Pharmacology Midterm Exam 2025:Questions and Correct Answer
A - ansA 47-year-old woman states that she has been trying to treat her depression with exercise and "other
things" for about 1 year. She is going to begin taking a new prescription of an SSRI. Which of the following is
most important to ask the patient?
a) "Are you taking any herbal drugs such as St. John's wort?"
b) "How have the therapies worked so far?"
c) "Which exercises are you using to treat your depression?"
d) "Why did you wait so long to seek healthcare?"
A - ansA patient is receiving a new statin drug for elevated cholesterol level. Which of the following statements
by the patient indicates a need for additional teaching?
a) "I can eat anything I want since I am not taking this drug"
b) "I will notify my healthcare provider if I have any severe muscle aches or changes in my urine"
c) "I will need to have tests to make sure my liver is functioning properly as my doctor recommends"
d) "I have to monitor my blood sugar daily because the drug can increase my blood sugar"
A - ansA patient who is taking lamotrigine reports the appearance of a new rash. What is your best action?
a) Report the rash to the healthcare provider immediately
b) Add the reaction to the patient's list of allergies in his or her record
c) instruct the patient to take a substantial meal or snack
d) Suggest that the patient apply a cortisone-containing cream to the area
A - ansA patient with benign prostatic hypertrophy is receiving tamsulosin, a selective alpha blocker, to help
improve urine flow. Which of the following health factors would the LPN/VN report to the healthcare provider
before giving the drug?
,a) The patient reports a history of allergy to sulfa antibiotics
b) The patient had a history of smoking 15 years ago
c) The patient is exercising three times a week
d) The patient's potassium level is 4.0 mEq/mL
A - ansA patients calls the clinic and states that her right arm below the elbow is reddened and painful since
being prescribed ciprofloxacin for a urinary tract infection. What is your best action?
a) Tell the patient to stop taking the drug for now and that you will notify the healthcare provider for further
instructions
b) Tell the patient that this is an expected side effect and to take acetaminophen for discomfort
c) Tell the patient to take the drug with a full glass of water to alleviate this expected side effect
d) Tell the patient to limit the use of her right arm and to wear a wrist splint
A - ansAmpicillin is ordered for a child: 100 mg/kg per day every 6 hours. The child weighs 10 kg. Ampicillin is
supplied as 250 mg/5 mL. What is the correct dose at 6:00 a.m.?
a) 20 mL
b) 10 mL
c) 5 mL
d) 5 mg
A - ansThe LPN/VN is assessing a patient before giving a drug to manage his blood pressure and notes the blood
pressure to be 90/50. What is the nurse's best action?
a) Hold the drug and report to the RN in charge
b) Give the patient a cup of coffee and give the drug
, c) Come back 30 minutes later and recheck the blood pressure
d) Tell the patient to walk in the hall and give the drug
A - ansThe patient is given a drug that will help him sleep. Instead he stays awake all night. What is this
outcome known as?
a) Paradoxical response
b) Adverse reaction
c) Side effect
d) Anaphylactic reaction
A - ansThe patient is prescribed a drug that leads to very difficult breathing. What is the reason for this
response?
a) Adverse reaction
b) Anaphylactic reaction
c) Side effect
d) Idiosyncratic response
A - ansThe physician has changed an order from morphine 10 mg intravenously every 2 hours to morphine 30
mg by mouth every 4 hours. What does this nurse recognize about this order?
a) The increased dosage is needed because of the "first-pass" effect
b) The prescriber has made a drug error
c) The dosage change is needed because the patient excretes
d) The change is needed because the patient reports the IV dose is ineffective
A - ansWhat is considered the best resource for current use of drugs at admission to the healthcare setting?
A - ansA 47-year-old woman states that she has been trying to treat her depression with exercise and "other
things" for about 1 year. She is going to begin taking a new prescription of an SSRI. Which of the following is
most important to ask the patient?
a) "Are you taking any herbal drugs such as St. John's wort?"
b) "How have the therapies worked so far?"
c) "Which exercises are you using to treat your depression?"
d) "Why did you wait so long to seek healthcare?"
A - ansA patient is receiving a new statin drug for elevated cholesterol level. Which of the following statements
by the patient indicates a need for additional teaching?
a) "I can eat anything I want since I am not taking this drug"
b) "I will notify my healthcare provider if I have any severe muscle aches or changes in my urine"
c) "I will need to have tests to make sure my liver is functioning properly as my doctor recommends"
d) "I have to monitor my blood sugar daily because the drug can increase my blood sugar"
A - ansA patient who is taking lamotrigine reports the appearance of a new rash. What is your best action?
a) Report the rash to the healthcare provider immediately
b) Add the reaction to the patient's list of allergies in his or her record
c) instruct the patient to take a substantial meal or snack
d) Suggest that the patient apply a cortisone-containing cream to the area
A - ansA patient with benign prostatic hypertrophy is receiving tamsulosin, a selective alpha blocker, to help
improve urine flow. Which of the following health factors would the LPN/VN report to the healthcare provider
before giving the drug?
,a) The patient reports a history of allergy to sulfa antibiotics
b) The patient had a history of smoking 15 years ago
c) The patient is exercising three times a week
d) The patient's potassium level is 4.0 mEq/mL
A - ansA patients calls the clinic and states that her right arm below the elbow is reddened and painful since
being prescribed ciprofloxacin for a urinary tract infection. What is your best action?
a) Tell the patient to stop taking the drug for now and that you will notify the healthcare provider for further
instructions
b) Tell the patient that this is an expected side effect and to take acetaminophen for discomfort
c) Tell the patient to take the drug with a full glass of water to alleviate this expected side effect
d) Tell the patient to limit the use of her right arm and to wear a wrist splint
A - ansAmpicillin is ordered for a child: 100 mg/kg per day every 6 hours. The child weighs 10 kg. Ampicillin is
supplied as 250 mg/5 mL. What is the correct dose at 6:00 a.m.?
a) 20 mL
b) 10 mL
c) 5 mL
d) 5 mg
A - ansThe LPN/VN is assessing a patient before giving a drug to manage his blood pressure and notes the blood
pressure to be 90/50. What is the nurse's best action?
a) Hold the drug and report to the RN in charge
b) Give the patient a cup of coffee and give the drug
, c) Come back 30 minutes later and recheck the blood pressure
d) Tell the patient to walk in the hall and give the drug
A - ansThe patient is given a drug that will help him sleep. Instead he stays awake all night. What is this
outcome known as?
a) Paradoxical response
b) Adverse reaction
c) Side effect
d) Anaphylactic reaction
A - ansThe patient is prescribed a drug that leads to very difficult breathing. What is the reason for this
response?
a) Adverse reaction
b) Anaphylactic reaction
c) Side effect
d) Idiosyncratic response
A - ansThe physician has changed an order from morphine 10 mg intravenously every 2 hours to morphine 30
mg by mouth every 4 hours. What does this nurse recognize about this order?
a) The increased dosage is needed because of the "first-pass" effect
b) The prescriber has made a drug error
c) The dosage change is needed because the patient excretes
d) The change is needed because the patient reports the IV dose is ineffective
A - ansWhat is considered the best resource for current use of drugs at admission to the healthcare setting?
