NR293 Pharmacology Exam 1 2025
Questions and Answers
C. Data Collection - ANS 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
C. check the client's apical pulse - ANS 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
C. QID - ANS 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
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,C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - ANS 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.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin. - ANS 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
B. Intravenous - ANS 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
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, d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - ANS 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
c. hepatic toxicity - ANS 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
B. Creatinine clearance 35 mL/min - ANS 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
5 mL - ANS 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
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Questions and Answers
C. Data Collection - ANS 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
C. check the client's apical pulse - ANS 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
C. QID - ANS 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
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,C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - ANS 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.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin. - ANS 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
B. Intravenous - ANS 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
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - ANS 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
c. hepatic toxicity - ANS 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
B. Creatinine clearance 35 mL/min - ANS 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
5 mL - ANS 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
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