NUR 2407 PHARMACOLOGY QUIZ 2
COMPREHENSIVE PRACTICE
QUESTIONS AND ANSWERS
1. A nurse is monitoring a client receiving Gentamicin IV. Which of the following findings
should the nurse identify as an adverse effect of this medication?
A. Constipation
B. Hypoglycemia
C. Hyperkalemia
D. Tinnitus
Answer: D
Conceptual Explanation: Gentamicin is an aminoglycoside, which carries a high risk for
ototoxicity (tinnitus, hearing loss) and nephrotoxicity.
2. A patient is prescribed Ciprofloxacin for a urinary tract infection. The nurse should instruct
the client to report which of the following immediately?
A. Pain and swelling in the Achilles tendon
B. Nausea and vomiting
,C. Headache
D. Orange-colored urine
Answer: A
Conceptual Explanation: Fluoroquinolones like ciprofloxacin carry a black box warning
for tendonitis and tendon rupture, particularly of the Achilles tendon.
3. A nurse is preparing to administer Vancomycin IV to a client. To prevent ‘Red Man
Syndrome,’ the nurse should:
A. Infuse the medication over at least 60 minutes
B. Administer an antihistamine 30 minutes before the infusion
C. Pre-hydrate the patient with 1 liter of Normal Saline
D. Administer the medication via a rapid IV bolus
Answer: A
Conceptual Explanation: Red Man Syndrome is a rate-dependent infusion reaction;
infusing Vancomycin slowly (over 60-90 minutes) prevents the massive histamine release.
4. Which laboratory value is the priority for a nurse to monitor in a client taking Amphotericin
B?
A. Hemoglobin
B. BUN and Creatinine
C. Prothrombin Time (PT)
, D. Blood Glucose
Answer: B
Conceptual Explanation: Amphotericin B is highly nephrotoxic, and most patients will
experience some degree of renal impairment during therapy.
5. A client with a history of a severe penicillin allergy is prescribed Cephalexin. What action
should the nurse take?
A. Administer the medication as prescribed
B. Give the medication and monitor for 15 minutes
C. Administer the medication with food to prevent reaction
D. Withhold the medication and notify the provider
Answer: D
Conceptual Explanation: There is a cross-sensitivity between penicillins and
cephalosporins. If the penicillin allergy was severe (anaphylaxis), cephalosporins should be
avoided.
6. A nurse is teaching a client about a new prescription for Tetracycline. Which instruction
should be included?
A. Take the medication with a glass of milk
B. Stop taking the drug as soon as symptoms resolve
C. Expect urine to turn dark orange
COMPREHENSIVE PRACTICE
QUESTIONS AND ANSWERS
1. A nurse is monitoring a client receiving Gentamicin IV. Which of the following findings
should the nurse identify as an adverse effect of this medication?
A. Constipation
B. Hypoglycemia
C. Hyperkalemia
D. Tinnitus
Answer: D
Conceptual Explanation: Gentamicin is an aminoglycoside, which carries a high risk for
ototoxicity (tinnitus, hearing loss) and nephrotoxicity.
2. A patient is prescribed Ciprofloxacin for a urinary tract infection. The nurse should instruct
the client to report which of the following immediately?
A. Pain and swelling in the Achilles tendon
B. Nausea and vomiting
,C. Headache
D. Orange-colored urine
Answer: A
Conceptual Explanation: Fluoroquinolones like ciprofloxacin carry a black box warning
for tendonitis and tendon rupture, particularly of the Achilles tendon.
3. A nurse is preparing to administer Vancomycin IV to a client. To prevent ‘Red Man
Syndrome,’ the nurse should:
A. Infuse the medication over at least 60 minutes
B. Administer an antihistamine 30 minutes before the infusion
C. Pre-hydrate the patient with 1 liter of Normal Saline
D. Administer the medication via a rapid IV bolus
Answer: A
Conceptual Explanation: Red Man Syndrome is a rate-dependent infusion reaction;
infusing Vancomycin slowly (over 60-90 minutes) prevents the massive histamine release.
4. Which laboratory value is the priority for a nurse to monitor in a client taking Amphotericin
B?
A. Hemoglobin
B. BUN and Creatinine
C. Prothrombin Time (PT)
, D. Blood Glucose
Answer: B
Conceptual Explanation: Amphotericin B is highly nephrotoxic, and most patients will
experience some degree of renal impairment during therapy.
5. A client with a history of a severe penicillin allergy is prescribed Cephalexin. What action
should the nurse take?
A. Administer the medication as prescribed
B. Give the medication and monitor for 15 minutes
C. Administer the medication with food to prevent reaction
D. Withhold the medication and notify the provider
Answer: D
Conceptual Explanation: There is a cross-sensitivity between penicillins and
cephalosporins. If the penicillin allergy was severe (anaphylaxis), cephalosporins should be
avoided.
6. A nurse is teaching a client about a new prescription for Tetracycline. Which instruction
should be included?
A. Take the medication with a glass of milk
B. Stop taking the drug as soon as symptoms resolve
C. Expect urine to turn dark orange
