Pharmacology Final Exam Prac ce Ques ons and
Ra onales | Comprehensive Study Guide | Latest 2026
The nurse is caring for a pa ent who reports taking 800 mg of ibuprofen three mes a day for
relief of menstrual cramps. What lab results will the nurse find most significant in assessing this
pa ent? A) Complete blood count B) White blood cell differen al C) Arterial blood gas D)
Cholesterol and triglyceride profile - CORRECT ANSWER A) Complete blood count
A student athlete presents at the clinic for his physical checkup. The athlete tells the nurse that
he is using large doses of crea ne to increase muscle size and strength. What should the nurse
instruct the student to do while taking this medica on? A) Take nonsteroidal an -inflammatory
drugs (NSAIDs) to stop pain from expanding muscles. B) Drink plenty of fluids while using this
drug and watch for swelling. C) Stop ea ng red meat or other animal products. D) Take
cime dine (Tagamet) to relieve the stomach upset associated with the use of this therapy. -
CORRECT ANSWER B) Drink plenty of fluids while using this drug and watch for swelling.
The nurse is providing drug teaching for a pa ent who is to be discharged taking dofe lide
(Tikosyn). What drug will the nurse teach the pa ent to avoid due to a drug-drug interac on? A)
Cime dine B) Furosemide C) Acetaminophen D) Antacids - CORRECT ANSWER A)
Cime dine
An adult pa ent is prescribed cime dine (Tagamet). A nurse will instruct the pa ent that an
appropriate dosage and frequency of cime dine is what? A) 20 mg PO b.i.dB) 150 mg PO b.i.d C)
300 mg PO at bed me D) 800 mg PO at bed me - CORRECT ANSWER D) 800 mg PO at
bed me
When comparing the histamine-2 antagonists to each other the nurse recognizes that
cime dine (Tagamet) is more likely to cause which adverse effect? A) Dizziness B) Headache C)
Gynecomas a D) Somnolence - CORRECT ANSWER C) Gynecomas a
,What H2 antagonist would the nurse consider the drug of choice for a pa ent with advanced
liver failure? A) Cime dineB) Niza dine C) Rani dine D) Famo dine - CORRECT
ANSWER B) Niza dine
Sodium ions are reabsorbed into the body by the aid of what catalyst? A) Aldosterone B)
Sodium bicarbonate C) Angiotensin D) Carbonic anhydrase - CORRECT ANSWER D)
Carbonic anhydrase
The nurse is providing health teaching to a pa ent who is taking methenamine (Hiprex). What
instruc on would be most important to include for the pa ent taking Hiprex? A) Drink citrus
juice with the medica on to acidify the urine. B) Take sodium bicarbonate with the medica on
to make the urine alkaline. C) Limit your fluid intake to 8 ounce per day. D) While you are taking
this drug, limit your intake of foods high in sodium. - CORRECT ANSWER A) Drink citrus
juice with the medica on to acidify the urine.
A pa ent has been prescribed esomeprazole (Nexium). What statement by the pa ent does the
nurse evaluate as indica ng that he or she has a good understanding of his newly prescribed
drug? A) I should open the capsules and crush the drug into applesauce. B) It is important that I
take the drug a er each meal. C) I need to swallow the drug whole and not chew the capsules.
D) I should always take the drug with an antacid. - CORRECT ANSWER C) I need to swallow
the drug whole and not chew the capsules.
