NR 293 Pharmacology Week 9 Study Guide 2026 |Chamberlain College
1. A nurse is monitoring a client who is receiving oxytocin to induce labor.
Which of the following findings should the nurse identify as an adverse effect of
the medication?
A. Urinary retention
B. Maternal hypoglycemia
C. Uterine hyperstimulation
D. Fetal bradycardia
Answer: C
Rationale: Oxytocin can cause uterine hyperstimulation, which can lead to fetal distress
and uterine rupture.
2. A nurse is teaching a client about a new prescription for sildenafil to treat
erectile dysfunction. Which of the following medications is contraindicated with
sildenafil?
A. Albuterol
B. Atorvastatin
C. Metoprolol
D. Isosorbide mononitrate
Answer: D
Rationale: Sildenafil causes vasodilation and can lead to life-threatening hypotension
when taken with nitrates like isosorbide mononitrate.
,3. A nurse is providing teaching to a client who has a new prescription for
finasteride for the treatment of benign prostatic hyperplasia. Which of the
following statements by the client indicates an understanding of the teaching?
A. I should see results within a week.
B. I can donate blood while taking this medication.
C. I should stop taking the medication if my libido decreases.
D. This medication may take 6 to 12 months to be effective.
Answer: D
Rationale: Finasteride is a 5-alpha reductase inhibitor that shrinks the prostate over time;
it typically takes 6 to 12 months of treatment to determine effectiveness.
4. A nurse is assessing a client who is receiving magnesium sulfate IV for
preeclampsia. Which of the following findings should the nurse report to the
provider as a sign of toxicity?
A. Hyperreflexia
B. Increased urine output
C. Respiratory rate 10/min
D. Tachycardia
Answer: C
Rationale: Signs of magnesium toxicity include respiratory depression (rate less than
12/min), loss of deep tendon reflexes, and decreased urine output.
, 5. A nurse is teaching a client who has a new prescription for levothyroxine to
treat hypothyroidism. Which of the following instructions should the nurse
include?
A. Take the medication on an empty stomach 30 to 60 minutes before breakfast.
B. Take the medication with breakfast.
C. Expect to see results within 24 hours.
D. Take the medication at bedtime with a snack.
Answer: A
Rationale: Levothyroxine should be taken on an empty stomach, usually 30-60 minutes
before the first meal of the day, to ensure optimal absorption.
6. A nurse is caring for a client who is taking propylthiouracil (PTU). Which of the
following laboratory findings should the nurse monitor?
A. Liver function tests
B. Serum potassium
C. Creatinine clearance
D. Blood glucose
Answer: A
Rationale: PTU can cause severe liver injury and liver failure. Monitoring liver enzymes
(ALT, AST) is essential.
7. A nurse is preparing to administer insulin lispro to a client who has type 1
diabetes mellitus. At which of the following times should the nurse administer
the insulin?
A. 30 to 60 minutes before a meal
B. At bedtime
C. Immediately after a meal
D. 15 minutes before a meal
Answer: D
1. A nurse is monitoring a client who is receiving oxytocin to induce labor.
Which of the following findings should the nurse identify as an adverse effect of
the medication?
A. Urinary retention
B. Maternal hypoglycemia
C. Uterine hyperstimulation
D. Fetal bradycardia
Answer: C
Rationale: Oxytocin can cause uterine hyperstimulation, which can lead to fetal distress
and uterine rupture.
2. A nurse is teaching a client about a new prescription for sildenafil to treat
erectile dysfunction. Which of the following medications is contraindicated with
sildenafil?
A. Albuterol
B. Atorvastatin
C. Metoprolol
D. Isosorbide mononitrate
Answer: D
Rationale: Sildenafil causes vasodilation and can lead to life-threatening hypotension
when taken with nitrates like isosorbide mononitrate.
,3. A nurse is providing teaching to a client who has a new prescription for
finasteride for the treatment of benign prostatic hyperplasia. Which of the
following statements by the client indicates an understanding of the teaching?
A. I should see results within a week.
B. I can donate blood while taking this medication.
C. I should stop taking the medication if my libido decreases.
D. This medication may take 6 to 12 months to be effective.
Answer: D
Rationale: Finasteride is a 5-alpha reductase inhibitor that shrinks the prostate over time;
it typically takes 6 to 12 months of treatment to determine effectiveness.
4. A nurse is assessing a client who is receiving magnesium sulfate IV for
preeclampsia. Which of the following findings should the nurse report to the
provider as a sign of toxicity?
A. Hyperreflexia
B. Increased urine output
C. Respiratory rate 10/min
D. Tachycardia
Answer: C
Rationale: Signs of magnesium toxicity include respiratory depression (rate less than
12/min), loss of deep tendon reflexes, and decreased urine output.
, 5. A nurse is teaching a client who has a new prescription for levothyroxine to
treat hypothyroidism. Which of the following instructions should the nurse
include?
A. Take the medication on an empty stomach 30 to 60 minutes before breakfast.
B. Take the medication with breakfast.
C. Expect to see results within 24 hours.
D. Take the medication at bedtime with a snack.
Answer: A
Rationale: Levothyroxine should be taken on an empty stomach, usually 30-60 minutes
before the first meal of the day, to ensure optimal absorption.
6. A nurse is caring for a client who is taking propylthiouracil (PTU). Which of the
following laboratory findings should the nurse monitor?
A. Liver function tests
B. Serum potassium
C. Creatinine clearance
D. Blood glucose
Answer: A
Rationale: PTU can cause severe liver injury and liver failure. Monitoring liver enzymes
(ALT, AST) is essential.
7. A nurse is preparing to administer insulin lispro to a client who has type 1
diabetes mellitus. At which of the following times should the nurse administer
the insulin?
A. 30 to 60 minutes before a meal
B. At bedtime
C. Immediately after a meal
D. 15 minutes before a meal
Answer: D
