Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 35

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Question #1
Which medication is an alpha1-adrenergic blocker?
A.   Goserelin
B.   Alfuzosin
C.   Nandrolone
D.   Nilutamide
Question #2
The nurse is teaching a patient about finasteride therapy. Which time period will the drug take to achieve its full effect?
A.   3 to 6 months
B.   2 to 4 weeks
C.   1 to 2 weeks
D.   1 to 3 months
Question #3
The nurse will administer testosterone to a patient. Which route will provide the best absorption?
A.   Buccal
B.   Transdermal
C.   Injection
D.   Oral
Question #4
Which outcome is a benefit of synthetic androgens?
A.   Enhancement of the male libido
B.   Relief from fluid retention
C.   Prolonged erection
D.   Increased hair growth
Question #5
Which drug prescription would the nurse report to the primary health care provider if the patient is taking tadalafil?
A.   Furosemide
B.   Famotidine
C.   Nitroglycerin
D.   Ibuprofen
Question #6
Which outcome is the objective of treating benign prostatic hyperplasia (BPH) with finasteride?
A.   Relaxing urine retention
B.   Improving erectile dysfunction
C.   Reducing obstruction in the urethra
D.   Increasing penile blood flow
Question #7
Which medication treats erectile dysfunction?
A.   Minoxidil
B.   Sildenafil
C.   Finasteride
D.   Testosterone
Question #8
Which daily dose of finasteride is prescribed for an adult patient who is being treated for androgenetic alopecia?
A.   1 mg by mouth
B.   50 to 400 mg by intramuscular injection
C.   25 to 100 mg 1 hour before intercourse
D.   5 mg by mouth
Question #9
Anabolic steroids have which adverse effect?
A.   Changes in libido
B.   Tachycardia
C.   Chest pain
D.   Dermatitis
Question #10
Which medication is used to treat baldness in both men and women?
A.   Methyltestosterone
B.   Sildenafil
C.   Finasteride
D.   Minoxidil
Question #11
Which method of administration is used for testosterone cypionate?
A.   Transdermal
B.   Intramuscular
C.   Topical
D.   Oral
Question #12
Which location would be used to place a testosterone transdermal patch on a patient for the treatment of primary hypogonadism?
A.   Upper arms
B.   Scrotum
C.   Abdomen
D.   Thighs
Question #13
The nurse observes a patient who is taking finasteride for the treatment of hair loss. Which adverse effect is expected in the patient?
A.   Prolonged erection
B.   Decreased libido
C.   Fluid retention
D.   Increased amount of ejaculate
Question #14
The nurse is assessing an elderly patient who has angina pectoris who has been prescribed nitroglycerin. After reviewing the patient’s medical history, the nurse advises the patient to avoid vardenafil. Which adverse effect of vardenafil does the nurse explain to the patient?
A.   Reduces the efficacy of nitroglycerin
B.   May cause erectile dysfunction in patients
C.   Is contraindicated for use in elderly patients
D.   Causes hypotension if taken with nitroglycerin
Question #15
A patient receiving finasteride has increased hair growth. Which nursing action is correct?
A.   Continue to assess.
B.   Hold the medication.
C.   Measure testosterone levels.
D.   Call the health care provider.
Question #16
Which group of college students would the nurse need to include in a teaching session on the risks of androgen abuse?
A.   Those often tardy
B.   Those who do not socialize well
C.   High class performers
D.   Team athletes
Question #17
A 67-year-old man is prescribed testosterone. Which site may be used for the reservoir patch?
A.   Back, Thighs, Shoulder
B.   Shoulder, Thighs, Abdomen
C.   Back, Thighs, Abdomen
D.   Back, Shoulder, Abdomen
Question #18
Which effect of finasteride would the nurse expect?
A.   Increase in libido
B.   Stronger urinary stream without hesitancy
C.   Restoration of a full head of hair in 1 month
D.   Weight gain of 1 to 2 pounds per week
Question #19
While assessing a patient, the nurse finds that the patient is an athlete by profession and takes oxymetholone without a medical prescription. Which reason does the nurse suspect for the patient taking oxymetholone?
A.   Stress relief
B.   Euphoric effect
C.   Muscle hypertrophy
D.   Pain relief
Question #20
While caring for a patient who has been prescribed sildenafil for erectile dysfunction, the nurse would ask the patient about the use of which medication?
A.   Nitroglycerin
B.   Metformin
C.   Doxycycline
D.   Leuprolide
Question #21
The nurse is caring for a patient receiving androgen therapy. For which condition is androgen therapy indicated?
A.   Prostate cancer, Priapism
B.   Priapism, Hypergonadism
C.   Endometriosis, Refractory anemias
D.   Prostate cancer, Hypergonadism
Question #22
A patient who is pregnant tells the nurse, "My husband is losing his hair, and I apply finasteride cream on his scalp daily." Which test would the nurse discuss with the patient’s health care provider?
A.   Lipid profile
B.   Exercise tolerance test
C.   Ultrasonography of the fetus
D.   Liver function test
Question #23
A male patient is diagnosed with mild prostate enlargement. Which drug would the nurse expect to administer to control the enlargement?
