1|Page
Shadow Health Pharmacology Intermediate Patient
Case Exam 2026/2027 ||Verified Exam!!|| Shadow
Health Digital Clinical Experiences™ |Exam-Style
Questions with Detailed Rationales
After surgery, a patient has morphine prescribed for
postoperative
pain. It is most important for the nurse to make which
assessment?
Respiratory rate
Heart rate
Pain level
Constipation - Answer-Respiratory Rate
A postoperative patient who received an
intravenous infusion of morphine has a
respiratory rate of 8 breaths per minute and is
lethargic. Which as-needed medication should
the nurse administer to the patient?
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Methadone [Dolophine]
Nalbuphine [Nubain]
Tramadol [Ultram]
Naloxone [Narcan] - Answer-Naloxone [Narcan]
The nurse teaches a patient about bethanechol
[Urecholine]. Which statement by the patient requires an
intervention by the nurse?
"The medication should be taken with meals."
"Urgency may occur, so I should be near a bathroom."
"I should plan to take the drug 3 times each day."
"This drug may cause a drop in my blood pressure." -
Answer-"The medication should be taken with meals"
A patient is prescribed bethanechol [Urecholine] for urinary
retention. If the patient exhibits signs of an overdose, such
as increased salivation and sweating, bradycardia, or
hypotension, which medication should the nurse
administer?
Acetylcholine [Miochol-E]
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Cevimeline [Evoxac]
Oxybutynin [Ditropan]
Atropine [AtroPen] - Answer-Atropine
A patient who takes oxybutynin [Ditropan] for an
overactive bladder takes an over-the-counter
antihistamine for hay fever symptoms. What symptoms
should the nurse watch for that would indicate toxicity?
Cool and moist skin, confusion, and bradycardia
Dry mouth, increased temperature, and blurred vision
Hallucinations, increased salivation, and diaphoresis
Hypothermia, increased respiratory rate, and pupil
constriction - Answer-Dry mouth, increased temp, blurred
vision
The nurse is caring for a patient with a history of
alcoholism and cirrhosis. Which pharmacokinetic property
will most likely be altered in this patient?
Absorption
Distribution
Metabolism
Shadow Health Pharmacology Intermediate Patient
Case Exam 2026/2027 ||Verified Exam!!|| Shadow
Health Digital Clinical Experiences™ |Exam-Style
Questions with Detailed Rationales
After surgery, a patient has morphine prescribed for
postoperative
pain. It is most important for the nurse to make which
assessment?
Respiratory rate
Heart rate
Pain level
Constipation - Answer-Respiratory Rate
A postoperative patient who received an
intravenous infusion of morphine has a
respiratory rate of 8 breaths per minute and is
lethargic. Which as-needed medication should
the nurse administer to the patient?
,2|Page
Methadone [Dolophine]
Nalbuphine [Nubain]
Tramadol [Ultram]
Naloxone [Narcan] - Answer-Naloxone [Narcan]
The nurse teaches a patient about bethanechol
[Urecholine]. Which statement by the patient requires an
intervention by the nurse?
"The medication should be taken with meals."
"Urgency may occur, so I should be near a bathroom."
"I should plan to take the drug 3 times each day."
"This drug may cause a drop in my blood pressure." -
Answer-"The medication should be taken with meals"
A patient is prescribed bethanechol [Urecholine] for urinary
retention. If the patient exhibits signs of an overdose, such
as increased salivation and sweating, bradycardia, or
hypotension, which medication should the nurse
administer?
Acetylcholine [Miochol-E]
, 3|Page
Cevimeline [Evoxac]
Oxybutynin [Ditropan]
Atropine [AtroPen] - Answer-Atropine
A patient who takes oxybutynin [Ditropan] for an
overactive bladder takes an over-the-counter
antihistamine for hay fever symptoms. What symptoms
should the nurse watch for that would indicate toxicity?
Cool and moist skin, confusion, and bradycardia
Dry mouth, increased temperature, and blurred vision
Hallucinations, increased salivation, and diaphoresis
Hypothermia, increased respiratory rate, and pupil
constriction - Answer-Dry mouth, increased temp, blurred
vision
The nurse is caring for a patient with a history of
alcoholism and cirrhosis. Which pharmacokinetic property
will most likely be altered in this patient?
Absorption
Distribution
Metabolism
