Pharmacology Assessment B FINAL EXAM PREP 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS <RECENT VERSION>

Pharmacology Assessment B FINAL EXAM PREP 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS &lt;RECENT VERSION&gt; 1. A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching? A) reduces the surface tension of the stools to change their consistency B) causes rectal contractions C) acts as a fiber agent, inc bulk in intestines D) stimulates motility of the intestines - ANSWER A) reduces the surface tension of the stools to change their consistency 2. A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? A) cough B) Joint pain C) Alopecia D) Insomnia - ANSWER D) Insomnia 3. A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take? A) Admin reconstituted med slowly over 5min B) Store reconstituted med in fridge C) Use the reconstituted med within 12hr D) Reconstitute the initial dose with 60mL of sterile water w/o a bacteriostatic agent - ANSWER D) Reconstitute the initial dose with 60mL of sterile water w/o a bacteriostatic agent 4. A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? A) Creatinine kinase B) Erythrocyte sedimentation rate C) International normalized ratio D) Potassium - ANSWER A) Creatinine kinase 5. A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? A) Dec in WBC count B) Dec in amount of time sleeping C) Inc in appetite D) Inc in ability to focus - ANSWER D) Inc in ability to focus 6. A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? A) I will drink a glass of milk when I take med B) I will take med 15min after my evening meal C) I should take antacid with the med to avoid nausea D) I should sit up for 30min after taking the med - ANSWER D) I should sit up for 30min after taking the med 7. A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity? A) Cromolyn B) Beclomethasone C) Budesonide D) Tiotropium - ANSWER A) Cromolyn 8. A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication? A. Positive Chvostek's sign B. Client report of decreased paresthesia C. Client report of increased thirst D. Increase in urinary output - ANSWER B. Client report of decreased paresthesia Rationale: Paresthesia is a manifestation of hypocalcemia. A client report of a decrease in paresthesia is an indication of a therapeutic response to calcium citrate. The nurse should also monitor for a decrease in other manifestations of hypocalcemia, including muscle twitching and cardiac dysrhythmias. A positive Chvostek's sign is a manifestation of hypocalcemia and does not indicate a therapeutic response to calcium citrate. An increase in thirst is a manifestation of hypercalcemia and can be an indication of calcium toxicity. The nurse should monitor the client for other manifestations of hypercalcemia, such as nausea, vomiting, or anorexia. Calcium citrate is a calcium salt used in the treatment of hypocalcemia. An increase in urinary output does not indicate a therapeutic response to this medication. 9. A nurse is providing teaching to a client who has a prescription for erotamine sublingial to treat migraine headaches. Which of the following information should the nurse include in the instructions? A. "Take one tablet three times a day before meals." B. "Take one tablet every 15 minutes until migraine subsides." C. "Take up to eight tablets as needed within a 24-hour period." D. "Take one tablet at onset of migraine." - ANSWER D. "Take one tablet at onset of migraine." Rationale: The client should take one tablet immediately after the onset of aura or headache. 10. A nurse is providing teaching to a client about the use of ethinyl estradiol/ norelgestromin. Which of the following statements by the client indicates an understanding of the teaching? A. "I will apply the patch once a week for 2 weeks." B. "I will leave the existing patch on for 4 hours after applying the new patch." C. "I will fold the sticky sides of the old patch together before disposing it." D. "I will apply the patch within 14 days of menses." - ANSWER C. "I will fold the sticky sides of the old patch together before disposing it." Rationale: The client should fold the sticky sides of the old patch together and then place it in a childproof container to ensure safe disposal of the patch. The client should apply the patch once a week for 3 weeks and then go without the patch for 1 week to promote menstruation. The client should remove and dispose the old patch before applying a new patch to prevent toxicity by combining the remaining medication on the old patch with the medication on the new patch. The client should apply the patch within 7 days of menses to prevent ovulation and the need for another contraceptive method. 11. A nurse is caring for a client in an outpatient clinic. History and Physical 11 months ago: Client reports bilateral knee pain for many years for which they have taken ibuprofen 800 mg up to four times per day as needed for the last year. It is no longer effective for pain. Reports pain today as 7 on a 0 to 10 scale. 