NUR 521 Advanced Pharmacology – complete
Exam 4 Blueprint TEST BANK Practice
Questions with correct answers and
Rationale 2026
The nurse is teaching a group of pregnant women the importance of adequate nutrition for the
fetus. The nurse instructs the clients that folic acid deficiency during preconception and early in
pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants. - Correct Answerb. neural tube defects.
A client is ordered to receive iron and antacids. The nurse teaches the client that iron and
antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first. - Correct Answerb. 2 hours apart.
A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine) is
prescribed. The client reports to the nurse that she has begun to experience dizziness. What is
the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
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,d. Contact the physician; this is an adverse reaction to the medication. - Correct Answerb.
Contact the physician; this is an expected side effect of the medication.
A client complains of severe pregnancy-related nausea and is placed on Meclizine (Bonine). The
nurse notes in the client history that the client is undergoing treatment for glaucoma. What is
the highest priority nursing intervention?
a. Recognize that one of the off-label uses for the drug is treatment of glaucoma.
b. Contact the pharmacist; the dosage of the drug should be decreased when glaucoma is
present.
c. Recognize that use of the drug when glaucoma is present may result in a fatal reaction.
d. Contact the physician; the drug should be used with caution when glaucoma is present. -
Correct Answerd. Contact the physician; the drug should be used with caution when glaucoma
is present.
Betamethasone (Celestone) is ordered for a client in preterm labor. The client asks the nurse
what the medication will do to help her. The nurse explains to the client that the medication
will:
a. help her to breathe more effectively during the labor process.
b. prevent her infant from developing respiratory distress syndrome.
c. help her infant to breathe more effectively during the labor process.
d. prevent her from developing congestive heart failure during labor. - Correct Answerb. prevent
her infant from developing respiratory distress syndrome.
A client is admitted to the labor and delivery unit and is being treated with terbutaline
(Brethine). The nurse plans the client's care with the knowledge that this medication is used to:
a. induce labor.
b. decrease uterine contractions.
c. stimulate fetal heart rate.
d. enhance placental blood flow. - Correct Answerb. decrease uterine contractions.
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,The client is being treated with hydralazine hydrochloride (Apresoline). What would be a
positive outcome for the client as a result of treatment with this medication?
a. Diastolic BP is maintained between 90 and 110 mm Hg.
b. Diastolic BP is maintained between 70 and 90 mm Hg.
c. Systolic BP is maintained between 100 and 120 mm Hg.
d. Systolic BP is maintained between 90 and 110 mm Hg. - Correct Answera. Diastolic BP is
maintained between 90 and 110 mm Hg
A client diagnosed with pregnancy-induced hypertension (PIH) is treated with magnesium
sulfate. The nurse tells the client that the purpose of this treatment is to:
a. prolong labor.
b. prevent seizures.
c. increase blood pressure.
d. stimulate urination. - Correct Answerb. prevent seizures.
A prenatal client discloses that she takes high doses of vitamins. Which is the most accurate
instruction that the nurse can provide in response to the client's statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy - Correct Answera. "High levels of
vitamins may cause harm to the fetus."
A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine) is
prescribed. The client reports to the nurse that she has begun to experience dizziness. What is
the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
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, b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
d. Contact the physician; this is an adverse reaction to the medication. - Correct Answerb.
Contact the physician; this is an expected side effect of the medication.
The nurse is teaching a group of pregnant women the importance of adequate nutrition for the
fetus. The nurse instructs the clients that folic acid deficiency during preconception and early in
pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants. - Correct Answerb. neural tube defects.
A client is ordered to receive iron and antacids. The nurse teaches the client that iron and
antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first. - Correct Answerb. 2 hours apart.
A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine) is
prescribed. The client reports to the nurse that she has begun to experience dizziness. What is
the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
d. Contact the physician; this is an adverse reaction to the medication. - Correct Answerb.
Contact the physician; this is an expected side effect of the medication.
