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Pharmacology Textbook Quiz Questions: Chapters 11, 12, & 13, Exams of Nursing

A series of multiple-choice questions and answers covering key concepts in pharmacology related to parasitic infections, protozoal infections, and fungal infections. It is a valuable resource for students studying nursing or related healthcare fields, offering a comprehensive review of important topics such as pinworm infections, malaria, amebiasis, giardiasis, and fungal infections. Detailed explanations for each answer, enhancing understanding and facilitating learning.

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2024/2025

Available from 01/27/2025

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Nurs 316- Pharm text book Quiz Questions
With Complete Solutions
Chapter 13
To ensure effective treatment of pinworm infections, which
instruction would be most important to emphasize to the patient
and family?
a. Keeping nails long so cutting will not introduce more
infection
b. Laundering undergarments, bed linens, and pajamas every
day
c. Boiling all drinking water
d. Maintaining a clear liquid diet for at least 7 to 10 days correct
answer: 1. b
Which of the following would the nurse expect to assess in a
patient who is suspected of having an Ascaris infection?
a. Cough and signs of pulmonary infestation
b. Cardiac arrhythmias and low blood pressure
c. Seizures and disorientation
d. Bloody diarrhea and excessive vomiting correct answer: 2. a
The nurse describes schistosomiasis to a group of students as an
infection caused by
a. a protozoan carried by a mosquito.
b. improperly cooked pork.
c. a fluke carried by a snail.
d. eating food contaminated by fecal material. correct answer:
3. c
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pf9
pfa
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pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d

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Nurs 316- Pharm text book Quiz Questions

With Complete Solutions

Chapter 13 To ensure effective treatment of pinworm infections, which instruction would be most important to emphasize to the patient and family? a. Keeping nails long so cutting will not introduce more infection b. Laundering undergarments, bed linens, and pajamas every day c. Boiling all drinking water d. Maintaining a clear liquid diet for at least 7 to 10 days correct answer: 1. b Which of the following would the nurse expect to assess in a patient who is suspected of having an Ascaris infection? a. Cough and signs of pulmonary infestation b. Cardiac arrhythmias and low blood pressure c. Seizures and disorientation d. Bloody diarrhea and excessive vomiting correct answer: 2. a The nurse describes schistosomiasis to a group of students as an infection caused by a. a protozoan carried by a mosquito. b. improperly cooked pork. c. a fluke carried by a snail. d. eating food contaminated by fecal material. correct answer:

  1. c

A patient has traveled to Egypt and come home with schistosomiasis. The family is very concerned about spreading the disease. Which information would be most helpful to teach the family? a. Strict hand washing will stop the spread of the disease. b. Isolating the patient will be necessary to stop the spread of the disease. c. Carefully cooking all of the patient's food will help to stop the spread of the disease. d. The snail needed for the life cycle of this worm does not live in this climate. correct answer: 4. d A patient is prescribed mebendazole. The nurse knows that this is the most commonly used anthelmintic, being the drug of choice for treating a. pinworms, roundworms, whipworms, and hookworms. b. trichinosis, flukes, cestodes, and hookworms. c. pork tapeworm, threadworms, cestodes, and whipworms. d. all stages of schistosomal infections. correct answer: 5. a Patient teaching regarding the use of anthelmintics should include counseling about a. the use of oral contraceptives. b. maintenance of nutrition during therapy. c. the use of oral anticoagulants. d. cardiac drug effects. correct answer: 6. b

. Patients may experience anxiety about the diagnosis and treatment of helminthic infections. Teaching may help to alleviate this anxiety and should include

a. a snail to act as intermediary in the life cycle of the protozoan. b. a mosquito and a red blood cell for maturation. c. a human liver cell for cell division and reproduction. d. stagnant water for maturation. correct answer: 2. b A patient who is receiving a combination drug to treat malaria asks the nurse why. The nurse responds to the patient based on the understanding that combination drugs are a. associated with a much lower degree of toxicity when used in combination. b. absorbed more completely when administered and taken together. c. more effective in preventing mosquitoes from biting the individual. d. effective at various stages in the life cycle of the protozoan. correct answer: 3. d A patient traveling to an area of the world where malaria is known to be endemic should be taught to a. avoid drinking the water. b. begin prophylactic antimalarial therapy before traveling and continue it through the visit and for 4 weeks after the visit. c. take a supply of antimalarial drugs in case he or she gets a mosquito bite. d. begin prophylactic antimalarial therapy 2 weeks before traveling and stop the drugs on arriving at the destination. correct answer: 4. b Amebiasis or amebic dysentery a. is seen only in Third World countries.

