PHARM ACTUAL EXAM 2025 -2026 \LATEST VERSION
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS \VERIFIED 100% ALREADY
GRADED A+||LATEST UPDATE
A nurse contacts a client's The nurse should ask the provider to spell out the name of the
provider on the telephone to medication if the stated name is one the nurse is not familiar
obtain a prescription for pain with.
medication. Which actions
should the nurse take when
writing down names the nurse
in not familiar with?
Adverse effects of haloperidol extrapyrimidal symptoms
involuntary fine motor tremors, rigidity, uncontrollable
extrapyramidal symptoms
retlessness, dystonia, pseudoparkinsonism, and
akathisia
When using dopamine to Dopamine is an adrenergic that causes a receptor
treat heart failure, what are specificity effect, which increases cardiac output and
signs to watch indicating improves perfusion. You might notice increased urine
the medication is effective output as well
Dizziness, vertigo, orthostatic hypotension, nausea,
Adverse effects of
Hydrochlorothiazide anorexia, vomiting, dry mouth, diarrhea, polyuria,
nocturia, muscle cramps, or spasms. (think: LOWERS
BP)
A nurse is preparing to HCTZ is a thiazide diuretic administered to promote
administer urine output and reduce blood pressure and edema.
hydrochlorothiazide to a The nurse should obtain the client's blood pressure
client actions should the prior to administration of the medication.
nurse take prior to
administering this
medication
What is sucralfate? Forms protective coat over ulcers, causes constipation
is Zolpidem designed for short term
long or short term use?
,Zolpidem adverse effects Drowsiness, headache, dizziness, complex sleep-related
behavior, amnesia
What is Zolpidem primarily insomnia
used to treat
Opioid Use Disorder (OUD) Clinical name for Opioid addiction
What drug is administered as administer methadone for treatment of opioid use
a treatment for opioid use disorder. Methadone can be administered for
disorder withdrawal and to assist with maintenance and
suppressive therapy.
Adverse reaction to antipsychotics with severe "lead
Neuroleptic Malignant
Syndrome pipe" rigidty, FEVER, and mental status changes
Also known as Cipro, this is an antibacterial drug used to
What is ciprofloxacin?
treat a wide spectrum of bacterial diseases, including
anthrax and UTI.
contraindications of hypersensitivity to ciprofloxacin or any quinolone, concurrent
ciprofloxacin therapy with tizanidine
Tendonitis is inflammation of a tendon, the tissue that connects
muscles to bones. Taking ciprofloxacin can increase the risk of
Why is tendonitis a developing tendonitis because it can affect the structure and
contraindication for taking integrity of tendons, making them more prone to injury and
ciprofloxacin? inflammation.
(tendon rupture)
Used with neutropenia to increase production of neutrophils and
filgrastim decreases risk of infection. Usually for those on chemo
Stimulates bone marrow to increase production of neutrophils
filgrastim adverse effects bone pain, leukocytosis, enlarged spleen
what is diazepam Valium, a benzodiazepine, is an anxiolytic/anticonvulsant/muscle
relaxant
what drug reverses the flumazenil
effects of diazepam
monitor the client for manifestations of diazepam toxicity, such
manifestations of diazepam as respiratory depression and hypotension. The nurse should be
toxicity prepared to administer flumazenil to reverse the effects of
diazepam.
What is the fist action that assess the client
should be taken when a client
is prescribed an incorrect
dose?
, what does metformin do Increases the body's sensitivity to insulin
docusate sodium stool softener
Docusate sodium is a surfactant that softens stool by
How does docusate sodium
work? reducing surface tension, allowing water to penetrate
the stool more easily.
How does a nurse determine the nurse can perform a pain assessment to determine
if morphine treatment has the severity of the clients pain before and after
been effective? morphine administration
Nitroglycerin nitrate drug used in the treatment of angina
adverse effects of headache, orthostatic hypotension, reflex tachycardia
nitroglycerin
The nurse is caring for a The nurse should first assist the client into bed to
client who is taking prevent injuries from a fall. The nurse should elevate
nitroglycerin for angina and the client's legs on pillows to enhance venous return
reports feeling faint when from the lower extremities. The nurse should then
standing up, what actions check the client's blood pressure.
should the nurse take?
Isotretinoin med for severe acne- teratogenic
Teratogenic
Can elevate
adverse effects of isotretinoin
triglycerides Can
be hepatotoxic
May be linked to depression and suicide
teratogenic producing malformations (in the developing embryo)
clozapine atypical antipsychotic
hyperlipidema weight gain, hyperglycemia, orthostatic
clozapine adverse effects
drop in blood pressure aka orthostatic hypotension.
