NR293 Pharmacology Exam 1 | UPDATED Questions with 100%
Verified Answers
Chamberlain University-Illinois • NR 293
Q1: C. Data Collection
A: A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing
process should the nurse identify the client's allergies? A. Planning B. Evaluation C. Data Collection D.
Implementation
Q2: C. check the client's apical pulse
A: A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO
to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse
take first? A. notify the provider B. contact the nursing supervisor C. check the client's apical pulse D. complete an
incident report
Q3: C. QID
A: A nurse is preparing to administer medication to a client. Which of the following abbreviations indicates the greatest
frequency of medication administration? A. BID B. TID C. QID D. Q8h
Q4: B. Levothyroxine 75 mcg PO q AM before breakfast EC = enteric coated, XR = extended release, SL =
sublingually
A: A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should
crush the medication when administering which of the following prescriptions? A. Aspirin EC 80 mg PO daily B.
Levothyroxine 75 mcg PO q AM before breakfast C. Metformin XR 500 mg PO daily D. Nitroglycerin 0.3 mg SL PRN
chest pain, can repeat q 5 min for 2 additional doses.
Q5: B. Epistaxis Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin.
A: A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a
postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the
medication? A. disorientation B. epistaxis C. constipation D. jaundice
Q6: B. Intravenous
A: A nurse is assisting with the care of a client who is postoperative. The client reports a pain level of 8 on a scale of 0
to 10 and has a prescription for meperidine. Which of the following routes of administration will deliver the medication
with the shortest time of onset? A. oral B. Intravenous C. intramuscular d. subcutaneous
Q7: C. laryngeal edema this can indicate an allergic reaction, possibly anaphylaxis
A: nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly. Which of the following
findings should the nurse plan to evaluate first? A. pain at the injection site B. prolonged motor dysfunction C.
laryngeal edema D. temperature of 99.7 F
, Q8: c. hepatic toxicity
A: A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests
show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The
nurse should recognize that these findings are potential indications of which of the following conditions? a. renal
dysfunction b. myelotoxicity c. hepatic toxicity d. cardiac dysrhythmia
Q9: B. Creatinine clearance 35 mL/min
A: A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a new prescription for
memantine. The nurse should identify that which of the following findings increases the risk for reduced clearance of
the medication? A. Alanine aminotransferase (ALT) 60 international units. B. Creatinine clearance 35 mL/min C.
HbA1c 5% D. BMI 31
Q10: 5 mL
A: A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child who weights 44 pounds. The
amount available is albuterol syrup 2 mg/5 mL. How many mL should the nurse administer? (Round your answer to
the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)
Q11: A. to reduce toxicity risk
A: A nurse is assisting with the administration of an IV injection to a client. For which of the following reasons should the
nurse inject the medication slowly? A. to reduce toxicity risk B. to improve the absorption pattern C. to prevent
medication dilution D. to protect against embolism
Q12: B. grapefruit juice
A: A nurse is reinforcing teaching with a client who has atrial fibrillation and a new prescription for amiodarone. Which of
the following items should the nurse instruct the client to avoid while taking this medication? A. green leafy
vegetables B. grapefruit juice C. garlic D. salt substitutes
Q13: B. vancomycin
A: A nurse is caring fora client who has developed MRSA in a surgical incision. Which of the following medications
should the nurse expect the provider to prescribe? A. ceftriaxone B. vancomycin C. ketoconazole D. ciprofloxacin
Q14: C. hydromorphone Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to
severe pain management in clients who have cancer.
A: A nurse is caring for a client who is experiencing severe cancer pain. Which of the following medications should the
nurse expect the provider to prescribe? A. buprenorphine B. tramadol C. hydromorphone D. oxycodone
Q15: B. Aspirin
A: A nurse is collecting data from a client who is experiencing chest pain. Which of the following medications should the
nurse expect to administer to suppress the aggregation of platelets? A. nitroglycerin B. Aspirin C. Morphine D.
