PN Pharmacology Online Practice 2026 A
A nurse is assisting in the care of a client in the provider's office.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and pseudoephedrine is no
longer effective. Nasal mucosa is red and edematous. Nares are patent. Frontal and maxillary
sinuses are non-tender to palpation. Oral mucosa is pink and moist.
3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal mucosa is red and
edematous. Nares are non-patent and nasal crusting is present. Client reports mouth
breathing due to nasal congestion. Frontal and maxillary sinuses are tender to palpation. Oral
mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies
3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly prescribed
medication. The nurse should plan to reinforce with the client to
____________________________________________ and
____________________________________.
The nurse is planning to reinforce teaching to the client about their newly prescribed
medication. The nurse should plan to reinforce with the client to use saline nasal spray prior to
administering medication and instill two sprays of the medication in each nostril.
When generating solutions for a client who has a new prescription for fluticasone propionate,
the nurse should plan to reinforce teaching with the client about the medication. The nurse
should reinforce with the client to use a saline nasal spray prior to administering medication to
,remove nasal crusting. The nurse should also reinforce to instill two sprays of fluticasone into
each nostril to administer 100 mcg per nostril.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8
hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the
manual IV infusion is set to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
31 gtt/min
Follow these steps to calculate the infusion rate using the Dimensional Analysis method of
calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of measure
being calculated on the left side of the equation.)
X gtt/min =
Step 2: Determine the ratio that contains the same unit as the unit being calculated. (Place the
ratio on the right side of the equation, ensuring that the unit in the numerator matches the unit
being calculated.)
X gtt/min = 15 gtt/1mL
Step 3: Place any remaining ratios that are relevant to the item on the right side of the equation,
along with any needed conversion factors, to cancel out unwanted units of measurement.
X gtt/min = 15 gtt/1mL x 1,000 mL/8 hr x 1 hr/60 min
Step 4: Solve for X.
X gtt/min = 31.25 gtt/min
Step 5: Round if necessary. 31.25 = 31 gtt/min
Step 6: Determine whether the amount to administer makes sense. If the prescription reads
0.9% sodium chloride 1,000 mL IV to infuse 8 hr and the drop factor on the manual IV tubing is
15 gtt/mL, it makes sense to administer 31 gtt/min. The nurse should set the manual IV infusion
to deliver 0.9% sodium chloride 1,000 mL IV at 31 gtt/min over 8 hr.
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following
actions should the nurse take after instilling the eyedrops?
a. Ask the client to blink their eyes several times.
b. Apply pressure to the upper eyelid.
, c. Press the nasolacrimal duct.
d. Tell the client to keep their eyes open for at least 15 seconds.
c. Press the nasolacrimal duct.
The nurse should press the client's nasolacrimal duct after instilling the eye drops to prevent the
medication from absorbing into systemic circulation.
A nurse is planning to reinforce teaching about newborn immunizations with a client who is
24 hr postpartum. Which of the following information should the nurse plan to include?
a. "Your baby will receive the first hepatitis B vaccine before discharge."
b. "Your baby will receive the rotavirus vaccine if your blood titer is low."
c. "Your baby will receive their first influenza vaccine at the 4-week checkup."
d. "Your baby will receive the varicella vaccine if you have a history of chickenpox."
a. "Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next dose at age 1 to
2 months.
A nurse is reinforcing dietary teaching with a client who has a new prescription for
phenelzine. Which of the following foods should the nurse include in the teaching as an
appropriate food choice?
a. Yogurt
b. Avocado
c. Smoked salmon
d. Pepperoni
a. Yogurt
Clients taking phenelzine should avoid consuming tyramine, which can cause high blood
pressure. Yogurt contains little or no tyramine. Therefore, the nurse should instruct the client
that yogurt is an appropriate food choice.
