NRS 2020 - Pharmacology
PHARMACOLOGY NRS 2020 EXAM 3 LATEST
2026/2027 QUESTION AND ANSWER GRADED A
OAKLAND UNIVERSITY
A patient with chronic pain has been receiving morphine sulfate but now has decreased
pain. The prescriber changes the medication to ketolorac [Toradol]. The nurse will
monitor the patient for:
hypotension.
respiratory depression.
euphoria.
nausea and sweating.
nausea and sweating.
A nurse is providing teaching to a client who has migraine headache and a new
prescription for Ergotamine. For which of the following manifestations indicating a
possible adverse reaction should the nurse instruct the client to stop taking the
medication and notify the provider? Select all apply:
numbness and tingling in fingers
b. visual disturbance
c. positive home pregnancy test
d. muscle pain
A, C, D
A client has just been prescribed with Methotrexate (Trexall) for the treatment of
rheumatoid arthritis who did not respond to any other treatment. An important reminder
for the client is to?
Strict hand washing.
Pregnancy is not contraindicated with the use of the medication.
Get a daily source of sunlight during the day.
Clay-colored stool is a normal response of the treatment
,NRS 2020 - Pharmacology
Strict hand washing.
The healthcare provider is assessing the glucose level of a patient with a diagnosis of
diabetes. Which of these is most helpful in evaluating this patient's long-term glucose
management?
Urine specific gravity
Hemoglobin A1c (Hgb A1C)
Fasting blood glucose level
Urine glucose
Hemoglobin A1c (Hgb A1C)
The nurse is discussing storage of insulin vials with the client. Which statement indicates
the client understands the teaching concerning the storage of insulin?
"I can keep my insulin in the trunk of my car so I will have it at all times."
"If I prefill my insulin syringes, I must use them within 1 to 2 days."
"It is all right to put my unopened insulin vials in the freezer."
"I will keep my unopened vials of insulin in the refrigerator."
"I will keep my unopened vials of insulin in the refrigerator."
Which client is most likely to receive opioids for extended periods of time?
A client with progressive pancreatic cancer
A client with trigeminal neuralgia
A client with phantom limb pain
A client with fibromyalgia
A client with progressive pancreatic cancer
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin.
What is the nurse's best response about why the client needs to take insulin?
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
"Your diabetes is getting worse, so you will need to take insulin."
"You must take insulin from now on because the surgery will affect your diabetes."
"You can't take your metformin while in the hospital."
, NRS 2020 - Pharmacology
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your blood
glucose temporarily."
A patient is receiving instructions regarding the use of caffeine for migraine headaches.
The nurse shares that caffeine should be used with caution if which of these conditions is
present?
A history of peptic ulcers
A history of kidney stones
Asthma
Tension headache
A history of peptic ulcers
A nurse assesses a patient with diabetes mellitus who self-administers subcutaneous
insulin. The nurse notes a spongy, swelling area at the site the patient uses most
frequently for insulin injection. What action would the nurse take?
Assess the patient for other signs of cellulitis.
Consult the provider for a new administration route.
Apply ice to the site to reduce inflammation.
Instruct the patient to rotate sites for insulin injection
Instruct the patient to rotate sites for insulin injection
Jane is a 67 year-old woman with a history of mild hypertension and classic angina
pectoris. She is seeking treatment for migraine headaches of moderate intensity. Her
headaches are preceeded by bilateral light flashes and dizziness that last about 10 minutes
prior to the onset of pain. Her headaches are also frequently accompanied by
photophobia, severe nausea and occasional vomiting. What medication would be
contraindicated for acute treatment of Jane's headaches?
Aspirin
Acetaminophen
Sumatriptan
Caffeine
Propranolol
Sumatriptan
PHARMACOLOGY NRS 2020 EXAM 3 LATEST
2026/2027 QUESTION AND ANSWER GRADED A
OAKLAND UNIVERSITY
A patient with chronic pain has been receiving morphine sulfate but now has decreased
pain. The prescriber changes the medication to ketolorac [Toradol]. The nurse will
monitor the patient for:
hypotension.
respiratory depression.
euphoria.
nausea and sweating.
nausea and sweating.
A nurse is providing teaching to a client who has migraine headache and a new
prescription for Ergotamine. For which of the following manifestations indicating a
possible adverse reaction should the nurse instruct the client to stop taking the
medication and notify the provider? Select all apply:
numbness and tingling in fingers
b. visual disturbance
c. positive home pregnancy test
d. muscle pain
A, C, D
A client has just been prescribed with Methotrexate (Trexall) for the treatment of
rheumatoid arthritis who did not respond to any other treatment. An important reminder
for the client is to?
Strict hand washing.
Pregnancy is not contraindicated with the use of the medication.
Get a daily source of sunlight during the day.
Clay-colored stool is a normal response of the treatment
,NRS 2020 - Pharmacology
Strict hand washing.
The healthcare provider is assessing the glucose level of a patient with a diagnosis of
diabetes. Which of these is most helpful in evaluating this patient's long-term glucose
management?
Urine specific gravity
Hemoglobin A1c (Hgb A1C)
Fasting blood glucose level
Urine glucose
Hemoglobin A1c (Hgb A1C)
The nurse is discussing storage of insulin vials with the client. Which statement indicates
the client understands the teaching concerning the storage of insulin?
"I can keep my insulin in the trunk of my car so I will have it at all times."
"If I prefill my insulin syringes, I must use them within 1 to 2 days."
"It is all right to put my unopened insulin vials in the freezer."
"I will keep my unopened vials of insulin in the refrigerator."
"I will keep my unopened vials of insulin in the refrigerator."
Which client is most likely to receive opioids for extended periods of time?
A client with progressive pancreatic cancer
A client with trigeminal neuralgia
A client with phantom limb pain
A client with fibromyalgia
A client with progressive pancreatic cancer
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin.
What is the nurse's best response about why the client needs to take insulin?
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
"Your diabetes is getting worse, so you will need to take insulin."
"You must take insulin from now on because the surgery will affect your diabetes."
"You can't take your metformin while in the hospital."
, NRS 2020 - Pharmacology
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your blood
glucose temporarily."
A patient is receiving instructions regarding the use of caffeine for migraine headaches.
The nurse shares that caffeine should be used with caution if which of these conditions is
present?
A history of peptic ulcers
A history of kidney stones
Asthma
Tension headache
A history of peptic ulcers
A nurse assesses a patient with diabetes mellitus who self-administers subcutaneous
insulin. The nurse notes a spongy, swelling area at the site the patient uses most
frequently for insulin injection. What action would the nurse take?
Assess the patient for other signs of cellulitis.
Consult the provider for a new administration route.
Apply ice to the site to reduce inflammation.
Instruct the patient to rotate sites for insulin injection
Instruct the patient to rotate sites for insulin injection
Jane is a 67 year-old woman with a history of mild hypertension and classic angina
pectoris. She is seeking treatment for migraine headaches of moderate intensity. Her
headaches are preceeded by bilateral light flashes and dizziness that last about 10 minutes
prior to the onset of pain. Her headaches are also frequently accompanied by
photophobia, severe nausea and occasional vomiting. What medication would be
contraindicated for acute treatment of Jane's headaches?
Aspirin
Acetaminophen
Sumatriptan
Caffeine
Propranolol
Sumatriptan
