Rn Pharmacology Online Practice 2023 B
Updated Actual Exam Questions And
Correct Answers
1. A nurse is caring for a client in a mental health clinic. For each body system below,
click to specify the adverse effect that the nurse should include when providing client
education about the newly prescribed medication. Choose the most likely option for
the drop-down in the table below.
A. Genitourinary- changes in libido, GI- constipation, metabolic- wt loss
B. Distractor 1 for this question
C. Distractor 2 for this question
D. Distractor 3 for this question
Answer: A. Genitourinary- changes in libido, GI- constipation, metabolic- wt loss
Rationale: The correct answer is A. This reflects the expected therapeutic or adverse effect
and nursing consideration for Psych med adverse effects. The correct finding/action aligns
with standard pharmacology guidelines.
2. A nurse is caring for a client in a clinic. Which client statements indicate an
understanding of the teaching? Click to specify if the client statement indicates an
understanding or need for further education.
A. Distractor 1 for this question
B. Distractor 2 for this question
C. Understanding- I will notify my provider if I feel sick, I should take acetaminophen
instead of ibuprofen for a headache; Need for further education- I will eat foods high in K+,
coughing is expected, I should take this medication with meals
D. Distractor 3 for this question
Answer: C. Understanding- I will notify my provider if I feel sick, I should take
acetaminophen instead of ibuprofen for a headache; Need for further education- I will
eat foods high in K+, coughing is expected, I should take this medication with meals
,Rationale: The correct answer is C. This reflects the expected therapeutic or adverse effect
and nursing consideration for ACE inhibitor teaching. The correct finding/action aligns with
standard pharmacology guidelines.
3. A nurse is caring for a client in a clinic and is reviewing their electronic medical
record. For each body system below, click to specify the assessment findings that
indicate an adverse effect of the client's prescribed medication. Choose most likely
option for the dropdown.
A. Distractor 1 for this question
B. Distractor 2 for this question
C. Distractor 3 for this question
D. GI/Genitourinary- urine characteristics, Musculoskeletal/Integumentary- muscle
weakness, Neurological- dizziness
Answer: D. GI/Genitourinary- urine characteristics, Musculoskeletal/Integumentary-
muscle weakness, Neurological- dizziness
Rationale: The correct answer is D. This reflects the expected therapeutic or adverse effect
and nursing consideration for Med adverse effects. The correct finding/action aligns with
standard pharmacology guidelines.
4. A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who
has hyperkalemia. Which of the following actions should the nurse plan to take?
A. monitor the client for constipation
B. Encourage high potassium diet
C. Administer with antacid
D. Check blood pressure hourly
Answer: A. monitor the client for constipation
Rationale: The correct answer is A. Sodium polystyrene sulfonate can cause constipation
and fecal impaction; monitor bowel function and ensure hydration.
5. A nurse is planning care for a client who has HTN and is to start taking metoprolol.
Which of the following interventions should the nurse include in the plan of care?
A. Hold for SBP <100
B. Give with food
C. Determine apical pulse prior to administration
, D. Monitor for hyperkalemia
Answer: C. Determine apical pulse prior to administration
Rationale: The correct answer is C. Metoprolol is a beta-blocker that decreases HR and BP.
Withhold if HR <60/min or SBP <100 and check apical pulse for 1 full minute.
6. A nurse is reviewing the EMR for a client who is receiving heparin VIA continuous
infusion for DVT. Which of the following findings should the nurse identify as an
adverse effect of heparin that requires notification of the provider?
A. Blood pressure 142/90
B. Heart rate 88
C. Urine output 40 mL/hr
D. generalized petechiae
Answer: D. generalized petechiae
Rationale: The correct answer is D. Heparin can cause HIT and bleeding. Generalized
petechiae indicates thrombocytopenia/bleeding and must be reported.
7. A nurse is assessing a client who is post following an outpatient endoscopy
procedure using midazolam. The nurse should monitor for which of the following
findings as an indication that the client is ready for discharge?
A. Distractor 1 for this question
B. Distractor 2 for this question
C. The client's capnography has returned to baseline
D. Distractor 3 for this question
Answer: C. The client's capnography has returned to baseline
Rationale: The correct answer is C. Capnography returning to baseline indicates adequate
ventilation and recovery from sedation.
8. A nurse is administering donepezil (Aricept) to a client who has Alzheimer's
disease. Which of the following documented findings should the nurse report to the
provider immediately?
