PHARMACOLOGY FINAL EXAM RASMUSSEN NEWEST 2025 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
59. The nurse is doing discharge teaching with the parent of an asthmatic child who will be going
home on steroids. Which of these comments by the parent would indicate accurate understanding of
discharge teaching these medications?
A) Prolonged steroid use causes children to grow prematurely tall because they enhance growth
B) Steroids cause weight loss and dehydration in children because they cause type 1
diabetes
,C) Prolonged steroid use may lead to addiction
D) My child may need to take a gastric acid suppressant while taking steroids - ...ANSWER...D) My
child may need to take a gastric acid suppressant while taking steroids
60. The nurse is educating a client regarding the use of omeprazole. What statement by the
client shows a proper understanding of how to take this medication?
A) " I should plan to take this medication for the rest of my life."
B) " I should take this medication with an antacid to maximize its effects."
C) " I should chew the medication when my heartburn is bad, so it absorbs more rapidly."
D) " I should take this medication on an empty stomach before I eat." - ...ANSWER...D) " I
should take this medication on an empty stomach before I eat."
61. A client is starting to take furosemide and asks the nurse. " When is the best time to take this
medication?" What is the nurse's response?
A) 1600
B) 0800
C) 2200
D) 1900 - ...ANSWER...B) 0800
62. What should the nurse advise a client on spironolactone regarding necessary self-care?
A) Discontinue taking this medication if you feel well
B) Avoid salt substitutes.
C) Check your pulse before taking this medication
D) Add as many fruits and vegetables to your diet as possible
- ...ANSWER...B) Avoid salt substitutes.
,63. A client who reports routine consumption of more than 3 alcoholic beverages per day asks
about taking acetaminophen when needed for occasional recurrent pain. What will the nurse tell the
client?
A) "Do not take more than 4gm of acetaminophen a day. "
B) " do not take a scheduled-dose preparation of acetaminophen with opioid
analgesics."
C) " do not take more than 3 gm of acetaminophen a day."
D) " do not take more than 2 gm of acetaminophen a day." -
...ANSWER...D) " do not take more than 2 gm of acetaminophen a day."
64. A client receiving a cephalosporin develops a secondary intestinal infection caused by
Clostridium difficile. What treatment plan would the nurse advocate for?
A) Discontinue the cephalosporin and begin metronidazole or oral vancomycin as ordered
B) Increase the dose of the cephalosporin and provide isolation measures
C) Stop all antibiotics and probiotics
D) Add an antibiotic, such as tobramycin, to the client's regimen - ...ANSWER...A) Discontinue the
cephalosporin and begin metronidazole or oral vancomycin as ordered
65. A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse
notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The
nurse will ask the provider to order which of these laboratory tests?
A) Vitamin D levels
B) Serum electrolytes
C) Liver function tests
, D) Tuberculin skin test - ...ANSWER...B) Serum electrolytes
66. A nurse is talking with a client who has peptic ulcer disease and starting therapy with
sucralfate. What must the nurse include in the client's education?
A) Take it whenever indigestion occurs.
B) Take it immediately after meals.
C) Take it with an antacid.
D) Take it 30-60 minutes before meals. - ...ANSWER...D) Take it 30-60 minutes before meals.
67. Which is a common side effect caused by atenolol?
A) Memory loss
B) Bradycardia
C) Neuropathy
D) Hyperglycemia - ...ANSWER...B) Bradycardia
68. Which of these self-care measures should be emphasized in client education regarding
phenytoin?
A) Gradually reduce prescribed dose if seizures do not occur for one month.
B) Instill mineral oil into both ears once a week
C) Expect green urine due to medication metabolites
D) Brush after every meal and floss teeth daily -
...ANSWER...D) Brush after every meal and floss teeth daily
69. A client with an infection is being treated with vancomycin. The nurse providing care reviews
the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum
creatinine levels are newly elevated. What would be the appropriate nursing intervention?
