NR 293 FINAL EXAM NCLEX-STYLE QUESTIONS | COMPREHENSIVE
PHARMACOLOGY STUDY GUIDE & PRACTICE TEST 2026/2027
C - ANS ✔✔The nurse should assess a patient for nephrotoxicity and ototoxicity when administering
which antimicrobial?
a. cefazolin
b. clindamycin
c. gentamicin
d. erythromycin
A, C, D - ANS ✔✔Which medical condition(s) is/are central nervous system (CNS) stimulants approved to
treat? (Select all that apply.)
a. Attention Deficit Hyperactivity Disorder (ADHD)
b. Anorexia
c. Narcolepsy
d. Obesity
e. Post-traumatic Stress Disorder (PTSD)
A - ANS ✔✔A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which client
symptoms related to the side effects of this medication should prompt a nurse to intervene
immediately?
a. Sore throat, fever, and malaise
b. Akathisia and hypersalivation
c. Akinesia and insomnia
d. Dry mouth and urinary retention
C - ANS ✔✔A woman taking an oral contraceptive pill (OCP) as her birth control method of choice should
notify her health care provider immediately if she notes:
a. Breast tenderness and swelling
b. Weight gain
c. Swelling and pain in one of her legs
d. Mood swings
B - ANS ✔✔A patient is being prepared for colon surgery and will be receiivng neomycin tablets during
the day before surgery. He asks the nurse why he needs to take this medicine before he even has
surgery. What is the nurse's best response?
a. "This medicine helps clear out your bowels before surgery."
b. "It helps reduce the number of bacteria in your intestines before surgery."
c. "It is given to sterilize your bowel before surgery."
d. "It is given to prevent an infectin after surgery."
B - ANS ✔✔A peak and trough level is ordered for a child who is scheduled to receive IV gentamicin at
0900. The medication is to infuse over 60 minutes. When should the nurse draw the trough level?
a. 1030
b. 0830
c. At 0500 with daily labs
, d. Immediately before starting the infusion
B - ANS ✔✔A 65-year-old patient with pneumonia is receiving garamycin (Gentamicin). It would be most
important for a nurse to monitor which of the following laboratory values in this patient?
a. Hemoglobin and hematocrit
b. BUN and creatinine
c. Platelet count and clotting time
d. Sodium and potassium
B, D - ANS ✔✔A client with Parkinson disease (PD) is prescribed an anticholinergic agent to treat tremors
and rigidity. The nurse should teach the client about which adverse effect they may experience from this
medication? (Select all that apply.)
a. Drooling
b. Dry mouth
c. Rigidity
d. Loss of perspiration
e. Tremors
A - ANS ✔✔A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which
type of drug will be used to promote gastric emptying for this patient?
a. Prokinetic drugs, such as metoclopramide (Reglan)
b. Serotonin blockers, such as ondansetron (Zofran)
c. Anticholinergic drugs, such as scopolamine (Transderm-Scop)
d. Neuroleptic drugs, such as chlorpromazine (Thorazine)
A - ANS ✔✔Which patient exposure by the nurse is most likely to require postexposure prophylaxis
when the patient's human immunodeficiency virus (HIV) status is unknown?
a. Needle stick with a needle and syringe used to draw blood
b. Splash into the eyes when emptying a bedpan containing stool
c. Contamination of open skin lesions with patient vaginal secretions
d. Needle stick injury with a suture needle during a surgical procedure
C - ANS ✔✔The nurse is caring for a patient who is HIV-positive and has been receiving antiretroviral
therapy for several months. The nurse experiences a needlestick injury resulting in exposure to the
patient's blood. The nurse asks the Occupational Health nurse if treatment is necessary. How will the
Occupational Health nurse respond?
a. No treatment is necessary since the patient is receiving antiretroviral therapy.
b. We will treat you if the patients VL is > 20 copies/mL.
c. You will require 4 weeks of antiretroviral therapy.
d. You will undergo HIV testing and will be treated if you are positive.
A - ANS ✔✔When talking to a patient who is about to begin vincristine therapy to treat lymphoma, the
health care professional should include which of the following instructions?
a. Increase fiber intake.
b. Report tinnitus or vertigo.
c. Take the drug with 8 oz of water.
d. Allow 4 hr before taking an antacid.
