2026 NIGHTINGALE COLLEGE PHARMACOLOGY
EXAM 3|80Qs&As|NEW UPDATE FALL SPRING QTR
A client w/ RA is to begin taking ibuprofen 800mg PO TID. The nurse provides
education about the medication's side effects. The nurse concludes that the
teaching was effective when the client makes which statements? Select all that
apply.
A. "I need to report any dark tarry stools."
B. "I will need to stop taking this medication before any scheduled surgery."
C. "I should change positions slowly."
D. "I will take the medication on an empty stomach."
E. "I need to stop taking low-dose aspirin while I take this medication."
A. "I need to report any dark tarry stools."
B. "I will need to stop taking this medication before any scheduled surgery."
A client is given a loading dose of digoxin and placed on a maintenance dose
of digoxin 0.25mg by mouth daily. Which responses would the nurse expect
the client to exhibit when a therapeutic effect of digoxin is achieved?
A. Resolution of heart failure
B. Decreased anginal episodes
C. Conversion of A-fib
D. Decreased BP
A. Resolution of heart failure
,Which advice will the nurse include when teaching a client about digoxin for
left ventricular failure?
A. Sleep on flat bed
B. Follow a low-K diet
C. Take the pulse 3x/day
D. Report increasing fatigue
D. Report increasing fatigue
Digoxin is prescribed for a client w/ heart failure. The nurse will assess for
which signs and symptoms that indicate digoxin toxicity? Select all that apply.
A. Nausea
B. Yellow vision
C. Irregular pulse
D. increased urine output
E. HR of 64bpm
A. Nausea
B. Yellow vision
C. Irregular pulse
,The client w/ pernicious anemia is prescribed cyan0cobalamin (vitamin B12).
Which client statement demonstrates an understanding of this treatment?
A. "I should have a vitamin B12 injection every month."
B. "I'll take vitB12 supplements every morning w/ my breakfast."
C. "I'll eat a diet high in green vegetables."
D. "I will increase my intake of processed foods fortified w/ vitB12
A. "I should have a vitamin B12 injection every month."
Which OTC medication would the nurse teach a client taking antihypertensive
medication to avoid?
A. Omeprazole
B. Acetaminophen
C. Docusate sodium
D. Pseudoephedrine
D. Pseudoephedrine
Which instructions regarding the use of fluticasone nasal spray are appropriate
for client teaching? Select all that apply.
A. Use the medication on a regular basis, not PRN
B. Clear the nasal passages before using the medication
C. Discontinue use of the medication if nasal infection develops
, D. Remember that driving may be dangerous b/c of the medication's sedative
effect
E. Begin taking the medication 2wks before pollen season starts, and use it
throughout the season
A. Use the medication on a regular basis, not PRN
B. Clear the nasal passages before using the medication
C. Discontinue use of the medication if nasal infection develops
A child w/ iron-deficiency anemia is prescribed oral iron therapy. Anticipatory
guidance regarding which side effect would the nurse provide?
A. Bloody stool
B. Orange urine
C. Greenish-black stool
D. Staining of the mouth
C. Greenish-black stool
Which action would the nurse perform when administering fluticasone
propionate to a client w/ asthma?
A. Assessing heart rate and rhythm
B. Monitoring liver function blood tests
C. Rinsing the oral cavity w/ water after use
D. Obtaining bg levels before meals
EXAM 3|80Qs&As|NEW UPDATE FALL SPRING QTR
A client w/ RA is to begin taking ibuprofen 800mg PO TID. The nurse provides
education about the medication's side effects. The nurse concludes that the
teaching was effective when the client makes which statements? Select all that
apply.
A. "I need to report any dark tarry stools."
B. "I will need to stop taking this medication before any scheduled surgery."
C. "I should change positions slowly."
D. "I will take the medication on an empty stomach."
E. "I need to stop taking low-dose aspirin while I take this medication."
A. "I need to report any dark tarry stools."
B. "I will need to stop taking this medication before any scheduled surgery."
A client is given a loading dose of digoxin and placed on a maintenance dose
of digoxin 0.25mg by mouth daily. Which responses would the nurse expect
the client to exhibit when a therapeutic effect of digoxin is achieved?
A. Resolution of heart failure
B. Decreased anginal episodes
C. Conversion of A-fib
D. Decreased BP
A. Resolution of heart failure
,Which advice will the nurse include when teaching a client about digoxin for
left ventricular failure?
A. Sleep on flat bed
B. Follow a low-K diet
C. Take the pulse 3x/day
D. Report increasing fatigue
D. Report increasing fatigue
Digoxin is prescribed for a client w/ heart failure. The nurse will assess for
which signs and symptoms that indicate digoxin toxicity? Select all that apply.
A. Nausea
B. Yellow vision
C. Irregular pulse
D. increased urine output
E. HR of 64bpm
A. Nausea
B. Yellow vision
C. Irregular pulse
,The client w/ pernicious anemia is prescribed cyan0cobalamin (vitamin B12).
Which client statement demonstrates an understanding of this treatment?
A. "I should have a vitamin B12 injection every month."
B. "I'll take vitB12 supplements every morning w/ my breakfast."
C. "I'll eat a diet high in green vegetables."
D. "I will increase my intake of processed foods fortified w/ vitB12
A. "I should have a vitamin B12 injection every month."
Which OTC medication would the nurse teach a client taking antihypertensive
medication to avoid?
A. Omeprazole
B. Acetaminophen
C. Docusate sodium
D. Pseudoephedrine
D. Pseudoephedrine
Which instructions regarding the use of fluticasone nasal spray are appropriate
for client teaching? Select all that apply.
A. Use the medication on a regular basis, not PRN
B. Clear the nasal passages before using the medication
C. Discontinue use of the medication if nasal infection develops
, D. Remember that driving may be dangerous b/c of the medication's sedative
effect
E. Begin taking the medication 2wks before pollen season starts, and use it
throughout the season
A. Use the medication on a regular basis, not PRN
B. Clear the nasal passages before using the medication
C. Discontinue use of the medication if nasal infection develops
A child w/ iron-deficiency anemia is prescribed oral iron therapy. Anticipatory
guidance regarding which side effect would the nurse provide?
A. Bloody stool
B. Orange urine
C. Greenish-black stool
D. Staining of the mouth
C. Greenish-black stool
Which action would the nurse perform when administering fluticasone
propionate to a client w/ asthma?
A. Assessing heart rate and rhythm
B. Monitoring liver function blood tests
C. Rinsing the oral cavity w/ water after use
D. Obtaining bg levels before meals
