NUR 2407 PHARMACOLOGY EXAM 2 RASMUSSEN
UNIVERSITY STUDY QUESTIONS COMPLETE WITH 100%
CORRECT ANSWERS & DETAILED RATIONALES
Question 1: A client is taking omeprazole. Which side effect requires the
nurse to report to the provider?
A. Severe diarrhea
B. Clubbing
C. Peripheral swelling
D. Ringing in the ears
CORRECT ANSWER: A. Severe diarrhea
Rationale: Severe diarrhea associated with omeprazole may
indicate Clostridioides difficile infection, a serious complication of gastric
acid suppression. Proton pump inhibitors increase the risk of C. diff due
to reduced gastric acid barrier. Severe or persistent diarrhea must be
reported immediately. Clubbing (option B) is not a known omeprazole
side effect. Peripheral swelling (option C) is not typical; ringing in the
ears (option D) is associated with other drugs (e.g., aspirin, loop
diuretics).
,Question 2: A client with asthma will use a metered-dose inhaler (MDI)
for inhaled medication. The provider ordered two puffs twice daily.
What must the nurse include in client education?
A. Inhalation should be received by maximizing the dose of the
medication
B. Activate the device and then inhale the medication
C. Store the metered-dose inhaler in the refrigerator between
treatments
D. Wait one minute between puffs for maximizing effect
CORRECT ANSWER: D. Wait one minute between puffs for maximizing
effect
Rationale: Waiting 1 minute between puffs allows the first dose to be
deposited in the lungs before the second dose is administered,
maximizing effectiveness and reducing oropharyngeal deposition.
Option A is vague and incorrect. Option B describes incorrect technique
(should inhale THEN activate, or activate at start of inhalation). Option C
is incorrect; MDIs should be stored at room temperature unless
otherwise specified; refrigeration may damage the propellant.
Question 3: A client will begin taking warfarin for atrial fibrillation. The
nurse must include which information when teaching about warfarin?
(Select all that apply)
A. Use an electric razor
B. Use a soft-bristle toothbrush
C. It is important to take this medication on time
,D. Encourage a high vitamin K diet
E. Report signs and symptoms of bleeding
CORRECT ANSWERS: A, B, C, E (D is incorrect)
Rationale: Warfarin increases bleeding risk. Electric razors (A) and soft-
bristle toothbrushes (B) reduce bleeding from minor cuts or gum injury.
Taking warfarin at the same time daily (C) maintains therapeutic INR.
Reporting bleeding signs (E) is essential. Option D is incorrect: high
vitamin K foods (leafy greens) antagonize warfarin; patients should
maintain consistent vitamin K intake, not high intake.
Question 4: A client takes numerous medications, including NSAIDs for
arthritis, and asks the nurse to recommend an over-the-counter
medication to prevent heartburn. How should the nurse respond?
A. "Try Alka-Seltzer and if that doesn't work, try baking soda"
B. "Try an antacid followed by omeprazole whenever you need relief"
C. "Acid suppressors interact with many medications. Consult your
provider"
D. "You should take cimetidine after every meal"
CORRECT ANSWER: C. "Acid suppressors interact with many
medications. Consult your provider"
Rationale: Many acid suppressors (PPIs, H2 blockers) interact with other
medications, affecting absorption or metabolism. NSAIDs themselves
increase GI risk. The safest response is to recommend consulting the
provider for an individualized plan. Options A and B are unsafe without
provider guidance. Option D is incorrect because cimetidine has many
, drug interactions (including warfarin, phenytoin, theophylline) and is
not first-line for prevention.
Question 5: A client has taken senna for several days and now has
yellowish-brown urine. What should the nurse expect?
A. Dehydration
B. Expected side effect of the medication
C. Renal failure
D. Drug toxicity
CORRECT ANSWER: B. Expected side effect of the medication
Rationale: Senna is a stimulant laxative that can cause harmless
yellowish-brown or reddish discoloration of urine. This is a benign,
expected effect and does not indicate dehydration, renal failure, or drug
toxicity. However, prolonged use of senna is discouraged due to
dependence and electrolyte imbalance.
Question 6: A client's blood pressure is 80/45 mmHg, SpO2 95% on
room air, heart rate 75 bpm, temperature 98.4°F. Which medication is
safe to give at this time?