A. Dyspnea
B. Distractor 1 for this question
C. Distractor 2 for this question
Updated Actual Exam Questions And
Correct Answers
1. A nurse is caring for a client in a mental health clinic. For each body system below,
click to specify the adverse effect that the nurse should include when providing client
education about the newly prescribed medication. Choose the most likely option for
the drop-down in the table below.
A. Genitourinary- changes in libido, GI- constipation, metabolic- wt loss
B. Distractor 1 for this question
C. Distractor 2 for this question
D. Distractor 3 for this question
Answer: A. Genitourinary- changes in libido, GI- constipation, metabolic- wt loss
Rationale: The correct answer is A. This reflects the expected therapeutic or adverse effect
and nursing consideration for Psych med adverse effects. The correct finding/action aligns
with standard pharmacology guidelines.
2. A nurse is caring for a client in a clinic. Which client statements indicate an
understanding of the teaching? Click to specify if the client statement indicates an
understanding or need for further education.
A. Distractor 1 for this question
B. Distractor 2 for this question
C. Understanding- I will notify my provider if I feel sick, I should take acetaminophen
instead of ibuprofen for a headache; Need for further education- I will eat foods high in K+,
coughing is expected, I should take this medication with meals
D. Distractor 3 for this question
Answer: C. Understanding- I will notify my provider if I feel sick, I should take
acetaminophen instead of ibuprofen for a headache; Need for further education- I will
eat foods high in K+, coughing is expected, I should take this medication with meals
,Rationale: The correct answer is C. This reflects the expected therapeutic or adverse effect
and nursing consideration for ACE inhibitor teaching. The correct finding/action aligns with
standard pharmacology guidelines.
3. A nurse is caring for a client in a clinic and is reviewing their electronic medical
record. For each body system below, click to specify the assessment findings that
indicate an adverse effect of the client's prescribed medication. Choose most likely
option for the dropdown.
A. Distractor 1 for this question
B. Distractor 2 for this question
C. Distractor 3 for this question
D. GI/Genitourinary- urine characteristics, Musculoskeletal/Integumentary- muscle
weakness, Neurological- dizziness
Answer: D. GI/Genitourinary- urine characteristics, Musculoskeletal/Integumentary-
muscle weakness, Neurological- dizziness
Rationale: The correct answer is D. This reflects the expected therapeutic or adverse effect
and nursing consideration for Med adverse effects. The correct finding/action aligns with
standard pharmacology guidelines.
4. A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who
has hyperkalemia. Which of the following actions should the nurse plan to take?
A. monitor the client for constipation
B. Encourage high potassium diet
C. Administer with antacid
D. Check blood pressure hourly
Answer: A. monitor the client for constipation
Rationale: The correct answer is A. Sodium polystyrene sulfonate can cause constipation
and fecal impaction; monitor bowel function and ensure hydration.
5. A nurse is planning care for a client who has HTN and is to start taking metoprolol.
Which of the following interventions should the nurse include in the plan of care?
A. Hold for SBP <100
B. Give with food
C. Determine apical pulse prior to administration
, D. Monitor for hyperkalemia
Answer: C. Determine apical pulse prior to administration
Rationale: The correct answer is C. Metoprolol is a beta-blocker that decreases HR and BP.
Withhold if HR <60/min or SBP <100 and check apical pulse for 1 full minute.
6. A nurse is reviewing the EMR for a client who is receiving heparin VIA continuous
infusion for DVT. Which of the following findings should the nurse identify as an
adverse effect of heparin that requires notification of the provider?
A. Blood pressure 142/90
B. Heart rate 88
C. Urine output 40 mL/hr
D. generalized petechiae
Answer: D. generalized petechiae
Rationale: The correct answer is D. Heparin can cause HIT and bleeding. Generalized
petechiae indicates thrombocytopenia/bleeding and must be reported.
7. A nurse is assessing a client who is post following an outpatient endoscopy
procedure using midazolam. The nurse should monitor for which of the following
findings as an indication that the client is ready for discharge?
A. Distractor 1 for this question
B. Distractor 2 for this question
C. The client's capnography has returned to baseline
D. Distractor 3 for this question
Answer: C. The client's capnography has returned to baseline
Rationale: The correct answer is C. Capnography returning to baseline indicates adequate
ventilation and recovery from sedation.
8. A nurse is administering donepezil (Aricept) to a client who has Alzheimer's
disease. Which of the following documented findings should the nurse report to the
provider immediately?
A. Dyspnea
B. Distractor 1 for this question
C. Distractor 2 for this question
