PHARMACOLOGY ONLINE PRACTICE
EXAM 2025 A AND B QUESTIONS
AND ANSWERS (JUST RELEASED)
nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who
weighs 44 Ib. How many mg should the nurse administer per dose? - ANS>>300 mg
A nurse is developing a teaching plan for a client who has a new prescription for
simvastatin. Which of the following instructions should the nurse include in the teaching
plan? - ANS>>1. Report muscle pain to the provider.
2. Avoid taking the medication with grapefruit juice.
3. Expect therapy with this medication to be lifelong.
A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves'
disease. Which of the following findings should the nurse identify as an indication that
the medication has been effective? - ANS>>Increase in ability to focus
A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take? - ANS>>Administer the medication
outside the 5 cm (2 in) radius of the umbilicus.
A nurse at a clinic is providing follow - up care to a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse
effect of the medication? - ANS>>Sexual dysfunction
A nurse is teaching a client about the use of risedronate for the treatment of
osteoporosis. The nurse should identify which of the following statements as an
indication that the client understands the teaching? - ANS>>I should sit up for 30
minutes after taking the risedronate.
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for ranitidine. Which of the following instructions should the nurse include? -
ANS>>Report yellowing of the skin
A nurse is providing discharge instructions to a client who has heart failure and a new
prescription for captopril. Which of the following client statements indicates an
understanding of the teaching? - ANS>>I should tell my provider if I develop a sore
throat (neutropenia)
A nurse is preparing to administer medication to a client who has gout. The nurse
discovers that an error was made during the previous shift and the client received
atenolol instead of allopurinol. Which of the following actions should the nurse take first?
- ANS>>Obtain the client's blood pressure (atenolol - hypotension)
,A nurse is planning care for a client who is prescribed metoclopramide following bowel
surgery. For which of the following adverse effects should the nurse monitor? -
ANS>>Sedation
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and
discovers the antibiotic is not present in the client's medication drawer. The nurse
should identify that administration of the medication can occur at which of the following
time periods without requiring an incident report? - ANS>>0830 (30 min before/ after)
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The
nurse should report which of the following findings to the provider as a manifestation of
neuroleptic malignant syndrome (NMS)? - ANS>>Temperature of 39.7 (103.5)
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion
to treat a pulmonary embolism. Which of the following findings should the nurse identify
as an adverse effect of the medication and report to the provider? - ANS>>Blood in the
urine (heparin toxicity)
A nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium. The nurse should instruct the client that taking the docusate sodium daily can
minimize which of the following adverse effects of morphine? - ANS>>Constipation (due
to morphine)
** sodium will promote increase water and fat in GI **
A nurse is providing teaching to a client who is to start treatment for asthma with
beclomethasone and albuterol inhalers. Which of the following instructions should the
nurse include in the teaching? - ANS>>Rinse your mouth after inhaling the
beclomethasone (to prevent oropharyngeal candidiasis and hoarseness)
A nurse is caring for a client who received 0.9% sodium chloride 1L over 4hr instead of
over 8hr as prescribed. Which of the following information should the nurse enter as a
complete documentation of the incident? - ANS>>0.9 % sodium chloride 1 L IV infused
over 4 hr. Vital signs stable, provider notified
(type, amount, time, status)
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while
taking the warfarin. Which of the following responses should the nurse make? -
ANS>>Aspirin will increase the risk of bleeding
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching? - ANS>>Decreased respiration might occur
A nurse is an emergency department is caring for a client who has myasthenia gravis
and is in a cholinergic crisis. Which of the following medications should the nurse plan
to administer? - ANS>>Atropine (reverse cholinergic toxicity)
, A nurse is reviewing the medication administration record of a client who has
hypocalcemia and a new prescription for IV calcium gluconate. The nurse should
identify that which of the following medications can interact with calcium gluconate? -
ANS>>Digoxin (increased toxicity)
A nurse is caring for a client who is receiving filgrastim. Which of the following findings
should the nurse document to indicate the effectiveness of the therapy? -
ANS>>Increased neutrophil count (bone marrow stiumulated)
A nurse is reveiwing the ECG of a client who is receiving IV furosemide for heart failure.
The nurse should identify which of the following findings as an indication of
hypokalemia? - ANS>>Presence of U waves
A nurse is collecting a medication history from a client who has a new prescription for
lithium. The nurse should identify that the client should discontinue which of the
following over the counter medications? - ANS>>Ibuprofen (NSAID increase Li level)
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should
anticipate administering which of the following medications? - ANS>>Acetylcysteine
(antidote that prevent injury when given orally or Iv within 8 to 10 hr)
A nurse is teaching a group of unit nurses about medication reconciliation. Which of the
following information should the nurse include in the teaching? - ANS>>A transition in
care requires the nurse to conduct medication reconciliation
A nurse is planning care for a client who has hypertension and is to start taking
metoprolol. Which of the following intervention should the nurse include in the plan of
care? - ANS>>Determine apical pulse prior to administering (pulse rate less than 60/min
- notify provider for bradycardia)
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? -
ANS>>Monitor the client for constipation (can lead to fecal impaction)
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
The nurse should monitor the client for which of the following adverse effects? -
ANS>>Bibasilar crackles (heart failure and pulmonary edema)
A nurse is assessing a client 1 hr after administering morphine for pain. The nurse
should identify which of the following findings as the best indication that the morphine
has been effective? - ANS>>The client rates pain as 3 on a scale from 0 to 10
(description of pain most accurate)
A nurse is caring for a 20 year old female client who has a prescription for isotretinoin
for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse
EXAM 2025 A AND B QUESTIONS
AND ANSWERS (JUST RELEASED)
nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who
weighs 44 Ib. How many mg should the nurse administer per dose? - ANS>>300 mg
A nurse is developing a teaching plan for a client who has a new prescription for
simvastatin. Which of the following instructions should the nurse include in the teaching
plan? - ANS>>1. Report muscle pain to the provider.
