RN PHARMACOLOGY LATEST
2025 240 QUESTIONS AND
ANSWERS ALREADY GRADED
A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day
should the nurse expect to administer this medication?
A. One
Medications with long half-lives remain at their therapeutic levels between doses
for long periods of time. The nurse should expect to administer this medication
once a day.
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation.
Which of the following factors should the educator include as a reason to
administer lower medication dosages? (Select all that apply.)
C. Liver failure
Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. Concurrent use of medication the same pathway metabolizes
When the same pathway metabolizes two medications, they compete for
metabolism, thereby increasing the concentration of one or both medications.
This requires decreasing the dosage of one or both medications.
3. A nurse is preparing to administer eye drops to a client. Which of the
following actions should the nurse take? (Select all that apply.)
B. Ask the client to look up at the ceiling.
The client should look upward to keep the drops from falling onto her cornea.
D. Drop the medication into the center of the client's conjunctival sac.
The nurse should drop the medication into the center of the conjunctival sac to
promote distribution.
E. Instruct the client to close her eye gently after instillation.
The client should close her eye gently to promote distribution of the medication.
4. A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
C. "I will apply the patch to an area of skin with no hair."
The client should apply the patch to a hairless area of skin to promote absorption
of the medication.
5. A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the client's medication. Which of the following
actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next
dose of medication.
, To verify trough levels of a medication, the nurse should obtain a blood specimen
immediately before administering the next dose of medication.
6. A nurse is preparing a client's medications. Which of the following actions
should the nurse take in following legal practice guidelines? (Select all that
apply.)
A. Maintain skill competency.
Maintaining skill competency and using appropriate administration techniques
are legal responsibilities of the nurse.
C. Monitor for adverse effects.
A nurse is legally responsible for monitoring for side and adverse effects of
medication.
D. Safeguard medications.
Safeguarding of medications, such as controlled substances, is a legal
responsibility of the nurse.
7. A nurse reviewing a client's health record notes a new prescription for
lisinopril 10 mg PO once every day. The nurse should identify this as which of
the following types of prescription?
C. Routine
A routine or standard prescription identifies medications to give on a regular
schedule with or without a termination date or a specific number of doses.
8. A nurse is reviewing a new prescription for ondansetron 4 mg PO PRN for
nausea and vomiting for a client who has hyperemesis gravidarum. The
nurse should clarify which of the following parts of the prescription with the
provider?
D. Frequency
This prescription does not include the time or frequency of medication
administration. The nurse must clarify this with the prescribing provider.
9. A nurse is admitting a client and completing a preassessment before
administering medications. Which of the following data should the nurse
include in the preassessment? (Select all that apply.)
A. Use of herbal teas
The nurse should inquire about the client's use of herbal products, which often
contain caffeine, prior to medication administration because caffeine can affect
medication biotransformation.
C. Current health status
The nurse should review the client's current health status because new
prescriptions can cause alterations in current health status.
E. Food allergies
, The nurse should inquire about food allergies during the preassessment to
identify any potential reactions or interactions.
10. A nurse orienting a newly licensed nurse is reviewing the procedure for
taking a telephone prescription. Which of the following statements should
the nurse identify as an indication that the newly licensed nurse
understands the process?
B. "Another nurse should listen to the phone call."
A second nurse should listen to a telephone prescription to prevent errors in
communication.
11. A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to
infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The
nurse should adjust the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. Do not use a trailing zero.)
22 gtt/min
12. A nurse is preparing to administer clindamycin 200 mg by intermittent IV
bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9%
sodium chloride (0.9% NaCl) to infuse over 30 min. The nurse should set the
IV pump to deliver how many mL/hr? (Round the answer to the nearest whole
number. Do not use a trailing zero.)
200 mL/hr
13. A nurse is preparing to administer furosemide 80 mg PO daily. The amount
available is furosemide oral solution 10 mg/1 mL. How many mL should the
nurse administer? (Round the answer to the nearest whole number. Do not
use a trailing zero.)
8 mL
14. A nurse is preparing to administer haloperidol 2 mg PO every 12 hr. The
amount available is haloperidol 1 mg/tablet. How many tablets should the
nurse administer? (Round the answer to the nearest whole number. Do not
use a trailing zero.)
2 tablets
15. A nurse is preparing to administer amoxicillin 20 mg/kg/day PO to divide
equally every 12 hr to a preschooler who weighs 44 lb. The amount available
is amoxicillin suspension 250 mg/5 mL. How many mL should the nurse
administer per dose? (Round the answer to the nearest whole number. Do
not use a trailing zero.)
