NURS 1150
EXAM 1
(Nurse Pharmacology I)
Actual Questions w/Correct Answers
(NCLEX (NGN) style)
Northwest College (NWC)
What you Will Get:
• 50 verified questions
• MCQ, SATA, Correct Answers, and Rationales
• Ideal for exam preparation and concept reinforcement.
,Question 1. A patient is in the clinic for genetic testing. What is the first step that
the nurse should take?
A. Collect the patient’s blood specimen immediately.
B. Provide the full implications of testing.
C. Notify the patient’s relatives of the testing.
D. Begin treatment before receiving test results.
Correct Answer: B
Rationale:
Before genetic testing, the patient needs enough information to understand the potential
medical, psychological, familial, and reproductive implications so an informed decision
can be made.
Option A: Incorrect. Specimen collection should occur after appropriate education and
informed consent.
Option B: Correct. Understanding the implications of genetic testing is necessary
before proceeding.
Option C: Incorrect. Confidentiality must be maintained; relatives are not automatically
notified.
Option D: Incorrect. Treatment decisions generally depend on clinical assessment and
appropriate test results.
Question 2. A patient is receiving digoxin twice daily. When assessing the patient
before giving a dose, the nurse counts a pulse of 60 beats/min and learns that the
patient is experiencing nausea. The nurse consults a drug manual and verifies
that the ordered dose is correct. What should the nurse do?
A. Give twice the prescribed dose.
B. Administer the medication and reassess tomorrow.
C. Contact the prescriber to report the symptoms.
D. Tell the patient that nausea proves the drug is working.
Correct Answer: C
Rationale:
Nausea and a low pulse in a patient receiving digoxin can indicate excessive
pharmacologic effects or toxicity. The nurse should contact the prescriber before giving
additional medication.
, Option A: Incorrect. Increasing digoxin could worsen toxicity.
Option B: Incorrect. The findings require evaluation before the next dose is
administered.
Option C: Correct. The prescriber should be notified of possible digoxin toxicity.
Option D: Incorrect. Nausea is not an indicator of therapeutic effectiveness.
Question 3. A 30-year-old male patient reports having two to four urinary tract
infections a year. What will the nurse expect to teach this patient?
A. “You should avoid all fluid intake.”
B. “You will need a single antibiotic dose once each year.”
C. “Recurrent urinary tract infections never require medication.”
D. “You will need to take a low dose of medication for 6 months to prevent infections.”
Correct Answer: D
Rationale:
Prolonged low-dose antimicrobial prophylaxis as an approach to recurrent
urinary tract infections.
Option A: Incorrect. Fluid restriction is not appropriate routine prevention.
Question 4. A nurse is explaining drug metabolism to a nursing student who asks
about glucuronidation. The nurse knows that this is a process that allows drugs
to be:
A. recycled via the enterohepatic recirculation to remain in the body longer.
B. completely prevented from entering the liver.
C. permanently stored inside red blood cells.
D. eliminated exclusively through the lungs.
Correct Answer: A
Rationale:
Glucuronidated compounds may undergo biliary excretion followed by intestinal
deconjugation and enterohepatic recirculation, allowing some drug to be
reabsorbed.
Option A: Correct.
EXAM 1
(Nurse Pharmacology I)
Actual Questions w/Correct Answers
(NCLEX (NGN) style)
Northwest College (NWC)
What you Will Get:
• 50 verified questions
• MCQ, SATA, Correct Answers, and Rationales
• Ideal for exam preparation and concept reinforcement.
,Question 1. A patient is in the clinic for genetic testing. What is the first step that
the nurse should take?
A. Collect the patient’s blood specimen immediately.
B. Provide the full implications of testing.
C. Notify the patient’s relatives of the testing.
D. Begin treatment before receiving test results.
Correct Answer: B
Rationale:
Before genetic testing, the patient needs enough information to understand the potential
medical, psychological, familial, and reproductive implications so an informed decision
can be made.
Option A: Incorrect. Specimen collection should occur after appropriate education and
informed consent.
Option B: Correct. Understanding the implications of genetic testing is necessary
before proceeding.
Option C: Incorrect. Confidentiality must be maintained; relatives are not automatically
notified.
Option D: Incorrect. Treatment decisions generally depend on clinical assessment and
appropriate test results.
Question 2. A patient is receiving digoxin twice daily. When assessing the patient
before giving a dose, the nurse counts a pulse of 60 beats/min and learns that the
patient is experiencing nausea. The nurse consults a drug manual and verifies
that the ordered dose is correct. What should the nurse do?
A. Give twice the prescribed dose.
B. Administer the medication and reassess tomorrow.
C. Contact the prescriber to report the symptoms.
D. Tell the patient that nausea proves the drug is working.
Correct Answer: C
Rationale:
Nausea and a low pulse in a patient receiving digoxin can indicate excessive
pharmacologic effects or toxicity. The nurse should contact the prescriber before giving
additional medication.
, Option A: Incorrect. Increasing digoxin could worsen toxicity.
Option B: Incorrect. The findings require evaluation before the next dose is
administered.
Option C: Correct. The prescriber should be notified of possible digoxin toxicity.
Option D: Incorrect. Nausea is not an indicator of therapeutic effectiveness.
Question 3. A 30-year-old male patient reports having two to four urinary tract
infections a year. What will the nurse expect to teach this patient?
A. “You should avoid all fluid intake.”
B. “You will need a single antibiotic dose once each year.”
C. “Recurrent urinary tract infections never require medication.”
D. “You will need to take a low dose of medication for 6 months to prevent infections.”
Correct Answer: D
Rationale:
Prolonged low-dose antimicrobial prophylaxis as an approach to recurrent
urinary tract infections.
Option A: Incorrect. Fluid restriction is not appropriate routine prevention.
Question 4. A nurse is explaining drug metabolism to a nursing student who asks
about glucuronidation. The nurse knows that this is a process that allows drugs
to be:
A. recycled via the enterohepatic recirculation to remain in the body longer.
B. completely prevented from entering the liver.
C. permanently stored inside red blood cells.
D. eliminated exclusively through the lungs.
Correct Answer: A
Rationale:
Glucuronidated compounds may undergo biliary excretion followed by intestinal
deconjugation and enterohepatic recirculation, allowing some drug to be
reabsorbed.
Option A: Correct.
