RASMUSSEN COLLEGE
PN Pharmacology Proctored Exam Review
Practical Nursing Program
PN Pharmacology — Complete Question Bank
Academic Year: 2026/2027 Verified Answers with Rationales
Question 1
Cycloserine (Seromycin) is added to the medication regimen for a client with tuberculosis. Which
of the following would the nurse include in the client-teaching plan regarding this medication?
A. To take the medication before meals
B. To return to the clinic weekly for serum drug-level testing
C. It is not necessary to call the health care provider (HCP) if a skin rash occurs.
D. It is not necessary to restrict alcohol intake with this medication.
CORRECT ANSWER B. To return to the clinic weekly for serum drug-level testing
RATIONALE: Cycloserine requires weekly serum drug level testing to monitor for neurotoxicity.
,Question 2
Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct the
client to report which symptom if it developed during the course of this medication therapy?
A. Nausea
B. Diarrhea
C. Headache
D. Sore throat
CORRECT ANSWER D. Sore throat
RATIONALE: Sore throat may indicate a blood disorder and should be reported.
Question 3
A client with chronic renal failure is receiving ferrous sulfate (Feosol). The nurse monitors the
client for which common side effect associated with this medication?
A. Diarrhea
B. Weakness
C. Headache
D. Constipation
CORRECT ANSWER D. Constipation
RATIONALE: Constipation is a common side effect of oral iron supplements.
,Question 4
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of
injury. The nurse monitors the client, knowing that which of the following indicates that a
systemic effect has occurred?
A. Hyperventilation
B. Elevated blood pressure
C. Local pain at the burn site
D. Local rash at the burn site
CORRECT ANSWER A. Hyperventilation
RATIONALE: Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid,
thereby causing acidosis. Hyperventilation indicates a systemic effect.
Question 5
What is the blood urea nitrogen (BUN) level within 1 week with acute renal failure?
A. 20 to 40 mg/dL
B. 80 to 100 mg/dL
C. 120 to 140 mg/dL
D. 180 to 200 mg/dL
CORRECT ANSWER B. 80 to 100 mg/dL
RATIONALE: In acute renal failure, BUN levels rise to 80 to 100 mg/dL within 1 week.
, Question 6
What should you understand about Parkinson's medications?
A. They don't cure disease, they slow the process
B. They cure the disease
C. They are only for tremors
D. They are effective immediately
CORRECT ANSWER A. They don't cure disease, they slow the process
RATIONALE: Parkinson's medications do not cure the disease; they help manage symptoms and slow
progression.
Question 7
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is
reinforcing teaching for the client about the medications prescribed, including clarithromycin
(Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client
indicates the best understanding of the medication regimen?
A. 'My ulcer will heal because these medications will kill the bacteria.'
B. 'These medications are only taken when I have pain from my ulcer.'
C. 'The medications will kill the bacteria and stop the acid production.'
D. 'These medications will coat the ulcer and decrease the acid production in my stomach.'
CORRECT ANSWER C. 'The medications will kill the bacteria and stop the acid production.'
RATIONALE: Triple therapy includes antibacterials (clarithromycin, amoxicillin) to kill H. pylori and a proton
pump inhibitor (esomeprazole) to reduce acid production.
PN Pharmacology Proctored Exam Review
Practical Nursing Program
PN Pharmacology — Complete Question Bank
Academic Year: 2026/2027 Verified Answers with Rationales
Question 1
Cycloserine (Seromycin) is added to the medication regimen for a client with tuberculosis. Which
of the following would the nurse include in the client-teaching plan regarding this medication?
A. To take the medication before meals
B. To return to the clinic weekly for serum drug-level testing
C. It is not necessary to call the health care provider (HCP) if a skin rash occurs.
D. It is not necessary to restrict alcohol intake with this medication.
CORRECT ANSWER B. To return to the clinic weekly for serum drug-level testing
RATIONALE: Cycloserine requires weekly serum drug level testing to monitor for neurotoxicity.
,Question 2
Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct the
client to report which symptom if it developed during the course of this medication therapy?
A. Nausea
B. Diarrhea
C. Headache
D. Sore throat
CORRECT ANSWER D. Sore throat
RATIONALE: Sore throat may indicate a blood disorder and should be reported.
Question 3
A client with chronic renal failure is receiving ferrous sulfate (Feosol). The nurse monitors the
client for which common side effect associated with this medication?
A. Diarrhea
B. Weakness
C. Headache
D. Constipation
CORRECT ANSWER D. Constipation
RATIONALE: Constipation is a common side effect of oral iron supplements.
,Question 4
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of
injury. The nurse monitors the client, knowing that which of the following indicates that a
systemic effect has occurred?
A. Hyperventilation
B. Elevated blood pressure
C. Local pain at the burn site
D. Local rash at the burn site
CORRECT ANSWER A. Hyperventilation
RATIONALE: Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid,
thereby causing acidosis. Hyperventilation indicates a systemic effect.
Question 5
What is the blood urea nitrogen (BUN) level within 1 week with acute renal failure?
A. 20 to 40 mg/dL
B. 80 to 100 mg/dL
C. 120 to 140 mg/dL
D. 180 to 200 mg/dL
CORRECT ANSWER B. 80 to 100 mg/dL
RATIONALE: In acute renal failure, BUN levels rise to 80 to 100 mg/dL within 1 week.
, Question 6
What should you understand about Parkinson's medications?
A. They don't cure disease, they slow the process
B. They cure the disease
C. They are only for tremors
D. They are effective immediately
CORRECT ANSWER A. They don't cure disease, they slow the process
RATIONALE: Parkinson's medications do not cure the disease; they help manage symptoms and slow
progression.
Question 7
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is
reinforcing teaching for the client about the medications prescribed, including clarithromycin
(Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client
indicates the best understanding of the medication regimen?
A. 'My ulcer will heal because these medications will kill the bacteria.'
B. 'These medications are only taken when I have pain from my ulcer.'
C. 'The medications will kill the bacteria and stop the acid production.'
D. 'These medications will coat the ulcer and decrease the acid production in my stomach.'
CORRECT ANSWER C. 'The medications will kill the bacteria and stop the acid production.'
RATIONALE: Triple therapy includes antibacterials (clarithromycin, amoxicillin) to kill H. pylori and a proton
pump inhibitor (esomeprazole) to reduce acid production.
