RN Pharmacology LATEST 2025
ACTUAL EXAM QUESTIONS AND
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+
A 12-month-old child just received the first measles, mumps, and rubella (mmR)
vaccine. For which of the following possible reactions to this vaccine should the nurse
teach the parents to monitor? (Select all that apply.)
A.Rash
B.Swollen glands
C.Bruising
D. headache
E.Inconsolable crying - CORRECT ANSWER: A. A rash and fever can develop in
children 1 to 2 weeks following
mmR immunization.
B. Swollen glands can develop in children 1 to 2 weeks following
mmR immunization.
C. A temporary low platelet count, causing bruising or bleeding, can occur occasionally
following
mmR immunization
A charge nurse is planning a staff education session to discuss medications used during
the care of a client experiencing alcohol withdrawal. Which of the
following medications should the charge nurse include in the discussion? (Select all that
apply.)
A.Lorazepam
B.Diazepam
C.Disulfiram
,D.Naltrexone
E.Acamprosate - CORRECT ANSWER: A. Lorazepam is a benzodiazepine used during
alcohol
withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizure
A charge nurse is teaching a group of nurses about the importance of
prophylactic antimicrobial therapy. Which of the following information
should the charge nurse include in the teaching? (Select all that apply.)
A.Administer prophylactic
antimicrobial therapy to clients who report exposure to a sexually transmitted infection.
B.Administer prophylactic antimicrobial therapy to
clients who are having
orthopedic surgery.
C.Instruct clients who have a prosthetic heart valve about the need for prophylactic
antimicrobial therapy
before dental work.
D.Consult the provider for
prophylactic antimicrobial
therapy for clients who
have recurrent urinary
tract infections.
E.Instruct clients to request
prophylactic antimicrobial
therapy immediately
when they have an upper
respiratory infection - CORRECT ANSWER: A. Clients who suspect exposure to a
sexually transmitted infection require prophylactic
antimicrobial therapy to prevent an infection.
B. Clients who are having orthopedic surgery require
prophylactic antimicrobial therapy to prevent an infection.
C. Clients who are having dental work and have a prosthetic heart valve should receive
prophylactic
antimicrobial therapy to prevent an infection.
D. Clients who have recurrent urinary tract infections should
,receive prophylactic antimicrobial therapy to prevent an infection
A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the
following actions should the nurse take? (Select all that apply.)
A.Stop the infusion.
B.Apply alcohol to the
insertion site.
C.Apply warm compresses
to the insertion site
D.Elevate the client's arm.
E.Obtain a specimen for
culture at the insertion site - CORRECT ANSWER: C. Warm compresses can help
promote healing of a hematoma.
D. Elevation of the arm helps reduce edema, which can cause pressure and pain and
additional bleeding in the area of the hematoma.
A nurse at a provider's office is preparing to administer RV, DTaP,
hib, PCV13, and IPV immunizations to a 4-month-old infant. Which of the following
actions should the nurse plan to take? (Select all that apply.)
A.Administer IPV orally
B.Administer subcutaneous
injections in the anterolateral thigh.
C.Administer Im
injections in the deltoid muscle.
D.Give the infant his pacifier during vaccine injections.
E.Teach parents to give
aspirin on a schedule for
24 hr after immunization - CORRECT ANSWER: B. Subcutaneous immunizations may
be administered in either the anterolateral thigh or the outer
aspect of the upper arm to infants and children.
D.Giving the infant a pacifier during injections is a
comfort measure that should be encouraged by the nurse.
, A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a
potential contraindication to a medication for which of the following clients? (Select all
that apply.)
A.A client at 8 weeks of
gestation who asks for an
influenza immunization
B.A client who takes
prednisone and has a
possible fungal infection
C.A client who has chronic
liver disease and is
taking hydrocodone
D.A client who has peptic ulcer disease, takes sucralfate, and tells the nurse she has
started taking OTC aluminum hydroxide
E.A client who has a pr
osthetic heart valve, takes warfarin, and reports a suspected pregnancy - CORRECT
ANSWER: B. Glucocorticoids should not be taken by a client
who has a possible systemic fungal infection. The nurse should
recognize a contraindication and notify the provider.
C. Acetaminophen is contraindicated due to toxicity for a client who has a liver disorder.
The nurse should notify the provider,
who can prescribe a medication that does not contain acetaminophen.
E. Warfarin is a Pregnancy Category X medication,
which can cause severe birth defects to the fetus. The nurse
should notify the provider about the suspected pregnancy
A nurse in a provider's office is instructing a parent of a toddler how
to administer ear drops. Which of the following instructions should the
nurse include? (Select all that apply.)
A."Place the child on his
unaffected side when you
are ready to administer
the medication."
B."Warm the medication by
gently rolling it between your hands for a few minutes."
