NR293 Pharmacology
NR293 Pharmacology Exam Study Guide
Questions and Answers with Complete Solutions
2024-2025
A nurse is caring for a client who has multiple medication allergies. During which of the
following steps of the nursing process should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation -Answer- ✔C. Data Collection
A nurse is caring for a client and realizes after administering the 0900 medications that
she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin
0.125 mg PO. Which of the following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report -Answer- ✔C. check the client's apical pulse
A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h -Answer- ✔C. QID
A nurse is reviewing the medication administration record of a client who has impaired
swallowing. The nurse should crush the medication when administering which of the
following prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses. -
Answer- ✔B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually
A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus
every 12 hours to treat a postoperative infection. Which of the following manifestations
should the nurse monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice -Answer- ✔B. Epistaxis
NR293 Pharmacology
,NR293 Pharmacology
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin.
A nurse is assisting with the care of a client who is postoperative. The client reports a
pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the
following routes of administration will deliver the medication with the shortest time of
onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous -Answer- ✔B. Intravenous
nurse is monitoring a client with pneumonia who has received penicillin G
intramuscularly. Which of the following findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F -Answer- ✔C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis
A nurse is reviewing the laboratory results of a client who is taking a medication and
notes that the client's blood tests show an elevated level of the enzymes aspartate
aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should
recognize that these findings are potential indications of which of the following
conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia -Answer- ✔c. hepatic toxicity
A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a
new prescription for memantine. The nurse should identify that which of the following
findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31 -Answer- ✔B. Creatinine clearance 35 mL/min
A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child
who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many
mL should the nurse administer? (Round your answer to the nearest tenth. Use a
leading zero if applicable but do not use a trailing zero.) -Answer- ✔5 mL
A nurse is assisting with the administration of an IV injection to a client. For which of the
following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
NR293 Pharmacology
, NR293 Pharmacology
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism -Answer- ✔A. to reduce toxicity risk
A nurse is reinforcing teaching with a client who has atrial fibrillation and a new
prescription for amiodarone. Which of the following items should the nurse instruct the
client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
C. garlic
D. salt substitutes -Answer- ✔B. grapefruit juice
A nurse is caring fora client who has developed MRSA in a surgical incision. Which of
the following medications should the nurse expect the provider to prescribe?
A. ceftriaxone
B. vancomycin
C. ketoconazole
D. ciprofloxacin -Answer- ✔B. vancomycin
A nurse is caring for a client who is experiencing severe cancer pain. Which of the
following medications should the nurse expect the provider to prescribe?
A. buprenorphine
B. tramadol
C. hydromorphone
D. oxycodone -Answer- ✔C. hydromorphone
Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to
severe pain management in clients who have cancer.
A nurse is collecting data from a client who is experiencing chest pain. Which of the
following medications should the nurse expect to administer to suppress the
aggregation of platelets?
A. nitroglycerin
B. Aspirin
C. Morphine
D. Metoprolol -Answer- ✔B. Aspirin
A nurse is caring for a client who takes gentamicin IM and has a prescription to obtain a
blood sample to measure a trough level. At which of the following times should the
nurse draw the blood sample?
A. within 15 minutes prior to the next medication dose
B. 3 hours prior to administering a dose.
C. Within 15 minutes following the next medication dose
D. 2 hours after administering a dose. -Answer- ✔A. within 15 minutes prior to the next
medication dose
NR293 Pharmacology
NR293 Pharmacology Exam Study Guide
Questions and Answers with Complete Solutions
2024-2025
A nurse is caring for a client who has multiple medication allergies. During which of the
following steps of the nursing process should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation -Answer- ✔C. Data Collection
A nurse is caring for a client and realizes after administering the 0900 medications that
she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin
0.125 mg PO. Which of the following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report -Answer- ✔C. check the client's apical pulse
A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h -Answer- ✔C. QID
A nurse is reviewing the medication administration record of a client who has impaired
swallowing. The nurse should crush the medication when administering which of the
following prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses. -
Answer- ✔B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually
A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus
every 12 hours to treat a postoperative infection. Which of the following manifestations
should the nurse monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice -Answer- ✔B. Epistaxis
NR293 Pharmacology
,NR293 Pharmacology
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin.
A nurse is assisting with the care of a client who is postoperative. The client reports a
pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the
following routes of administration will deliver the medication with the shortest time of
onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous -Answer- ✔B. Intravenous
nurse is monitoring a client with pneumonia who has received penicillin G
intramuscularly. Which of the following findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F -Answer- ✔C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis
A nurse is reviewing the laboratory results of a client who is taking a medication and
notes that the client's blood tests show an elevated level of the enzymes aspartate
aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should
recognize that these findings are potential indications of which of the following
conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia -Answer- ✔c. hepatic toxicity
A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a
new prescription for memantine. The nurse should identify that which of the following
findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31 -Answer- ✔B. Creatinine clearance 35 mL/min
A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child
who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many
mL should the nurse administer? (Round your answer to the nearest tenth. Use a
leading zero if applicable but do not use a trailing zero.) -Answer- ✔5 mL
A nurse is assisting with the administration of an IV injection to a client. For which of the
following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
NR293 Pharmacology
, NR293 Pharmacology
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism -Answer- ✔A. to reduce toxicity risk
A nurse is reinforcing teaching with a client who has atrial fibrillation and a new
prescription for amiodarone. Which of the following items should the nurse instruct the
client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
C. garlic
D. salt substitutes -Answer- ✔B. grapefruit juice
A nurse is caring fora client who has developed MRSA in a surgical incision. Which of
the following medications should the nurse expect the provider to prescribe?
A. ceftriaxone
B. vancomycin
C. ketoconazole
D. ciprofloxacin -Answer- ✔B. vancomycin
A nurse is caring for a client who is experiencing severe cancer pain. Which of the
following medications should the nurse expect the provider to prescribe?
A. buprenorphine
B. tramadol
C. hydromorphone
D. oxycodone -Answer- ✔C. hydromorphone
Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to
severe pain management in clients who have cancer.
A nurse is collecting data from a client who is experiencing chest pain. Which of the
following medications should the nurse expect to administer to suppress the
aggregation of platelets?
A. nitroglycerin
B. Aspirin
C. Morphine
D. Metoprolol -Answer- ✔B. Aspirin
A nurse is caring for a client who takes gentamicin IM and has a prescription to obtain a
blood sample to measure a trough level. At which of the following times should the
nurse draw the blood sample?
A. within 15 minutes prior to the next medication dose
B. 3 hours prior to administering a dose.
C. Within 15 minutes following the next medication dose
D. 2 hours after administering a dose. -Answer- ✔A. within 15 minutes prior to the next
medication dose
NR293 Pharmacology
