NRS 2020 - Pharmacology
NRS 2020 FINAL EXAM 2026/2027 LATEST
COMPLETE 2 VERSION OAKLAND UNIVERSITY
300 QUESTIONS CORRECTLY ANSWERED
A patient with cancer is admitted to the hospital. The nurse obtains an admission history
and learns that the patient has been taking oxycodone and a nonsteroidal anti-
inflammatory drug (NSAID) for a year. The patient reports a recent increase in the
intensity of pain, along with a new pain described as "burning" and "shooting." The
nurse anticipates that the prescriber will order:
a. A combination opioid/NSAID and an adjunctive analgesic.
b. Intramuscular morphine sulfate and acetaminophen.
c. An increase in the oxycodone and NSAID doses.
d. A fentanyl transdermal patch, acetaminophen, and an adjunctive analgesic for nerve
pain.
d
A nurse is planning to administer morphine IV to a client who is postoperative. Which of
the following actions should the nurse take?
a. Withhold this medication if respiratory rate is less than 10/min
b. Give morphine intermittent via IV bolus over 30 seconds or less.
c. Protect the client's skin from the severe diarrhea that occurs with morphine.
d. Monitor for seizures and confusion with repeated doses
a
A patient asks the nurse what can be given to alleviate severe, chronic cancer pain of
several months' duration. The patient has been taking oxycodone [OxyContin] and states
that it is no longer effective. The nurse will suggest discussing which medication with
the provider?
a. Fentanyl [Duragesic] transdermal patch
b. Hydrocodone [Vicodin] PO
c. Pentazocine [Talwin] PO
d. Naloxone (Narcan)
a
,NRS 2020 - Pharmacology
Which client is most likely to receive opioids for extended periods of time?
a. A client with progressive pancreatic cancer
b. A client with phantom limb pain
c. A client with fibromyalgia
d. A client with trigeminal neuralgia
a
Which result should alert the nurse that the client is at risk for digoxin toxicity?
Select one:
a. Serum magnesium level
b. Serum potassium level
c. Serum calcium level
d. Serum creatinine level
b
A newly pregnant patient presents to your unit today with hyperemesis. You are
reviewing her medication record and note that she has a history of hypertension for
which she takes an ACE inhibitor (Lisinopril 10mg daily). As a nurse you have some
concern about the medication she is on to treat her blood pressure due to the following?
a. ACE inhibitor is what is causing her hyperemesis
b. ACE inhibitors are not effective in treating blood pressure in pregnancy
c. ACE Inhibitors are category A in pregnancy
d. ACE inhibitors could cause tetrogenic effects in the 1st trimester
d
Which one of the following diuretics acts at the distal tubule of the kidney?
a. Furosemide
b. Hydrochlorothiazide
c. Spironolactone
d. Acetazolamide
b
,NRS 2020 - Pharmacology
A client on anticoagulant therapy is being discharged. Which statement by the client
indicates an understanding of the anticoagulants drug action?
a. "It might cause me to get injured more often."
b. "It is used to dissolve blood clots."
c. "It will make my blood less sticky".
d. "It should prevent my blood from clotting."
d
Beta Blockers have been effective in the treatment of heart failure. They primarily exert
their effect by:
a. Inducing a prominent diuretic effect
b. Increasing contractility
c. Binding to the receptor that binds norepinephrine.
d. Increasing heart rate to meet the additional demands placed upon the heart in CHF
e. Improving asthma control
c
A patient with a history of heart failure and hypertension is in the clinic for a follow-up
visit. The patient is on lisinopril (Prinivil) and warfarin (Coumadin). The patient
reports new-onset cough. What action by the nurse is most
appropriate initial intervention?
a. Remind the patient that cough is a side effect of Prinivil.
b. Assess the patient’s lung sounds and oxygenation.
c. Obtain a set of vital signs and document them.
d. Instruct the patient on another antihypertensive.
b
The nurse knows that the adverse effects of a non- cardiac selective beta blocker are
likely to be the most immediately life threatening in which patient?
a. Patient with gastroesophageal reflux disease
b. Patient with Tachycardia
c. Patient with hypertension
d. Patient with asthma
d
, NRS 2020 - Pharmacology
Which one of the following drugs increase survival in patients with MI?
a. Verapamil
b. Digoxin
c. Furosemide
d. Atenolol
d
which cardiovascular finding does the nurse identify as a possible adverse effect of
erythromycin (Ery-Tab) therapy?
a. Heart rate of 52 beats per minute
b. Prolonged QT interval
c. Jugular vein distention
d. Grade III diastolic murmur
b
A nurse is administering a daily dose of tobramycin (Nebcin) at 1000. At which time
should the nurse obtain the patient's blood sample to determine the trough level?
a. 0800
b. 0900
c. 1130
d. 1200
b
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result with all
of these findings. Which finding should a nurse associate most clearly with an adverse
effect of gentamicin?
a. White blood cells (WBCs)
b. Glucose
c. Ketones
d. Protein
d
NRS 2020 FINAL EXAM 2026/2027 LATEST
COMPLETE 2 VERSION OAKLAND UNIVERSITY
300 QUESTIONS CORRECTLY ANSWERED
A patient with cancer is admitted to the hospital. The nurse obtains an admission history
and learns that the patient has been taking oxycodone and a nonsteroidal anti-
inflammatory drug (NSAID) for a year. The patient reports a recent increase in the
intensity of pain, along with a new pain described as "burning" and "shooting." The
nurse anticipates that the prescriber will order:
a. A combination opioid/NSAID and an adjunctive analgesic.
b. Intramuscular morphine sulfate and acetaminophen.
c. An increase in the oxycodone and NSAID doses.
d. A fentanyl transdermal patch, acetaminophen, and an adjunctive analgesic for nerve
pain.
d
A nurse is planning to administer morphine IV to a client who is postoperative. Which of
the following actions should the nurse take?
a. Withhold this medication if respiratory rate is less than 10/min
b. Give morphine intermittent via IV bolus over 30 seconds or less.
c. Protect the client's skin from the severe diarrhea that occurs with morphine.
d. Monitor for seizures and confusion with repeated doses
a
A patient asks the nurse what can be given to alleviate severe, chronic cancer pain of
several months' duration. The patient has been taking oxycodone [OxyContin] and states
that it is no longer effective. The nurse will suggest discussing which medication with
the provider?
a. Fentanyl [Duragesic] transdermal patch
b. Hydrocodone [Vicodin] PO
c. Pentazocine [Talwin] PO
d. Naloxone (Narcan)
a
,NRS 2020 - Pharmacology
Which client is most likely to receive opioids for extended periods of time?
a. A client with progressive pancreatic cancer
b. A client with phantom limb pain
c. A client with fibromyalgia
d. A client with trigeminal neuralgia
a
Which result should alert the nurse that the client is at risk for digoxin toxicity?
Select one:
a. Serum magnesium level
b. Serum potassium level
c. Serum calcium level
d. Serum creatinine level
b
A newly pregnant patient presents to your unit today with hyperemesis. You are
reviewing her medication record and note that she has a history of hypertension for
which she takes an ACE inhibitor (Lisinopril 10mg daily). As a nurse you have some
concern about the medication she is on to treat her blood pressure due to the following?
a. ACE inhibitor is what is causing her hyperemesis
b. ACE inhibitors are not effective in treating blood pressure in pregnancy
c. ACE Inhibitors are category A in pregnancy
d. ACE inhibitors could cause tetrogenic effects in the 1st trimester
d
Which one of the following diuretics acts at the distal tubule of the kidney?
a. Furosemide
b. Hydrochlorothiazide
c. Spironolactone
d. Acetazolamide
b
,NRS 2020 - Pharmacology
A client on anticoagulant therapy is being discharged. Which statement by the client
indicates an understanding of the anticoagulants drug action?
a. "It might cause me to get injured more often."
b. "It is used to dissolve blood clots."
c. "It will make my blood less sticky".
d. "It should prevent my blood from clotting."
d
Beta Blockers have been effective in the treatment of heart failure. They primarily exert
their effect by:
a. Inducing a prominent diuretic effect
b. Increasing contractility
c. Binding to the receptor that binds norepinephrine.
d. Increasing heart rate to meet the additional demands placed upon the heart in CHF
e. Improving asthma control
c
A patient with a history of heart failure and hypertension is in the clinic for a follow-up
visit. The patient is on lisinopril (Prinivil) and warfarin (Coumadin). The patient
reports new-onset cough. What action by the nurse is most
appropriate initial intervention?
a. Remind the patient that cough is a side effect of Prinivil.
b. Assess the patient’s lung sounds and oxygenation.
c. Obtain a set of vital signs and document them.
d. Instruct the patient on another antihypertensive.
b
The nurse knows that the adverse effects of a non- cardiac selective beta blocker are
likely to be the most immediately life threatening in which patient?
a. Patient with gastroesophageal reflux disease
b. Patient with Tachycardia
c. Patient with hypertension
d. Patient with asthma
d
, NRS 2020 - Pharmacology
Which one of the following drugs increase survival in patients with MI?
a. Verapamil
b. Digoxin
c. Furosemide
d. Atenolol
d
which cardiovascular finding does the nurse identify as a possible adverse effect of
erythromycin (Ery-Tab) therapy?
a. Heart rate of 52 beats per minute
b. Prolonged QT interval
c. Jugular vein distention
d. Grade III diastolic murmur
b
A nurse is administering a daily dose of tobramycin (Nebcin) at 1000. At which time
should the nurse obtain the patient's blood sample to determine the trough level?
a. 0800
b. 0900
c. 1130
d. 1200
b
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result with all
of these findings. Which finding should a nurse associate most clearly with an adverse
effect of gentamicin?
a. White blood cells (WBCs)
b. Glucose
c. Ketones
d. Protein
d