b. is caused by a protozoan that enters the body through an insect bite. c. is caused by a protozoan that can enter the body in the cyst stage in water or food. d. usually has no signs and symptoms. correct answer: 5. c Giardiasis is the most common intestinal parasite seen in the United States, and it a. does not respond to drug therapy. b. can invade the liver and cause death. c. is seen only in areas with no sanitation. d. is associated with rotten egg-smelling stool, diarrhea, and mucus-filled stool. correct answer: 6. d Pneumocystis jiroveci pneumonia is a. an endemic fungus found in the human respiratory system. b. responsive to inhaled pentamidine. c. an opportunistic bacterial infection. d. frequently associated with children in day care settings correct answer: 7. c Trypanosomiasis may assume which of the following two different forms? a. African sleeping sickness and Chagas disease b. Elephantiasis and malaria c. Dysentery and African sleeping sickness d. Malaria and Chagas disease correct answer: 8. a A nurse would note that a patient had a good understanding of his antimalarial drug regimen if the patient reported,

a. a fungal cell wall has fewer but more selective protective layers. b. the composition of the fungal cell wall is highly rigid and protective. c. a fungus does not reproduce by the usual methods of cell division. d. antibiotics are developed to affect only bacterial cell walls. correct answer: 1. b When administering a systemic antifungal agent, the nurse incorporates understanding that all systemic antifungal drugs function to a. break apart the fungus nucleus. b. interfere with fungus DNA production. c. alter cell permeability of the fungus, leading to cell death. d. prevent the fungus from absorbing needed nutrients correct answer: 2. c

  1. After assessing a patient, the nurse would question an order for amphotericin B to prevent the possibility of serious nephrotoxicity if the patient was also receiving which of the following? a. Digoxin b. Oral anticoagulants c. Phenytoin d. Corticosteroids correct answer: 3. d . The nurse is describing fungi that cause infections of the skin and mucous membranes, appropriately calling these which of the following? a. Mycoses

b. Meningeal fungi c. Dermatophytes d. Worms correct answer: 4. c

. After teaching a group of students about topical fungal infections, the instructor determines that the students need additional instruction when they identify which of the following as an example? a. Athlete's foot b. Rocky Mountain spotted fever c. Jock itch d. Vaginal yeast infections correct answer: 5. b

  1. Which of the following would the nurse recommend that a woman with repeated vaginal yeast infections keep on hand? a. Tolnaftate b. Butenafine c. Clotrimazole d. Naftifine correct answer: 6. c The nurse instructs the patient to use care when applying topical antifungal agents to prevent systemic absorption because a. the fungus is only on the surface. b. these drugs are too toxic to be given systemically. c. absorption would prevent drug effectiveness. d. these drugs can cause serious local burning and pain correct answer: 7. b
  2. A patient with a severe case of athlete's foot is seen with lesions between the toes, which are oozing blood and serum. After teaching the patient, the nurse determines that the

b. You can share this drug with other family members if they develop the same symptoms. c. If you feel drowsy or dizzy, you should avoid driving or operating dangerous machinery. d. If GI upset occurs, avoid eating and drinking so you don't vomit and lose the drug. e. Use over-the-counter drugs to counteract any adverse effects like headache, fever, or rash. f. Notify your healthcare provider if you experience yellowing of the skin or eyes, dark urine or light-colored stools, or fever and chills. correct answer: 2. a, c, f Chapter 48

. Blood coagulation is a complex reaction that involves a. vasoconstriction, platelet aggregation, and plasminogen action. b. vasodilation, platelet aggregation, and activation of the clotting cascade. c. vasoconstriction, platelet aggregation, and conversion of prothrombin to thrombin. d. vasodilation, platelet inhibition, and action of the intrinsic and extrinsic clotting cascades. correct answer: 1. c Warfarin, an oral anticoagulant, acts a. to directly prevent the conversion of prothrombin to thrombin. b. to decrease the production of vitamin K clotting factors in the liver. c. as a catalyst in the conversion of plasminogen to plasmin. d. immediately, so it is the drug of choice in emergency situations. correct answer: 2. b

Heparin reacts to prevent the conversion of prothrombin to thrombin. Heparin a. is available in oral and parenteral forms. b. takes about 72 hours to have a therapeutic effect. c. has its effects reversed with the administration of protamine sulfate. d. has its effects reversed with the injection of vitamin K. correct answer: 3. c The low-molecular-weight heparin of choice for preventing DVT after hip replacement therapy is a. heparin. b. betrixaban. c. fondaparinux. d. enoxaparin. correct answer: 4. d A thrombolytic agent would be most indicated for which circumstance? a. CVA within the last 2 months b. Acute MI within the last 3 hours c. Recent, serious GI bleeding d. Obstetric delivery correct answer: 5. b Which is true of warfarin? a. Side effects include increased risk of clotting. b. Therapy may take multiple days of dosing to become therapeutic. c. It works by inhibiting activation of factor X. d. It is only administered I correct answer: 6. c Select all that apply.

