COLEGIO SAN AGUSTIN-BACOLOD
Anterior or adenohypohysis consist
COLLEGE OF HEALTH AND ALLIED PROFESSIONS
NURSING PROGRAM
FINALS EXAMINATION
PHARMACOLOGY
NCM 106
MULTIPLE CHOICE: Please follow the
instructions carefully. Read the questions
carefully and choose the best answer. CRITICAL
THINKING is a must. Do not write anything on
the test questionnaire. Place your answers on
the test answer sheet. CHEATING is not
allowed.
1. Endocrine system consists of various
glands that secrete: c
a. Epinephrine
b. Aldosterone
c. Hormones
d. None of the above
2. When the level of glucose in the blood
rises above normal, the pancreas
secretes: b
a. Digestive juice
b. Insulin
c. Epinephrine
d. None of the above
3. Which of the following statements best
describe Negative Feedback? d
a. the output of a pathway inhibits
inputs to the pathway.
b. Decreases the deviation from an
ideal normal value, and is important
in maintaining homeostasis.
c. It is common for one hormone to
control the secretion of another
hormone.
d. All of the above
4. Which gland secretes releasing
hormones? b
a. Pituitary Gland
b. Hypothalamus
c. Adrenal gland
d. None of the above
5. The pituitary has two distinct regions,
which of the following is correct: b
a. Anterior or neurohypohysis consist
of nervous tissue
b.
of gland tissue
c. Posterior or adenohypophysis
consist of nervous tissue
d. Posterior or neurohypophysis
consist of gland tissue
6. The following are hormones secreted by
the pituitary gland, EXCEPTt: c
a. Adrenocorticotropic hormone
b. Thyroid Stimulating Hormone
c. Oxytocin
d. Prolactin
7. The following are hormones secreted by
the pituitary gland, EXCEPT: d
a. Adrenocorticotropic hormone
b. Thyroid Stimulating Hormone
c. Leuteinizing Hormone
d. Anti diuretic hormone
8. After consuming a banana split, which
hormone would be expected to
increase? c
a. Prolactin
b. Adrenocorticotropic hormone
c. Insulin
d. Parathyroid hormone
9. Which of the following describes
thyroid hormone? a
a. Consist of T3 and T4
b. Binds to receptors on the outside of
the cell
c. Derived from cholesterol
d. All of the above
10. Which of the following is a physiological
function that is mediated by a hormone
released by the posterior pituitary? c
a. Maturation of the egg and sperm
b. Decrease in calcium levels
c. Water retention
d. Increase in thyroid hormone level
11. Which of the following hormones would
be expected to increase if you were
studying all day for a test and skipped
breakfast and lunch? a
a. Glucagon
b. Growth hormone
c. Insulin
d. Calcitonin
12. Which hormone increases basal
metabolic rate in the body? a
a. Thyroid hormone
b. Parathyroid hormone
c. Insulin
d. Glucagon
13. The primary role of the parathyroid
gland is: b
a. To maintain metabolic homeostasis
b. To regulate serum calcium levels
c. To send hormonal signals to other
endocrine organs
d. To receive hormonal signals from
the hypothalamus
14. All of the following are true of posterior
pituitary hormones EXCEPT: a
a. They include direct and tropic
hormones
b. They are released from the
posterior pituitary
c. A nerve signal from the
hypothalamus stimulates their
release
d. They are also called
neurohypophysis
15. Nurse Stephen is developing a teaching
plan for a male client diagnosed with
diabetes insipidus. The nurse should
include information about which
hormone lacking in clients with diabetes
insipidus? a
a. Anti diuretic hormone
b. Thyroid stimulating hormone
c. Follicle stimulating hormomne
d. Growth hormone
16. Early this morning. a female client had a
subtotal thyroidectomy. During evening
rounds. nurse Kaye assesses the client.
