Pharmacology and
Medication
Administration (Part 2)
2026
### Question 1
The nurse is preparing to administer amiodarone to a patient with ventricular dysrhythmias. Which
finding indicates a potential adverse effect of this medication?
A. Pulmonary toxicity and cough
B. Hypertension and tachycardia
,C. Hypokalemia and hyponatremia
D. Hyperglycemia and polyuria
💫RATIONALE✔️✔️: Amiodarone can cause pulmonary toxicity, which presents with cough, dyspnea,
and decreased breath sounds. The nurse should monitor for these symptoms and report them
immediately. Amiodarone can also cause hepatotoxicity and thyroid dysfunction.
💫ANSWER✔️✔️: A. Pulmonary toxicity and cough
---
### Question 2
A patient is prescribed quetiapine for bipolar disorder. Which finding should the nurse monitor for?
A. Weight gain and metabolic syndrome
B. Bradycardia and hypotension
C. Insomnia and agitation
D. Hyponatremia and hypokalemia
💫RATIONALE✔️✔️: Quetiapine is an atypical antipsychotic that can cause significant weight gain and
metabolic syndrome, including hyperglycemia and hyperlipidemia. The nurse should monitor the
patient's weight, blood glucose, and lipid levels regularly.
💫ANSWER✔️✔️: A. Weight gain and metabolic syndrome
---
,### Question 3
The nurse is administering fentanyl to a patient for procedural sedation. Which action is essential for
patient safety?
A. Monitor respiratory rate and oxygen saturation
B. Administer the medication rapidly
C. Administer the medication with a meal
D. Monitor blood glucose levels
💫RATIONALE✔️✔️: Fentanyl is a potent opioid analgesic that can cause respiratory depression. The
nurse must monitor the patient's respiratory rate, oxygen saturation, and level of consciousness
continuously during and after administration. Naloxone should be readily available.
💫ANSWER✔️✔️: A. Monitor respiratory rate and oxygen saturation
---
### Question 4
A patient is prescribed apixaban for prevention of stroke in atrial fibrillation. The nurse should include
which instruction in the teaching?
A. "Monitor for signs of bleeding."
B. "Take the medication with food."
C. "You will need monthly blood tests."
, D. "Avoid all green leafy vegetables."
💫RATIONALE✔️✔️: Apixaban is a direct oral anticoagulant (DOAC) that increases the risk of
bleeding. The patient should monitor for signs of bleeding, including easy bruising, gum bleeding, and
dark stools. Unlike warfarin, apixaban does not require routine INR monitoring or dietary restrictions.
💫ANSWER✔️✔️: A. "Monitor for signs of bleeding."
---
### Question 5
The nurse is caring for a patient who is receiving intravenous pantoprazole for gastrointestinal bleeding.
Which finding indicates the medication is effective?
A. Decreased gastric acid production
B. Resolution of nausea and vomiting
C. Increased appetite
D. Resolution of abdominal pain
💫RATIONALE✔️✔️: Pantoprazole is a proton pump inhibitor that reduces gastric acid production.
Decreased gastric acid production allows the gastrointestinal tract to heal and reduces bleeding risk.
Resolution of symptoms such as nausea, vomiting, and abdominal pain may also occur.
💫ANSWER✔️✔️: A. Decreased gastric acid production
---
Medication
Administration (Part 2)
2026
### Question 1
The nurse is preparing to administer amiodarone to a patient with ventricular dysrhythmias. Which
finding indicates a potential adverse effect of this medication?
A. Pulmonary toxicity and cough
B. Hypertension and tachycardia
,C. Hypokalemia and hyponatremia
D. Hyperglycemia and polyuria
💫RATIONALE✔️✔️: Amiodarone can cause pulmonary toxicity, which presents with cough, dyspnea,
and decreased breath sounds. The nurse should monitor for these symptoms and report them
immediately. Amiodarone can also cause hepatotoxicity and thyroid dysfunction.
💫ANSWER✔️✔️: A. Pulmonary toxicity and cough
---
### Question 2
A patient is prescribed quetiapine for bipolar disorder. Which finding should the nurse monitor for?
A. Weight gain and metabolic syndrome
B. Bradycardia and hypotension
C. Insomnia and agitation
D. Hyponatremia and hypokalemia
💫RATIONALE✔️✔️: Quetiapine is an atypical antipsychotic that can cause significant weight gain and
metabolic syndrome, including hyperglycemia and hyperlipidemia. The nurse should monitor the
patient's weight, blood glucose, and lipid levels regularly.
💫ANSWER✔️✔️: A. Weight gain and metabolic syndrome
---
,### Question 3
The nurse is administering fentanyl to a patient for procedural sedation. Which action is essential for
patient safety?
A. Monitor respiratory rate and oxygen saturation
B. Administer the medication rapidly
C. Administer the medication with a meal
D. Monitor blood glucose levels
💫RATIONALE✔️✔️: Fentanyl is a potent opioid analgesic that can cause respiratory depression. The
nurse must monitor the patient's respiratory rate, oxygen saturation, and level of consciousness
continuously during and after administration. Naloxone should be readily available.
💫ANSWER✔️✔️: A. Monitor respiratory rate and oxygen saturation
---
### Question 4
A patient is prescribed apixaban for prevention of stroke in atrial fibrillation. The nurse should include
which instruction in the teaching?
A. "Monitor for signs of bleeding."
B. "Take the medication with food."
C. "You will need monthly blood tests."
, D. "Avoid all green leafy vegetables."
💫RATIONALE✔️✔️: Apixaban is a direct oral anticoagulant (DOAC) that increases the risk of
bleeding. The patient should monitor for signs of bleeding, including easy bruising, gum bleeding, and
dark stools. Unlike warfarin, apixaban does not require routine INR monitoring or dietary restrictions.
💫ANSWER✔️✔️: A. "Monitor for signs of bleeding."
---
### Question 5
The nurse is caring for a patient who is receiving intravenous pantoprazole for gastrointestinal bleeding.
Which finding indicates the medication is effective?
A. Decreased gastric acid production
B. Resolution of nausea and vomiting
C. Increased appetite
D. Resolution of abdominal pain
💫RATIONALE✔️✔️: Pantoprazole is a proton pump inhibitor that reduces gastric acid production.
Decreased gastric acid production allows the gastrointestinal tract to heal and reduces bleeding risk.
Resolution of symptoms such as nausea, vomiting, and abdominal pain may also occur.
💫ANSWER✔️✔️: A. Decreased gastric acid production
---
