NU 220
PHARMACOLOGY
MIDTERM EXAM REVIEW
2025
1. A provider prescribes phenobarbital for a client wo has a seizure
disorder. The medication has a long half-life of 4 days. How many
times per day should the nurse expect to administer this medication?
a. One
b. Two
c. Three
d. Four
2. A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator
include as a reason to administer lower medication dosages? (Select
all that apply.)
a. Increased renal excretion
b. Increased medication-metabolizing enzymes
c. Liver failure
d. Peripheral vascular disease
e. Concurrent use of medication the same pathway metabolizes
3. A nurse is preparing to administer eye drops to a client. Which of the
following actions should the nurse take? (Select all that apply.)
a. Have the client lie on one side.
b. Ask the client to look up at the ceiling.
c. Tell the client to blink when the drops enter the eye.
, d. Drop the medication into the client’s conjunctival sac.
e. Instruct the client to close the eye gently after instillation.
4. A nurse is teaching a client about transdermal patches. Which of the
following statements should the nurse identify as an indication that
the client understands?
a. “I will clean the site with an alcohol swab before I apply the patch.”
b. “I will rotate the application sites weekly.”
c. “I will apply the patch to an area of skin with no hair.”
d. “I will place the new patch on the site of the old patch.”
5. A nurse reviewing a client’s medical record notes a new prescription
for verifying the trough level of the client’s medication. Which of the
following actions should the nurse take?
a. Obtain a blood specimen immediately prior to administering
the next dose of medication.
b. Verify that the client has been taking the medication for 24hr before
obtaining a blood specimen.
c. Ask the client to provide a urine specimen after the next dose of
medication.
d. Administer the medication, and obtain a blood specimen 30 min later.
Chapter 2
1. A nurse is preparing a client’s medications. Which of the following
actions should the nurse take I following legal practice guidelines?
(Select all that apply.)
a. Teach the client about the medication.
b. Determine the dosage.
c. Monitor for adverse effects.
d. Lock compartments for controlled substances.
e. Determine the client’s insurance status.
,2. A nurse is preparing to administer digoxin to a client who states, “I
don’t want to take that medication. I do not want one more pill.”
Which of the following responses should the nurse make?
a. “Your physician prescribed it for you, so you really should take it.”
b. “Well, let’s just get it over quickly then.”
c. “Okay, I’ll just give you your other medications.”
d. “Tell me our concerns about taking this medication.”
3. A nurse is reviewing a client’s prescribed medications. Which of the
following situations represents a contraindication to medication
administration?
a. The client drank grapefruit juice, which could reduce a medication’s
effectiveness.
b. The medication has orthostatic hypotension as an adverse effect.
c. A medication is approved for ages 12 and older, and the client is
8 years old.
d. An antianxiety medication that has an adverse effect of drowsiness is
prescribed as a preoperative sedative.
4. A nurse is assessing a client before administering medications. Which
of the following data should the nurse obtain? (Select all that apply.)
a. Use of herbal products
b. Daily fluid intake
c. Ability to swallow
d. Previous surgical history
e. Allergies
5. A nurse is working with a newly licensed nurse who is administering
medications to clients. Which of the following actions should the
nurse identify as an indication that the newly hired nurse
understands medication error prevention?
, a. Taking all medications out of the unit-dose wrappers before entering the
client’s room.
b. Checking the prescription when a single dose requires
administration of multiple tablets.
c. Administering a medication, then looking the usual dosage range.
d. Relying on another nurse to clarify a medication prescription.
1. A nurse is preparing to administer vancomycin 1g by intermittent IV
bolus. Available is vancomycin 1g in 100 mL of dextrose 5% in water
(D5W) to infuse over 45 min. the drop factor of the manual IV tubing
is 10gtt/mL. The nurse should adjust the manual IV infusion to
deliver how many gtt/min? (Round the answer to the nearest whole
number. Do not use a trailing zero.)
22gtt/min
2. A nurse is preparing to administer clindamycin 200mg by
intermittent IV bolus. The amount available is clindamycin injection
200mg in 100mL 0.9% NaCl to infuse over 30 min. The nurse should
set the IV pump to deliver how many mL/hr? (Round to the nearest
whole number. Do not use a trailing zero.)
