Page 1 of 58
NR 293 PHARMACOLOGY FINAL EXAM 350
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
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
c. hepatic toxicity
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
ALL THE BEST CHAMP!!
1
,Page 2 of 58
C. HbA1c 5%
D. BMI 31
B. Creatinine clearance 35 mL/min
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
B. Intravenous
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
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis
ALL THE BEST CHAMP!!
2
,Page 3 of 58
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.)
5 mL
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
C. Data Collection
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
C. check the client's apical pulse
ALL THE BEST CHAMP!!
3
, Page 4 of 58
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
C. QID
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.
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually
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
ALL THE BEST CHAMP!!
4
NR 293 PHARMACOLOGY FINAL EXAM 350
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
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
c. hepatic toxicity
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
ALL THE BEST CHAMP!!
1
,Page 2 of 58
C. HbA1c 5%
D. BMI 31
B. Creatinine clearance 35 mL/min
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
B. Intravenous
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
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis
ALL THE BEST CHAMP!!
2
,Page 3 of 58
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.)
5 mL
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
C. Data Collection
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
C. check the client's apical pulse
ALL THE BEST CHAMP!!
3
, Page 4 of 58
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
C. QID
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.
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually
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
ALL THE BEST CHAMP!!
4