who now has nausea. a temperature of
105° F (40.5° C). tachycardia. and
extreme restlessness. What is the most
likely cause of these signs? b
a. Diabetic ketoacidosis
b. Thyroid crisis
c. Hypoglycemia
d. Tetany
17. For a male client with hyperglycemia.
which assessment finding best supports
a nursing diagnosis of Deficient fluid
volume or Fluid volume deficit? c
a. Cool clammy skin
b. Distended neck veins
c. Increased urine osmolarity
d. Decreased serum sodium level
18. A male client is admitted for treatment
of the syndrome of inappropriate
antidiuretic hormone (SIADH). Which
nursing intervention is appropriate? c
a. Infusing IV Fluids rapidly as ordered
b. Encouraging increased oral intake
c. Restricting fluids
d. Administering glucose-containing IV
Fluids as ordered
19. Nurse Dhenz is assigned to a client with
Cushings Syndrome, which of the
following signs and symptoms must she
assess? a
a. Moon face
b. Hypoglycemia
c. Weight loss
d. Increased potassium
20. Nurse Zee is assigned to a client with
Cushings Syndrome, the following are
the signs and symptoms, EXCEPT: d
a. Hyperglycemia
b. High blood pressure
c. Buffalo hump
d. Increased potassium
21. Which outcome indicates that
treatment of a male client with diabetes
insipidus has been effective? a
a. Fluid intake is less than 2,500
ml/day
b. Urine output measures more than
200 ml/hour
c. Blood pressure is 90/50 mm Hg
d. The heart rate is 126 beats/minute
22. Isabelle, who weighs 210 lb (95 kg) and
has been diagnosed with hyperglycemia
tells the nurse that her husband sleeps
in another room because her snoring
keeps him awake. The nurse notices
that she has large hands and a hoarse
voice. Which of the following would the
nurse suspect as a possible cause of the
client’s hyperglycemia? a
a. Acromegaly
 b. Type 1 Diabetes Mellitus
c. Hypothyroidism 29. TSH stimulates the thyroid gland to
d. Deficient growth hormone release which of the following: a
a. Triiodothyronine
b. Epinephrine
c. Prolactin
23. Nurse Kate is providing dietary d. Oxytocin
instructions to a male client with
hypoglycemia. To control hypoglycemic 30. Excess TSH secretion can cause: b
episodes. the nurse should recommend: a. Hypothyroidism
d b. Hyperthyroidism
a. Increasing saturated fat intake and c. Penile erectile dysfunction
fasting in the afternoon. d. Acromegaly
b. Increasing intake of vitamins B and
D and taking iron supplements. 31. ACTH secretion stimulates the release
c. Eating a candy bar if of the following hormones, EXCEPT: d
lightheadedness occurs. a. Aldosterone
d. Consuming a low-carbohydrate. b. Cortisol
high protein diet and avoiding c. Glucocorticoids
fasting. d. Prolactin

24. Severe deficiency of growth hormone is 32. The following are true about ADH,
called: b EXCEPT: c
a. Acromegaly a. Vasopressin
b. Dwarfism b. Diabetes insipidus
c. Gigantism c. Cortisol
d. None of the above d. None of the above

25. Excessive growth during childhood is: a 33. ADH promotes water reabsorption
a. Gigantism from: c
b. Acromegaly a. Liver
c. Dwarfism b. Stomach
d. None of the above c. Renal tubules
d. Adrenal glands
26. Excessive growth after puberty or
adulthood is: a 34. The following statements are true of
a. Acromegaly diabetes insipidus, EXCEPT: c
b. Dwarfism a. hypokalemia
c. Gigantism b. Fluid volume deficit
d. None of the above c. Electrolyte balance
d. Hyponatrema
27. Excess secretion of growth hormone in
adults can be cured by: a 35. Which of the following is the most
a. Somavert effective form of ADH: b
b. Cosyntropin a. Vasopressin
c. Vasopressin b. Desompressin acetate
d. None of the above c. Declomycin
d. Vaprisol
28. All the growth hormone preparations
are administered via: c 36. The following nursing assessment for
a. Orally pituitary hormones are correct, EXCEPT:
b. IM d
c. Subcutaneously a. Obtain vital signs. Report abnormal
d. None of the above results
 b. Determine patients urinary output
and weight
c. Note patients physical growth
d. Assess for lochial discharges
37. The following nursing interventions
should be given for a patient with ADH,
EXCEPT? c
a. monitor vital signs
b. record urinary output
c. increase fluid intake
d. electrolyte imbalance
38. Nurse Lyza is assigned to a client having
growth hormone therapy, which of the
following should she monitor? a
a. Blood sugar
b. Temperature
c. height
d. none of the above
