase intake of tuna for additional nutrition
D. To drink alcohol in moderation
The answer is B. Isoniazid is hepatotoxic . Hence the patient is instructed to report signs of
jaundice (Yellowish discoloration of the skin or the sclera). Option A : Vitamin B6 can
help in preventing peripheral neuritis. Option B : Tuna which contains tyramine causes
a reaction characterized by redness, flushing, sweating, itching of the skin while taking
INH. Option D : Avoid alcohol because the medication is hepatotoxic.
A patient has been taking isoniazid (INH). The patient went to the health care
facility with complaints of numbness and tingling sensation in the extremities. The
nurse determines that the patient is most likely suffering from?
A. Impaired peripheral circulation
B. Hypercalcemia
C. Peripheral neuritis
D. Guillain Barre syndrome
The answer is C. Isoniazid causes peripheral neuritis characterized by numbness,
tingling and paraesthesias in the extremities. Options A and B are not related to
the use of the medication. Option D : Guillain-Barre syndrome is a rare
condition in which your immune system attacks your nerves, leasing to muscle
weakness and even paralysis.
A nurse is monitoring a patient receiving Ethambutol (Myambutol) for adverse
effects. The nurse determines that the patient is experiencing a side effect of the
medication, in which of the following?
A. Red-orange colored bodily secretions
B. Damaged hearing
C. Loss of balance
D. Difficulty distinguishing the color red from green
The answer is D. Ethambutol causes optic neuritis characterized by decreased
visual acuity and decreased ability to distinguish between the colors red and
green. Option A : Side effect of Rifampicin. Option B : side effet of Streptomycin
Option C : not a related symptom to the anti-TB medications
A patient with tuberculosis is receiving Ethambutol (Myambutol). All the following
laboratory investigations have to be carried out except:
A. Complete blood count
B. Liver function test
C. Triglyceride level
D. Uric acid level
The answer is C. Triglyceride level is not monitored during the treatment.
Option A : Monitor for thrombocytopenia. Option B : Monitor for
hepatotoxicity. Option D : Monitor for hyperuricemia.
A nurse is giving instructions to a patient receiving Pyrazinamide. Which of the
following is not true regarding this medication?
A. Take the medication with food
B. Photosensitivity is one of the side effects
C. It enhances the effet of allopurinol
D. Use with caution in patients with diabetes mellitus
The answer is C. Patients taking pyrazinamide decreases the effects of
allopurinol, colchicine, probenecid, and sulfinpyrazone. Option A : Taken
with food to reduce gastric upset. Option B : To instruct the patient to
avoid sunlight. Option D : This medication causes hyperglycemia
A oatient is taking streptomycin . The nurse explains the nervous system side
effects of this medication. The nurse correctly states that this medication causes
damage to which cranial nerve?
A. Cranial nerve VII
B. Cranial nerve VIII
C. Cranial nerve IX
D. Cranial nerve X
The answer is B. Nervous system side effects of streptomycin include eighth cranial nerve
toxicity which typically affects the vestibular system (Clumsiness, dizziness,
unsteadiness) but may also affect the auditory component (ringing) in the ear, loss of
hearing) Option A is the facial nerve not affected Option C is the glossopharyngeal
nerve also not affected. Option is the vagus nerve which also is not affected
All are examples of antiviral influenza medications except :
A. Ehionamide (Trecator)
B. Amantadine (Symmetrel)
C. Oseltamivir (Tamiflu)
D. Zanamivir (Relenza)
The answer is A. Ethionamide (trecator) is an antibiotic used in the
treatment of tuberculosis.
Rifabutin (Mycobutin) is prescribed to a patient with active Mycobacterium avium
complex disease and tuberculosis. The nurse determines that the patient is
experiencing side effects in which of the following , except ?
A. Tingling and numbness of the fingers
B. Blurred vision
C. Arthralgia
D. Flu-like symptoms
The answer A. Tingling and numbness of the fingers is more associated
with the use of isoniazid (INH). Options B, C, and D are the side effects
of Rifabutin.
A child ir receiving prednisolone. Which following statement makes the nurse
know that the mother understands the teaching about her child’s prednisolone
therapy?
A. I’ll be sure to count my child’s pulse every day
B. I can’t feed my child her favorite oatmeal for breakfast any more
C. I’ll keep my child away from people with colds
D. I’ll make sure my child rests in bed every afternoon
The answer is C. Prednisolone increases susceptibility to infections. The
child should be protected from all infections.