4 mL
2025 240 QUESTIONS AND
ANSWERS ALREADY GRADED
A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day
should the nurse expect to administer this medication?
A. One
Medications with long half-lives remain at their therapeutic levels between doses
for long periods of time. The nurse should expect to administer this medication
once a day.
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation.
Which of the following factors should the educator include as a reason to
administer lower medication dosages? (Select all that apply.)
C. Liver failure
Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. Concurrent use of medication the same pathway metabolizes
When the same pathway metabolizes two medications, they compete for
metabolism, thereby increasing the concentration of one or both medications.
This requires decreasing the dosage of one or both medications.
3. A nurse is preparing to administer eye drops to a client. Which of the
following actions should the nurse take? (Select all that apply.)
B. Ask the client to look up at the ceiling.
The client should look upward to keep the drops from falling onto her cornea.
D. Drop the medication into the center of the client's conjunctival sac.
The nurse should drop the medication into the center of the conjunctival sac to
promote distribution.
E. Instruct the client to close her eye gently after instillation.
The client should close her eye gently to promote distribution of the medication.
4. A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
C. "I will apply the patch to an area of skin with no hair."
The client should apply the patch to a hairless area of skin to promote absorption
of the medication.
5. A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the client's medication. Which of the following
actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next
dose of medication.
, To verify trough levels of a medication, the nurse should obtain a blood specimen
immediately before administering the next dose of medication.
6. A nurse is preparing a client's medications. Which of the following actions
should the nurse take in following legal practice guidelines? (Select all that
apply.)
A. Maintain skill competency.
Maintaining skill competency and using appropriate administration techniques
are legal responsibilities of the nurse.
C. Monitor for adverse effects.
A nurse is legally responsible for monitoring for side and adverse effects of
medication.
D. Safeguard medications.
Safeguarding of medications, such as controlled substances, is a legal
responsibility of the nurse.
7. A nurse reviewing a client's health record notes a new prescription for
lisinopril 10 mg PO once every day. The nurse should identify this as which of
the following types of prescription?
C. Routine
A routine or standard prescription identifies medications to give on a regular
schedule with or without a termination date or a specific number of doses.
8. A nurse is reviewing a new prescription for ondansetron 4 mg PO PRN for
nausea and vomiting for a client who has hyperemesis gravidarum. The
nurse should clarify which of the following parts of the prescription with the
provider?
D. Frequency
This prescription does not include the time or frequency of medication
administration. The nurse must clarify this with the prescribing provider.
9. A nurse is admitting a client and completing a preassessment before
administering medications. Which of the following data should the nurse
include in the preassessment? (Select all that apply.)
A. Use of herbal teas
The nurse should inquire about the client's use of herbal products, which often
contain caffeine, prior to medication administration because caffeine can affect
medication biotransformation.
C. Current health status
The nurse should review the client's current health status because new
prescriptions can cause alterations in current health status.
E. Food allergies
, The nurse should inquire about food allergies during the preassessment to
identify any potential reactions or interactions.
10. A nurse orienting a newly licensed nurse is reviewing the procedure for
taking a telephone prescription. Which of the following statements should
the nurse identify as an indication that the newly licensed nurse
understands the process?
B. "Another nurse should listen to the phone call."
A second nurse should listen to a telephone prescription to prevent errors in
communication.
11. A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to
infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The
nurse should adjust the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. Do not use a trailing zero.)
22 gtt/min
12. A nurse is preparing to administer clindamycin 200 mg by intermittent IV
bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9%
sodium chloride (0.9% NaCl) to infuse over 30 min. The nurse should set the
IV pump to deliver how many mL/hr? (Round the answer to the nearest whole
number. Do not use a trailing zero.)
200 mL/hr
13. A nurse is preparing to administer furosemide 80 mg PO daily. The amount
available is furosemide oral solution 10 mg/1 mL. How many mL should the
nurse administer? (Round the answer to the nearest whole number. Do not
use a trailing zero.)
8 mL
14. A nurse is preparing to administer haloperidol 2 mg PO every 12 hr. The
amount available is haloperidol 1 mg/tablet. How many tablets should the
nurse administer? (Round the answer to the nearest whole number. Do not
use a trailing zero.)
2 tablets
15. A nurse is preparing to administer amoxicillin 20 mg/kg/day PO to divide
equally every 12 hr to a preschooler who weighs 44 lb. The amount available
is amoxicillin suspension 250 mg/5 mL. How many mL should the nurse
administer per dose? (Round the answer to the nearest whole number. Do
not use a trailing zero.)
4 mL