Evaluating a client who is taking an anticoagulant for blood loss would usually include assessing for which conditions? a. The presence of petechiae b. Bleeding gums while brushing the teeth c. Dark-colored urine d. Yellow color to the sclera or skin e. The presence of ecchymotic areas f. Loss of hair correct answer: 4. a, b, c, e, f Chapter 44

. A nurse assessing a patient with HF would expect to find a. cardiac arrest. b. congestion of blood vessels. c. an MI. d. a pulmonary embolism. correct answer: 1. b Calcium is needed in the cardiac muscle a. to break apart actin-myosin bridges. b. to activate troponin. c. to promote contraction via sliding. d. to maintain the electrical rhythm. correct answer: 2. c When assessing a patient with right-sided HF, the nurse would expect to find edema a. in gravity-dependent areas. b. in the hands and fingers. c. around the eyes. d. when the patient is lying down. correct answer: 3. a ACE inhibitors and other vasodilators are used in the early treatment of HF. They act to

a. decrease workload on the heart by lowering preload and afterload. b. increase arterial pressure and perfusion. c. cause pooling of the blood and decreased venous return to the heart. d. increase the release of aldosterone and improve fluid balance. correct answer: 4. c A nurse is preparing to administer a prescribed cardiac glycoside to a patient based on the understanding that this group of drugs acts in which way? a. They block the sympathetic nervous system. b. They block the renin-angiotensin system. c. They block the parasympathetic influence on the heart muscle. d. They affect intracellular calcium levels in the heart muscle correct answer: 5. d A nurse would instruct a patient taking Lanoxin (digoxin) for the treatment of HF to take which action? a. Make up any missed doses the next day. b. Report changes in heart rate. c. Avoid exposure to the sun. d. Switch to generic tablets if less expensive. correct answer: 6. b A nurse is about to administer Lanoxin to a patient whose apical pulse is 48 beats/min. He or she should a. administer the drug and notify the prescriber that the heart rate is low.

e. Blood-tinged sputum f. Swollen ankles correct answer: 2. a, c, d, e Chapter 43 Baroreceptors are the most important factor in controlling fast changes in BP. Baroreceptors a. are evenly distributed throughout the body to maintain pressure in the system. b. sense pressure and immediately send that information to the medulla in the brain. c. are directly connected to the sympathetic nervous system. d. are as sensitive to oxygen levels as to pressure changes. correct answer: 1. b Essential hypertension is the most commonly diagnosed form of high BP. Essential hypertension is a. caused by a tumor in the adrenal gland. b. associated with no known cause. c. related to renal disease. d. caused by liver dysfunction. correct answer: 2. b Hypertension is associated with a. loss of vision. b. strokes. c. atherosclerosis. d. all of the above. correct answer: 3. d The stepped-care approach to the treatment of hypertension includes a. lifestyle modification, including exercise, diet, and decreased smoking and alcohol intake.

b. use of a diuretic, beta-blocker, or ACE inhibitor to supplement lifestyle changes. c. a combination of antihypertensive drug classes to achieve desired control. d. all of the above. correct answer: 4. d ACE inhibitors work on the renin-angiotensin system to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in a. spontaneous pneumothorax. b. pneumonia. c. unrelenting cough. d. respiratory depression. correct answer: 5. c A client taking an ACE inhibitor is scheduled for surgery. Because this medication may be dangerous in the setting of general anesthesia, the nurse should a. stop the drug without discussing with the providers. b. alert the provider caring for the patient, and mark the client's chart prominently. c. cancel the surgery and consult with the prescriber. d. monitor fluid levels and make sure the fluids are restricted before surgery. correct answer: 6. b A patient who is hypertensive becomes pregnant. Which is the safest medication for this patient? a. An angiotensin II receptor blocker b. An ACE inhibitor c. A beta-blocker d. A calcium-channel blocker correct answer: 7. c

c. if it is left untreated, microorganisms can travel to brain tissue. d. drainage from infected sinus membranes often leads to pneumonia. correct answer: 1. c Diffusion of CO2 from the tissues into the capillary blood a. occurs if the tissue concentration of CO2 is greater than that in the blood. b. decreases as blood acidity increases. c. increases in the absence of carbonic anhydrase. d. is accompanied by a decrease in plasma bicarbonate. correct answer: 2. a The type II cells of the walls of the alveoli function to a. replace mucus in the alveoli. b. produce serotonin. c. secrete surfactant. d. protect the lungs from bacterial invasion. correct answer: 3. c A patient who coughs is experiencing a reflex caused by a. inflammation irritating the sinuses in the skull. b. irritants affecting receptor sites in the nasal cavity. c. pressure against the eustachian tube. d. irritation to receptors in the trachea and conducting airways. correct answer: 4. d Which is most critical for respiration to occur? a. Low levels of oxygen b. Low levels of CO c. Functioning inspiratory muscles

d. An actively functioning autonomic system correct answer: 5. c After teaching a community group about the common cold, the instructor determines that the teaching was successful when the group states which as the cause? a. Bacteria that grow best in the cold b. Allergens in the environment c. Irritation of the delicate mucous membrane d. A number of different viruses correct answer: 6. d A patient with COPD would be expected to have a. an acute viral infection of the respiratory tract. b. loss of protective respiratory mechanisms due to prolonged irritation or damage. c. localized swelling and inflammation within the lungs. d. inflammation or swelling of the sinus membranes over a prolonged period. correct answer: 7. b Select all that apply.

  1. What would a nurse expect to assess if a patient has inflammation of the upper respiratory tract? a. A runny nose b. Laryngitis c. Sneezing d. Hypoxia e. Rales f. Wheezing correct answer: 1. a, b, c Select all that apply