RN PHARMACOLOGY EXAM WITH
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION 2025
A nurse in an acute care facility is caring for a client who is receiving IV
nitroprusside for hypertensive crisis. The nurse should monitor the client for
which of the following adverse reactions to this medication?
A. Intestinal ileus
B. Neutropenia
C. Delirium
D. hyperthermia - ANSWER-C. Delirium and other mental status changes can
occur in thiocyanate toxicity when IV nitroprusside is infused at a high dosage.
monitor thiocyanate level during therapy to remain below 10 mg/dL.
A nurse is planning to administer a first dose of captopril to a client who has
hypertension. Which of the following medications can intensify first dose
hypotension?
(Select all that apply.)
A. Simvastatin
B. hydrochlorothiazide
C. Phenytoin
D. Clonidine
E. Aliskiren - ANSWER-B. hydrochlorothiazide, a thiazide diuretic, is often
used to treat hypertension. Diuretics can intensify first-dose orthostatic
,hypotension caused by captopril and can continue to interact with
antihypertensive medications to cause hypotension. The nurse should monitor
clients carefully for hypotension, especially after the first dose of captopril and
keep the client safe from injury
D. Clonidine, a centrally acting alpha2 agonist, is an antihypertensive
medication that can interact with captopril to intensify first-dose orthostatic
hypotension. The nurse should monitor clients carefully for hypotension,
especially after the first dose of captopril, and keep the client safe from injury.
E. Aliskiren, a direct renin inhibitor, is an antihypertensive medication that can
interact with captopril to intensify its first-dose orthostatic hypotension. The
nurse should monitor clients carefully for hypotension, especially after the first
dose of captopril, and keep the client safe from injury
A nurse is providing instructions about the use of laxatives to a client who has
heart failure. The nurse should tell the client he should avoid which of the
following laxatives?
A. Sodium phosphate
B. Psyllium
C. Bisacodyl
D. Polyethylene glycol - ANSWER-A. Typically, clients who have heart failure
are on a sodium-restricted diet. Absorption of sodium from sodium phosphate
causes fluid retention and is contraindicated for clients who have heart failure.
A nurse is caring for a client who has diabetes and is experiencing nausea due to
gastroparesis. The nurse should anticipate a prescription for which of the
following medications?
A. Lubiprostone
B. metoclopramide
,C. Bisacodyl
D. Loperamide - ANSWER-B. metoclopramide is a dopamine antagonist that is
used to treat nausea and also increases gastric motility. It can relieve the
bloating and nausea of diabetic gastroparesis.
A nurse is providing teaching to a client who will start alfuzosin for treatment of
benign prostatic hyperplasia. The nurse should instruct the client that which of
the following is an adverse effect of this medication?
A. Bradycardia
B. Edema
C. hypotension
D. Tremor - ANSWER-C. Alfuzosin relaxes muscle tone in veins and cardiac
output decreases, which leads to hypotension. Clients taking this medication are
advised to rise slowly from a sitting or lying position.
A nurse is caring for a client who has angina and asks about obtaining a
prescription for sildenafil to treat erectile dysfunction. Which of the following
medications is contraindicated with sildenafil?
A.Aspirin
B.Isosorbide
C.Clopidogrel
D.Atorvastatin - ANSWER-B. Isosorbide is an organic nitrate that manages
pain from angina. Concurrent use of it is contraindicated because fatal
hypotension can occur. The client should avoid taking a nitrate medication for
24 hr after taking isosorbide.
A nurse is teaching a client about terbutaline. Which of the following statements
by the client indicates understanding of the teaching?
, A."This medication will stop my contractions."
B."This medication will prevent vaginal bleeding."
C."This medication will promote blood flow to my baby."
D."This medication will increase my prostaglandin production - ANSWER-A.
Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth
muscle relaxation
A nurse is providing information about probiotic supplements to a male client.
Which of the following information should the nurse include? (Select all that
apply.)
A."Probiotics are micro-organisms that are normally found in the GI tract."
B."Probiotics are used to treat Clostridium difficile."
C."Probiotics are used to treat benign prostatic hyperplasia."
D."You can experience bloating while taking probiotic supplements."
E."If you are prescribed an antibiotic, you should take it at the same time you
take your probiotic supplement." - ANSWER-A. Probiotics consist of
lactobacilli, bifidobacteria, and Saccharomyces boulardii, which normally are
found in the digestive tract.
B. Probiotics are used to treat a number of GI conditions, including irritable
bowel syndrome, diarrhea associated with Clostridium difficile, and ulcerative
colitis
D. Flatulence and bloating are adverse effects of probiotic supplements.
A nurse is teaching a client who has anemia and a new prescription for a liquid
iron supplement. Which of the following information should the nurse include
in the teaching? (Select all that apply.)
