NURSING PHARMACOLOGY EXAM
2025/2026 COMPLETE QUESTIONS WITH
VERIFIED ANSWERS.
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client?
A. Calcium chloride
B. Calcium gluconate
C. Calcitonin (Miacalcin)
D. Large doses of vitamin D - ANSWER-C. Calcitonin (Miacalcin)
2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The
nurse instructs the mother to administer the iron with which best food item?
A. Milk
B. Water
C. Apple juice
D. Orange juice - ANSWER-D. Orange juice
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the
client, knowing that which of the following would indicate the presence of systemic toxicity
from this medication?
A. Tinnitus
B. Diarrhea
C. Constipation
D. Decreased respirations - ANSWER-A. Tinnitus
4.) The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens are most effective when
applied:
A. Immediately before swimming
B. 15 minutes before exposure to the sun
C. Immediately before exposure to the sun
D. At least 30 minutes before exposure to the sun - ANSWER-D. At least 30 minutes before
exposure to the sun
5.) Mafenide acetate (Sulfamoyl) is prescribed for the client with a burn injury. When applying
the medication, the client complains of local discomfort and burning. Which of the following is
the most appropriate nursing action?
A. Notifying the registered nurse
B. Discontinuing the medication
C. Informing the client that this is normal
, D. Applying a thinner film than prescribed to the burn site - ANSWER-C. Informing the
client that this is normal
6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of
injury. The nurse monitors the client, knowing that which of the following indicates that a
systemic effect has occurred?
A. 1.Hyperventilation
B. Elevated blood pressure
C. Local pain at the burn site
D. Local rash at the burn site - ANSWER-A. Hyperventilation
7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed?
A. Platelet count
B. Triglyceride level
C. Complete blood count
D. White blood cell count - ANSWER-B. Triglyceride level
8.) A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes
isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the
client is taking which medication?
A. Vitamin A
B. Digoxin (Lanoxin)
C. Furosemide (Lasix)
D. Phenytoin (Dilantin) - ANSWER-A. Vitamin A
9.) The nurse is applying a topical corticosteroid to a client with eczema. The nurse would
monitor for the potential for increased systemic absorption of the medication if the medication
were being applied to which of the following body areas?
A. Back
B. Axilla
C. Soles of the feet
D. Palms of the hands - ANSWER-B. Axilla
10.) The clinic nurse is performing an admission assessment on a client. The nurse notes that the
client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would
suspect that the client is being treated for:
A. Acne
B. Eczema
C. Hair loss
D. Herpes simplex - ANSWER-A. Acne
11.) The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a
partial-thickness burn, which has cultured positive for gram-negative bacteria. The nurse is
,reinforcing information to the client about the medication. Which statement made by the client
indicates a lack of understanding about the treatments?
A. "The medication is an antibacterial."
B. "The medication will help heal the burn."
C. "The medication will permanently stain my skin."
D. "The medication should be applied directly to the wound." - ANSWER-C. "The
medication will permanently stain my skin."
12.) A nurse is caring for a client who is receiving an intravenous (IV) infusion of an
antineoplastic medication. During the infusion, the client complains of pain at the insertion site.
During an inspection of the site, the nurse notes redness and swelling and that the rate of infusion
of the medication has slowed. The nurse should take which appropriate action?
A. Notify the registered nurse.
B. Administer pain medication to reduce the discomfort.
C. Apply ice and maintain the infusion rate, as prescribed.
D. Elevate the extremity of the IV site, and slow the infusion. - ANSWER-A. Notify
the registered nurse.
13.) The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously.
The nurse caring for the client anticipates that which diagnostic study will be prescribed?
A. Echocardiography
B. Electrocardiography
C. Cervical radiography
D. Pulmonary function studies - ANSWER-D. Pulmonary function studies
14.) The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which
laboratory value would the nurse specifically monitor during treatment with this medication?
A. Clotting time
B. Uric acid level
C. Potassium level
D. Blood glucose level - ANSWER-B. Uric acid level
15.) The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse
who is assisting in caring for the client during its administration understands that which side
effect is specifically associated with this medication?