2. Avoid taking the medication with grapefruit juice.
3. Expect therapy with this medication to be lifelong.
A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves'
disease. Which of the following findings should the nurse identify as an indication that
the medication has been effective? - ANS>>Increase in ability to focus
A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take? - ANS>>Administer the medication
outside the 5 cm (2 in) radius of the umbilicus.
A nurse at a clinic is providing follow - up care to a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse
effect of the medication? - ANS>>Sexual dysfunction
A nurse is teaching a client about the use of risedronate for the treatment of
osteoporosis. The nurse should identify which of the following statements as an
indication that the client understands the teaching? - ANS>>I should sit up for 30
minutes after taking the risedronate.
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for ranitidine. Which of the following instructions should the nurse include? -
ANS>>Report yellowing of the skin
A nurse is providing discharge instructions to a client who has heart failure and a new
prescription for captopril. Which of the following client statements indicates an
understanding of the teaching? - ANS>>I should tell my provider if I develop a sore
throat (neutropenia)
A nurse is preparing to administer medication to a client who has gout. The nurse
discovers that an error was made during the previous shift and the client received
atenolol instead of allopurinol. Which of the following actions should the nurse take first?
- ANS>>Obtain the client's blood pressure (atenolol - hypotension)
,A nurse is planning care for a client who is prescribed metoclopramide following bowel
surgery. For which of the following adverse effects should the nurse monitor? -
ANS>>Sedation
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and
discovers the antibiotic is not present in the client's medication drawer. The nurse
should identify that administration of the medication can occur at which of the following
time periods without requiring an incident report? - ANS>>0830 (30 min before/ after)
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The
nurse should report which of the following findings to the provider as a manifestation of
neuroleptic malignant syndrome (NMS)? - ANS>>Temperature of 39.7 (103.5)
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion
to treat a pulmonary embolism. Which of the following findings should the nurse identify
as an adverse effect of the medication and report to the provider? - ANS>>Blood in the
urine (heparin toxicity)
A nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium. The nurse should instruct the client that taking the docusate sodium daily can
minimize which of the following adverse effects of morphine? - ANS>>Constipation (due
to morphine)
** sodium will promote increase water and fat in GI **
A nurse is providing teaching to a client who is to start treatment for asthma with
beclomethasone and albuterol inhalers. Which of the following instructions should the
nurse include in the teaching? - ANS>>Rinse your mouth after inhaling the
beclomethasone (to prevent oropharyngeal candidiasis and hoarseness)
A nurse is caring for a client who received 0.9% sodium chloride 1L over 4hr instead of
over 8hr as prescribed. Which of the following information should the nurse enter as a
complete documentation of the incident? - ANS>>0.9 % sodium chloride 1 L IV infused
over 4 hr. Vital signs stable, provider notified
(type, amount, time, status)
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while
taking the warfarin. Which of the following responses should the nurse make? -
ANS>>Aspirin will increase the risk of bleeding
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching? - ANS>>Decreased respiration might occur
A nurse is an emergency department is caring for a client who has myasthenia gravis
and is in a cholinergic crisis. Which of the following medications should the nurse plan
to administer? - ANS>>Atropine (reverse cholinergic toxicity)
, A nurse is reviewing the medication administration record of a client who has
hypocalcemia and a new prescription for IV calcium gluconate. The nurse should
identify that which of the following medications can interact with calcium gluconate? -
ANS>>Digoxin (increased toxicity)
A nurse is caring for a client who is receiving filgrastim. Which of the following findings
should the nurse document to indicate the effectiveness of the therapy? -
ANS>>Increased neutrophil count (bone marrow stiumulated)
A nurse is reveiwing the ECG of a client who is receiving IV furosemide for heart failure.
The nurse should identify which of the following findings as an indication of
hypokalemia? - ANS>>Presence of U waves
A nurse is collecting a medication history from a client who has a new prescription for
lithium. The nurse should identify that the client should discontinue which of the
following over the counter medications? - ANS>>Ibuprofen (NSAID increase Li level)
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should
anticipate administering which of the following medications? - ANS>>Acetylcysteine
(antidote that prevent injury when given orally or Iv within 8 to 10 hr)
A nurse is teaching a group of unit nurses about medication reconciliation. Which of the
following information should the nurse include in the teaching? - ANS>>A transition in
care requires the nurse to conduct medication reconciliation
A nurse is planning care for a client who has hypertension and is to start taking
metoprolol. Which of the following intervention should the nurse include in the plan of
care? - ANS>>Determine apical pulse prior to administering (pulse rate less than 60/min
- notify provider for bradycardia)
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? -
ANS>>Monitor the client for constipation (can lead to fecal impaction)
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
The nurse should monitor the client for which of the following adverse effects? -
ANS>>Bibasilar crackles (heart failure and pulmonary edema)
A nurse is assessing a client 1 hr after administering morphine for pain. The nurse
should identify which of the following findings as the best indication that the morphine
has been effective? - ANS>>The client rates pain as 3 on a scale from 0 to 10
(description of pain most accurate)
A nurse is caring for a 20 year old female client who has a prescription for isotretinoin
for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse
