NR293 Pharmacology Exam 1 Questions
with Correct Answers
C. Data Collection - correct answers:A nurse is caring for a client who has multiple medication allergies.
During which of the following steps of the nursing process should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - correct answers:A nurse is caring for a client and realizes after
administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the
prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - correct answers:A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - correct answers:A nurse is reviewing the
medication administration record of a client who has impaired swallowing. The nurse should crush the
medication when administering which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
,B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis. It is a
second generation cephalosporin. - correct answers:A nurse is caring for a client who is receiving
cefotetan 1 g via intermittent IV bolus every 12 hours to treat a postoperative infection. Which of the
following manifestations should the nurse monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - correct answers:A nurse is assisting with the care of a client who is postoperative. The
client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the
following routes of administration will deliver the medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - correct answers:nurse is monitoring a client
with pneumonia who has received penicillin G intramuscularly. Which of the following findings should
the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
, c. hepatic toxicity - correct answers:A nurse is reviewing the laboratory results of a client who is taking a
medication and notes that the client's blood tests show an elevated level of the enzymes aspartate
aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these
findings are potential indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - correct answers:A nurse is reviewing the laboratory data for a client
who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that
which of the following findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
5 mL - correct answers:A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-
aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many mL
should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if applicable
but do not use a trailing zero.)
A. to reduce toxicity risk - correct answers:A nurse is assisting with the administration of an IV injection
to a client. For which of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
B. grapefruit juice - correct answers:A nurse is reinforcing teaching with a client who has atrial fibrillation
and a new prescription for amiodarone. Which of the following items should the nurse instruct the client
to avoid while taking this medication?
A. green leafy vegetables
with Correct Answers
C. Data Collection - correct answers:A nurse is caring for a client who has multiple medication allergies.
During which of the following steps of the nursing process should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - correct answers:A nurse is caring for a client and realizes after
administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the
prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - correct answers:A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - correct answers:A nurse is reviewing the
medication administration record of a client who has impaired swallowing. The nurse should crush the
medication when administering which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
,B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis. It is a
second generation cephalosporin. - correct answers:A nurse is caring for a client who is receiving
cefotetan 1 g via intermittent IV bolus every 12 hours to treat a postoperative infection. Which of the
following manifestations should the nurse monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - correct answers:A nurse is assisting with the care of a client who is postoperative. The
client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the
following routes of administration will deliver the medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - correct answers:nurse is monitoring a client
with pneumonia who has received penicillin G intramuscularly. Which of the following findings should
the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
, c. hepatic toxicity - correct answers:A nurse is reviewing the laboratory results of a client who is taking a
medication and notes that the client's blood tests show an elevated level of the enzymes aspartate
aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these
findings are potential indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - correct answers:A nurse is reviewing the laboratory data for a client
who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that
which of the following findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
5 mL - correct answers:A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-
aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many mL
should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if applicable
but do not use a trailing zero.)
A. to reduce toxicity risk - correct answers:A nurse is assisting with the administration of an IV injection
to a client. For which of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
B. grapefruit juice - correct answers:A nurse is reinforcing teaching with a client who has atrial fibrillation
and a new prescription for amiodarone. Which of the following items should the nurse instruct the client
to avoid while taking this medication?
A. green leafy vegetables
