RN Pharmacology Online Practice 2023
A Exam Questions with Fully Worked –
out Solutions
NGN: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 client finding to fill
in each blank in the following sentence.
Relevant info:
Heart rate 110/min
Nurses' Notes: Today: Adult female client is here for 3 month follow up visit after
receiving a new prescription 3 months ago. Client reports feeling nervous and being
irritable. Client is alert and oriented to person place and time. Skin moist and intact
some sweating noted on forehead. Heart rate regular and fast. Respirations even and
non-labored. Bowel sounds hyperactive in all 4 quadrants. Reports occasional loose
stools that have increased lately.
Lab Results: TSH 0.1 mU/L (0.3 to 5 mU/L); Triiodothyronine 220 ng/dL (70 to 205
ng/dL); Thyroxine 4 ng/dL (0.8 to 2.8 ng/dL)
Provider Prescriptions: 3 months ago: Levothyroxine 50 mcg PO daily - CORRECT
ANSWER-The client is likely experiencing hyperthyroidism as evidenced by the client's
blood thyroxine level.
A nurse is providing teaching to a client who is to start treatment for asthma with
beclomethasone and albuterol inhalers. Which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER-"Rinse your mouth after inhaling
the beclomethasone"
The client should rinse their mouth after using beclomethasone, a glucocorticoid inhaler,
to prevent oropharyngeal candidiasis and hoarseness.
NGN: A nurse is caring for a client in an inpatient setting. The nurse is preparing to
administer the client's 1300 antibiotic doses.
Click to highlight the findings that would indicate the nurse should hold the next dose of
gentamycin until further direction from the provider. - CORRECT ANSWER-BUN 48
, mg/dL (10 to 20 mg/dL); Creatinine 2.7 mg/dL (0.5 to 1.1 mg/dL); Output 60 mL; Urine is
dark amber
When recognizing cues, the nurse should review the client's EMR, the nurse should
recognize the client's elevated BUN, elevated creatinine level, urine output of less than
30mL/hr, and dark amber colored urine are manifestations of nephrotoxicity which is an
adverse effect gentamycin and other aminoglycosides. Therefore, the nurse should hold
the dose until further directions from the provider.
A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take? - CORRECT ANSWER-Administer the
medication outside the 5cm (2in) radius of the umbilicus
The nurse should admi. the heparin by subQ injection to the abdomen in an area that is
above the iliac crest and at least 5 cm (2 in) away fro the umbilicus.
NGN: A nurse on a mental health unit is caring for a client. Select the 4 actions the
nurse should take.
Fluphenazine 2.5 mg PO four times daily
LPN entered client's room to administer medication and noted that client did not
respond to verbal or tactile stimulation, was diaphoretic, and hot to palpation. Notified
RN. Vital signs obtained. Client noted to be incontinent of urine. Client mumbles in
response to painful stimuli, muscle rigidity noted. Provider notified.
Temperature 40° C (104° F)Heart rate 122/min; Blood pressure 168/112 mm Hg;
Respiratory rate 22/min; SpO2 94% on room air - CORRECT ANSWER-When taking
actions, the nurse should administer dantrolene and bromocriptine, apply a cooling
blanket, and discontinue the fluphenazine. The client is exhibiting manifestations of
neuroleptic malignant syndrome (NMS), a potentially fatal adverse effect of
antipsychotic medications, such as fluphenazine. Other manifestations can include
electrolyte imbalance, delirium, and dysrhythmias. Dantrolene and bromocriptine can
relieve muscle rigidity and decrease body temperature. Cooling blankets can also assist
in decreasing body temperature. The fluphenazine should be discontinued and the
client should be transferred to a critical care unit for ongoing treatment.
A nurse is caring for a 20 year old female client who has a prescription for isotretinoin
for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse
should advise the client that which of the following tests is required? - CORRECT
ANSWER-Pregnancy Test
A Exam Questions with Fully Worked –
out Solutions
NGN: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 client finding to fill
in each blank in the following sentence.
Relevant info:
Heart rate 110/min
Nurses' Notes: Today: Adult female client is here for 3 month follow up visit after
receiving a new prescription 3 months ago. Client reports feeling nervous and being
irritable. Client is alert and oriented to person place and time. Skin moist and intact
some sweating noted on forehead. Heart rate regular and fast. Respirations even and
non-labored. Bowel sounds hyperactive in all 4 quadrants. Reports occasional loose
stools that have increased lately.
Lab Results: TSH 0.1 mU/L (0.3 to 5 mU/L); Triiodothyronine 220 ng/dL (70 to 205
ng/dL); Thyroxine 4 ng/dL (0.8 to 2.8 ng/dL)
Provider Prescriptions: 3 months ago: Levothyroxine 50 mcg PO daily - CORRECT
ANSWER-The client is likely experiencing hyperthyroidism as evidenced by the client's
blood thyroxine level.
A nurse is providing teaching to a client who is to start treatment for asthma with
beclomethasone and albuterol inhalers. Which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER-"Rinse your mouth after inhaling
the beclomethasone"
The client should rinse their mouth after using beclomethasone, a glucocorticoid inhaler,
to prevent oropharyngeal candidiasis and hoarseness.
NGN: A nurse is caring for a client in an inpatient setting. The nurse is preparing to
administer the client's 1300 antibiotic doses.
Click to highlight the findings that would indicate the nurse should hold the next dose of
gentamycin until further direction from the provider. - CORRECT ANSWER-BUN 48
, mg/dL (10 to 20 mg/dL); Creatinine 2.7 mg/dL (0.5 to 1.1 mg/dL); Output 60 mL; Urine is
dark amber
When recognizing cues, the nurse should review the client's EMR, the nurse should
recognize the client's elevated BUN, elevated creatinine level, urine output of less than
30mL/hr, and dark amber colored urine are manifestations of nephrotoxicity which is an
adverse effect gentamycin and other aminoglycosides. Therefore, the nurse should hold
the dose until further directions from the provider.
A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take? - CORRECT ANSWER-Administer the
medication outside the 5cm (2in) radius of the umbilicus
The nurse should admi. the heparin by subQ injection to the abdomen in an area that is
above the iliac crest and at least 5 cm (2 in) away fro the umbilicus.
NGN: A nurse on a mental health unit is caring for a client. Select the 4 actions the
nurse should take.
Fluphenazine 2.5 mg PO four times daily
LPN entered client's room to administer medication and noted that client did not
respond to verbal or tactile stimulation, was diaphoretic, and hot to palpation. Notified
RN. Vital signs obtained. Client noted to be incontinent of urine. Client mumbles in
response to painful stimuli, muscle rigidity noted. Provider notified.
Temperature 40° C (104° F)Heart rate 122/min; Blood pressure 168/112 mm Hg;
Respiratory rate 22/min; SpO2 94% on room air - CORRECT ANSWER-When taking
actions, the nurse should administer dantrolene and bromocriptine, apply a cooling
blanket, and discontinue the fluphenazine. The client is exhibiting manifestations of
neuroleptic malignant syndrome (NMS), a potentially fatal adverse effect of
antipsychotic medications, such as fluphenazine. Other manifestations can include
electrolyte imbalance, delirium, and dysrhythmias. Dantrolene and bromocriptine can
relieve muscle rigidity and decrease body temperature. Cooling blankets can also assist
in decreasing body temperature. The fluphenazine should be discontinued and the
client should be transferred to a critical care unit for ongoing treatment.
A nurse is caring for a 20 year old female client who has a prescription for isotretinoin
for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse
should advise the client that which of the following tests is required? - CORRECT
ANSWER-Pregnancy Test