ACTUAL EXAM QUESTIONS AND
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+
A 12-month-old child just received the first measles, mumps, and rubella (mmR)
vaccine. For which of the following possible reactions to this vaccine should the nurse
teach the parents to monitor? (Select all that apply.)
A.Rash
B.Swollen glands
C.Bruising
D. headache
E.Inconsolable crying - CORRECT ANSWER: A. A rash and fever can develop in
children 1 to 2 weeks following
mmR immunization.
B. Swollen glands can develop in children 1 to 2 weeks following
mmR immunization.
C. A temporary low platelet count, causing bruising or bleeding, can occur occasionally
following
mmR immunization
A charge nurse is planning a staff education session to discuss medications used during
the care of a client experiencing alcohol withdrawal. Which of the
following medications should the charge nurse include in the discussion? (Select all that
apply.)
A.Lorazepam
B.Diazepam
C.Disulfiram
,D.Naltrexone
E.Acamprosate - CORRECT ANSWER: A. Lorazepam is a benzodiazepine used during
alcohol
withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizure
A charge nurse is teaching a group of nurses about the importance of
prophylactic antimicrobial therapy. Which of the following information
should the charge nurse include in the teaching? (Select all that apply.)
A.Administer prophylactic
antimicrobial therapy to clients who report exposure to a sexually transmitted infection.
B.Administer prophylactic antimicrobial therapy to
clients who are having
orthopedic surgery.
C.Instruct clients who have a prosthetic heart valve about the need for prophylactic
antimicrobial therapy
before dental work.
D.Consult the provider for
prophylactic antimicrobial
therapy for clients who
have recurrent urinary
tract infections.
E.Instruct clients to request
prophylactic antimicrobial
therapy immediately
when they have an upper
respiratory infection - CORRECT ANSWER: A. Clients who suspect exposure to a
sexually transmitted infection require prophylactic
antimicrobial therapy to prevent an infection.
B. Clients who are having orthopedic surgery require
prophylactic antimicrobial therapy to prevent an infection.
C. Clients who are having dental work and have a prosthetic heart valve should receive
prophylactic
antimicrobial therapy to prevent an infection.
D. Clients who have recurrent urinary tract infections should
,receive prophylactic antimicrobial therapy to prevent an infection
A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the
following actions should the nurse take? (Select all that apply.)
A.Stop the infusion.
B.Apply alcohol to the
insertion site.
C.Apply warm compresses
to the insertion site
D.Elevate the client's arm.
E.Obtain a specimen for
culture at the insertion site - CORRECT ANSWER: C. Warm compresses can help
promote healing of a hematoma.
D. Elevation of the arm helps reduce edema, which can cause pressure and pain and
additional bleeding in the area of the hematoma.
A nurse at a provider's office is preparing to administer RV, DTaP,
hib, PCV13, and IPV immunizations to a 4-month-old infant. Which of the following
actions should the nurse plan to take? (Select all that apply.)
A.Administer IPV orally
B.Administer subcutaneous
injections in the anterolateral thigh.
C.Administer Im
injections in the deltoid muscle.
D.Give the infant his pacifier during vaccine injections.
E.Teach parents to give
aspirin on a schedule for
24 hr after immunization - CORRECT ANSWER: B. Subcutaneous immunizations may
be administered in either the anterolateral thigh or the outer
aspect of the upper arm to infants and children.
D.Giving the infant a pacifier during injections is a
comfort measure that should be encouraged by the nurse.
, A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a
potential contraindication to a medication for which of the following clients? (Select all
that apply.)
A.A client at 8 weeks of
gestation who asks for an
influenza immunization
B.A client who takes
prednisone and has a
possible fungal infection
C.A client who has chronic
liver disease and is
taking hydrocodone
D.A client who has peptic ulcer disease, takes sucralfate, and tells the nurse she has
started taking OTC aluminum hydroxide
E.A client who has a pr
osthetic heart valve, takes warfarin, and reports a suspected pregnancy - CORRECT
ANSWER: B. Glucocorticoids should not be taken by a client
who has a possible systemic fungal infection. The nurse should
recognize a contraindication and notify the provider.
C. Acetaminophen is contraindicated due to toxicity for a client who has a liver disorder.
The nurse should notify the provider,
who can prescribe a medication that does not contain acetaminophen.
E. Warfarin is a Pregnancy Category X medication,
which can cause severe birth defects to the fetus. The nurse
should notify the provider about the suspected pregnancy
A nurse in a provider's office is instructing a parent of a toddler how
to administer ear drops. Which of the following instructions should the
nurse include? (Select all that apply.)
A."Place the child on his
unaffected side when you
are ready to administer
the medication."
B."Warm the medication by
gently rolling it between your hands for a few minutes."