39. the following are correct about the
purpose and use of growth hormone,
EXCEPT: d
a. health care providers need to
emphasize that these are not
drugss for building muscles
b. they can cause many serious side
effects when abused
c. these are not advisable to athletes
d. hypoglycemia can occur
40. what is the evaluation of drug therapy
in the nursing process for pituitary
hormones? a
a. Effectiveness of drug therapy
b. Clients will be free from pituitary
disorders
c. Need to inform the physician about
the drug therapy
d. None of the above
41. A patient is receiving the drug
somatropin. Nurse Chu understands
that the action of this drug is to do
what? c
a. Acts as an anti-inflammatory agent
b. Increase metabolic rate and oxygen
consumption
c. Stimulate growth in long bones at
epiphyseal plates
d. Promote water reabsorption from
the renal tubules.
42. A patient is given Desmopressin
acetate. Nurse Guino-o knows that this
drug is used to treat which condition? c
a. Gigantism
b. Diabetes mellitus
c. Diabetes insipidus
d. Adrenal insufficiency
43. A patient is taking levothyroxine. For
which adverse effect would the nurse
monitor the patient? a
a. Tachycardia
b. Drowsiness
c. Constipation
d. Weight gain
44. A patient has just began taking calcitrol,
which is a nursing implication of this
drug? b
a. Monitor the patients weight
b. Monitor serum calcium levels
c. Teach side effects of alopecia and
petechiae
d. Instruct the patient to avoid
persons with respiratory infections
45. A patient is given corticotropin. Nurse
Dzae knows to monitor the patient for
which condition? a
a. Weight gain
b. Hyperkalemia
c. Hypoglycemia
d. Dehydration
46. Nurse Lucky is administering
vasopressin to a patient. The nurse
realizes that nursing implications for
this drug would include which
implications? a
a. Record urine output, observe
weight, decreased blood pressure,
increased heart rate
b. Monitor blood glucose level
c. Record daily calcium level
d. None of the above
47. Somatropin is being given to a female
patient with turner syndrome. Which of
the following findings is associated with
this medication? b
a. Decreased ALT and AST level
b. Mild hyperglycemia
c. Hypotension
d. Water intoxication
48. A client with diabetes insipidus is taking d. Decreased blood sugar
antidiuretic hormone. Which of the
following symptoms would alert the 54. Sildenafil (Viagra) is given to a patient
need to decrease the dosage? d with erectile dysfunction. Which of the
a. Alopecia following history is contraindicated with
b. Jaundice the medication? d
c. Diarrhea a. Blurred vision
d. Drowsiness b. Neuralgia
c. Use of vitamins
49. A nurse is instructing a client regarding d. Use of nitroprusside
Desmopressin. The nurse tells the client
that which of the following is a side 55. Glipizide (Glucotrol) is prescribed to a
effect specific to the medication? a patient with diabetes mellitus. The
a. Runny nose nurse instruct the patient to avoid
b. Headache which of the following? c
c. Flushing a. Softdrinks
d. Nausea b. Oatmeal
c. Alcohol
50. A nurse is performing an assessment on d. Organ meats
a newly admit patient who is taking
propylthiouracil (PTU) daily. The nurse 56. Nurse Abigail is to administer
suspects that the client has a history of? mefenamic acid to a pregnant client,
c which should she check first? d
a. Addisons disease a. Right medication
b. Cushings syndrome b. Right patient
c. Graves disease c. Nurses notes
d. Myxedema d. Doctors order

51. Nurse Chesca is giving discharge 57. The following are side effects of iron
instructions to a patient who is taking supplement, EXCEPT: c
levothyroxine. The nurse instructs the a. Black tarry stool
client to notify the physician if which of b. Diarrhea
the following occurs? b c. Headache
a. Cold intolerance d. Constipation
b. Tremors
c. Coarse, dry hair 58. Do not administer iron supplement
d. Muscle cramps with: a
a. Milk
52. Nurse Charise is giving instructions to a b. Juice
patient who is taking levothyroxine. The c. Water
nurse tells the client that the best time d. Wine
to take this medication is? d
a. During bedtime 59. What is needed by pregnant women to
b. After lunch prevent birth defects? b
c. Taken with food a. Multivitamins
d. Taken on an empty stomach b. Folic Acid
c. Iron supplement
53. Desmopressin acetate (DDAVP) is given d. None of the above
to a patient with diabetes insipidus.
