Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 35

Question 1

Type: MCSA

Which hormone is responsible for the maturation of the reproductive organs and for the appearance of the secondary sex characteristics in women?

1. Progesterone
2. Estrogen
3. Testosterone
4. Androgen

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 586

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-1 Describe the roles of the hypothalamus, pituitary, and sex organs in maintaining female and male reproductive function.

Question 2

Type: MCSA

Which hormone is responsible for maturation of the male sex organs and the secondary sex characteristics of men?

1. Testosterone
2. Progesterone
3. Follicle-stimulating hormone (FSH)
4. Estrogen

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 586

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-1 Describe the roles of the hypothalamus, pituitary, and sex organs in maintaining female and male reproductive function.

Question 3

Type: MCMA

The nurse is providing education to a client who will begin birth control pills. Which statements are correct regarding how birth control pills work? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. They decrease blood flow to the ovaries.
2. They do not allow the egg to mature.
3. They prevent ovulation.
4. They make the lining of the uterus less favorable to receiving an embryo.
5. They cause permanent sterilization.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 587

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 34-2 Explain the mechanisms by which estrogens and progestins prevent conception.

Question 4

Type: MCMA

Hormone replacement therapy (HRT) is used to treat symptoms of menopause. What are these clients at an increased risk for developing as a result of the HRT? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Endometrial cancer
2. Stroke
3. Venous thromboembolism
4. Breast cancer
5. Coronary artery disease

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 591

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-3 Describe the role of drug therapy in the treatment of menopausal and postmenopausal symptoms.

Question 5

Type: MCSA

More side effects are observed when estrogens are used to treat certain cancers. Which conclusion by the nurse is most correct?

1. In this case, estrogens are used for short term.
2. Side effect risk increases due to chronic disease present.
3. Symptoms of cancer mimic estrogen use.
4. Higher doses are used, so more side effects are observed.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 591

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-4 Discuss the uses of hormones in the therapy of dysfunctional uterine bleeding, endometrial cancer, and symptoms experienced after menopause in some women.

Question 6

Type: MCSA

A client with dysfunctional uterine bleeding is prescribed progestin. How should the nurse instruct the client to take progestin?

1. Starting the day of the onset of menses and continuing for 28 days
2. Every other day for 3 months
3. Starting 5 days after the onset of menses and continuing for the next 20 days
4. Starting the last day of the menstrual period and continuing for 14 days

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 592

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-4 Discuss the uses of hormones in the therapy of dysfunctional uterine bleeding, endometrial cancer, and symptoms experienced after menopause in some women.

Question 7

Type: MCSA

A client has been started on oxytocin (Pitocin) while in labor. Why is this medication being used for this client?

1. To prevent uterine rupture
2. To increase the volume of milk production
3. To cause milk to be ejected from the mammary glands
4. To cause the uterus to contract

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 594

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-5 Compare and contrast the use of uterine stimulants and relaxants in the treatment of patients giving birth and after delivery of the baby.

Question 8

Type: MCSA

A client is in preterm labor. Which medication does the nurse anticipate will be prescribed to slow uterine contractions?

1. Oxytocin (Pitocin)
2. Dinoprostone (Cervidil)
3. Nifedipine (Procardia)
4. Estrogen conjugated (Cenestin)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 594

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-5 Compare and contrast the use of uterine stimulants and relaxants in the treatment of patients giving birth and after delivery of the baby.

Question 9

Type: MCSA

The nurse is caring for a client who has experienced a fetal demise. Which medication does the nurse anticipate will be prescribed for this client to expel the fetus?

1. Dinoprostone (Cervidil)
2. Terbutaline (Brethine)
3. Nifedipine (Procardia)
4. Oxytocin (Pitocin)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 594

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-5 Compare and contrast the use of uterine stimulants and relaxants in the treatment of patients giving birth and after delivery of the baby.

Question 10

Type: MCSA

What is the term for the deficiency of testosterone in prepubertal men that can result in a lack of maturation of the sex organs?

1. BPH
2. Erectile dysfunction
3. Hypogonadism
4. Pituitary disease

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Number: 595

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-6 Identify the reasons for pharmacotherapy with androgens.

Question 11

Type: MCSA

Which medication would cause the nurse to caution a client who is using sildenafil (Viagra) for erectile dysfunction?

1. Progesterone (Prometrium)
2. Diltiazem (Verapamil)
3. Organic nitrates (Nitro-Dur)
4. Atenolol (Tenormin)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 597

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-7 Describe the pharmacotherapy of erectile dysfunction.

