Integrated Exam, Comprehensive Practice
Questions with Answers
Introduction:
This document contains an extensive set of Kaplan-style
nursing pharmacology practice questions with clearly
indicated correct answers, covering core concepts tested on
integrated and NCLEX-style exams. Topics include medication
administration, adverse effects, contraindications, dosage
calculations, IV therapy, and patient education across medical-
surgical, pediatric, obstetric, psychiatric, and adult health
nursing. The material is suitable for comprehensive
pharmacology review and exam preparation for nursing
students.
Exam Questions and Answers:
The nurse instructs a client who is to take rifampin. The
nursing informs the client that which adverse effect may
occur?-Correct Answer:-Orange-colored urine
Rifampin is used together with other medicines to treat
tuberculosis (TB) in many different parts of the body. It is also
,used by patients who have meningitis bacteria in their nose or
throat who do not show symptoms of the infection to prevent
the spread of the bacteria to other patients. Rifampin is in a
class of medications called antimycobacterials. It works by
killing the bacteria that cause infection. Antibiotics such as
rifampin will not work for colds, flu, or other viral infections.
What is the major adverse effect of rifabutin?
Rifabutin may cause side effects. Skin, tears, saliva, sweat,
urine, and stools may turn brown-orange; this side effect is
normal and will stop when you finish taking this medication.
Tell your doctor if any of these symptoms are severe or do not
go away: nausea.This effect may also cause soft contact lenses
to become permanently discolored.
Th nurse reviews laboratory reports for a client receiving
digoxin and furosemide. Which laboratory values most concern
the nurse?-Correct Answer:-K= 3.2 mEq/L (3.2 mmol) ;
digoxin level= 2.2 ng/mL (2.8 n mmol/L)
Digoxin is a type of medicine called a cardiac glycoside. It's
used to control some heart problems, such as irregular
heartbeats (arrhythmias) including atrial fibrillation. It can
, also help to manage the symptoms of heart failure, usually
with other medicines.
More common side effects
Dizziness
fainting
fast, pounding, or irregular heartbeat or pulse
slow heartbeat
A normal Digoxin level should be 0.5 - 2 ng/mL. Any levels
greater than 2 ng/mL is considered toxic.
Furosemide belongs to a group of medicines called loop
diuretics (also known as water pills). Furosemide is given to
help treat fluid retention (edema) and swelling that is caused
by congestive heart failure, liver disease, kidney disease, or
other medical conditions. It works by acting on the kidneys to
increase the flow of urine. Furosemide is also used alone or
together with other medicines to treat high blood pressure
(hypertension). High blood pressure adds to the workload of
the heart and arteries. If it continues for a long time, the heart
and arteries may not function properly. This can damage the
blood vessels of the brain, heart, and kidneys, resulting in a
stroke, heart failure, or kidney failure. High blood pressure