Which of the following therapeutic 60. The following are true about
response should you expect? c multivitamins, EXCEPT: a
a. Decreased blood pressure a. Most effective if taken without food
b. Decreased attention span b. Vit A if taken on large doses can be
c. Decreased urinary output teratogenic
 c. Helps prevent congenital defects 68. When is mefenamic acid not
d. None of the above recommended during pregnancy? c
a. First trimester
61. Rose is experiencing hyperemesis b. 2nd trimester
gravidarum, what would be the best c. 3rd trimester
thing to do? c d. None of the above
a. Let Rose rest
b. Watch funny movie with Rose 69. What is the worst side effect of
c. Bring to the hospital mefenamic acid? b
d. Give pain medication a. Brain cancer
b. Renal failure
62. The following are true about pyrosis, c. Erectile dysfunction
EXCEPT: c d. None of the above
a. Burning sensation in the epigastric
region 70. If the mother is taking mefenamic acid,
b. Reflux of acidic stomach contents is it recommended to breastfeed? b
c. Results from a normal increase in a. Yes
estrogen b. No
d. Can be relieved by antacids c. Maybe
d. I dont know
63. What is frequent in pregnancy due to
decreased GI motility? b 71. The following are androgens, EXCEPT: b
a. Diarrhea a. Testosterone
b. Constipation b. Oxandrolone
c. Gastric pain c. Danazol
d. None of the above d. Fluoxymesterone

64. What pregnancy category is 72. The following are penile erectile
paracetamol? c dysfunction drugs, EXCEPT: d
a. A a. Sildenafil
b. B b. Levitra
c. C c. Tadalafil
d. X d. Virilon

65. What pregnancy category is Biogesic? a 73. A postpartum patient has #1 D5LR IVF
a. C with 10 units of oxytocin running at 120
b. D cc/hr, how many drops per minute
c. A should it be? b
d. X a. 20
b. 30
66. What pregnancy category is Dolfenal? c c. 25
a. A d. 10
b. B
c. C 74. A patient with Thyroid Crisis has IVF
d. D running at KVO, how many drops per
minute is it? b
67. Refer to number 66, if Dolfenal is used a. 20
for prolonged periods, what is the b. 10
pregnancy category? b c. 15
a. X d. 25
b. D
c. A 75. Androgens are medically indicated in
d. E the management of all of the following,
EXCEPT: d
 a. Hirsutism
b. Hypogonadism
c. Metabolic stimulation in
prepubertal boys
d. Body building
76. Which of the following is a
contraindication for use of oxytocin to
induce labor? b
a. Missed abortion
b. Placenta previa
c. Hyperbilirubinemia
d. Pregnancy past due date
77. Nikka, who is taking folic acid, went to
see her OB-GYNE doctor and informed
her that her last menstrual period was
March 20, when will be her EDB
(Expected date of birth)? b
a. December 20
b. December 27
c. November 20
d. November 27
78. Which of the following is a
contraindication to the administration
of growth hormone? d
a. The height of the child is under 4 ft
b. The childs age is between 5 and 6
c. The epiphyseal shaft is open
d. The epiphyseal shaft is close
79. Car has been taking growth hormones
for a quite sometime now. As a
recipient of the agent, she should be
aware that a side effect of growth
hormone is: d
a. Hyperthyroidism
b. Soft tissue hypertrophy
c. Dwarfism
d. Increased tumor growth
80. Vasopressin is which of the following
pituitary hormone? c
a. Oxytocin
b. ACTH
c. ADH
d. Desmopressin acetate
81. When caring for a client taking
parathyroid medication, which of the
following nursing interventions is a
priority? a
a. Monitor serum calcium levels
b. Evaluate bowel function
c. Check for side effects
d. None of the above
82. Franz is diagnosed with Type I diabetes
mellitus. As a nurse taking care of the
client, you should know that in his
condition: b
a. Insulin is produced but is
malformed
b. The beta cells of the pancreas
stopped producing insulin
c. The client cannot be treated
d. Diagnosis is made on clients aged
over 50
83. Which of the following statements
involving Type II diabetes mellitus is
correct? a
a. It involves inefficient insulin
production.