A. Alopecia
B. Chest pain
C. Pulmonary fibrosis
D. Orthostatic hypotension - ANSWER-D. Orthostatic hypotension
16.) The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic
medication. When implementing the plan, the nurse tells the client:
A. To take aspirin (acetylsalicylic acid) as needed for headache
B. Drink beverages containing alcohol in moderate amounts each evening
C. Consult with health care providers (HCPs) before receiving immunizations
, D. That it is not necessary to consult HCPs before receiving a flu vaccine at the local
health fair - ANSWER-C. Consult with health care providers (HCPs) before
receiving immunizations.
17.) The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse
monitors the client, knowing that which of the following indicates a side effect specific to this
medication?
A. Diarrhea
B. Hair loss
C. Chest pain
D. Numbness and tingling in the fingers and toes - ANSWER-D. Numbness and
tingling in the fingers and toes
18.) The nurse is reviewing the history and physical examination of a client who will be
receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered
nurse regarding the administration of the medication if which of the following is documented in
the client's history?
A. Pancreatitis
B. Diabetes mellitus
C. Myocardial infarction
D. Chronic obstructive pulmonary disease - ANSWER-A. Pancreatitis
19.) Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse
understands that the primary action of this medication is to:
A. Increase DNA and RNA synthesis.
B. Promote the biosynthesis of nucleic acids.
C. Increase estrogen concentration and estrogen response.
D. Compete with estradiol for binding to estrogen in tissues containing high
concentrations of receptors. - ANSWER-D. Compete with estradiol for binding to
estrogen in tissues containing high concentrations of receptors.
20.) The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically
monitors which laboratory value while the client is taking this medication?
A. Glucose level
B. Calcium level
C. Potassium level
D. Prothrombin time - ANSWER-B. Calcium level
21.) A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the
adverse effects that the nurse monitors for that are associated with this medication. Select all that
apply.
A. Tinnitus
B. Ototoxicity
C. Hyperkalemia
D. Hypercalcemia
E. Nephrotoxicity
2025/2026 COMPLETE QUESTIONS WITH
VERIFIED ANSWERS.
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client?
A. Calcium chloride
B. Calcium gluconate
C. Calcitonin (Miacalcin)
D. Large doses of vitamin D - ANSWER-C. Calcitonin (Miacalcin)
2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The
nurse instructs the mother to administer the iron with which best food item?
A. Milk
B. Water
C. Apple juice
D. Orange juice - ANSWER-D. Orange juice
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the
client, knowing that which of the following would indicate the presence of systemic toxicity
from this medication?
A. Tinnitus
B. Diarrhea
C. Constipation
D. Decreased respirations - ANSWER-A. Tinnitus
4.) The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens are most effective when
applied:
A. Immediately before swimming
B. 15 minutes before exposure to the sun
C. Immediately before exposure to the sun
D. At least 30 minutes before exposure to the sun - ANSWER-D. At least 30 minutes before
exposure to the sun
5.) Mafenide acetate (Sulfamoyl) is prescribed for the client with a burn injury. When applying
the medication, the client complains of local discomfort and burning. Which of the following is
the most appropriate nursing action?
A. Notifying the registered nurse
B. Discontinuing the medication
C. Informing the client that this is normal
, D. Applying a thinner film than prescribed to the burn site - ANSWER-C. Informing the
client that this is normal
6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of
injury. The nurse monitors the client, knowing that which of the following indicates that a
systemic effect has occurred?
A. 1.Hyperventilation
B. Elevated blood pressure
C. Local pain at the burn site
D. Local rash at the burn site - ANSWER-A. Hyperventilation
7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed?
A. Platelet count
B. Triglyceride level
C. Complete blood count
D. White blood cell count - ANSWER-B. Triglyceride level
8.) A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes
isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the
client is taking which medication?
A. Vitamin A
B. Digoxin (Lanoxin)
C. Furosemide (Lasix)
D. Phenytoin (Dilantin) - ANSWER-A. Vitamin A
9.) The nurse is applying a topical corticosteroid to a client with eczema. The nurse would
monitor for the potential for increased systemic absorption of the medication if the medication
were being applied to which of the following body areas?