When caring for a pa ent diagnosed with a pep c ulcer, the nurse administers omeprazole
(Prilosec) along with what an bio c to eradicate Helicobacter pylori? A) Gentamicin B)
Ketoconazole C) Tetracycline D) Amoxicillin - CORRECT ANSWER D) Amoxicillin
The nurse develops a discharge teaching plan for a pa ent who was prescribed pancrea c
enzyme replacement and includes what important teaching point? A) Take the enzymes on an
empty stomach. B) Crush the capsules and take with food. C) Avoid spilling the powder on the
skin because it may be irrita ng. D) Pancrea n and pancrelipase are interchangeable. -
CORRECT ANSWER C) Avoid spilling the powder on the skin because it may be irrita ng
, The nurse administers psyllium hydrophilic mucilloid (Metamucil) expec ng it to have what
ac on? A) Slows peristalsis B) Promotes reabsorp on of water into bowel C) Has an bacterial
proper es D) Adds bulk to the stool - CORRECT ANSWER D) Adds bulk to the stool
What an diarrheal would the nurse administer to reduce the volume of discharge from the
pa ent's ileostomy? A) Diphenoxylate (Lomo l) B) Octreo de (Sandosta n) C) Psyllium
(Metamucil) D) Loperamide (Imodium) - CORRECT ANSWER D) Loperamide (Imodium)
The pa ent had surgery 2 days ago and bowel mo lity has not returned. What drug might the
nurse administer to s mulate the gastrointes nal (GI) tract? A) Dexpanthenol B) Docusate C)
Psyllium (Metamucil) D) Senna - CORRECT ANSWER A) Dexpanthenol
For what ac on would the nurse administer magnesium citrate? A) Block absorp on of fats B)
Directly s mulate the nerve plexus in the intes nal wall C) Form a slippery coat on the contents
of intes ne D) Increase mo lity, increase fluid, and enlarge bulk of fecal ma er - CORRECT
ANSWER D) Increase mo lity, increase fluid, and enlarge bulk of fecal ma er
What drug does the nurse administer that inhibits intes nal peristalsis through direct effects on
the longitudinal and circular muscles of the intes nal wall? A) Bismuth subsalicylate B)
Loperamide C) Paregoric D) Magnesium citrate - CORRECT ANSWER B) Loperamide
The family brings a pa ent to the emergency department saying he has been hallucina ng and
falls so deeply asleep he stops breathing when not s mulated. The nurse learns the pa ent has
been self-trea ng diarrhea and suspects the pa ent was taking what medica on? A) Paregoric
B) Bismuth subsalicylate C) Loperamide D) Colace - CORRECT ANSWER A) Paregoric
The nurse develops a teaching plan for a 77-year-old pa ent who has been prescribed
loperamide PRN. The nurse's priority teaching point is what? A) May cause hallucina ons or
respiratory depression B) Take drug a er each loose stool C) Drug remains in the bowel without
being absorbed into the bloodstream D) Avoid pregnancy and breast-feeding while taking drug.
- CORRECT ANSWER B) Take drug a er each loose stool
Ra onales | Comprehensive Study Guide | Latest 2026
The nurse is caring for a pa ent who reports taking 800 mg of ibuprofen three mes a day for
relief of menstrual cramps. What lab results will the nurse find most significant in assessing this
pa ent? A) Complete blood count B) White blood cell differen al C) Arterial blood gas D)
Cholesterol and triglyceride profile - CORRECT ANSWER A) Complete blood count
A student athlete presents at the clinic for his physical checkup. The athlete tells the nurse that
he is using large doses of crea ne to increase muscle size and strength. What should the nurse
instruct the student to do while taking this medica on? A) Take nonsteroidal an -inflammatory
drugs (NSAIDs) to stop pain from expanding muscles. B) Drink plenty of fluids while using this
drug and watch for swelling. C) Stop ea ng red meat or other animal products. D) Take
cime dine (Tagamet) to relieve the stomach upset associated with the use of this therapy. -
CORRECT ANSWER B) Drink plenty of fluids while using this drug and watch for swelling.
The nurse is providing drug teaching for a pa ent who is to be discharged taking dofe lide
(Tikosyn). What drug will the nurse teach the pa ent to avoid due to a drug-drug interac on? A)
Cime dine B) Furosemide C) Acetaminophen D) Antacids - CORRECT ANSWER A)
Cime dine
An adult pa ent is prescribed cime dine (Tagamet). A nurse will instruct the pa ent that an
appropriate dosage and frequency of cime dine is what? A) 20 mg PO b.i.dB) 150 mg PO b.i.d C)
300 mg PO at bed me D) 800 mg PO at bed me - CORRECT ANSWER D) 800 mg PO at
bed me
When comparing the histamine-2 antagonists to each other the nurse recognizes that
cime dine (Tagamet) is more likely to cause which adverse effect? A) Dizziness B) Headache C)
Gynecomas a D) Somnolence - CORRECT ANSWER C) Gynecomas a
,What H2 antagonist would the nurse consider the drug of choice for a pa ent with advanced
liver failure? A) Cime dineB) Niza dine C) Rani dine D) Famo dine - CORRECT
ANSWER B) Niza dine
Sodium ions are reabsorbed into the body by the aid of what catalyst? A) Aldosterone B)
Sodium bicarbonate C) Angiotensin D) Carbonic anhydrase - CORRECT ANSWER D)
Carbonic anhydrase
The nurse is providing health teaching to a pa ent who is taking methenamine (Hiprex). What
instruc on would be most important to include for the pa ent taking Hiprex? A) Drink citrus
juice with the medica on to acidify the urine. B) Take sodium bicarbonate with the medica on
to make the urine alkaline. C) Limit your fluid intake to 8 ounce per day. D) While you are taking
this drug, limit your intake of foods high in sodium. - CORRECT ANSWER A) Drink citrus
juice with the medica on to acidify the urine.