b. It involves cessation of Insulin
production by the beta cells of the
pancreas.
c. It involves increased insulin
receptor responsiveness
d. It involves the infant client
84. A major side effect of insulin use that
can be life threatening is: c
a. Hyperglycemia
b. Stomach upset
c. Hypoglycemia
d. Tremors
85. Signs of hypoglycemia include: c
a. Fruity breath, thirst, flushed skin
b. Diarrhea, itching, hypertension
c. Anxiety, weakness, pallor, sweating
d. Muscle ache, fever, thirst
86. Hypogonadism is: b
a. Undeveloped penis
b. Undeveloped testis
c. Undeveloped brain
d. None of the above
87. What is the choice of treatment for
hypogonadism? c
a. Sildenafil
b. Mefenamic acid
c. Testosterone
d. Biogesic
88. Which of the following assessment 94. Which of the following would be a
findings characterize thyroid storm? b nursing priority for a client just DX with
a. increased body temperature, Addison's disease? c
decreased pulse, and increased a. avioding unnecessary activity
blood pressure b. encouraging client to wear a med
b. increased body temperature, alert tag
increased pulse, and increased c. ensuring the client is adequatly
blood pressure hydrated
c. increased body temperature, d. explaining that the client will need
decreased pulse, and decreased life long hormone therapy
blood pressure
d. ncreased body temperature, 95. Should be included in diet who has
increased pulse, and decreased goiter. a
blood pressure a. Iodine
b. Sodium
89. After thyroidectomy, which of the c. Potassium
following is the priority assessment to d. Calcium
observe laryngeal nerve damage? a
a. hoarseness of voice 96. Deficiency in TSH: c
b. difficulty in swallowing a. Hyperthyroidism
c. tetany b. Hyperparathyroidism
d. fever c. Hypothyroidism
d. Hypoparathyroidism
90. When caring for a male client with
diabetes insipidus, nurse Lea expects to 97. Excessive ingestion of Vit D,E,K: a
administer: b a. Can be toxic
a. Insulin b. Is okay
b. Desmopressin acetate c. Can cause cancer
c. 10% dextrose d. None of the above
d. Mefenamic Acid
98. Folate enriched foods can be found in: c
91. In a 29-year-old female client who is a. Meat
being successfully treated for Cushing's b. Fish
syndrome, nurse Lyzette would expect c. Pasta
a decline in: a d. Juice
a. Serum glucose level
b. Hair loss 99. Adverse reaction of Folic Acid, EXCEPT:
c. Bone mineralization d
d. Menstrual flow a. Turn urine to intense yellow color
b. Rash
92. The parathyroid glands play a major c. General malaise
role in regulating which substances? a d. Increased BP
a. Calcium and Phosphorus
b. Cholride and potassium 100. Adverse reaction of Iron,
c. Potassium and calcium EXCEPT: d
d. Sodium and potassium a. Black tarry stool
b. Vomiting
93. The primary function of insuln is to: a c. Diarrhea
a. Lower blood glucose levels d. jaundice
b. Produce melanin
c. regulate the bodys metabolic rate
d. stimulate release of digestive
enzymes