2025 Introduction to Pharmacology
Exam 2, with Questions, Answers and
Rationale
A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse
should identify that which of the following factors can decrease the client's ability to learn?
(Select all that apply.)
-Impaired cognitive level
-language barrier
-discomfort
-repetition of teaching
-unreadiness to learn ------- Correct Ans ---------- ANS:
-impaired cognitive level
-language barrier
-discomfort
-unreadiness to learn
A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose
of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis
represents which of the following results of the drug?
-adverse effect
-paradoxical effect
-therapeutic effect
-toxicity ------- Correct Ans ---------- ANS:
-adverse effect
,A nurse is preparing to administer a drug to a client. In which of the following sections of a drug
handbook should the nurse look to determine if the drug has more than one use?
-adverse effects
-indications
-pharmacokinetics
-nursing implications ------- Correct Ans ---------- ANS:
-indications
A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent
the reuptake of neurotransmitters. The nurse should identify that which of the following terms
describes why this drug was prescribed for the client?
-pharmacologic action
-chemical stability
-route
-adverse effects ------- Correct Ans ---------- ANS:
-pharmacologic action
A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form
of the drug. The nurse should identify that the oral dose will be hight than the IV dose for which
of the following reasons?
-the IV form crosses the blood-brain barrier
-the oral form has a decreased half life
-the oral form has decreased bioavailability because of the first-pass effect
-the oral form has an increased rate of excretion ------- Correct Ans ---------- ANS:
-the oral form has decreased bioavilability because of the first-pass effect
, A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect.
Which of the following information should the nurse include in the teaching?
-"this will increase the effects of normal cellular functions."
-"this prevents cells in your body from performing certain actions."
-"this prevents hormones in your body from attaching to cell receptor sites."
-"this minimizes the risk that the medications you take will become toxic." ------- Correct Ans ---
------- ANS:
-"this will increase the effects of normal cellular functions."
A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse
about the effects that taking over-the-counter drugs will have on her newborn. Which of the
following should the nurse consider when recommending a drug for the client? (Select all that
apply.)
-the newborns weight
-how much breast milk the newborn consumes each day
-whether or not the benefits to the client outweigh the risks to the newborn
-the properties of the drug
-the route of administration of the drug ------- Correct Ans ---------- ANS:
-newborn's weight
-how much breast milk the newborn consumes each day
-whether or not the benefits tot he mother outweigh the risks to the newborn
-properties of the drug
A nurse is caring for a client who arrived at an emergency department following a bee sting.
Which of the following indicates an anaphylactic reaction? (Select all that apply.)
Exam 2, with Questions, Answers and
Rationale
A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse
should identify that which of the following factors can decrease the client's ability to learn?
(Select all that apply.)
-Impaired cognitive level
-language barrier
-discomfort
-repetition of teaching
-unreadiness to learn ------- Correct Ans ---------- ANS:
-impaired cognitive level
-language barrier
-discomfort
-unreadiness to learn
A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose
of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis
represents which of the following results of the drug?
-adverse effect
-paradoxical effect
-therapeutic effect
-toxicity ------- Correct Ans ---------- ANS:
-adverse effect
,A nurse is preparing to administer a drug to a client. In which of the following sections of a drug
handbook should the nurse look to determine if the drug has more than one use?
-adverse effects
-indications
-pharmacokinetics
-nursing implications ------- Correct Ans ---------- ANS:
-indications
A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent
the reuptake of neurotransmitters. The nurse should identify that which of the following terms
describes why this drug was prescribed for the client?
-pharmacologic action
-chemical stability
-route
-adverse effects ------- Correct Ans ---------- ANS:
-pharmacologic action
A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form
of the drug. The nurse should identify that the oral dose will be hight than the IV dose for which
of the following reasons?
-the IV form crosses the blood-brain barrier
-the oral form has a decreased half life
-the oral form has decreased bioavailability because of the first-pass effect
-the oral form has an increased rate of excretion ------- Correct Ans ---------- ANS:
-the oral form has decreased bioavilability because of the first-pass effect
, A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect.
Which of the following information should the nurse include in the teaching?
-"this will increase the effects of normal cellular functions."
-"this prevents cells in your body from performing certain actions."
-"this prevents hormones in your body from attaching to cell receptor sites."
-"this minimizes the risk that the medications you take will become toxic." ------- Correct Ans ---
------- ANS:
-"this will increase the effects of normal cellular functions."
A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse
about the effects that taking over-the-counter drugs will have on her newborn. Which of the
following should the nurse consider when recommending a drug for the client? (Select all that
apply.)
-the newborns weight
-how much breast milk the newborn consumes each day
-whether or not the benefits to the client outweigh the risks to the newborn
-the properties of the drug
-the route of administration of the drug ------- Correct Ans ---------- ANS:
-newborn's weight
-how much breast milk the newborn consumes each day
-whether or not the benefits tot he mother outweigh the risks to the newborn
-properties of the drug
A nurse is caring for a client who arrived at an emergency department following a bee sting.
Which of the following indicates an anaphylactic reaction? (Select all that apply.)