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION 2025
A nurse in an acute care facility is caring for a client who is receiving IV
nitroprusside for hypertensive crisis. The nurse should monitor the client for
which of the following adverse reactions to this medication?
A. Intestinal ileus
B. Neutropenia
C. Delirium
D. hyperthermia - ANSWER-C. Delirium and other mental status changes can
occur in thiocyanate toxicity when IV nitroprusside is infused at a high dosage.
monitor thiocyanate level during therapy to remain below 10 mg/dL.
A nurse is planning to administer a first dose of captopril to a client who has
hypertension. Which of the following medications can intensify first dose
hypotension?
(Select all that apply.)
A. Simvastatin
B. hydrochlorothiazide
C. Phenytoin
D. Clonidine
E. Aliskiren - ANSWER-B. hydrochlorothiazide, a thiazide diuretic, is often
used to treat hypertension. Diuretics can intensify first-dose orthostatic
,hypotension caused by captopril and can continue to interact with
antihypertensive medications to cause hypotension. The nurse should monitor
clients carefully for hypotension, especially after the first dose of captopril and
keep the client safe from injury
D. Clonidine, a centrally acting alpha2 agonist, is an antihypertensive
medication that can interact with captopril to intensify first-dose orthostatic
hypotension. The nurse should monitor clients carefully for hypotension,
especially after the first dose of captopril, and keep the client safe from injury.
E. Aliskiren, a direct renin inhibitor, is an antihypertensive medication that can
interact with captopril to intensify its first-dose orthostatic hypotension. The
nurse should monitor clients carefully for hypotension, especially after the first
dose of captopril, and keep the client safe from injury
A nurse is providing instructions about the use of laxatives to a client who has
heart failure. The nurse should tell the client he should avoid which of the
following laxatives?
A. Sodium phosphate
B. Psyllium
C. Bisacodyl
D. Polyethylene glycol - ANSWER-A. Typically, clients who have heart failure
are on a sodium-restricted diet. Absorption of sodium from sodium phosphate
causes fluid retention and is contraindicated for clients who have heart failure.
A nurse is caring for a client who has diabetes and is experiencing nausea due to
gastroparesis. The nurse should anticipate a prescription for which of the
following medications?
A. Lubiprostone
B. metoclopramide
,C. Bisacodyl
D. Loperamide - ANSWER-B. metoclopramide is a dopamine antagonist that is
used to treat nausea and also increases gastric motility. It can relieve the
bloating and nausea of diabetic gastroparesis.
A nurse is providing teaching to a client who will start alfuzosin for treatment of
benign prostatic hyperplasia. The nurse should instruct the client that which of
the following is an adverse effect of this medication?
A. Bradycardia
B. Edema
C. hypotension
D. Tremor - ANSWER-C. Alfuzosin relaxes muscle tone in veins and cardiac
output decreases, which leads to hypotension. Clients taking this medication are
advised to rise slowly from a sitting or lying position.
A nurse is caring for a client who has angina and asks about obtaining a
prescription for sildenafil to treat erectile dysfunction. Which of the following
medications is contraindicated with sildenafil?
A.Aspirin
B.Isosorbide
C.Clopidogrel
D.Atorvastatin - ANSWER-B. Isosorbide is an organic nitrate that manages
pain from angina. Concurrent use of it is contraindicated because fatal
hypotension can occur. The client should avoid taking a nitrate medication for
24 hr after taking isosorbide.
A nurse is teaching a client about terbutaline. Which of the following statements
by the client indicates understanding of the teaching?
, A."This medication will stop my contractions."
B."This medication will prevent vaginal bleeding."
C."This medication will promote blood flow to my baby."
D."This medication will increase my prostaglandin production - ANSWER-A.
Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth
muscle relaxation
A nurse is providing information about probiotic supplements to a male client.
Which of the following information should the nurse include? (Select all that
apply.)
A."Probiotics are micro-organisms that are normally found in the GI tract."
B."Probiotics are used to treat Clostridium difficile."
C."Probiotics are used to treat benign prostatic hyperplasia."
D."You can experience bloating while taking probiotic supplements."
E."If you are prescribed an antibiotic, you should take it at the same time you
take your probiotic supplement." - ANSWER-A. Probiotics consist of
lactobacilli, bifidobacteria, and Saccharomyces boulardii, which normally are
found in the digestive tract.
B. Probiotics are used to treat a number of GI conditions, including irritable
bowel syndrome, diarrhea associated with Clostridium difficile, and ulcerative
colitis
D. Flatulence and bloating are adverse effects of probiotic supplements.
A nurse is teaching a client who has anemia and a new prescription for a liquid
iron supplement. Which of the following information should the nurse include
in the teaching? (Select all that apply.)
