NUR 2474 PHARMACOLOGY EXAM 3
PRACTICE QUIZ QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A nurse is providing discharge teaching for a patient prescribed Albuterol and
Beclomethasone inhalers. Which instruction should the nurse include?
A. Use the Albuterol first, wait 5 minutes, then use the Beclomethasone.
B. Use the Beclomethasone first, wait 5 minutes, then use the Albuterol.
C. Mix both medications in a nebulizer to ensure synchronous delivery.
D. Use the medications in any order as long as they are taken at the same time.
Answer: A
Conceptual Explanation: Albuterol is a bronchodilator and should be used first to open
the airways, allowing the corticosteroid (Beclomethasone) to penetrate more deeply into
the lungs. A 5-minute wait is recommended between different inhalers.
2. A patient is prescribed oral Tetracycline for the treatment of acne. What is a priority
teaching point for this medication?
A. Take the medication with a glass of milk to prevent GI upset.
B. Avoid direct sunlight and use sunscreen due to photosensitivity.
,C. Increase intake of iron-rich foods during therapy.
D. Expect the urine to turn a bright orange color.
Answer: B
Conceptual Explanation: Tetracyclines cause significant photosensitivity. Patients should
also avoid dairy products, antacids, and iron supplements as they chelate with the drug and
decrease absorption.
3. A patient is receiving Vancomycin IV for a MRSA infection. The nurse notes the patient’s
neck and chest are becoming flushed and red. What is the nurse’s priority action?
A. Stop the infusion immediately and notify the provider of an allergic reaction.
B. Administer intramuscular epinephrine.
C. Slow the infusion rate and monitor the patient’s blood pressure.
D. Apply cold compresses to the flushed areas.
Answer: C
Conceptual Explanation: Red Man Syndrome is an infusion-related reaction, not a true
allergy. It is caused by rapid infusion of Vancomycin. The priority is to slow the rate of
infusion.
4. Which laboratory value is most important for the nurse to monitor in a patient receiving
Gentamicin?
A. Serum creatinine
, B. Prothrombin time (PT)
C. Serum potassium
D. Hemoglobin and hematocrit
Answer: A
Conceptual Explanation: Aminoglycosides like Gentamicin are nephrotoxic and ototoxic.
Monitoring serum creatinine and BUN is essential to detect renal impairment early.
5. A patient with Type 1 Diabetes is prescribed Insulin Lispro. When should the nurse instruct
the patient to administer this medication?
A. 30 to 60 minutes before a meal.
B. Immediately after finishing a meal.
C. At bedtime.
D. 15 minutes before eating.
Answer: D
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. It
should be administered closely to mealtime to prevent hypoglycemia.
6. A patient is starting Metformin for Type 2 Diabetes. Which side effect is most common
when initiating this therapy?
A. Weight gain
B. Hypoglycemia
PRACTICE QUIZ QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A nurse is providing discharge teaching for a patient prescribed Albuterol and
Beclomethasone inhalers. Which instruction should the nurse include?
A. Use the Albuterol first, wait 5 minutes, then use the Beclomethasone.
B. Use the Beclomethasone first, wait 5 minutes, then use the Albuterol.
C. Mix both medications in a nebulizer to ensure synchronous delivery.
D. Use the medications in any order as long as they are taken at the same time.
Answer: A
Conceptual Explanation: Albuterol is a bronchodilator and should be used first to open
the airways, allowing the corticosteroid (Beclomethasone) to penetrate more deeply into
the lungs. A 5-minute wait is recommended between different inhalers.
2. A patient is prescribed oral Tetracycline for the treatment of acne. What is a priority
teaching point for this medication?
A. Take the medication with a glass of milk to prevent GI upset.
B. Avoid direct sunlight and use sunscreen due to photosensitivity.
,C. Increase intake of iron-rich foods during therapy.
D. Expect the urine to turn a bright orange color.
Answer: B
Conceptual Explanation: Tetracyclines cause significant photosensitivity. Patients should
also avoid dairy products, antacids, and iron supplements as they chelate with the drug and
decrease absorption.
3. A patient is receiving Vancomycin IV for a MRSA infection. The nurse notes the patient’s
neck and chest are becoming flushed and red. What is the nurse’s priority action?
A. Stop the infusion immediately and notify the provider of an allergic reaction.
B. Administer intramuscular epinephrine.
C. Slow the infusion rate and monitor the patient’s blood pressure.
D. Apply cold compresses to the flushed areas.
Answer: C
Conceptual Explanation: Red Man Syndrome is an infusion-related reaction, not a true
allergy. It is caused by rapid infusion of Vancomycin. The priority is to slow the rate of
infusion.
4. Which laboratory value is most important for the nurse to monitor in a patient receiving
Gentamicin?
A. Serum creatinine
, B. Prothrombin time (PT)
C. Serum potassium
D. Hemoglobin and hematocrit
Answer: A
Conceptual Explanation: Aminoglycosides like Gentamicin are nephrotoxic and ototoxic.
Monitoring serum creatinine and BUN is essential to detect renal impairment early.
5. A patient with Type 1 Diabetes is prescribed Insulin Lispro. When should the nurse instruct
the patient to administer this medication?
A. 30 to 60 minutes before a meal.
B. Immediately after finishing a meal.
C. At bedtime.
D. 15 minutes before eating.
Answer: D
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. It
should be administered closely to mealtime to prevent hypoglycemia.
6. A patient is starting Metformin for Type 2 Diabetes. Which side effect is most common
when initiating this therapy?
A. Weight gain
B. Hypoglycemia