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS \VERIFIED 100% ALREADY
GRADED A+||LATEST UPDATE
A nurse contacts a client's The nurse should ask the provider to spell out the name of the
provider on the telephone to medication if the stated name is one the nurse is not familiar
obtain a prescription for pain with.
medication. Which actions
should the nurse take when
writing down names the nurse
in not familiar with?
Adverse effects of haloperidol extrapyrimidal symptoms
involuntary fine motor tremors, rigidity, uncontrollable
extrapyramidal symptoms
retlessness, dystonia, pseudoparkinsonism, and
akathisia
When using dopamine to Dopamine is an adrenergic that causes a receptor
treat heart failure, what are specificity effect, which increases cardiac output and
signs to watch indicating improves perfusion. You might notice increased urine
the medication is effective output as well
Dizziness, vertigo, orthostatic hypotension, nausea,
Adverse effects of
Hydrochlorothiazide anorexia, vomiting, dry mouth, diarrhea, polyuria,
nocturia, muscle cramps, or spasms. (think: LOWERS
BP)
A nurse is preparing to HCTZ is a thiazide diuretic administered to promote
administer urine output and reduce blood pressure and edema.
hydrochlorothiazide to a The nurse should obtain the client's blood pressure
client actions should the prior to administration of the medication.
nurse take prior to
administering this
medication
What is sucralfate? Forms protective coat over ulcers, causes constipation
is Zolpidem designed for short term
long or short term use?
,Zolpidem adverse effects Drowsiness, headache, dizziness, complex sleep-related
behavior, amnesia
What is Zolpidem primarily insomnia
used to treat
Opioid Use Disorder (OUD) Clinical name for Opioid addiction
What drug is administered as administer methadone for treatment of opioid use
a treatment for opioid use disorder. Methadone can be administered for
disorder withdrawal and to assist with maintenance and
suppressive therapy.
Adverse reaction to antipsychotics with severe "lead
Neuroleptic Malignant
Syndrome pipe" rigidty, FEVER, and mental status changes
Also known as Cipro, this is an antibacterial drug used to
What is ciprofloxacin?
treat a wide spectrum of bacterial diseases, including
anthrax and UTI.
contraindications of hypersensitivity to ciprofloxacin or any quinolone, concurrent
ciprofloxacin therapy with tizanidine
Tendonitis is inflammation of a tendon, the tissue that connects
muscles to bones. Taking ciprofloxacin can increase the risk of
Why is tendonitis a developing tendonitis because it can affect the structure and
contraindication for taking integrity of tendons, making them more prone to injury and
ciprofloxacin? inflammation.
(tendon rupture)
Used with neutropenia to increase production of neutrophils and
filgrastim decreases risk of infection. Usually for those on chemo
Stimulates bone marrow to increase production of neutrophils
filgrastim adverse effects bone pain, leukocytosis, enlarged spleen
what is diazepam Valium, a benzodiazepine, is an anxiolytic/anticonvulsant/muscle
relaxant
what drug reverses the flumazenil
effects of diazepam
monitor the client for manifestations of diazepam toxicity, such
manifestations of diazepam as respiratory depression and hypotension. The nurse should be
toxicity prepared to administer flumazenil to reverse the effects of
diazepam.
What is the fist action that assess the client
should be taken when a client
is prescribed an incorrect
dose?
, what does metformin do Increases the body's sensitivity to insulin
docusate sodium stool softener
Docusate sodium is a surfactant that softens stool by
How does docusate sodium
work? reducing surface tension, allowing water to penetrate
the stool more easily.
How does a nurse determine the nurse can perform a pain assessment to determine
if morphine treatment has the severity of the clients pain before and after
been effective? morphine administration
Nitroglycerin nitrate drug used in the treatment of angina
adverse effects of headache, orthostatic hypotension, reflex tachycardia
nitroglycerin
The nurse is caring for a The nurse should first assist the client into bed to
client who is taking prevent injuries from a fall. The nurse should elevate
nitroglycerin for angina and the client's legs on pillows to enhance venous return
reports feeling faint when from the lower extremities. The nurse should then
standing up, what actions check the client's blood pressure.
should the nurse take?
Isotretinoin med for severe acne- teratogenic
Teratogenic
Can elevate
adverse effects of isotretinoin
triglycerides Can
be hepatotoxic
May be linked to depression and suicide
teratogenic producing malformations (in the developing embryo)
clozapine atypical antipsychotic
hyperlipidema weight gain, hyperglycemia, orthostatic
clozapine adverse effects
drop in blood pressure aka orthostatic hypotension.