Metoprolol
Verified Answers
Chamberlain University-Illinois • NR 293
Q1: C. Data Collection
A: A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing
process should the nurse identify the client's allergies? A. Planning B. Evaluation C. Data Collection D.
Implementation
Q2: C. check the client's apical pulse
A: A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO
to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse
take first? A. notify the provider B. contact the nursing supervisor C. check the client's apical pulse D. complete an
incident report
Q3: C. QID
A: A nurse is preparing to administer medication to a client. Which of the following abbreviations indicates the greatest
frequency of medication administration? A. BID B. TID C. QID D. Q8h
Q4: B. Levothyroxine 75 mcg PO q AM before breakfast EC = enteric coated, XR = extended release, SL =
sublingually
A: A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should
crush the medication when administering which of the following prescriptions? A. Aspirin EC 80 mg PO daily B.
Levothyroxine 75 mcg PO q AM before breakfast C. Metformin XR 500 mg PO daily D. Nitroglycerin 0.3 mg SL PRN
chest pain, can repeat q 5 min for 2 additional doses.
Q5: B. Epistaxis Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin.
A: A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a
postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the
medication? A. disorientation B. epistaxis C. constipation D. jaundice
Q6: B. Intravenous
A: A nurse is assisting with the care of a client who is postoperative. The client reports a pain level of 8 on a scale of 0
to 10 and has a prescription for meperidine. Which of the following routes of administration will deliver the medication
with the shortest time of onset? A. oral B. Intravenous C. intramuscular d. subcutaneous
Q7: C. laryngeal edema this can indicate an allergic reaction, possibly anaphylaxis
A: nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly. Which of the following
findings should the nurse plan to evaluate first? A. pain at the injection site B. prolonged motor dysfunction C.
laryngeal edema D. temperature of 99.7 F
, Q8: c. hepatic toxicity
A: A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests
show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The
nurse should recognize that these findings are potential indications of which of the following conditions? a. renal
dysfunction b. myelotoxicity c. hepatic toxicity d. cardiac dysrhythmia
Q9: B. Creatinine clearance 35 mL/min
A: A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a new prescription for
memantine. The nurse should identify that which of the following findings increases the risk for reduced clearance of
the medication? A. Alanine aminotransferase (ALT) 60 international units. B. Creatinine clearance 35 mL/min C.
HbA1c 5% D. BMI 31
Q10: 5 mL
A: A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child who weights 44 pounds. The
amount available is albuterol syrup 2 mg/5 mL. How many mL should the nurse administer? (Round your answer to
the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)
Q11: A. to reduce toxicity risk
A: A nurse is assisting with the administration of an IV injection to a client. For which of the following reasons should the
nurse inject the medication slowly? A. to reduce toxicity risk B. to improve the absorption pattern C. to prevent
medication dilution D. to protect against embolism
Q12: B. grapefruit juice
A: A nurse is reinforcing teaching with a client who has atrial fibrillation and a new prescription for amiodarone. Which of
the following items should the nurse instruct the client to avoid while taking this medication? A. green leafy
vegetables B. grapefruit juice C. garlic D. salt substitutes
Q13: B. vancomycin
A: A nurse is caring fora client who has developed MRSA in a surgical incision. Which of the following medications
should the nurse expect the provider to prescribe? A. ceftriaxone B. vancomycin C. ketoconazole D. ciprofloxacin
Q14: C. hydromorphone Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to
severe pain management in clients who have cancer.
A: A nurse is caring for a client who is experiencing severe cancer pain. Which of the following medications should the
nurse expect the provider to prescribe? A. buprenorphine B. tramadol C. hydromorphone D. oxycodone
Q15: B. Aspirin
A: A nurse is collecting data from a client who is experiencing chest pain. Which of the following medications should the
nurse expect to administer to suppress the aggregation of platelets? A. nitroglycerin B. Aspirin C. Morphine D.
Metoprolol
