EXAM
NUR 210 FINAL EXAM – PRINCIPLES OF
PHARMACOLOGY (NURSING) | 2026/2027 LATEST
UPDATE | 2026/2027 UPDATE EXAM QUESTIONS
100% WITH CORRECT ANSWERS AND RATIOALES
Which of the following nursing assessments would be appropriate for the client who is receiving testosterone?
(Select all that apply)
1) Monitor for a decrease in hematocrit (Hct)
2) Assess for signs of fluid retention
3) Assess for increased muscle ass and strength
4) Check for blood dyscrasias
5) Assess for muscle wasting - Correct Answer :2, 3
(2 - Assess for signs of fluid retention
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3 - Assess for increased muscle mass
(A side effect of testosterone therapy is fluid retention. It is also used to increase muscle mass and strength.))
The nurse is teaching a client who has a new prescription for testosterone gel. Which of the following
instructions should the nurse give to this client?
1) Avoid exposing women to the gel or to areas of the skin where the gel has been applied
2) Report any weight gain over 5lb (2kg) in 1 month
3) Avoid showering or swimming for at least 12 hours after applying the gel.
4) Apply the gel to the scrotal and perineal area daily. - Correct Answer :1 (women and children should avoid
contact with gel or areas of the skin where gel has been applied to avoid drub absorption)
The nurse is teaching a client about the use of tadalafil (Cialis). What will the nurse teach hi about the effects of
tadalafil?
1) It should always result in a penile erection within 10 minutes
2) It may heighten female sexual response
3) It is not effective if sexual dysfunction is caused by psychological conditions
4) It will result in less intense sensation with prolonged use - Correct Answer :3 (it is not effective if the cause is
psychological)
The client with erectile dysfunction is being evaluated for the use of sildenafil (Viagra). Which of the following
questions should the nurse ask before initiating therapy with sildenafil?
1) Are you currently taking medication for angina?
2) Do you have a history of diabetes?
3) Have you ever had an allergic reaction to dairy products?
4) Have you ever been treated for migraine headaches? - Correct Answer :1 (life threatening hypotension is an
adverse effect in clients taking sildenafil and organic nitrates
A client with a history of BPH is complaining he feels like he cannot empty his bladder. He has been taking
finasteride (Proscar) for the past 9 months. What should the nurse advise the client he should do?
1) Continue the drug to achieve full therapeutic effects
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2) Discuss the use of a low-dose diuretic with the health care provider
3) Decrease intake of coffee, tea, and alcohol
4) Return to the health care provider for PSA laboratory studies and a prostate exam. - Correct Answer :4
(Finasteride (Proscar) promotes shrinking of enlarged prostate therapeutic effects are obtained within 6-12
months. Because the client reports a sudden increase in urinary symptoms after taking the drug for 9 months he
should be evaluated by his health care provider)
A client is given a prescription for finasteride (Proscar) for treatment of benign prostatic hyperplasia. Essential
teaching for this client includes which of the following? (Select all that apply)
1) Full therapeutic effects take 3 to 6 months
2) Hair loss or male-pattern baldness may be an adverse effect
3) The drug should not be handled by pregnant women, especially if it is crushed
4) Blood donation should not occur while taking this drug
5) Report any weight gain of over 5lb in a week - Correct Answer :1, 3, 4 (tissue will decrease over a period of 3-6
month, this drug is teratogenic and should not be handled by pregnant women, blood donation should not
occur while taking this drug because the drug could be given to pregnant women)
Which of the following clients would have a higher risk for adverse effects from estradiol and norethindrone
(Ortho-Novum)?
1) an 18 year old with history of depression
2) a 16 year old with chronic acne
3) a 33 year old with obesity per her BMI
4) a 24 year old who smokes a pack of cigarettes a day
5) a 41 year old who has delivered two healthy children - Correct Answer :1, 4 (women who smoke have a
greater risk of adverse cardiovascular effects and the FDA issued a black box warning about these effects. A
previous history of depression is a relative contraindication because oral contraceptives may worsen depression
in some women)
The nurse completes an assessment of a client in labor who is receiving an IV infusion of oxytocin. Which of the
following assessments indicates the need for prompt intervention?
1) there is no vaginal bleeding noted
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2) the client is managing her pain through breathing techniques
3) Fetal heart rate remains at baseline parameters
4) contractions are sustained for 2 minutes in duration - Correct Answer :4 (sustained contractions increase risk
of uterine rupture and adverse effect to the fetus. They should be reported immediately and prompt and
appropriate intervention started, including stopping the oxytocin drip and oxygen therapy for the client)
A client consults the nurse about Plan B (levonorgestrel) after unprotected intercourse that occurred 2 days
before. Which of the following instructions will the nurse give the patient?
1) You must wait 7 days before taking the pills for Plan B to be effective
2) Plan B is effective only within the first 24 hours of unprotected intercourse
3) You will take one pill of Plan B at first, followed by another pill 12 hours later
4) You will need to obtain a prescription for Plan B - Correct Answer :3 (you will take 1 pill, followed by a second
12 hours later. [Plan B must be taken within 120 hours after unprotected intercourse so the client is within the
appropriate time frame, after 7 days the pills will be ineffective and the pill is available OTC])
A client with a history of glaucoma who has been taking latanoprost (Xalatan) eyedrops complains of severe pain
in the eye, severe headache, and blurred vision. What should be the nurses first response?
a) Document the occurrence, this symptom is expected
b) medicate the client with a narcotic analgesic
c) notify the health care provider immediately
d) place the client in a quiet darkened environment - Correct Answer :c (notify the health care provider
immediately - it is a medical emergency - closed angle glaucoma is an acute type of glaucoma that is caused by
stress, impact injury, or mediations - pressure inside the anterior chamber increases suddenly because the iris is
pushed over the area where the queous fluid normally drains. signs and symptoms include intense headache,
difficulty concentrating, bloodshot eyes, blurred vision, a bulging iris)
An older adult client diagnosed with iron-deficiency anemia will be taking ferrous sulfate (Ferosol). The nurse will
teach with of the required administration guidelines to the client? (Select all that apply)
1) Take the tablets on an empty stomach if possible
2) Increase fluid intake and increase dietary fiber while taking this medication
3) If liquid preparations are used, dilute with water or juice and sip through a straw placed in the back of the
mouth
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