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RN LEARNING SYSTEM PHARMACOLOGY
FINAL QUIZ 2026|COMPLETE EXAM SET
WITH VERIFIED ANSWERS
A nurse is planning discharge teaching for a client who has major depressive
disorder and a new prescription for phenelzine. Which of the following foods
should the nurse include in the plan as safe for the client to consume while taking
phenelzine?
A. Broiled beef steak
B. Macaroni and cheese
C. Pepperoni pizza
D. Smoked salmon - correct-answer - A. Broiled beef steak
Explanation: Phenelzine, an MAOI, is an antidepressant. This medication interacts
with a variety of foods to produce a hypertensive crisis. Beef steak and other
meats that are fresh do not interact with phenelzine and are safe to consume.
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B. Most cheeses, except for cottage cheese and cream cheese, interact with
MAOIs, such as phenelzine, and can cause hypertensive crisis.
C. Pepperoni, salami, and other dried or cured meats interact with MAOIs, such as
phenelzine, and can cause hypertensive crisis.
D. Fish that has been cured or dried interacts with MAOIs, such as phenelzine, and
can cause hypertensive crisis.
A nurse is caring for a client who has heart failure and is taking oral furosemide 40
mg daily. For which of the following adverse effects should the client be taught to
monitor and notify the provider if it occurs?
A. Nasal congestion
B. Tremors
C. Tinnitus
D. Frontal headache - correct-answer - C. Tinnitus
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Explanation: Loop diuretics, such as furosemide, can cause ototoxicity. The client
should be taught to notify the provider if tinnitus, a full feeling in the ears, or
hearing loss occurs.
A. Nasal congestion is not an adverse effect of furosemide.
B. Furosemide does not cause movement disorders, such as tremors.
D. Headaches are not an adverse effect of furosemide. Headaches can occur in a
client who has fluid overload, which furosemide might be prescribed to treat.
A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client
who is having an allergic reaction. The client has an IV infusion containing a
medication that is incompatible with diphenhydramine in solution. Which of the
following actions should the nurse take?
A. Choose an IV port for IV bolus injection of the diphenhydramine as near as
possible to the client's hanging IV bag.
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B. Flush the IV tubing with 2 mL of 0.9% sodium chloride before and after
administering diphenhydramine.
C. Allow the IV infusion to keep running while administering the diphenhydramine
via IV bolus.
D. Aspirate to check for IV patency before administering the diphenhydramine. -
correct-answer - D. Aspirate to check for IV patency before administering the
diphenydramine.
Explanation: It is important to confirm IV patency prior to administering an IV
bolus. Some medications cause severe tissue damage when inadvertently
administered into tissue rather than into a vein.
A. The nurse should choose the injection port that is nearest to the client to
administer an IV bolus injection.
B. When IV medications are incompatible in solution, the nurse should flush the IV
tubing with 10 mL of 0.9% sodium chloride before and after administering the
diphenhydramine.
RN LEARNING SYSTEM PHARMACOLOGY
FINAL QUIZ 2026|COMPLETE EXAM SET
WITH VERIFIED ANSWERS
A nurse is planning discharge teaching for a client who has major depressive
disorder and a new prescription for phenelzine. Which of the following foods
should the nurse include in the plan as safe for the client to consume while taking
phenelzine?
A. Broiled beef steak
B. Macaroni and cheese
C. Pepperoni pizza
D. Smoked salmon - correct-answer - A. Broiled beef steak
Explanation: Phenelzine, an MAOI, is an antidepressant. This medication interacts
with a variety of foods to produce a hypertensive crisis. Beef steak and other
meats that are fresh do not interact with phenelzine and are safe to consume.
,2|Page
B. Most cheeses, except for cottage cheese and cream cheese, interact with
MAOIs, such as phenelzine, and can cause hypertensive crisis.
C. Pepperoni, salami, and other dried or cured meats interact with MAOIs, such as
phenelzine, and can cause hypertensive crisis.
D. Fish that has been cured or dried interacts with MAOIs, such as phenelzine, and
can cause hypertensive crisis.
A nurse is caring for a client who has heart failure and is taking oral furosemide 40
mg daily. For which of the following adverse effects should the client be taught to
monitor and notify the provider if it occurs?
A. Nasal congestion
B. Tremors
C. Tinnitus
D. Frontal headache - correct-answer - C. Tinnitus
,3|Page
Explanation: Loop diuretics, such as furosemide, can cause ototoxicity. The client
should be taught to notify the provider if tinnitus, a full feeling in the ears, or
hearing loss occurs.
A. Nasal congestion is not an adverse effect of furosemide.
B. Furosemide does not cause movement disorders, such as tremors.
D. Headaches are not an adverse effect of furosemide. Headaches can occur in a
client who has fluid overload, which furosemide might be prescribed to treat.
A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client
who is having an allergic reaction. The client has an IV infusion containing a
medication that is incompatible with diphenhydramine in solution. Which of the
following actions should the nurse take?
A. Choose an IV port for IV bolus injection of the diphenhydramine as near as
possible to the client's hanging IV bag.
, 4|Page
B. Flush the IV tubing with 2 mL of 0.9% sodium chloride before and after
administering diphenhydramine.
C. Allow the IV infusion to keep running while administering the diphenhydramine
via IV bolus.
D. Aspirate to check for IV patency before administering the diphenhydramine. -
correct-answer - D. Aspirate to check for IV patency before administering the
diphenydramine.
Explanation: It is important to confirm IV patency prior to administering an IV
bolus. Some medications cause severe tissue damage when inadvertently
administered into tissue rather than into a vein.
A. The nurse should choose the injection port that is nearest to the client to
administer an IV bolus injection.
B. When IV medications are incompatible in solution, the nurse should flush the IV
tubing with 10 mL of 0.9% sodium chloride before and after administering the
diphenhydramine.
