NR341 CJE Pharmacology Benchmark Exam 2026 – High-Yield Clinical Judgment Questions with Rationales Graded A+ Latest Updated 2026

NR341 CJE Pharmacology Benchmark Exam 2026 – High-Yield Clinical Judgment Questions with Rationales Graded A+ Latest Updated 2026 A client admitted to the medical unit complains of dizziness and shortness of breath. the client had no allergies and denies a history of smoking. last client weight 185 lbs. identify the nurses best action? Question the prescription a client with a history of alcoholism and chronic pancreatitis is admitted to the medical surgical unit for acute pancreatitis exacerbation. the nurse reviews the trending nursing notes click to identify the client data that most likely indicated that pancreatic enzyme replacement therapy is effective for this client 1 formed brown stool The nurse visits the client at home. The pharmacy has the nurse deliver lisinopril and furosemide during the home visit. During the visit, the client shows the nurse other medications that are being used. Which medication is most concerning? non-steroidal anti-inflammatories (NSAIDS) 2/7 0900 client presents to providers office with reports of swelling and pain to left big toe. client has a history of elevated triglycerides and takes atorvastatin daily. client reports experiencing this before but states it typically has gone away in the past after taking naproxen "for a while". client reports difficulty walking over the past 3 days related to pain. on assessment client doe report daily alcohol intake and a diet with high beef and red meat intake. uric acid levels assessed and high. client diagnosed with gout and prescribed colchicine high dose initially to be followed by low-dose for maintenance. 2/12 follow up phone call to client. client reports improvement in pain and swelling of left toe and improved mobility. client does report a few episodes of diarrhea after initially taking the colchicine and some lingering mild bad pain. client also reports "feeling kind of weak" over the past two days. -feeling weak or muscle weakness -Atorvastatin The nurse plans to administer clopidogrel to a client. After reviewing the drug reference guide and electronic health record, what is a concern for the nurse? a lower dose of the medication is needed 1600: client returned to surgical unit following abdominal surgery. estimated blood loss greater than expected. provider prescribes 2 units of packed RBCs and administration of furosemide IV push after first unit. RN assess client and prescriptions. blood bank called to notify blood is ready. 16:15 unlicensed assistive personnel retrieved 1 unit PRBC from blood bank. RN with second RN verified prescription for transfusion and verified client consent already on chart. both RNs verify unit of PRBC at nursing station and at clients bedside after verifying client identification. RN prepares Y-tubing with lactated ringers solution and primes tubing with blood. vital signs obtained and blood administration started in 18 guage peripheral IV to left forearm 16:30 client with no complaints. resting in bed. vital sings stable and infusion rate increased. 21:30 PRBC unit infusion complete vital signs obtained. furosemide IVP ad -priming solution used -tubing used for second PRBC administration -Allowing the UAP to retrieve the blood from the blood bank -length of time for the first PRBC infusion -timing of second PRBC administration from retrieval A client with arthritis reports persistent and daily pain and receives medication as needed. Which assessment indicates treatment is effective? Able to bathe and dress without assistance The client discusses the use of paroxetine with the nurse. Which statement by the client causes the nurse the most concern? "I am taking St. John's wort so I should feel better soon." serum glucose 58 reference range 70-100 mg/dL. While caring for a client with type 2 diabetes mellitus, the nurse reviews the electronic health record. what priority education topic does the nurse identify? Signs of hypoglycemia A nurse notes in the electronic health record that a client is to receive regular insulin for the first time. The nurse teaches the client about this medication. Which statement by the client indicates the best understanding of teaching related to when to anticipate symptoms and signs of hypoglycemia? "I need to watch for signs of low blood glucose when the insulin peaks." A client enters the sleep clinic, presenting with nightly wakefulness and morning drowsiness. The electronic health record indicates that this problem has persisted for several years. The client receives a prescription for triazolam 0.125 mg by mouth at bedtime. Which assessment finding requires more investigation by the nurse? The client smokes 1-2 packs of cigarettes per day A client experiences increasing shortness of breath, crackles on auscultation, and orthopnea. The nurse is prescribed to administer intravenous furosemide. Which nursing assessment is indicated? Assess work of breathing. A client with chronic hypertension has a prescription for extended-release nifedipine. While on the phone with the clinic nurse, the client states “I can't get my regular shoes on anymore be they are too tight”. What should be the nurse's priority? Report the findings to the health care provider. phenytoin 30 reference range 10-20 mcg/mL. the nurse plans the care of a client receiving phenytoin for two months. which nursing intervention does the nurse anticipate? Monitor for signs of drug toxicity A nurse creates a plan of care on the electronic health record about the use of epoetin alpha. Which is a priority intervention for the plan of care? Frequently assess for blood pressure A client enters the emergency department present