A. Back
B. Axilla
C. Soles of the feet
D. Palms of the hands - ANSWER-B. Axilla
10.) The clinic nurse is performing an admission assessment on a client. The nurse notes that the
client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would
suspect that the client is being treated for:
A. Acne
B. Eczema
C. Hair loss
D. Herpes simplex - ANSWER-A. Acne
11.) The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a
partial-thickness burn, which has cultured positive for gram-negative bacteria. The nurse is
,reinforcing information to the client about the medication. Which statement made by the client
indicates a lack of understanding about the treatments?
A. "The medication is an antibacterial."
B. "The medication will help heal the burn."
C. "The medication will permanently stain my skin."
D. "The medication should be applied directly to the wound." - ANSWER-C. "The
medication will permanently stain my skin."
12.) A nurse is caring for a client who is receiving an intravenous (IV) infusion of an
antineoplastic medication. During the infusion, the client complains of pain at the insertion site.
During an inspection of the site, the nurse notes redness and swelling and that the rate of infusion
of the medication has slowed. The nurse should take which appropriate action?
A. Notify the registered nurse.
B. Administer pain medication to reduce the discomfort.
C. Apply ice and maintain the infusion rate, as prescribed.
D. Elevate the extremity of the IV site, and slow the infusion. - ANSWER-A. Notify
the registered nurse.
13.) The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously.
The nurse caring for the client anticipates that which diagnostic study will be prescribed?
A. Echocardiography
B. Electrocardiography
C. Cervical radiography
D. Pulmonary function studies - ANSWER-D. Pulmonary function studies
14.) The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which
laboratory value would the nurse specifically monitor during treatment with this medication?
A. Clotting time
B. Uric acid level
C. Potassium level
D. Blood glucose level - ANSWER-B. Uric acid level
15.) The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse
who is assisting in caring for the client during its administration understands that which side
effect is specifically associated with this medication?
A. Alopecia
B. Chest pain
C. Pulmonary fibrosis
D. Orthostatic hypotension - ANSWER-D. Orthostatic hypotension
16.) The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic
medication. When implementing the plan, the nurse tells the client:
A. To take aspirin (acetylsalicylic acid) as needed for headache
B. Drink beverages containing alcohol in moderate amounts each evening
C. Consult with health care providers (HCPs) before receiving immunizations
, D. That it is not necessary to consult HCPs before receiving a flu vaccine at the local
health fair - ANSWER-C. Consult with health care providers (HCPs) before
receiving immunizations.
17.) The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse
monitors the client, knowing that which of the following indicates a side effect specific to this
medication?
A. Diarrhea
B. Hair loss
C. Chest pain
D. Numbness and tingling in the fingers and toes - ANSWER-D. Numbness and
tingling in the fingers and toes
18.) The nurse is reviewing the history and physical examination of a client who will be
receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered
nurse regarding the administration of the medication if which of the following is documented in
the client's history?
A. Pancreatitis
B. Diabetes mellitus
C. Myocardial infarction
D. Chronic obstructive pulmonary disease - ANSWER-A. Pancreatitis
19.) Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse
understands that the primary action of this medication is to:
A. Increase DNA and RNA synthesis.
B. Promote the biosynthesis of nucleic acids.
C. Increase estrogen concentration and estrogen response.
D. Compete with estradiol for binding to estrogen in tissues containing high
concentrations of receptors. - ANSWER-D. Compete with estradiol for binding to
estrogen in tissues containing high concentrations of receptors.
20.) The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically
monitors which laboratory value while the client is taking this medication?
A. Glucose level
B. Calcium level
C. Potassium level
D. Prothrombin time - ANSWER-B. Calcium level
21.) A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the
adverse effects that the nurse monitors for that are associated with this medication. Select all that
apply.
A. Tinnitus
B. Ototoxicity
C. Hyperkalemia
D. Hypercalcemia
E. Nephrotoxicity