A. Furosemide
B. Spironolactone
C. Digoxin
D. Metoprolol
CORRECT ANSWER: C. Digoxin
UNIVERSITY STUDY QUESTIONS COMPLETE WITH 100%
CORRECT ANSWERS & DETAILED RATIONALES
Question 1: A client is taking omeprazole. Which side effect requires the
nurse to report to the provider?
A. Severe diarrhea
B. Clubbing
C. Peripheral swelling
D. Ringing in the ears
CORRECT ANSWER: A. Severe diarrhea
Rationale: Severe diarrhea associated with omeprazole may
indicate Clostridioides difficile infection, a serious complication of gastric
acid suppression. Proton pump inhibitors increase the risk of C. diff due
to reduced gastric acid barrier. Severe or persistent diarrhea must be
reported immediately. Clubbing (option B) is not a known omeprazole
side effect. Peripheral swelling (option C) is not typical; ringing in the
ears (option D) is associated with other drugs (e.g., aspirin, loop
diuretics).
,Question 2: A client with asthma will use a metered-dose inhaler (MDI)
for inhaled medication. The provider ordered two puffs twice daily.
What must the nurse include in client education?
A. Inhalation should be received by maximizing the dose of the
medication
B. Activate the device and then inhale the medication
C. Store the metered-dose inhaler in the refrigerator between
treatments
D. Wait one minute between puffs for maximizing effect
CORRECT ANSWER: D. Wait one minute between puffs for maximizing
effect
Rationale: Waiting 1 minute between puffs allows the first dose to be
deposited in the lungs before the second dose is administered,
maximizing effectiveness and reducing oropharyngeal deposition.
Option A is vague and incorrect. Option B describes incorrect technique
(should inhale THEN activate, or activate at start of inhalation). Option C
is incorrect; MDIs should be stored at room temperature unless
otherwise specified; refrigeration may damage the propellant.
Question 3: A client will begin taking warfarin for atrial fibrillation. The
nurse must include which information when teaching about warfarin?
(Select all that apply)
A. Use an electric razor
B. Use a soft-bristle toothbrush
C. It is important to take this medication on time
,D. Encourage a high vitamin K diet
E. Report signs and symptoms of bleeding
CORRECT ANSWERS: A, B, C, E (D is incorrect)
Rationale: Warfarin increases bleeding risk. Electric razors (A) and soft-
bristle toothbrushes (B) reduce bleeding from minor cuts or gum injury.
Taking warfarin at the same time daily (C) maintains therapeutic INR.
Reporting bleeding signs (E) is essential. Option D is incorrect: high
vitamin K foods (leafy greens) antagonize warfarin; patients should
maintain consistent vitamin K intake, not high intake.
Question 4: A client takes numerous medications, including NSAIDs for
arthritis, and asks the nurse to recommend an over-the-counter
medication to prevent heartburn. How should the nurse respond?
A. "Try Alka-Seltzer and if that doesn't work, try baking soda"
B. "Try an antacid followed by omeprazole whenever you need relief"
C. "Acid suppressors interact with many medications. Consult your
provider"
D. "You should take cimetidine after every meal"
CORRECT ANSWER: C. "Acid suppressors interact with many
medications. Consult your provider"
Rationale: Many acid suppressors (PPIs, H2 blockers) interact with other
medications, affecting absorption or metabolism. NSAIDs themselves
increase GI risk. The safest response is to recommend consulting the
provider for an individualized plan. Options A and B are unsafe without
provider guidance. Option D is incorrect because cimetidine has many
, drug interactions (including warfarin, phenytoin, theophylline) and is
not first-line for prevention.
Question 5: A client has taken senna for several days and now has
yellowish-brown urine. What should the nurse expect?
A. Dehydration
B. Expected side effect of the medication
C. Renal failure
D. Drug toxicity
CORRECT ANSWER: B. Expected side effect of the medication
Rationale: Senna is a stimulant laxative that can cause harmless
yellowish-brown or reddish discoloration of urine. This is a benign,
expected effect and does not indicate dehydration, renal failure, or drug
toxicity. However, prolonged use of senna is discouraged due to
dependence and electrolyte imbalance.
Question 6: A client's blood pressure is 80/45 mmHg, SpO2 95% on
room air, heart rate 75 bpm, temperature 98.4°F. Which medication is
safe to give at this time?
A. Furosemide
B. Spironolactone
C. Digoxin
D. Metoprolol
CORRECT ANSWER: C. Digoxin
