This nursing exam covers topics about drugs associated with hormonal therapies and reproduction. Test your knowledge with this 20-item exam for the NCLEX.
I always joke with people that having nephews is the best birth control there is.
Included topics in this exam are:
- Thyroid, Pituitary, and Parathyroid Agents
- Antidiabetic Agents
- Reproductive Hormones
- Agents Used in Labor and Delivery and Postpartum
Follow the guidelines below to make the most out of this exam:
- Read each question carefully and choose the best answer.
- You are given one minute per question. Spend your time wisely!
- Answers and rationales are given below. Be sure to read them.
- If you need more clarifications, please direct them to the comments section.
In Exam Mode: All questions are shown in random and the results, answers and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 20 minutes in this quiz.
Pharmacology: Hormonal and Reproductive Drugs (20 Items) Pharmacology: Hormonal
Practice Mode: This is an interactive version of the Text Mode. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam.
Pharmacology: Hormonal and Reproductive Drugs (20 Items) Pharmacology: Hormonal
In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a print out.
1. Which of the following is a contraindication to the administration of growth hormone?
A. The height of the child is under 4 feet.
B. The child’s age is between 5 and 6.
C. The epiphyseal shaft is open.
D. The epiphyseal shaft is closed.
2. Miley 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:
B. Soft tissue hypertrophy
D. Increased tumor growth
3. Vasopressin is which of the following pituitary hormone?
C. Antidiuretic hormone
D. Desmopressin acetate
4. Which of the following drugs will decrease the effects of vasopressin?
5. When caring for a client taking parathyroid medication, which of the following nursing interventions is a priority?
A. Monitor serum calcium levels.
B. Evaluate bowel function.
C. Measure serum acid phosphatase.
D. Check for side effects.
A. Insulin is produced but is malformed.
B. The beta cells of the pancreas stop producing insulin.
C. The client cannot be treated.
D. Diagnosis is made in clients over age 50.
7. Which of the following statements involving Type II diabetes mellitus is correct?
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.
8. A major side effect of insulin use that can be life threatening is:
9. Nurse Casey is studying about insulin administration. She should be knowledgeable that regular insulin:
A. Is slow acting
B. Is used IV
C. Is a suspended insulin
D. Peaks in 6 to 12 hours
10. Signs of hypoglycemia include:
11. Estrogen is given in the management of all of the following conditions except:
12. Progestins have been known to cause which of the following:
A. Decrease HDL level
B. Increase aspartate transaminase
C. Increase HDL levels
D. Decrease aspartate transaminase
13. A constant dose of estrogen with varying doses of progestin are found in:
A. monophasic pills
C. triphasic pills
D. biphasic pills
14. Androgens are medically indicated in the management of all of the following except:
C. Metabolic stimulation in prepubertal boys
D. Body building
15. A relative contraindication to therapy with androgens is:
16. Which of the following is a contraindication for use of oxytocin to induce labor?
18. Julia is a mother who is receiving oxytocin therapy. The nurse must continuously evaluate:
A. Membrane integrity
B. Uterine contractions
C. Cervical dilation
D. Cervical effacement
19. Which drug is used to manage preterm labor by causing smooth muscle relaxation?
20. Which of the following drugs poses the greatest threat to an insulin-dependent diabetic who is pregnant?
A. ritodrine hydrochloride
Answers and Rationale
Here are the answers for this exam. Gauge your performance by counter checking your answers to those below. If you have any disputes or clarifications, please direct them to the comments section.
1. Answer: D. The epiphyseal shaft is closed.
A closed epiphyseal shaft is a contraindication for administration of growth hormone. There are no exact height or age requirements for the administration of growth hormone.
2. Answer: D. Increased tumor growth
Growth hormone may increase the size of a tumor if one is present. Hypothyroidism and soft tissue atrophy are the side effects. Dwarfism is the indication for therapy.
3. Answer: C. Antidiuretic hormone
Vasopressin is antidiuretic hormone.
4. Answer: A. lithium (Lithane)
Lithium is known to decrease the effects of vasopressin. Lithium is a salt, and antidiuretic hormone acts on the water that influences the sodium/water balance.
5. Answer: A. Monitor serum calcium levels.
Serum calcium levels are altered when pathology exists in this gland. This is because the gland regulates the balance of calcium and phosphorus.
6. Answer: B. The beta cells of the pancreas stop producing insulin.
In type I diabetes mellitus, the beta cells stop producing insulin completely. There is no such pathophysiologic process as malformed insulin. Clients with type I diabetes can be treated with insulin. The diagnosis can be made in clients at any age.
7. Answer: A. It involves inefficient insulin production.
In type II diabetes mellitus, insulin is produced in insufficient amounts along with reduced insulin receptor responsiveness. In type II diabetes mellitus, the beta cells do produce insulin but in inadequate amounts. There is decreased rather than increased insulin responsiveness.
8. Answer: C. Hypoglycemia
The action of insulin will lower glucose levels, which may prove fatal if levels drop too low.
9. Answer: B. Is used IV
Regular insulin is the only insulin preparation that can be administered IV. Regular insulin is rapid acting. It is a crystalline zinc preparation and peaks in 2 to 4 hours.
10. Answer: C. Anxiety, weakness, pallor, sweating
11. Answer: D. Endometrial carcinoma
Estrogen is given in the management of dysfunctional uterine bleeding, primary hypogonadism, and suppression of ovulation. Choices A, B, and C are all indicators for estrogen treatment.
12. A. Decrease HDL level
Progestins decrease HDL levels, which may predispose the client to increased cardiac risk.
13. Answer: D. biphasic pills
Choice A is incorrect because monophasic pills have a constant dose of estrogen and progestin throughout the month. Choice B is incorrect because Depo-Provera is a progestin product only. Choice C is incorrect because triphasic pills may have variations in estrogen as well as progestin levels.
14. Answer: D. Body building
Androgens can be dangerous drugs and are medically indicated only in severe conditions, such as female hirsutism or male hypogonadism, and as metabolic stimulator.
15. Answer: A. Hepatic failure
Hepatic failure is considered a relative contraindication because antiandrogens have been known to cause hepatic toxicity. Choice B is incorrect because pregnancy is considered an absolute contraindication. Prostate cancer is an indication for antiandrogen administration. Hypogonadism would not be considered a contraindication, but it most certainly is not an indication for therapy.
16. Answer: B. Placenta previa
17. Answer: D. Hypotension and flushing
Relaxation of vascular smooth muscle will cause vasodilation leading to hypotension and flushing.
18. Answer: B. Uterine contractions
A client receiving oxytocin therapy requires continuous monitoring of maternal vital signs, fluid intake and output, electronic fetal monitoring, and uterine contractions.
19. Answer: C. ritodrine
Ritodrine is used to arrest uterine contractions in preterm labor. Oxytocin is used to stimulate labor.
20. Answer: A. ritodrine hydrochloride
The only drug that poses a threat to diabetics who are pregnant is ritodrine.
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