Pharmacology Practice 2025 A UPDATED
Exam Questions and CORRECT Answers
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of
the following statements by the client indicates an understanding of the teaching?
A. "I should apply a patch every 5 minutes if I Develop chest pain."
B. "I will take the patch off right after my evening meal."
C. "I will leave the patch off at least 1 day each week."
D. "I should discard the used patch by flushing it down the toilet." - CORRECT
ANSWER - B.
A nurse receives a verbal order from the provider to administer morphine five milligrams every 4
hours subcutaneously for severe pain as needed. The nurse should identify which of the
following entries as the correct format for the medication administration record (MAR)?
A. MSO4 5mg subcut every 4hr PRN severe pain
B. Morphine 5 mg subcut every 4 hr. PRN severe pain
C. MSO4 5mg SQ every 4 hr PRN severe pain
D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain. - CORRECT
ANSWER - B.
A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For
which of the following adverse effects should the nurse instruct the client to monitor and report?
A. Tingling of fingers
B. Constipation
C. Weight gain
D. Oliguria - CORRECT ANSWER - A.
A Nurse administers a dose of metformin to a client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first?
A. Report the incident to the charge nurse
, B. Notify the provider
C. Check the client's blood glucose
D. Fill out an incident report - CORRECT ANSWER - C.
The nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium.
The nurse should instruct the client that takin the docusate sodium daily can minimize which of
the following adverse effects of morphine?
A. Constipation
B. Drowsiness
C. Facial flushing
D. Itching - CORRECT ANSWER - A.
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's
BP is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The nurse should
withhold the medication and contact the provider for which of the following findings?
A. Diastolic BP
B. Systolic BP
C. Heart Rate
D. Respiratory Rate - CORRECT ANSWER - C.
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8
hr as prescribed. Which of the following information should the nurse enter as a complete
documentation of the incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider
notified
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
C. 1 L of 0.9% sodium chloride completed at 09:00. Client denies shortness of breath.
D. IV fluid initiated at 05:00. Lungs clear to auscultation. - CORRECT ANSWER - B.
Exam Questions and CORRECT Answers
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of
the following statements by the client indicates an understanding of the teaching?
A. "I should apply a patch every 5 minutes if I Develop chest pain."
B. "I will take the patch off right after my evening meal."
C. "I will leave the patch off at least 1 day each week."
D. "I should discard the used patch by flushing it down the toilet." - CORRECT
ANSWER - B.
A nurse receives a verbal order from the provider to administer morphine five milligrams every 4
hours subcutaneously for severe pain as needed. The nurse should identify which of the
following entries as the correct format for the medication administration record (MAR)?
A. MSO4 5mg subcut every 4hr PRN severe pain
B. Morphine 5 mg subcut every 4 hr. PRN severe pain
C. MSO4 5mg SQ every 4 hr PRN severe pain
D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain. - CORRECT
ANSWER - B.
A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For
which of the following adverse effects should the nurse instruct the client to monitor and report?
A. Tingling of fingers
B. Constipation
C. Weight gain
D. Oliguria - CORRECT ANSWER - A.
A Nurse administers a dose of metformin to a client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first?
A. Report the incident to the charge nurse
, B. Notify the provider
C. Check the client's blood glucose
D. Fill out an incident report - CORRECT ANSWER - C.
The nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium.
The nurse should instruct the client that takin the docusate sodium daily can minimize which of
the following adverse effects of morphine?
A. Constipation
B. Drowsiness
C. Facial flushing
D. Itching - CORRECT ANSWER - A.
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's
BP is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The nurse should
withhold the medication and contact the provider for which of the following findings?
A. Diastolic BP
B. Systolic BP
C. Heart Rate
D. Respiratory Rate - CORRECT ANSWER - C.
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8
hr as prescribed. Which of the following information should the nurse enter as a complete
documentation of the incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider
notified
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
C. 1 L of 0.9% sodium chloride completed at 09:00. Client denies shortness of breath.
D. IV fluid initiated at 05:00. Lungs clear to auscultation. - CORRECT ANSWER - B.