A.   Finasteride
B.   Tamsulosin
C.   Minoxidil
D.   Stanozolol
Question #24
A patient with hypogonadism gives a return demonstration of the application of a testosterone dermal patch. Which patient action when applying the patch indicates the need for additional teaching?
A.   Applies the patch on clean, dry skin
B.   Applies the patch on shaved skin
C.   Applies the patch on the scrotum
D.   Replaces the patch every other day
Question #25
A patient is sterile because of low testosterone levels. Which other complication would the nurse suspect in this patient?
A.   Hypoglycemia
B.   Fatty liver
C.   Hyperacidity
D.   Anemia
Question #26
The nurse is providing care for a patient receiving androgen therapy for weight gain. Which adverse effect of the medication can be mistaken as weight gain?
A.   Fluid retention
B.   Hirsutism
C.   Peliosis of the liver
D.   Roundness of face
Question #27
Which function does testosterone serve in the body?
A.   Fat metabolism, Production of red blood cells, Excretion of sodium and potassium
B.   Excretion of sodium and potassium, Development of secondary sexual characteristics, Fat metabolism
C.   Bone development, Production of red blood cells, Development of secondary sexual characteristics
D.   Fat metabolism, Excretion of sodium and potassium, Bone development
Question #28
A patient who has been taking sildenafil has developed angina. The health care provider has prescribed isosorbide mononitrate. Which instruction will the nurse give the patient?
A.   "Take the medications on opposite days."
B.   "Take the isosorbide mononitrate before the sildenafil."
C.   "Do not take the sildenafil."
D.   "Take your blood pressure before either medication."
Question #29
The nurse is assessing a patient at a follow-up visit after starting treatment with sildenafil for erectile dysfunction. Which assessment finding would indicate that the treatment needs to be revised?
A.   The patient’s cardiac output is 5.6 L/min.
B.   The patient verbalizes the ability to maintain an erection.
C.   The patient’s blood pressure is 90/60 mm Hg.
D.   The patient does not have dry mouth, nausea, or vomiting.
Question #30
Which condition is a contraindication for treatment with testosterone?
A.   Oligospermia, Pregnancy, Hypogonadism
B.   Hepatic disease, Oligospermia, Hypogonadism
C.   Pregnancy, Renal disease, Hepatic disease
D.   Oligospermia, Hypogonadism, Renal disease
Question #31
Sildenafil is used for which condition ?
A.   Hypothyroidism, Hypoglycemia
B.   Liver disorders, Hypothyroidism
C.   Erectile dysfunction, Pulmonary hypertension
D.   Hypoglycemia, Liver disorders
Question #32
Which primary role does testosterone play in the male body?
A.   Helps in production of red blood cells, Helps in development of facial hair in men, Helps develop the male sex characteristics
B.   Triggers better metabolic bodily functions, Helps develop the male sex characteristics, Triggers erectile dysfunction (ED)
C.   Helps in development of facial hair in men, Triggers better metabolic bodily functions, Triggers erectile dysfunction (ED)
D.   Triggers better metabolic bodily functions, Triggers erectile dysfunction (ED), Helps in production of red blood cells
Question #33
Which finding in the medication administration record of a 62-year-old male would make the use of sildenafil contraindicated?
A.   Finasteride
B.   Metformin
C.   Atorvastatin
D.   Isosorbide mononitrate
Question #34
The health care provider prescribed testosterone cypionate to a patient due to a testosterone deficiency. When the patient asks why the medication must be administered as an injection, which information would the nurse provide?
A.   “Underarm spray form requires twice-daily application.”
B.   “Transdermal systems can be used but must be changed weekly.”
C.   “Oral testosterone lasts no more than 12 hours.”
D.   “Injectable testosterone has a longer duration of action.”
Question #35
Which action would the nurse take prior to giving a dose of terazosin to a patient with benign prostatic hypertrophy?
A.   Assess skin integrity
B.   Review liver function tests
C.   Obtain blood pressure
D.   Calculate 24-hour output
Question #36
A nurse is teaching a patient how to self-administer sildenafil. Which patient statement indicates effective learning?
A.   "I will push the suppository into my urethra."
B.   "I will apply it onto the scrotal skin."
C.   "I will apply it to my abdomen."
D.   "I will take the tablet 1 hour before intercourse."
Question #37
Which patient is not a candidate for oxandrolone therapy?
A.   A patient with severe burns over 70% of the body
B.   A high school athlete who has difficulty gaining weight
C.   A patient with catabolism after major abdominal surgery
D.   A patient with AIDS
Question #38
The nurse is planning to administer vardenafil to a patient with a past history of a myocardial infarction (MI). Which intervention would the nurse perform first?
A.   Instruct the patient to take all cardiac medications first.
B.   Call the health care provider to change the prescription.
C.   Perform a thorough history, including medication.
D.   Assess the patient’s blood pressure.
Question #39
Which side effect would the nurse monitor for in a patient who has been administered finasteride for treatment of an enlarged prostate gland?
