NURSING PHARMACOLOGY 8TH EDITION
ACTUAL EXAM PAPER 2026 COMPLETE
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A nurse is teaching a client who has just been prescribed
lansoprazole (Prevacid). What statement would indicate that the
client correctly understands the action of this medication?
Answer: "The medication inhibits acid secretions."
◉ A client has an important presentation to make in 4 hours and
needs relief from the congestion of seasonal rhinitis. The client calls
the nurse, explains the situation, and tells the nurse that he cannot
afford to be drowsy. Which antihistamine would be a good choice for
this client?
Answer: Loratidine (Claritin)
Rationale: The first-generation antihistamines, including
diphenhydramine, dexchlorpheniramine, and hydroxyzine, are
associated with drowsiness. Loratadine is one of the second-
generation antihistamines, which have fewer anticholinergic effects
and are less likely to cause drowsiness.
◉ The nurse is about to administer a laxative to a client for the first
time. What should be included in client education?
, Answer: Laxatives may cause diarrhea, abdominal discomfort,
nausea, vomiting, perianal irritation, and flatulence, as well as a
number of other side effects. Prolonged use of a laxative can result in
a "laxative habit," or dependence on a laxative to have a bowel
movement. Some laxatives contain tartrazine (a yellow food dye),
which may cause allergic-type reactions (including bronchial
asthma) in susceptible individuals. Obstruction of the esophagus,
stomach, small intestine, and colon has occurred when bulk-forming
laxatives are administered without adequate fluid intake, or in
clients with intestinal stenosis.
◉ Which instruction would be most important to give to a client
who is receiving omeprazole (Prilosec)?
Answer: "Swallow the tablet whole with a large glass of water."
◉ A client presents at the clinic with a dry, non-productive cough.
The client is diagnosed with bronchitis, and it is determined that the
client needs help thinning the sputum so the cough can become
productive. What does the nurse expect the health care provider will
prescribe?
Answer: Guaifenesin (Mucinex)
◉ A female client has been administered metoclopramide (Reglan)
for nausea. Which statement indicates that she has understood the
teaching provided by the nurse?
Answer: "I may experience drowsiness on this medication."
ACTUAL EXAM PAPER 2026 COMPLETE
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A nurse is teaching a client who has just been prescribed
lansoprazole (Prevacid). What statement would indicate that the
client correctly understands the action of this medication?
Answer: "The medication inhibits acid secretions."
◉ A client has an important presentation to make in 4 hours and
needs relief from the congestion of seasonal rhinitis. The client calls
the nurse, explains the situation, and tells the nurse that he cannot
afford to be drowsy. Which antihistamine would be a good choice for
this client?
Answer: Loratidine (Claritin)
Rationale: The first-generation antihistamines, including
diphenhydramine, dexchlorpheniramine, and hydroxyzine, are
associated with drowsiness. Loratadine is one of the second-
generation antihistamines, which have fewer anticholinergic effects
and are less likely to cause drowsiness.
◉ The nurse is about to administer a laxative to a client for the first
time. What should be included in client education?
, Answer: Laxatives may cause diarrhea, abdominal discomfort,
nausea, vomiting, perianal irritation, and flatulence, as well as a
number of other side effects. Prolonged use of a laxative can result in
a "laxative habit," or dependence on a laxative to have a bowel
movement. Some laxatives contain tartrazine (a yellow food dye),
which may cause allergic-type reactions (including bronchial
asthma) in susceptible individuals. Obstruction of the esophagus,
stomach, small intestine, and colon has occurred when bulk-forming
laxatives are administered without adequate fluid intake, or in
clients with intestinal stenosis.
◉ Which instruction would be most important to give to a client
who is receiving omeprazole (Prilosec)?
Answer: "Swallow the tablet whole with a large glass of water."
◉ A client presents at the clinic with a dry, non-productive cough.
The client is diagnosed with bronchitis, and it is determined that the
client needs help thinning the sputum so the cough can become
productive. What does the nurse expect the health care provider will
prescribe?
Answer: Guaifenesin (Mucinex)
◉ A female client has been administered metoclopramide (Reglan)
for nausea. Which statement indicates that she has understood the
teaching provided by the nurse?
Answer: "I may experience drowsiness on this medication."
