Fundamentals of Nursing Exams

Funda(Pharma) Part XIII

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1. Walter, a teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?

a. Lungs

b. Liver

c. Kidney

d. Adrenal Glands

2. A contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema) is:

a. Parasite infection.

b. Viral infection.

c. Bacterial infection.

d. Spirochete infection.

3. In infants and children, the side effects of first generation over-the-counter (OTC) antihistamines, such as diphenhydramine (Benadryl) and hydroxyzine (Atarax) include:

a. Reye’s syndrome.

b. Cholinergic effects.

c. Paradoxical CNS stimulation.

d. Nausea and diarrhea.

4. Reye’s syndrome, a potentially fatal illness associated with liver failure and encephalopathy is associated with the administration of which over-the-counter (OTC) medication?

a. acetaminophen (Tylenol)

b. ibuprofen (Motrin)

c. aspirin

d. brompheniramine/pseudoephedrine (Dimetapp)

5. The nurse is aware that the patients who are allergic to intravenous contrast media are usually also allergic to which of the following products?

a. Eggs

b. Shellfish

c. Soy

d. acidic fruits

6. A 13-month-old child recently arrived in the United States from a foreign country with his parents and needs childhood immunizations. His mother reports that he is allergic to eggs. Upon further questioning, you determine that the allergy to eggs is anaphylaxis. Which of the following vaccines should he not receive?

a. Hepatitis B

b. inactivated polio

c. diphtheria, acellular pertussis, tetanus (DTaP)

d. mumps, measles, rubella (MMR)

7. The cell and Coombs classification system categorizes allergic reactions and is useful in describing and classifying patient reactions to drugs. Type I reactions are immediate hypersensitivity reactions and are mediated by:

a. immunoglobulin E (IgE).

b. immunoglobulin G (IgG).

c. immunoglobulin A (IgA).

d. immunoglobulin M (IgM).

8. Drugs can cause adverse events in a patient. Bone marrow toxicity is one of the most frequent types of drug-induced toxicity. The most serious form of bone marrow toxicity is:

a. aplastic anemia.

b. thrombocytosis.

c. leukocytosis.

d. granulocytosis.

9. Serious adverse effects of oral contraceptives include:

a. Increase in skin oil followed by acne.