A.   Impotence, Bradycardia
B.   Increased hair growth, Reduction of prostate size
C.   Bradycardia, Libido enhancement
D.   Libido enhancement, Impotence
Question #40
The nurse is assessing a professional weightlifter who has been banned from practicing weightlifting because of drug doping. The patient’s reports reveal an excessive concentration of nandrolone in the blood. Which risk would the nurse interpret from these findings?
A.   Infertility, Cardiovascular disorder
B.   Anemia, Malabsorption syndrome
C.   Muscle atrophy, Anemia
D.   Muscle atrophy, Malabsorption syndrome
Question #41
A patient presents for follow-up after beginning treatment with finasteride. After reviewing the patient’s home medication list, which medication requires patient education? Home Medication List o Lisinopril 5 mg PO daily o Hydrochlorothiazide 25 mg PO daily o Saw palmetto 320 mg PO BID o Citalopram 20 mg PO daily
A.   Lisinopril
B.   Saw palmetto
C.   Hydrochlorothiazide
D.   Citalopram
Question #42
Which information would the nurse provide when teaching a patient newly prescribed sildenafil regarding dosing and signs to report?
A.   Report erections longer than 4 hours
B.   Can take medication twice daily
C.   Normal dose is 10 mg
D.   Take drug 2 hours before sexual activity
Question #43
Which patient cue would lead the health care provider to decrease a patient’s dose of sildenafil?
A.   Creatinine 2.5 mg/dL
B.   Fasting blood glucose 110 mg/dL
C.   Gastroesophageal reflux
D.   Enlarged prostate
Question #44
Which patient cue gathered from the assessment of a patient receiving oxymetholone for the treatment of breast cancer requires immediate health care provider notification?
A.   Impotence, Dizziness
B.   Dyspnea, Chest pain
C.   Impotence, Urinary frequency
D.   Dizziness, Urinary frequency
Question #45
The health care provider prescribed finasteride and tamsulosin to treat benign prostatic hypertrophy. When the patient asks why two medications are used, which response would the nurse provide?
A.   “Tamsulosin alleviates the antiandrogen effects that are caused by finasteride.”
B.   “Finasteride takes 6 months to work, whereas tamsulosin begins working immediately.”
C.   “These drugs work together to shrink tissue in the prostate, relieving the obstruction.”
D.   “Both medications have a rapid onset of action and work together to alleviate the obstruction.”
Question #46
When planning care for a patient receiving methyltestosterone for male hypogonadism, which laboratory test would the nurse expect to monitor?
A.   White blood cell (WBC) count, Comprehensive metabolic panel
B.   Lipid panel, Liver function tests (LFTs)
C.   Blood glucose, Comprehensive metabolic panel
D.   White blood cell (WBC) count, Blood glucose
Question #47
  
A.   Nitrates
B.   Anticoagulants
C.   Alpha agonists
D.   Antibiotics
Question #48
A patient who reports difficulty passing urine is prescribed finasteride by the primary health care provider. Which condition would the nurse suspect to have caused difficulty in urination?
A.   Renal calculi
B.   Neurogenic bladder
C.   Urinary tract infection
D.   Benign prostatic hyperplasia
Question #49
The nurse is providing care for a patient taking oxandrolone. Which test would the nurse evaluate to help prevent complications in the patient?
A.   Liver function
B.   Hematocrit
C.   Glucose
D.   Hemoglobin
Question #50
Which adverse effect would the nurse be cognizant of while providing care for a patient taking finasteride?
A.   Peliosis of the liver
B.   Loss of libido
C.   Hypotension
D.   Depression
Question #51
For which condition would finasteride be prescribed besides a patient who does not have a history of difficulty with urination?
A.   Benign prostate hyperplasia (BPH)
B.   Baldness
C.   Infertility
D.   Hypertension
Question #52
A patient who is taking terazosin for benign prostatic hyperplasia (BPH) reports symptoms of hypotension. Which drug would the nurse expect to be prescribed to the patient as an alternative to terazosin?
A.   Doxazosin
B.   Sildenafil
C.   Finasteride
D.   Tamsulosin
Question #53
Testosterone drugs are in which pharmacologic class?
A.   Schedule I
B.   Schedule III
C.   Schedule II
D.   Schedule IV
Question #54
Which drug is a Schedule III drug?
A.   Testosterone
B.   Minoxidil
C.   Doxazosin
D.   Goserelin
Question #55
Which condition is an indication of saw palmetto use?
A.   Benign prostatic hyperplasia
B.   Gastrointestinal upset
C.   Dysuria
D.   Back pain
Question #56
Which drugs can cause both syncope and dyspnea as adverse reactions?
A.   Androgens
B.   Alpha1-adrenergic blockers
C.   Topical peripheral vasodilators
D.   5-Alpha reductase inhibitors
Question #57
Which drug requires wearing gloves during administration?
A.   Dutasteride
B.   Stanozolol
C.   Tamsulosin
D.   Minoxidil

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