A pa ent has been prescribed esomeprazole (Nexium). What statement by the pa ent does the
nurse evaluate as indica ng that he or she has a good understanding of his newly prescribed
drug? A) I should open the capsules and crush the drug into applesauce. B) It is important that I
take the drug a er each meal. C) I need to swallow the drug whole and not chew the capsules.
D) I should always take the drug with an antacid. - CORRECT ANSWER C) I need to swallow
the drug whole and not chew the capsules.
When caring for a pa ent diagnosed with a pep c ulcer, the nurse administers omeprazole
(Prilosec) along with what an bio c to eradicate Helicobacter pylori? A) Gentamicin B)
Ketoconazole C) Tetracycline D) Amoxicillin - CORRECT ANSWER D) Amoxicillin
The nurse develops a discharge teaching plan for a pa ent who was prescribed pancrea c
enzyme replacement and includes what important teaching point? A) Take the enzymes on an
empty stomach. B) Crush the capsules and take with food. C) Avoid spilling the powder on the
skin because it may be irrita ng. D) Pancrea n and pancrelipase are interchangeable. -
CORRECT ANSWER C) Avoid spilling the powder on the skin because it may be irrita ng
, The nurse administers psyllium hydrophilic mucilloid (Metamucil) expec ng it to have what
ac on? A) Slows peristalsis B) Promotes reabsorp on of water into bowel C) Has an bacterial
proper es D) Adds bulk to the stool - CORRECT ANSWER D) Adds bulk to the stool
What an diarrheal would the nurse administer to reduce the volume of discharge from the
pa ent's ileostomy? A) Diphenoxylate (Lomo l) B) Octreo de (Sandosta n) C) Psyllium
(Metamucil) D) Loperamide (Imodium) - CORRECT ANSWER D) Loperamide (Imodium)
The pa ent had surgery 2 days ago and bowel mo lity has not returned. What drug might the
nurse administer to s mulate the gastrointes nal (GI) tract? A) Dexpanthenol B) Docusate C)
Psyllium (Metamucil) D) Senna - CORRECT ANSWER A) Dexpanthenol
For what ac on would the nurse administer magnesium citrate? A) Block absorp on of fats B)
Directly s mulate the nerve plexus in the intes nal wall C) Form a slippery coat on the contents
of intes ne D) Increase mo lity, increase fluid, and enlarge bulk of fecal ma er - CORRECT
ANSWER D) Increase mo lity, increase fluid, and enlarge bulk of fecal ma er
What drug does the nurse administer that inhibits intes nal peristalsis through direct effects on
the longitudinal and circular muscles of the intes nal wall? A) Bismuth subsalicylate B)
Loperamide C) Paregoric D) Magnesium citrate - CORRECT ANSWER B) Loperamide
The family brings a pa ent to the emergency department saying he has been hallucina ng and
falls so deeply asleep he stops breathing when not s mulated. The nurse learns the pa ent has
been self-trea ng diarrhea and suspects the pa ent was taking what medica on? A) Paregoric
B) Bismuth subsalicylate C) Loperamide D) Colace - CORRECT ANSWER A) Paregoric
The nurse develops a teaching plan for a 77-year-old pa ent who has been prescribed
loperamide PRN. The nurse's priority teaching point is what? A) May cause hallucina ons or
respiratory depression B) Take drug a er each loose stool C) Drug remains in the bowel without
being absorbed into the bloodstream D) Avoid pregnancy and breast-feeding while taking drug.
- CORRECT ANSWER B) Take drug a er each loose stool
