NURS 1150
EXAM 2
(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 nursing student asks a nurse working in the newborn nursery how
vitamin K deficiency is treated in newborns. Which response by the nurse is
correct?
A. “A newborn infant’s intestinal flora will produce vitamin K.”
B. “Menadione is given intravenously shortly after delivery.”
C. “If coagulation studies show a bleeding disorder, oral menadione is given.”
D. “Phytonadione is given intramuscularly immediately after delivery.”
Correct Answer: D
Rationale:
Newborns have limited vitamin K stores and insufficient intestinal bacterial production
immediately after birth. Intramuscular phytonadione is administered to prevent vitamin K
deficiency bleeding.
Option A: Incorrect. Newborn intestinal flora are not sufficiently established to provide
adequate vitamin K immediately after birth.
Option B: Incorrect. Phytonadione, not IV menadione, is the standard neonatal
prophylactic medication.
Option C: Incorrect. Prevention is provided routinely rather than waiting for bleeding
abnormalities to develop.
Option D: Correct. IM phytonadione provides reliable vitamin K prophylaxis.
Question 2. A 3-year-old child who has asthma is in the clinic for a well-child
checkup. The nurse notes that the child is up-to-date for the DTaP, hepatitis A,
hepatitis B, and the MMR vaccines but has only had one each of the Hib, the
rotavirus, and the PCV13 vaccines. Which vaccine(s) will the nurse anticipate
administering to this child?
A. PCV13
B. PCV13 and Hib
C. Rotavirus
D. Hib and rotavirus vaccines
Correct Answer: A
Rationale:
Used for this item, the 3-year-old requires catch-up PCV13 vaccination. The child
is beyond the permitted age for rotavirus vaccination.
Option A: Correct.
, Question 3. A patient who is taking morphine for pain asks the nurse how a pain
medication can also cause constipation. What does the nurse know about
morphine?
A. It causes only one type of response, and the constipation is coincidental.
B. It binds to different types of receptors in the body.
C. It can cause constipation in toxic doses.
D. It is selective to receptors that regulate more than one body process.
Correct Answer: D
Rationale:
Opioid receptors participate in multiple physiologic processes. Morphine can therefore
produce analgesia while also reducing gastrointestinal motility and causing constipation.
Option A: Incorrect. Constipation is a predictable pharmacologic effect of opioids.
Question 4. A patient asks a nurse why a friend who is taking the same drug
responds differently to that drug. The nurse knows that the most common
variation in drug response is due to differences in each patient’s:
A. drug receptor sites.
B. psychosocial response.
C. metabolism of drugs.
D. hypersensitivity potential.
Correct Answer: C
Rationale:
Differences in hepatic enzymes, genetics, age, organ function, and interacting
substances may cause major variation in medication metabolism and therefore
drug concentrations and responses.
Option A: Incorrect. Receptor differences can affect response but are not the
most common explanation.
Question 5. A nurse is reviewing a medication administration record before
administering medications. Which order will the nurse implement?
EXAM 2
(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 nursing student asks a nurse working in the newborn nursery how
vitamin K deficiency is treated in newborns. Which response by the nurse is
correct?
A. “A newborn infant’s intestinal flora will produce vitamin K.”
B. “Menadione is given intravenously shortly after delivery.”
C. “If coagulation studies show a bleeding disorder, oral menadione is given.”
D. “Phytonadione is given intramuscularly immediately after delivery.”
Correct Answer: D
Rationale:
Newborns have limited vitamin K stores and insufficient intestinal bacterial production
immediately after birth. Intramuscular phytonadione is administered to prevent vitamin K
deficiency bleeding.
Option A: Incorrect. Newborn intestinal flora are not sufficiently established to provide
adequate vitamin K immediately after birth.
Option B: Incorrect. Phytonadione, not IV menadione, is the standard neonatal
prophylactic medication.
Option C: Incorrect. Prevention is provided routinely rather than waiting for bleeding
abnormalities to develop.
Option D: Correct. IM phytonadione provides reliable vitamin K prophylaxis.
Question 2. A 3-year-old child who has asthma is in the clinic for a well-child
checkup. The nurse notes that the child is up-to-date for the DTaP, hepatitis A,
hepatitis B, and the MMR vaccines but has only had one each of the Hib, the
rotavirus, and the PCV13 vaccines. Which vaccine(s) will the nurse anticipate
administering to this child?
A. PCV13
B. PCV13 and Hib
C. Rotavirus
D. Hib and rotavirus vaccines
Correct Answer: A
Rationale:
Used for this item, the 3-year-old requires catch-up PCV13 vaccination. The child
is beyond the permitted age for rotavirus vaccination.
Option A: Correct.
, Question 3. A patient who is taking morphine for pain asks the nurse how a pain
medication can also cause constipation. What does the nurse know about
morphine?
A. It causes only one type of response, and the constipation is coincidental.
B. It binds to different types of receptors in the body.
C. It can cause constipation in toxic doses.
D. It is selective to receptors that regulate more than one body process.
Correct Answer: D
Rationale:
Opioid receptors participate in multiple physiologic processes. Morphine can therefore
produce analgesia while also reducing gastrointestinal motility and causing constipation.
Option A: Incorrect. Constipation is a predictable pharmacologic effect of opioids.
Question 4. A patient asks a nurse why a friend who is taking the same drug
responds differently to that drug. The nurse knows that the most common
variation in drug response is due to differences in each patient’s:
A. drug receptor sites.
B. psychosocial response.
C. metabolism of drugs.
D. hypersensitivity potential.
Correct Answer: C
Rationale:
Differences in hepatic enzymes, genetics, age, organ function, and interacting
substances may cause major variation in medication metabolism and therefore
drug concentrations and responses.
Option A: Incorrect. Receptor differences can affect response but are not the
most common explanation.
Question 5. A nurse is reviewing a medication administration record before
administering medications. Which order will the nurse implement?
