RN PHARMACOLOGY ONLINE PRACTICE 2023 B QUESTIONS
AND ANSWERS LATEST UPDATED 2024/2025 A COMPLETE
EXAM WITH CORRECT VERIFIED/DETAILED ANSWERS GRADED
A+ FOR SUCCESS
***A nurses is reviewing the medical record of a client who has hypertension. The nurse should
idenityf which of the following findings as a contraindication for receiving propoanolol?
-Cholelithiasis
-Asthma
-Angina pectoris
-Tachycardia - CORRECT ANSWERS Correct: Asthma
Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic
antagonist that blocks the beta2 receptors in the lungs, causing bronchoconstriction and
leading to serious airway resistance and possibly respiratory arrest.
A nurse at a clinic is providing follow up care for a client who is taking fluoxetine for depression.
Which of the following findings should the nurse identify as an adverse effect of the
medication?
Tingling toes
Absence of dreams
Sexual dysfunction
Pica - CORRECT ANSWERS Correct: Sexual dysfunction
Rationale: Sexual dysfunction (a decreased libido), impotence, and delayed orgasm, or
anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70% of clients who
take this SSRI antidepressant.
,RN PHARMACOLOGY ONLINE PRACTICE 2023 B QUESTIONS
AND ANSWERS LATEST UPDATED 2024/2025 A COMPLETE
EXAM WITH CORRECT VERIFIED/DETAILED ANSWERS GRADED
A+ FOR SUCCESS
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking
the warfarin. Which of the following responses should the nurse make?
"It is safe to take an enteric-coated aspirin."
"The INR lab work must be monitored more frequently if aspirin is taken."
"Acetaminophen may be substituted for aspirin."
"Aspirin will increase the risk of bleeding." - CORRECT ANSWERS Correct: "Aspirin will increase
the risk of bleeding."
Rationale: Aspirin inhibits platelet aggregation and can potentiate the action of the
anticoagulant warfarin. Therefore, the client should avoid taking aspirin because it increases
the risk for bleeding.
***A nurse is teaching a client who is to start taking famotidine for peptic ulcer disease. Which
of the following client statements should the nurse identify as understanding of the teaching?
"I will stop taking famotidine when my stomach pain is gone."
"I will take famotidine anytime my stomach hurts."
"I know smoking makes famotidine less effective."
"I know that famotidine will turn my stools black." - CORRECT ANSWERS Correct: "I know
smoking makes famotidine less effective."
Rationale: The nurse should instruct the client that smoking decreases the effectiveness of
famotidine by exacerbating the ulcer manifestations.
, RN PHARMACOLOGY ONLINE PRACTICE 2023 B QUESTIONS
AND ANSWERS LATEST UPDATED 2024/2025 A COMPLETE
EXAM WITH CORRECT VERIFIED/DETAILED ANSWERS GRADED
A+ FOR SUCCESS
A nurse is administering digoxin immune fab to a client following a medication error. Which of
the following findings should the nurse identify as an indication that the medication was
effective?
-Sinus rhythm
-A decrease in the platelet count
-An increase in the alanine transaminase (ALT) level
-Deep tendon reflexes 2+ - CORRECT ANSWERS Correct: Sinus rhythm
Rationale: Digoxin immune Fab is the antidote for digoxin toxicity. Dysrhythmias are a life-
threatening adverse effect of digoxin toxicity. Therefore, the return of the client's heart to a
sinus rhythm indicates a therapeutic response to the antidote, digoxin immune Fab.
Digoxin is a cardiac glycoside and anti-arhythmic.
***A nurse is teaching a client who is starting to take amitriptyline. Which of the following
findings should the nurse include in the teaching as an adverse effect of the medication?
-Muscle twitching
-Cough
-Urinary retention
-Increased libido - CORRECT ANSWERS Correct: Urinary retention
Rationale: The nurse should instruct the client that amitriptyline causes the anticholinergic
effect of urinary retention.
