2023 NURS 293 PHARMACOLOGY EXAM
QUESTIONS WITH ANSWERS GRADED
A+
GUARANTEED SUCCES
• A 45-year-old female client is receiving alprazolam (Xanax) for anxiety.
Which client behaviors would indicate that the drug is effective?
• The staff observes the client sitting in the day room reading a book.
• Which parameter is most important for the nurse to check prior to
administering a subcutaneous injection of heparin?
• Activated partial thromboplastin time (aPTT)
• A client is receiving antiinfective drug therapy for a postoperative
infection. Which complaint should alert the nurse to the possibility that
the client has contracted a superinfection?
• "My mouth feels sore." - Stomatitis caused by a thrush
infection, which can cause mouth pain, is a sign of
superinfection.
• A client is taking famotidine (Pepcid). Which client statement should
the nurse further assess because it may indicate that the client is
experiencing a side effect of this drug?
• "I seem to be having difficulty thinking clearly." - A common side
effect of Pepcid is confusion.
• A 2-month-old infant is scheduled to receive the first DPT
immunization. What is the preferred injection site to administer this
immunization?
• Vastus lateralis
• Prior to administering a scheduled dose of digoxin (Lanoxin), the nurse
reviews the client's current serum digoxin level, which is 1.3 ng/dL.
Which action should the nurse implement?
• Give the dose of digoxin if the client's heart rate is within a safe
range.
777
,• The nurse is preparing to administer a secondary infusion of a
dobutamine solution to a client. The nurse notes that the solution is
brown in color. Which action should the nurse implement?
2023 NURS 293 PHARMACOLOGY
EXAM QUESTIONS WITH ANSWERS
GRADED A+ GUARANTEED SUCCES
Administer the drug if the solution's reconstitution time is less than 24
hours.
777
, 2023 NURS 293 PHARMACOLOGY EXAM
QUESTIONS WITH ANSWERS GRADED
A+
GUARANTEED SUCCES
• A client is being discharged with a prescription for sulfasalazine
(Azulfidine) to treat ulcerative colitis. Which instruction should the
nurse provide to this client prior to discharge?
• Drink eight glasses of fluid a day. - Adequate hydration is
important for all sulfa drugs because they can crystallize in
the urine. If possible, the drug should be taken after eating
to provide longer intestinal transit time.
• A psychiatric client is discharged from the hospital with a prescription
for haloperidol (Haldol). Which instruction should the nurse include in
the discharge teaching plan for this client?
• Use sunglasses & sunscreen when outdoors. -
Photosensitivity is a common adverse effect of haloperidol
(Haldol).
• In addition to nitrate therapy, a client is receiving nifedipine
(Procardia), 10 mg PO every 6 hours. The nurse should plan to observe
for which common side effect of this treatment regimen?
• Hypotension - Nifedipine (Procardia) reduces peripheral
vascular resistance & nitrates produce vasodilation, so
concurrent use of nitrates with nifedipine can cause
hypotension with the initial administration of these agents.
• A client is receiving pyridostigmine bromide (Mestinon) to control the
symptoms of myasthenia gravis. Which client behavior would indicate
that the drug therapy is effective?
• Clear speech - Clear speech is the result of increased
muscle strength. Muscle weakness characteristic of
myasthenia gravis often first appears in the muscles of the
neck & face.
777
, • An older client who had a colon resection yesterday is receiving a
constant dose of hydromorphone (Dilaudid) via a patient-controlled
analgesia (PCA) pump. Which assessment finding is most significant &
requires that the nurse intervene?
• Respirations decrease to 14 breaths/min. - Hydromorphone
(Dilaudid) is an opioid
2023 NURS 293 PHARMACOLOGY
EXAM QUESTIONS WITH ANSWERS
GRADED A+ GUARANTEED SUCCES
agonist-analgesic of opiate receptors that inhibits ascending
pathways & can
777
QUESTIONS WITH ANSWERS GRADED
A+
GUARANTEED SUCCES
• A 45-year-old female client is receiving alprazolam (Xanax) for anxiety.
Which client behaviors would indicate that the drug is effective?
• The staff observes the client sitting in the day room reading a book.
• Which parameter is most important for the nurse to check prior to
administering a subcutaneous injection of heparin?
• Activated partial thromboplastin time (aPTT)
• A client is receiving antiinfective drug therapy for a postoperative
infection. Which complaint should alert the nurse to the possibility that
the client has contracted a superinfection?
• "My mouth feels sore." - Stomatitis caused by a thrush
infection, which can cause mouth pain, is a sign of
superinfection.
• A client is taking famotidine (Pepcid). Which client statement should
the nurse further assess because it may indicate that the client is
experiencing a side effect of this drug?
• "I seem to be having difficulty thinking clearly." - A common side
effect of Pepcid is confusion.
• A 2-month-old infant is scheduled to receive the first DPT
immunization. What is the preferred injection site to administer this
immunization?
• Vastus lateralis
• Prior to administering a scheduled dose of digoxin (Lanoxin), the nurse
reviews the client's current serum digoxin level, which is 1.3 ng/dL.
Which action should the nurse implement?
• Give the dose of digoxin if the client's heart rate is within a safe
range.
777
,• The nurse is preparing to administer a secondary infusion of a
dobutamine solution to a client. The nurse notes that the solution is
brown in color. Which action should the nurse implement?
2023 NURS 293 PHARMACOLOGY
EXAM QUESTIONS WITH ANSWERS
GRADED A+ GUARANTEED SUCCES
Administer the drug if the solution's reconstitution time is less than 24
hours.
777
, 2023 NURS 293 PHARMACOLOGY EXAM
QUESTIONS WITH ANSWERS GRADED
A+
GUARANTEED SUCCES
• A client is being discharged with a prescription for sulfasalazine
(Azulfidine) to treat ulcerative colitis. Which instruction should the
nurse provide to this client prior to discharge?
• Drink eight glasses of fluid a day. - Adequate hydration is
important for all sulfa drugs because they can crystallize in
the urine. If possible, the drug should be taken after eating
to provide longer intestinal transit time.
• A psychiatric client is discharged from the hospital with a prescription
for haloperidol (Haldol). Which instruction should the nurse include in
the discharge teaching plan for this client?
• Use sunglasses & sunscreen when outdoors. -
Photosensitivity is a common adverse effect of haloperidol
(Haldol).
• In addition to nitrate therapy, a client is receiving nifedipine
(Procardia), 10 mg PO every 6 hours. The nurse should plan to observe
for which common side effect of this treatment regimen?
• Hypotension - Nifedipine (Procardia) reduces peripheral
vascular resistance & nitrates produce vasodilation, so
concurrent use of nitrates with nifedipine can cause
hypotension with the initial administration of these agents.
• A client is receiving pyridostigmine bromide (Mestinon) to control the
symptoms of myasthenia gravis. Which client behavior would indicate
that the drug therapy is effective?
• Clear speech - Clear speech is the result of increased
muscle strength. Muscle weakness characteristic of
myasthenia gravis often first appears in the muscles of the
neck & face.
777
, • An older client who had a colon resection yesterday is receiving a
constant dose of hydromorphone (Dilaudid) via a patient-controlled
analgesia (PCA) pump. Which assessment finding is most significant &
requires that the nurse intervene?
• Respirations decrease to 14 breaths/min. - Hydromorphone
(Dilaudid) is an opioid
2023 NURS 293 PHARMACOLOGY
EXAM QUESTIONS WITH ANSWERS
GRADED A+ GUARANTEED SUCCES
agonist-analgesic of opiate receptors that inhibits ascending
pathways & can
777
