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PharmacologyFinalTestBank(2025)EXAM2025PRACTICEGRADEDA+QUESTIONS WITHCORRECTANSWERSVERIFIED

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PharmacologyFinalTestBank(2025)EXAM2025PRACTICEGRADEDA+QUESTIONS WITHCORRECTANSWERSVERIFIED

Institution
Nursing Pharmacology
Course
Nursing pharmacology

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Page 1 of 32


Pharmacology Final Test Bank (2025) EXAM 2025 PRACTICE GRADED A+ QUESTIONS
WITH CORRECT ANSWERS 2025-2026 VERIFIED




During a follow-up visit, a patient who has been on estrogen therapy admits
that she has continued to smoke cigarettes. The nurse will remind the patient
that smoking while on estrogen may lead to increased:
a. incidence of nausea.
b. risk for thrombosis.
c. levels of triglycerides.
d. tendency to bleed during menstruation.
ANS: B
Smoking should be avoided during estrogen therapy because it adds to the risk for
thrombosis formation.
During a routine checkup, a patient states that she is unable to take the
prescribed
antihistamine because of one of its most common adverse effects. The nurse
suspects that
which adverse effect has been bothering this patient?
a. Constipation
b. Abdominal cramps
c. Drowsiness
d. Decreased libido
ANS: C
Drowsiness is usually the chief complaint of people who take antihistamines.
A patient is in an urgent care center with an acute asthma attack. The nurse
expects that which
medication will be used for initial treatment?
a. An anticholinergic such as ipratropium (Atrovent)
b. A short-acting beta2 agonist such as albuterol (Proventil)
c. A long-acting beta2 agonist such as salmeterol (Serevent)
d. A corticosteroid such as fluticasone (Flovent)

, Page 2 of 32


ANS: B
The short-acting beta2 agonists are commonly used during the acute phase of an
asthmatic
attack to reduce airway constriction quickly and to restore airflow to normal levels.
The other
drugs listed are not appropriate for acute asthma attacks. Anticholinergic drugs and
long-acting beta2 agonists are used to prevent attacks; corticosteroids are used to
reduce
airway inflammation.
The nurse is administering a vancomycin (Vancocin) infusion. Which measure
is appropriate for the nurse to implement in order to reduce complications that
may occur with this drug's administration?
a. Monitoring blood pressure for hypertension during the infusion
b. Discontinuing the drug immediately if red man syndrome occurs
c. Restricting fluids during vancomycin therapy
d. Infusing the drug over at least 1 hour
ANS: D
Infuse the medication over at least 1 hour to reduce the occurrence of red man
syndrome. Adequate hydration (at least 2 L of fluid in 24 hours) during vancomycin
therapy is important for the prevention of nephrotoxicity. Hypotension may occur
during the infusion, especially if it is given too rapidly.
The nurse is providing counseling to a woman who is HIV positive and has just
discovered
that she is pregnant. Which anti-HIV drug is given to HIV-infected pregnant
women to
prevent transmission of the virus to the infant?
a. Acyclovir (Zovirax)
b. Zidovudine (Retrovir)
c. Ribavirin (Virazole)
d. Foscarnet (Foscavir)
ANS: B
Zidovudine, along with various other antiretroviral drugs, is given to HIV-infected
pregnant

, Page 3 of 32


women and even to newborn babies to prevent maternal transmission of the virus to
the infant.
Important monitoring for Clonazepam
Respiratory rate since Clonazepam is a CNS depressant
A 38-year-old man has come into the urgent care center with severe hip pain
after falling from a ladder at work. He says he has taken several pain pills over
the past few hours but cannot remember how many he has taken. He hands
the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that
the most serious toxic effect of acute acetaminophen overdose is which
condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy
ANS: C
Hepatic necrosis is the most serious acute toxic effect of an acute overdose of
acetaminophen.
When reviewing the allergy history of a patient, the nurse notes that the patient
is allergic to
penicillin. Based on this finding, the nurse would question an order for which
class of
antibiotics?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Quinolones
ANS: C
Allergy to penicillin may also result in hypersensitivity to cephalosporins.
The nurse is providing teaching to a patient taking an oral tetracycline
antibiotic. Which
statement by the nurse is correct?
a. "Avoid direct sunlight and tanning beds while on this medication."
b. "Milk and cheese products result in increased levels of tetracycline."
c. "Antacids taken with the medication help to reduce gastrointestinal

, Page 4 of 32


distress."
d. "Take the medication until you are feeling better."
ANS: A
Drug-related photosensitivity occurs when patients take tetracyclines, and it may
continue for
several days after therapy. Milk and cheese products result in decreased levels of
tetracycline
when the two are taken together. Antacids also interfere with absorption and should
not be
taken with tetracycline. Counsel patients to take the entire course of prescribed
antibiotic
drugs, even if they feel that they are no longer ill.
The nurse is monitoring for therapeutic results of antibiotic therapy in a
patient with an
infection. Which laboratory value would indicate therapeutic effectiveness of
this therapy?
a. Increased red blood cell count
b. Increased hemoglobin level
c. Decreased white blood cell count
d. Decreased platelet count
ANS: C
Decreased white blood cell counts are an indication of reduction of infection and are
a
therapeutic effect of antibiotic therapy.
During a teaching session for a patient on antithyroid drugs, the nurse will
discuss which dietary instructions?
a. Using iodized salt when cooking
b. Avoiding foods containing iodine
c. Restricting fluid intake to 2500 mL/day
d. Increasing intake of sodium- and potassium-containing foods
ANS: B
Patients on antithyroid therapy need to avoid iodine-containing foods. These foods
may interfere with the effectiveness of the antithyroid drug.

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Institution
Nursing pharmacology
Course
Nursing pharmacology

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