AND ANSWERS LATEST UPDATED 2024/2025 A COMPLETE
EXAM WITH CORRECT VERIFIED/DETAILED ANSWERS GRADED
A+ FOR SUCCESS
***A nurses is reviewing the medical record of a client who has hypertension. The nurse should
idenityf which of the following findings as a contraindication for receiving propoanolol?
-Cholelithiasis
-Asthma
-Angina pectoris
-Tachycardia - CORRECT ANSWERS Correct: Asthma
Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic
antagonist that blocks the beta2 receptors in the lungs, causing bronchoconstriction and
leading to serious airway resistance and possibly respiratory arrest.
A nurse at a clinic is providing follow up care for a client who is taking fluoxetine for depression.
Which of the following findings should the nurse identify as an adverse effect of the
medication?
Tingling toes
Absence of dreams
Sexual dysfunction
Pica - CORRECT ANSWERS Correct: Sexual dysfunction
Rationale: Sexual dysfunction (a decreased libido), impotence, and delayed orgasm, or
anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70% of clients who
take this SSRI antidepressant.
,RN PHARMACOLOGY ONLINE PRACTICE 2023 B QUESTIONS
AND ANSWERS LATEST UPDATED 2024/2025 A COMPLETE
EXAM WITH CORRECT VERIFIED/DETAILED ANSWERS GRADED
A+ FOR SUCCESS
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking
the warfarin. Which of the following responses should the nurse make?
"It is safe to take an enteric-coated aspirin."
"The INR lab work must be monitored more frequently if aspirin is taken."
"Acetaminophen may be substituted for aspirin."
"Aspirin will increase the risk of bleeding." - CORRECT ANSWERS Correct: "Aspirin will increase
the risk of bleeding."
Rationale: Aspirin inhibits platelet aggregation and can potentiate the action of the
anticoagulant warfarin. Therefore, the client should avoid taking aspirin because it increases
the risk for bleeding.
***A nurse is teaching a client who is to start taking famotidine for peptic ulcer disease. Which
of the following client statements should the nurse identify as understanding of the teaching?
"I will stop taking famotidine when my stomach pain is gone."
"I will take famotidine anytime my stomach hurts."
"I know smoking makes famotidine less effective."
"I know that famotidine will turn my stools black." - CORRECT ANSWERS Correct: "I know
smoking makes famotidine less effective."
Rationale: The nurse should instruct the client that smoking decreases the effectiveness of
famotidine by exacerbating the ulcer manifestations.
, RN PHARMACOLOGY ONLINE PRACTICE 2023 B QUESTIONS
AND ANSWERS LATEST UPDATED 2024/2025 A COMPLETE
EXAM WITH CORRECT VERIFIED/DETAILED ANSWERS GRADED
A+ FOR SUCCESS
A nurse is administering digoxin immune fab to a client following a medication error. Which of
the following findings should the nurse identify as an indication that the medication was
effective?
-Sinus rhythm
-A decrease in the platelet count
-An increase in the alanine transaminase (ALT) level
-Deep tendon reflexes 2+ - CORRECT ANSWERS Correct: Sinus rhythm
Rationale: Digoxin immune Fab is the antidote for digoxin toxicity. Dysrhythmias are a life-
threatening adverse effect of digoxin toxicity. Therefore, the return of the client's heart to a
sinus rhythm indicates a therapeutic response to the antidote, digoxin immune Fab.
Digoxin is a cardiac glycoside and anti-arhythmic.
***A nurse is teaching a client who is starting to take amitriptyline. Which of the following
findings should the nurse include in the teaching as an adverse effect of the medication?
-Muscle twitching
-Cough
-Urinary retention
-Increased libido - CORRECT ANSWERS Correct: Urinary retention
Rationale: The nurse should instruct the client that amitriptyline causes the anticholinergic
effect of urinary retention.