200mL/hr
PHARMACOLOGY
MIDTERM EXAM REVIEW
2025
1. A provider prescribes phenobarbital for a client wo has a seizure
disorder. The medication has a long half-life of 4 days. How many
times per day should the nurse expect to administer this medication?
a. One
b. Two
c. Three
d. Four
2. A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator
include as a reason to administer lower medication dosages? (Select
all that apply.)
a. Increased renal excretion
b. Increased medication-metabolizing enzymes
c. Liver failure
d. Peripheral vascular disease
e. Concurrent use of medication the same pathway metabolizes
3. A nurse is preparing to administer eye drops to a client. Which of the
following actions should the nurse take? (Select all that apply.)
a. Have the client lie on one side.
b. Ask the client to look up at the ceiling.
c. Tell the client to blink when the drops enter the eye.
, d. Drop the medication into the client’s conjunctival sac.
e. Instruct the client to close the eye gently after instillation.
4. A nurse is teaching a client about transdermal patches. Which of the
following statements should the nurse identify as an indication that
the client understands?
a. “I will clean the site with an alcohol swab before I apply the patch.”
b. “I will rotate the application sites weekly.”
c. “I will apply the patch to an area of skin with no hair.”
d. “I will place the new patch on the site of the old patch.”
5. A nurse reviewing a client’s medical record notes a new prescription
for verifying the trough level of the client’s medication. Which of the
following actions should the nurse take?
a. Obtain a blood specimen immediately prior to administering
the next dose of medication.
b. Verify that the client has been taking the medication for 24hr before
obtaining a blood specimen.
c. Ask the client to provide a urine specimen after the next dose of
medication.
d. Administer the medication, and obtain a blood specimen 30 min later.
Chapter 2
1. A nurse is preparing a client’s medications. Which of the following
actions should the nurse take I following legal practice guidelines?
(Select all that apply.)
a. Teach the client about the medication.
b. Determine the dosage.
c. Monitor for adverse effects.
d. Lock compartments for controlled substances.
e. Determine the client’s insurance status.
,2. A nurse is preparing to administer digoxin to a client who states, “I
don’t want to take that medication. I do not want one more pill.”
Which of the following responses should the nurse make?
a. “Your physician prescribed it for you, so you really should take it.”
b. “Well, let’s just get it over quickly then.”
c. “Okay, I’ll just give you your other medications.”
d. “Tell me our concerns about taking this medication.”
3. A nurse is reviewing a client’s prescribed medications. Which of the
following situations represents a contraindication to medication
administration?
a. The client drank grapefruit juice, which could reduce a medication’s
effectiveness.
b. The medication has orthostatic hypotension as an adverse effect.
c. A medication is approved for ages 12 and older, and the client is
8 years old.
d. An antianxiety medication that has an adverse effect of drowsiness is
prescribed as a preoperative sedative.
4. A nurse is assessing a client before administering medications. Which
of the following data should the nurse obtain? (Select all that apply.)
a. Use of herbal products
b. Daily fluid intake
c. Ability to swallow
d. Previous surgical history
e. Allergies
5. A nurse is working with a newly licensed nurse who is administering
medications to clients. Which of the following actions should the
nurse identify as an indication that the newly hired nurse
understands medication error prevention?
, a. Taking all medications out of the unit-dose wrappers before entering the
client’s room.
b. Checking the prescription when a single dose requires
administration of multiple tablets.
c. Administering a medication, then looking the usual dosage range.
d. Relying on another nurse to clarify a medication prescription.
1. A nurse is preparing to administer vancomycin 1g by intermittent IV
bolus. Available is vancomycin 1g in 100 mL of dextrose 5% in water
(D5W) to infuse over 45 min. the drop factor of the manual IV tubing
is 10gtt/mL. The nurse should adjust the manual IV infusion to
deliver how many gtt/min? (Round the answer to the nearest whole
number. Do not use a trailing zero.)
22gtt/min
2. A nurse is preparing to administer clindamycin 200mg by
intermittent IV bolus. The amount available is clindamycin injection
200mg in 100mL 0.9% NaCl to infuse over 30 min. The nurse should
set the IV pump to deliver how many mL/hr? (Round to the nearest
whole number. Do not use a trailing zero.)
200mL/hr