6 months ago: Client reports 5 on a 0 to 10 scale for right upper quadrant abdominal pain and dyspepsia for the last 3 months. Appetite decreased due to occasional nausea. Abdomen: Soft, slightly distended, nontender, bowel sounds present in all four quadrants Esophagogastroduodenoscopy (EGD) prescribed. Today: Client reports no dyspepsia, nausea, or abdominal pain with continued use of omeprazole. Knee pain is reported as 2 on a 0 to 10 scale with continued use of naproxen. Diagnostic Results 5 months ago: Esophagogastroduodenoscopy (EGD) reveals peptic ulcer in proximal duodenum. Provider Prescript - ANSWER The nurse is reviewing the client's medical record, which of the following is the client at risk for developing due to .Upon analyzing cues, the nurse should identify that the client is at risk for developing hypomagnesemia due to long-term use of omeprazole and should monitor magnesium laboratory values and observe for manifestations including tremors, seizures, and muscle cramps. 12. A nurse in an outpatient clinic is caring for a client. Vital Signs Initial visit: Temperature 36.5° C (97.7° F) Heart rate 72/min Blood pressure 118/74 mm Hg Respiratory rate 15/min SpO2 99% on room air Follow-up visit: Temperature 36.7° C (98.1° F) Heart rate 92/min Blood pressure 132/88 mm Hg Respiratory rate 18/min SpO2 98% on room air Nurses' NotesInitial visit: Client presents for evaluation of an increase in headaches over past several months. Client reports headaches occur three to six times per month and typically last a few hours to three days. Headaches are often accompanied by neck pain and nausea. Client reports working full-time at a desk job and is using a computer all day. States last eye exam was three months ago. Follow-up visit: Client presents with report of a severe headache for the past four days that is unrelieved by rest and over the counter analgesics. The client states that they have be - ANSWER The nurse is planning teaching about the client's new medication. Which of the following information should the nurse include? Select all that apply. When generating solutions and planning teaching about sumatriptan, an abortive medication for migraine, the nurse should inform the client that a feeling of pressure in the chest or arm heaviness is an expected adverse effect. Sumatriptan can also cause fatigue. Oral sumatriptan begins to alleviate migraine pain within one hour and a second dose can be taken at least two hours later if manifestations persist. 13. A nurse is monitoring a client after administering their prescribed medications. Nurses' Notes 2000: Client is alert to person, place, time, and situation. Client reports headache and occasional anxiety. Client reports nausea. Abdomen soft and rounded, non-distended. Bowel sounds are normoactive in all 4 quadrants. Bladder non-distended; continent. Urine output of 25 mL/hr. Skin cool, dry and intact. Small pinpoint petechiae is present on bilateral extremities. Vital Signs 1600: Temperature 37.7° C (99.9° F) Heart rate 100/min Respiratory rate 20/min Blood pressure 134/64 mm Hg Oxygen Saturation 96% on room air 2000: Temperature 38.4° C (101.2° F) Heart rate 106/min Respiratory rate 20/min Blood pressure 140/64 mm Hg Oxygen Saturation 97% on room air Medication Administration Record Enoxaparin 40 mg Subcutaneous daily - ANSWER When analyzing cues, the nurse should identify that the client's report of headache, nausea, and small pinpoint petechiae is present on bilateral extremities are indications of a potential adverse reaction to enoxaparin. Low molecular weight heparins such as enoxaparin are anticoagulants that are used to prevent thrombus formation. Other findings of an adverse reaction include, peripheral edema, insomnia, hematuria, pruritis, and alopecia. 14. A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that which of the following medications can potentiate nephrotoxicity if administered concurrently? A. Famotidine B. Levofloxacin C. Metoclopramide D. Gentamicin - ANSWER D. Gentamicin 15. A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching? (Select all that apply) A. Take the second dose at bedtime B. Increase intake of potassium-rich foods. C. Obtain your weight weekly. D. Monitor for muscle weakness. E. Dangle your legs from the side of the bed before standing. - ANSWER B. Increase intake of potassium-rich foods. D. Monitor for muscle weakness. E. Dangle your legs from the side of the bed before standing. 16. A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer? A. Potassium iodide B. Glucagon C. Atropine D. Protamine - ANSWER C. Atropine 17. A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching? A. Plan to increase the dosage each week by 200 mg increments. B. Prolonged use of this medication can cause glaucoma. C. Drink 2 L of water daily. D. A fine red rash is transient and can be treated with antihistamines. - ANSWER C. Drink 2 L of water daily. 18. A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? A. I should apply a patch every 5 minutes if I develop chest pain. B. I will take the patch off right after my evening meal. C. I will leave the patch off at least 1 day each week. D. I should discard the used patch by flushing it down the toilet. - ANSWER B. I will take the patch off right after my evening meal. 19. A nurse is providing teaching to a client who has a peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? A. Decreases stomach acid secretion. B. Neutralizes acids in the stomach. C. Forms a protective barrier over ulcers. D. Treats ulcers by eradicating H. pylori. - ANSWER C. Forms a protective barrier over ulcers. 20. A nurse is teaching about neural tube defects to a client who is planning a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant? A. Folic acid B. Thiamine C. Pyridoxine D. Riboflavin - ANSWER A. Folic acid