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Exam 4 Blueprint TEST BANK Practice
Questions with correct answers and
Rationale 2026
The nurse is teaching a group of pregnant women the importance of adequate nutrition for the
fetus. The nurse instructs the clients that folic acid deficiency during preconception and early in
pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants. - Correct Answerb. neural tube defects.
A client is ordered to receive iron and antacids. The nurse teaches the client that iron and
antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first. - Correct Answerb. 2 hours apart.
A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine) is
prescribed. The client reports to the nurse that she has begun to experience dizziness. What is
the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
Page 1 of 45
,d. Contact the physician; this is an adverse reaction to the medication. - Correct Answerb.
Contact the physician; this is an expected side effect of the medication.
A client complains of severe pregnancy-related nausea and is placed on Meclizine (Bonine). The
nurse notes in the client history that the client is undergoing treatment for glaucoma. What is
the highest priority nursing intervention?
a. Recognize that one of the off-label uses for the drug is treatment of glaucoma.
b. Contact the pharmacist; the dosage of the drug should be decreased when glaucoma is
present.
c. Recognize that use of the drug when glaucoma is present may result in a fatal reaction.
d. Contact the physician; the drug should be used with caution when glaucoma is present. -
Correct Answerd. Contact the physician; the drug should be used with caution when glaucoma
is present.
Betamethasone (Celestone) is ordered for a client in preterm labor. The client asks the nurse
what the medication will do to help her. The nurse explains to the client that the medication
will:
a. help her to breathe more effectively during the labor process.
b. prevent her infant from developing respiratory distress syndrome.
c. help her infant to breathe more effectively during the labor process.
d. prevent her from developing congestive heart failure during labor. - Correct Answerb. prevent
her infant from developing respiratory distress syndrome.
A client is admitted to the labor and delivery unit and is being treated with terbutaline
(Brethine). The nurse plans the client's care with the knowledge that this medication is used to:
a. induce labor.
b. decrease uterine contractions.
c. stimulate fetal heart rate.
d. enhance placental blood flow. - Correct Answerb. decrease uterine contractions.
Page 2 of 45
,The client is being treated with hydralazine hydrochloride (Apresoline). What would be a
positive outcome for the client as a result of treatment with this medication?
a. Diastolic BP is maintained between 90 and 110 mm Hg.
b. Diastolic BP is maintained between 70 and 90 mm Hg.
c. Systolic BP is maintained between 100 and 120 mm Hg.
d. Systolic BP is maintained between 90 and 110 mm Hg. - Correct Answera. Diastolic BP is
maintained between 90 and 110 mm Hg
A client diagnosed with pregnancy-induced hypertension (PIH) is treated with magnesium
sulfate. The nurse tells the client that the purpose of this treatment is to:
a. prolong labor.
b. prevent seizures.
c. increase blood pressure.
d. stimulate urination. - Correct Answerb. prevent seizures.
A prenatal client discloses that she takes high doses of vitamins. Which is the most accurate
instruction that the nurse can provide in response to the client's statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy - Correct Answera. "High levels of
vitamins may cause harm to the fetus."
A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine) is
prescribed. The client reports to the nurse that she has begun to experience dizziness. What is
the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
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, b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
d. Contact the physician; this is an adverse reaction to the medication. - Correct Answerb.
Contact the physician; this is an expected side effect of the medication.
The nurse is teaching a group of pregnant women the importance of adequate nutrition for the
fetus. The nurse instructs the clients that folic acid deficiency during preconception and early in
pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants. - Correct Answerb. neural tube defects.
A client is ordered to receive iron and antacids. The nurse teaches the client that iron and
antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first. - Correct Answerb. 2 hours apart.
A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine) is
prescribed. The client reports to the nurse that she has begun to experience dizziness. What is
the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
d. Contact the physician; this is an adverse reaction to the medication. - Correct Answerb.
Contact the physician; this is an expected side effect of the medication.
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