A) Consult the provider about the need for a less nephrotoxic medication.
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
59. The nurse is doing discharge teaching with the parent of an asthmatic child who will be going
home on steroids. Which of these comments by the parent would indicate accurate understanding of
discharge teaching these medications?
A) Prolonged steroid use causes children to grow prematurely tall because they enhance growth
B) Steroids cause weight loss and dehydration in children because they cause type 1
diabetes
,C) Prolonged steroid use may lead to addiction
D) My child may need to take a gastric acid suppressant while taking steroids - ...ANSWER...D) My
child may need to take a gastric acid suppressant while taking steroids
60. The nurse is educating a client regarding the use of omeprazole. What statement by the
client shows a proper understanding of how to take this medication?
A) " I should plan to take this medication for the rest of my life."
B) " I should take this medication with an antacid to maximize its effects."
C) " I should chew the medication when my heartburn is bad, so it absorbs more rapidly."
D) " I should take this medication on an empty stomach before I eat." - ...ANSWER...D) " I
should take this medication on an empty stomach before I eat."
61. A client is starting to take furosemide and asks the nurse. " When is the best time to take this
medication?" What is the nurse's response?
A) 1600
B) 0800
C) 2200
D) 1900 - ...ANSWER...B) 0800
62. What should the nurse advise a client on spironolactone regarding necessary self-care?
A) Discontinue taking this medication if you feel well
B) Avoid salt substitutes.
C) Check your pulse before taking this medication
D) Add as many fruits and vegetables to your diet as possible
- ...ANSWER...B) Avoid salt substitutes.
,63. A client who reports routine consumption of more than 3 alcoholic beverages per day asks
about taking acetaminophen when needed for occasional recurrent pain. What will the nurse tell the
client?
A) "Do not take more than 4gm of acetaminophen a day. "
B) " do not take a scheduled-dose preparation of acetaminophen with opioid
analgesics."
C) " do not take more than 3 gm of acetaminophen a day."
D) " do not take more than 2 gm of acetaminophen a day." -
...ANSWER...D) " do not take more than 2 gm of acetaminophen a day."
64. A client receiving a cephalosporin develops a secondary intestinal infection caused by
Clostridium difficile. What treatment plan would the nurse advocate for?
A) Discontinue the cephalosporin and begin metronidazole or oral vancomycin as ordered
B) Increase the dose of the cephalosporin and provide isolation measures
C) Stop all antibiotics and probiotics
D) Add an antibiotic, such as tobramycin, to the client's regimen - ...ANSWER...A) Discontinue the
cephalosporin and begin metronidazole or oral vancomycin as ordered
65. A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse
notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The
nurse will ask the provider to order which of these laboratory tests?
A) Vitamin D levels
B) Serum electrolytes
C) Liver function tests
, D) Tuberculin skin test - ...ANSWER...B) Serum electrolytes
66. A nurse is talking with a client who has peptic ulcer disease and starting therapy with
sucralfate. What must the nurse include in the client's education?
A) Take it whenever indigestion occurs.
B) Take it immediately after meals.
C) Take it with an antacid.
D) Take it 30-60 minutes before meals. - ...ANSWER...D) Take it 30-60 minutes before meals.
67. Which is a common side effect caused by atenolol?
A) Memory loss
B) Bradycardia
C) Neuropathy
D) Hyperglycemia - ...ANSWER...B) Bradycardia
68. Which of these self-care measures should be emphasized in client education regarding
phenytoin?
A) Gradually reduce prescribed dose if seizures do not occur for one month.
B) Instill mineral oil into both ears once a week
C) Expect green urine due to medication metabolites
D) Brush after every meal and floss teeth daily -
...ANSWER...D) Brush after every meal and floss teeth daily
69. A client with an infection is being treated with vancomycin. The nurse providing care reviews
the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum
creatinine levels are newly elevated. What would be the appropriate nursing intervention?
A) Consult the provider about the need for a less nephrotoxic medication.
