Page 1 of 62
PN Pharmacology Online Practice 2023 A EXAM
ACTUAL EXAM ALL 300 QUESTIONS and CORRECT
ANSWERS LATEST UPDATE THIS YEAR
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin
for 2 weeks. Which of the following findings should indicate to the nurse that the client's
medication is having the desired therapeutic effect?
Albumin is within the expected reference range
Urine output increases to 60 mL/hr
Hemoglobin rises 0.5 g/dL
Blood urea nitrogen level is within the expected reference range
Hemoglobin rises 0.5 g/dL
A nurse is collecting data from a client who is postoperative and taking morphine for pain.
Which of the following findings is the priority for the nurse to report to the provider?
Constipation
Oxygen saturation 87%
Vomiting
Urinary output 25 mL over 1 hr
1
, Page 2 of 62
Oxygen saturation 87%
A nurse is reinforcing teaching with a client who has a new prescription for propranolol.
Which of the following information should the nurse include in the teaching?
"If you miss a dose, double the next scheduled dose."
"Discontinue this medication if lightheadedness occurs."
"If your pulse rate is less than 50 beats per minute, notify your provider."
"This medication can cause heat intolerance."
"If your pulse rate is less than 50 beats per minute, notify your provider."
A nurse is contributing to the plan of care for a client who has schizophrenia and a new
prescription for clozapine. The nurse should include in the plan to monitor the client for
which of the following adverse effects of this medication?
Hypoglycemia
Iron-deficiency anemia
Serotonin syndrome
Agranulocytosis
Agranulocytosis
A nurse is reviewing medication prescriptions for a group of clients. The nurse should
recognize that which of the following prescriptions can result in a medication administration
2
, Page 3 of 62
error?
Penicillin G benzathine 1.2 million units IM daily
Furosemide 10.0 mg PO daily
Albuterol 2.5 mg 2 inhalations every 6 hr as needed for shortness of breath
Insulin glargine 15 units subcutaneous daily at bedtime
Furosemide 10.0 mg PO daily
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of
the following client responses indicates to the nurse an understanding of the teaching?
"I will take the medication with my breakfast."
"I will take the medication with 1 tablespoon of an antacid."
"I will lie down for 30 minutes after taking the medication."
"I will take the medication with 8 ounces of water."
"I will take the medication with 8 ounces of water."
A nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide.
Which of the following laboratory tests should the nurse plan to review to obtain information
about the long-term therapeutic effect of this medication?
Glycosylated HbA1c
3
, Page 4 of 62
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include?
Cover the patch with a dry dressing.
Apply another patch if experiencing chest pain.
Leave each patch in place for 24 hr.
Place the patch on a different site for each application.
Place the patch on a different site for each application.
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three
times daily and reports rebound congestion. Which of the following instructions should the
nurse include to reduce the effects of rebound congestion?
"Decrease the frequency to twice daily."
"Continue use for one more week."
"Discontinue use in the left nostril, then in the right nostril."
"Add oxymetazoline nasal spray to relieve symptoms."
"Discontinue use in the left nostril, then in the right nostril."
At 0800 a nurse assists with initiating a 1,000 mL IV infusion for a client, which is running at
125 mL/hr. How much fluid is left in the IV bag at 1300? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
4
PN Pharmacology Online Practice 2023 A EXAM
ACTUAL EXAM ALL 300 QUESTIONS and CORRECT
ANSWERS LATEST UPDATE THIS YEAR
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin
for 2 weeks. Which of the following findings should indicate to the nurse that the client's
medication is having the desired therapeutic effect?
Albumin is within the expected reference range
Urine output increases to 60 mL/hr
Hemoglobin rises 0.5 g/dL
Blood urea nitrogen level is within the expected reference range
Hemoglobin rises 0.5 g/dL
A nurse is collecting data from a client who is postoperative and taking morphine for pain.
Which of the following findings is the priority for the nurse to report to the provider?
Constipation
Oxygen saturation 87%
Vomiting
Urinary output 25 mL over 1 hr
1
, Page 2 of 62
Oxygen saturation 87%
A nurse is reinforcing teaching with a client who has a new prescription for propranolol.
Which of the following information should the nurse include in the teaching?
"If you miss a dose, double the next scheduled dose."
"Discontinue this medication if lightheadedness occurs."
"If your pulse rate is less than 50 beats per minute, notify your provider."
"This medication can cause heat intolerance."
"If your pulse rate is less than 50 beats per minute, notify your provider."
A nurse is contributing to the plan of care for a client who has schizophrenia and a new
prescription for clozapine. The nurse should include in the plan to monitor the client for
which of the following adverse effects of this medication?
Hypoglycemia
Iron-deficiency anemia
Serotonin syndrome
Agranulocytosis
Agranulocytosis
A nurse is reviewing medication prescriptions for a group of clients. The nurse should
recognize that which of the following prescriptions can result in a medication administration
2
, Page 3 of 62
error?
Penicillin G benzathine 1.2 million units IM daily
Furosemide 10.0 mg PO daily
Albuterol 2.5 mg 2 inhalations every 6 hr as needed for shortness of breath
Insulin glargine 15 units subcutaneous daily at bedtime
Furosemide 10.0 mg PO daily
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of
the following client responses indicates to the nurse an understanding of the teaching?
"I will take the medication with my breakfast."
"I will take the medication with 1 tablespoon of an antacid."
"I will lie down for 30 minutes after taking the medication."
"I will take the medication with 8 ounces of water."
"I will take the medication with 8 ounces of water."
A nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide.
Which of the following laboratory tests should the nurse plan to review to obtain information
about the long-term therapeutic effect of this medication?
Glycosylated HbA1c
3
, Page 4 of 62
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include?
Cover the patch with a dry dressing.
Apply another patch if experiencing chest pain.
Leave each patch in place for 24 hr.
Place the patch on a different site for each application.
Place the patch on a different site for each application.
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three
times daily and reports rebound congestion. Which of the following instructions should the
nurse include to reduce the effects of rebound congestion?
"Decrease the frequency to twice daily."
"Continue use for one more week."
"Discontinue use in the left nostril, then in the right nostril."
"Add oxymetazoline nasal spray to relieve symptoms."
"Discontinue use in the left nostril, then in the right nostril."
At 0800 a nurse assists with initiating a 1,000 mL IV infusion for a client, which is running at
125 mL/hr. How much fluid is left in the IV bag at 1300? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
4
