NUR2474 PHARMACOLOGY FOR
PROFESSIONAL NURSING FINAL 2026 MASTER
REVISION NOTES AND PRACTICE SET
◉ A nurse is providing teaching to a client who has gout and a new
prescription for allopurinol. The nurse should instruct the client to
discontinue
taking the medication for which of the following adverse effects?
Nausea
Metallic taste
Fever
Drowsiness. Answer: Fever
◉ A nurse is reviewing the laboratory values for a client who is
receiving a continuous IV heparin infusion and has an aPTT of 90
seconds. Which of
the following actions should the nurse prepare to take?
Administer vitamin K
Reduce the infusion rate
Give the client a low-dose aspirin
Request an INR. Answer: Reduce the infusion rate
,◉ A nurse is providing teaching to a client who has rhematoid
arthritis and a prescription for long-term prednisone therapy. The
nurse should
instruct the client to monitor for which of the following adverse
effects?
Stress fractures
Orthostatic hypotension
Gingival ulcerations
Weight loss. Answer: Stress fractures
◉ A nurse is caring for a client who has a new prescription for
tamoxifen. The nurse should recognize that tamoxifen has which of
the following
therapeutic effects?
Antiestrogenic
Antimicrobial
Androgenic
Anti-inflammatory. Answer: Antiestrogenic
◉ A nurse is administering subcutaneous heparin to a client who is
at risk for deep vein thrombosis. Which of the following actions
should the nurse
take?
Administer the medication into the client's abdomen
,Iniect the medication into a muscle
Massage the site after administering the medication
Use a 22-gauge needle to administer the medication. Answer:
Administer the medication into the client's abdomen
◉ A nurse is planning care for a client who has a seizure disorder
and a new prescription for valproic acid. Which of the following
laboratory values
should the nurse plan to monitor? (Select all that apply.)
BUN
PTT
AST
Urinalysis
ALT. Answer: PTT
AST
ALT
◉ A nurse is caring for a client who has a new diagnosis of oral
candidiasis after taking tetracycline for 7 days. The nurse should
recognize that
candidiasis is
a manifestation of which of the following adverse effects?
Allergic response
, Superinfection
Renal toxicity
Hepatitoxicity. Answer: Superinfection
◉ A nurse is caring for a client who has a prescription for
chlorothiazide to treat hypertension. The nurse should plan to
monitor the client for which
of the following adverse effects?
Thrombophlebitis
Hyperactive reflexes
Muscle weakness
Hypoglycemia. Answer: Muscle weakness
◉ A nurse on a medical unit is preparing to administer alendronate
40 mg PO for an older adult client who has Paget's disease of the
bone. Which of
the following actions should be the nurse's priority?
Administer the medication to the client before breakfast in the
morning
Ambulate the client to a chair prior to administering the medication
Give the medication to the client with water rather than milk
Teach the client how to take the medication at home. Answer:
Ambulate the client to a chair prior to administering the medication
PROFESSIONAL NURSING FINAL 2026 MASTER
REVISION NOTES AND PRACTICE SET
◉ A nurse is providing teaching to a client who has gout and a new
prescription for allopurinol. The nurse should instruct the client to
discontinue
taking the medication for which of the following adverse effects?
Nausea
Metallic taste
Fever
Drowsiness. Answer: Fever
◉ A nurse is reviewing the laboratory values for a client who is
receiving a continuous IV heparin infusion and has an aPTT of 90
seconds. Which of
the following actions should the nurse prepare to take?
Administer vitamin K
Reduce the infusion rate
Give the client a low-dose aspirin
Request an INR. Answer: Reduce the infusion rate
,◉ A nurse is providing teaching to a client who has rhematoid
arthritis and a prescription for long-term prednisone therapy. The
nurse should
instruct the client to monitor for which of the following adverse
effects?
Stress fractures
Orthostatic hypotension
Gingival ulcerations
Weight loss. Answer: Stress fractures
◉ A nurse is caring for a client who has a new prescription for
tamoxifen. The nurse should recognize that tamoxifen has which of
the following
therapeutic effects?
Antiestrogenic
Antimicrobial
Androgenic
Anti-inflammatory. Answer: Antiestrogenic
◉ A nurse is administering subcutaneous heparin to a client who is
at risk for deep vein thrombosis. Which of the following actions
should the nurse
take?
Administer the medication into the client's abdomen
,Iniect the medication into a muscle
Massage the site after administering the medication
Use a 22-gauge needle to administer the medication. Answer:
Administer the medication into the client's abdomen
◉ A nurse is planning care for a client who has a seizure disorder
and a new prescription for valproic acid. Which of the following
laboratory values
should the nurse plan to monitor? (Select all that apply.)
BUN
PTT
AST
Urinalysis
ALT. Answer: PTT
AST
ALT
◉ A nurse is caring for a client who has a new diagnosis of oral
candidiasis after taking tetracycline for 7 days. The nurse should
recognize that
candidiasis is
a manifestation of which of the following adverse effects?
Allergic response
, Superinfection
Renal toxicity
Hepatitoxicity. Answer: Superinfection
◉ A nurse is caring for a client who has a prescription for
chlorothiazide to treat hypertension. The nurse should plan to
monitor the client for which
of the following adverse effects?
Thrombophlebitis
Hyperactive reflexes
Muscle weakness
Hypoglycemia. Answer: Muscle weakness
◉ A nurse on a medical unit is preparing to administer alendronate
40 mg PO for an older adult client who has Paget's disease of the
bone. Which of
the following actions should be the nurse's priority?
Administer the medication to the client before breakfast in the
morning
Ambulate the client to a chair prior to administering the medication
Give the medication to the client with water rather than milk
Teach the client how to take the medication at home. Answer:
Ambulate the client to a chair prior to administering the medication