A nurse is reinforcing teaching with a client who has a new prescription for colchicine to
manage gouty arthritis. Which of the following manifestations should the nurse include as an
adverse effect of this medication?
a. Abdominal pain
A nurse is assisting in the care of a client in the provider's office.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and pseudoephedrine is no
longer effective. Nasal mucosa is red and edematous. Nares are patent. Frontal and maxillary
sinuses are non-tender to palpation. Oral mucosa is pink and moist.
3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal mucosa is red and
edematous. Nares are non-patent and nasal crusting is present. Client reports mouth
breathing due to nasal congestion. Frontal and maxillary sinuses are tender to palpation. Oral
mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies
3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly prescribed
medication. The nurse should plan to reinforce with the client to
____________________________________________ and
____________________________________.
The nurse is planning to reinforce teaching to the client about their newly prescribed
medication. The nurse should plan to reinforce with the client to use saline nasal spray prior to
administering medication and instill two sprays of the medication in each nostril.
When generating solutions for a client who has a new prescription for fluticasone propionate,
the nurse should plan to reinforce teaching with the client about the medication. The nurse
should reinforce with the client to use a saline nasal spray prior to administering medication to
,remove nasal crusting. The nurse should also reinforce to instill two sprays of fluticasone into
each nostril to administer 100 mcg per nostril.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8
hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the
manual IV infusion is set to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
31 gtt/min
Follow these steps to calculate the infusion rate using the Dimensional Analysis method of
calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of measure
being calculated on the left side of the equation.)
X gtt/min =
Step 2: Determine the ratio that contains the same unit as the unit being calculated. (Place the
ratio on the right side of the equation, ensuring that the unit in the numerator matches the unit
being calculated.)
X gtt/min = 15 gtt/1mL
Step 3: Place any remaining ratios that are relevant to the item on the right side of the equation,
along with any needed conversion factors, to cancel out unwanted units of measurement.
X gtt/min = 15 gtt/1mL x 1,000 mL/8 hr x 1 hr/60 min
Step 4: Solve for X.
X gtt/min = 31.25 gtt/min
Step 5: Round if necessary. 31.25 = 31 gtt/min
Step 6: Determine whether the amount to administer makes sense. If the prescription reads
0.9% sodium chloride 1,000 mL IV to infuse 8 hr and the drop factor on the manual IV tubing is
15 gtt/mL, it makes sense to administer 31 gtt/min. The nurse should set the manual IV infusion
to deliver 0.9% sodium chloride 1,000 mL IV at 31 gtt/min over 8 hr.
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following
actions should the nurse take after instilling the eyedrops?
a. Ask the client to blink their eyes several times.
b. Apply pressure to the upper eyelid.
, c. Press the nasolacrimal duct.
d. Tell the client to keep their eyes open for at least 15 seconds.
c. Press the nasolacrimal duct.
The nurse should press the client's nasolacrimal duct after instilling the eye drops to prevent the
medication from absorbing into systemic circulation.
A nurse is planning to reinforce teaching about newborn immunizations with a client who is
24 hr postpartum. Which of the following information should the nurse plan to include?
a. "Your baby will receive the first hepatitis B vaccine before discharge."
b. "Your baby will receive the rotavirus vaccine if your blood titer is low."
c. "Your baby will receive their first influenza vaccine at the 4-week checkup."
d. "Your baby will receive the varicella vaccine if you have a history of chickenpox."
a. "Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next dose at age 1 to
2 months.
A nurse is reinforcing dietary teaching with a client who has a new prescription for
phenelzine. Which of the following foods should the nurse include in the teaching as an
appropriate food choice?
a. Yogurt
b. Avocado
c. Smoked salmon
d. Pepperoni
a. Yogurt
Clients taking phenelzine should avoid consuming tyramine, which can cause high blood
pressure. Yogurt contains little or no tyramine. Therefore, the nurse should instruct the client
that yogurt is an appropriate food choice.
A nurse is reinforcing teaching with a client who has a new prescription for colchicine to
manage gouty arthritis. Which of the following manifestations should the nurse include as an
adverse effect of this medication?
a. Abdominal pain