PHARMACOLOGY STUDY GUIDE & PRACTICE TEST 2026/2027
C - ANS ✔✔The nurse should assess a patient for nephrotoxicity and ototoxicity when administering
which antimicrobial?
a. cefazolin
b. clindamycin
c. gentamicin
d. erythromycin
A, C, D - ANS ✔✔Which medical condition(s) is/are central nervous system (CNS) stimulants approved to
treat? (Select all that apply.)
a. Attention Deficit Hyperactivity Disorder (ADHD)
b. Anorexia
c. Narcolepsy
d. Obesity
e. Post-traumatic Stress Disorder (PTSD)
A - ANS ✔✔A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which client
symptoms related to the side effects of this medication should prompt a nurse to intervene
immediately?
a. Sore throat, fever, and malaise
b. Akathisia and hypersalivation
c. Akinesia and insomnia
d. Dry mouth and urinary retention
C - ANS ✔✔A woman taking an oral contraceptive pill (OCP) as her birth control method of choice should
notify her health care provider immediately if she notes:
a. Breast tenderness and swelling
b. Weight gain
c. Swelling and pain in one of her legs
d. Mood swings
B - ANS ✔✔A patient is being prepared for colon surgery and will be receiivng neomycin tablets during
the day before surgery. He asks the nurse why he needs to take this medicine before he even has
surgery. What is the nurse's best response?
a. "This medicine helps clear out your bowels before surgery."
b. "It helps reduce the number of bacteria in your intestines before surgery."
c. "It is given to sterilize your bowel before surgery."
d. "It is given to prevent an infectin after surgery."
B - ANS ✔✔A peak and trough level is ordered for a child who is scheduled to receive IV gentamicin at
0900. The medication is to infuse over 60 minutes. When should the nurse draw the trough level?
a. 1030
b. 0830
c. At 0500 with daily labs
, d. Immediately before starting the infusion
B - ANS ✔✔A 65-year-old patient with pneumonia is receiving garamycin (Gentamicin). It would be most
important for a nurse to monitor which of the following laboratory values in this patient?
a. Hemoglobin and hematocrit
b. BUN and creatinine
c. Platelet count and clotting time
d. Sodium and potassium
B, D - ANS ✔✔A client with Parkinson disease (PD) is prescribed an anticholinergic agent to treat tremors
and rigidity. The nurse should teach the client about which adverse effect they may experience from this
medication? (Select all that apply.)
a. Drooling
b. Dry mouth
c. Rigidity
d. Loss of perspiration
e. Tremors
A - ANS ✔✔A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which
type of drug will be used to promote gastric emptying for this patient?
a. Prokinetic drugs, such as metoclopramide (Reglan)
b. Serotonin blockers, such as ondansetron (Zofran)
c. Anticholinergic drugs, such as scopolamine (Transderm-Scop)
d. Neuroleptic drugs, such as chlorpromazine (Thorazine)
A - ANS ✔✔Which patient exposure by the nurse is most likely to require postexposure prophylaxis
when the patient's human immunodeficiency virus (HIV) status is unknown?
a. Needle stick with a needle and syringe used to draw blood
b. Splash into the eyes when emptying a bedpan containing stool
c. Contamination of open skin lesions with patient vaginal secretions
d. Needle stick injury with a suture needle during a surgical procedure
C - ANS ✔✔The nurse is caring for a patient who is HIV-positive and has been receiving antiretroviral
therapy for several months. The nurse experiences a needlestick injury resulting in exposure to the
patient's blood. The nurse asks the Occupational Health nurse if treatment is necessary. How will the
Occupational Health nurse respond?
a. No treatment is necessary since the patient is receiving antiretroviral therapy.
b. We will treat you if the patients VL is > 20 copies/mL.
c. You will require 4 weeks of antiretroviral therapy.
d. You will undergo HIV testing and will be treated if you are positive.
A - ANS ✔✔When talking to a patient who is about to begin vincristine therapy to treat lymphoma, the
health care professional should include which of the following instructions?
a. Increase fiber intake.
b. Report tinnitus or vertigo.
c. Take the drug with 8 oz of water.
d. Allow 4 hr before taking an antacid.