Question 11

Type: MCSA

A client is taking finasteride (Proscar). Why does the nurse anticipate that this medication is being prescribed for male-pattern baldness and not benign prostatic hypertrophy (BPH)?

1. Taking a smaller dose
2. Using a topical preparation of the drug
3. Taking a larger dose
4. Using it on an as-needed basis

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 599

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-8 Describe the pharmacotherapy of benign prostatic hyperplasia.

Question 12

Type: MCMA

A client with erectile dysfunction asks the nurse which medications treat ED. Which medications will the nurse include in client teaching? (Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Tadalafil (Cialis)
2. Vardenafil (Levitra)
3. Testosterone enanthate (Andro)
4. Sildenafil (Viagra)
5. Propranolol (Inderal)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 597

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-7 Describe the pharmacotherapy of erectile dysfunction.

Question 13

Type: MCMA

The nurse is teaching the client prescribed tamsulosin (Flomax) for BPH. What should the nurse include in the teaching session for this client? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. “This medication will shrink the prostate.”
2. “Drug therapy alleviates the symptoms but does not cure the disease.”
3. “This medication will lower your blood pressure.”
4. “This medication has no effect on blood pressure.”
5. “This medication will be required for the rest of your life.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 598

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-8 Describe the pharmacotherapy of benign prostatic hyperplasia.

Question 14

Type: MCSA

A client is prescribed hormone replacement therapy. What should the nurse include in the medication teaching for this client?

1. Decrease intake of high-fiber foods
2. Avoid heavy lifting
3. Use an additional form of contraception
4. Perform breast self-examinations

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 599

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-4 Discuss the uses of hormones in the therapy of dysfunctional uterine bleeding, endometrial cancer, and symptoms experienced after menopause in some women.

Question 15

Type: MCSA

Which client statement indicates a need for further instruction regarding oral contraceptives?

1. “I should stop smoking.”
2. “If I miss a dose, I should take it as soon as I remember, or two the next day.”
3. “I do not need to perform monthly breast exams while taking an oral contraceptive.”
4. “If I miss two consecutive periods, I should contact my doctor.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 591

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-2 Explain the mechanisms by which estrogens and progestins prevent conception.

Question 16

Type: MCSA

A female client has been prescribed Micronor as an oral contraceptive. What is the best explanation by the nurse in terms of how this medication is used to prevent pregnancy?

1. It produces a thick, viscous mucus at the entrance to the uterus that prevents penetration by sperm.
2. It terminates pregnancy.
3. It increases ovulation.
4. It prevents ovulation.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 588

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-2 Explain the mechanisms by which estrogens and progestins prevent conception.

Question 17

Type: MCMA

The nurse is providing education to sexually active adolescents. Which contraceptive will the nurse include in the section regarding long-term formulations? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Medroxyprogesterone IM (Depo-Provera)
2. Polyethylene cylinder (Mirena)
3. Ethinyl estradiol and norelgestromin (Ortho Evra)
4. Estrogen and progestin (NuvaRing)
5. Ortho-Novum 7/7/7-28

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 589

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-2 Explain the mechanisms by which estrogens and progestins prevent conception.

Question 18

Type: MCSA

The nurse is caring for a client who has been using anabolic steroids for a long period of time. What behavior change does the nurse anticipate for this client?

1. Liver damage and menstrual irregularities
2. Aggression and dependence
3. Depression and fatigue
4. Stress and anxiety

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 595

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-6 Identify the reasons for pharmacotherapy with androgens.

Question 19

Type: MCSA

The nurse is providing education for a client who is prescribed biphasic oral contraceptives. What does this type of oral contraceptive contain?

1. Constant estrogen with an increase in progestin at the end of the cycle
2. Progestin only
3. Constant amounts of estrogen and progestin
4. Both estrogen and progestin, varying in three distinct phases

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 588

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-2 Explain the mechanisms by which estrogens and progestins prevent conception.

Question 20

Type: MCMA

The nurse is caring for a client who is taking an oral contraceptive. What should the nurse advise this client during medication instruction? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Exercise if leg pain is present
2. Stop smoking
3. Periodic laboratory tests may be needed
4. Schedule annual Pap smears
5. Perform breast self-exams

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 591

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 35-2 Explain the mechanisms by which estrogens and progestins prevent conception.

Question 21

Type: MCMA

Hormone replacement therapy (HRT) is used to treat symptoms of menopause. Which are some of the unpleasant symptoms of menopause that women experience? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Hot flashes

2. Vaginal dryness

3. Tachycardia

4. Hyperglycemia

5. Anemia

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 591

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-3 Describe the role of drug therapy in the treatment of menopausal and postmenopausal symptoms.