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Pharmacology Exam Questions and Answers for Nursing Students, Exams of Pharmacology

Capella UniversityPharmacology

A series of multiple-choice questions related to pharmacology, likely intended for exam preparation. It covers various aspects of medication administration, expected effects, adverse reactions, and necessary nursing interventions. The questions address specific drugs and their impact on different conditions, providing a practical review of pharmacological concepts. It is useful for students studying pharmacology or nurses preparing for certification exams. Questions about drug interactions, contraindications, and patient education points, making it a comprehensive study aid. It also tests knowledge of lab values to monitor and appropriate actions based on patient responses to medications. The content is structured to assess understanding of key pharmacological principles and their application in clinical settings.

Typology: Exams

2024/2025

Available from 06/03/2025

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ATI PN PHARMACOLOGY PROCTORED EXAM 2025-2026|REAL 75
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS (WITH
NGN) |ALREADY GRADED A+
1. After instilling an eye drop that has a systematic effect, the nurse should press on which of the
following to prevent absorption into the circulation?
a. The bony orbit
b.Thenasolacrimalduct
c. The conjunctival sac
d. The outer cantus of the eye
2. A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma
(POAG) during a screening examination. Which of the following data collection finding should the
nurse expect?
a. Sudden loss of central vision
b. Intraocular pressure 19 mm Hg
c.Noreports ofpain
d. Intact peripheral vision
3. A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who
has glaucoma. For which of the following adverse effects should this client be monitored?
a. Hypertension
b.Bradycardia
c. Seizures
d. Jaundice
4. A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle
spasm following a back injury. Which of the following lab values should the nurse expect to
monitor while the client is taking this medication?
a. Serum creatinine
b.Liverenzymes
c. WBC count
d.
RBC
count
5. A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of
the following should the nurse include in the teaching? (Select all that apply)
a. Take the medication 15 min before exercising.
b. Follow a fixed-dosage schedule for long-term control of asthma.
1/15
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Download Pharmacology Exam Questions and Answers for Nursing Students and more Exams Pharmacology in PDF only on Docsity!

ATI PN PHARMACOLOGY PROCTORED EXAM 2025 - 2026 |REAL 75

EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS (WITH

NGN) |ALREADY GRADED A+

  1. After instilling an eye drop that has a systematic effect, the nurse should press on which of the following to prevent absorption into the circulation? a. The bony orbit b.Thenasolacrimalduct c. The conjunctival sac d. The outer cantus of the eye
  2. A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma (POAG) during a screening examination. Which of the following data collection finding should the nurse expect? a. Sudden loss of central vision b. Intraocular pressure 19 mm Hg c.Noreports ofpain d. Intact peripheral vision
  3. A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who has glaucoma. For which of the following adverse effects should this client be monitored? a. Hypertension b.Bradycardia c. Seizures d. Jaundice
  4. A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication? a. Serum creatinine b.Liverenzymes c. WBC count d. RBC count
  5. A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching? (Select all that apply) a. Take the medication 15 min before exercising. b. Follow a fixed-dosage schedule for long-term control of asthma.

c. Expect to lose weight while taking the medication. d. Observe for adverse effects such as tremors, restlessness, and palpitations. e. Do not crush or chew tablets.

  1. A nurse is reinforcing teaching for a client with a prescription for a beclomethasone (QVAR) inhaler to be used for the long-term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler? a. Iron and Protein b. CalciumandVitaminD c. Vitamin B¹² and folic acid d. Vitamin E and K
  2. A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following findings? a. Weight loss b. Infection c. Hypoglycemia d. Angina Pain
  3. A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The nurse should plan to monitor the client for which of the following findings? a. Sedation b. Nasalcongestion c. Productive cough d. Constipation
  4. A nurse is caring for a preschool-age child who may have taken an overdose of diphenhydramine (Benadryl). To identify antihistamine toxicity, the nurse should plan to monitor the child for which of the following? a. Hallucinations b. Bradycardia c. Pinpoint pupils d. Pallor
  5. A nurse is reinforcing teaching for a client who has hypertension and is prescribed hydrochlorothiazide (HydroDIURIL) twice daily. Which of the following instructions should the nurse include in the client’s teaching? a. “You should avoid foods high in potassium.” b. “Taketheseconddoseofthedaybyearlyafternoon.” c. “Watch for ankle swelling that may appear late in the evening.” d. “Limit your daily fluid intake to 1½ L.”

b. Pulserate c. Temperature d. Bloodpressure e. Deep tendon reflexes

  1. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following should the nurse instruct the client to report to the provider? (Select all that apply.) a. Fatigue b. Constipation c. Anorexia d. Rash e. Diplopia
  2. A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina. The nurse should plan to monitor the client for which of the following findings? a. Bradycardia b. Fever c. Hypertension d.Headache
  3. A nurse is obtaining a medication history from a client who is to start a new prescription for warfarin (Coumadin). Which of the following over-the-counter medications should the nurse instruct the client to avoid? a. Ranitidine (Zantac) b. Docusate sodium (Colace) c. Acetaminophen d.Aspirin
  4. A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch (Nitro-Dur) once daily. Which of the following are true regarding the administration of transdermal nitroglycerin? (Select all that apply) a. Applythepatchatthesametimeeachmorning b. Leave the patch in place for 24 hr before replacing. c. Putpatchonahairlessareaofskin. d. Rotate the sites of administration with each application. e. Cutpatches inhalftoallowforsmallerdosesofprescribedmedication.
  5. A nurse is reinforcing teaching to a client who is prescribed lovastatin (Mevacor). Which of the following should be included in the teaching? a. Takethemedicationwiththeeveningmeal. b. Change position slowly when rising from a chair. c. Maintain a steady intake of green leafy vegetables. d. Consume no more than 1L of fluid/day.
  1. A nurse is reinforcing teaching for a client who is to begin taking a new prescription for niacin (Niacor). The nurse should instruct the client to expect which of the following? a.Facialflushing b. Frontal headache c. Blurred vision d. Dry mouth
  2. A nurse is caring for a client who takes a daily dose of warfarin (Coumadin). The client begins vomiting blood. Which of the following medications should the nurse prepare to give to reverse the effects of warfarin? a. VitaminK b. Atropine sulfate c. Protamine sulfate d. Calcium gluconate
  3. A nurse is caring for a client who has been taking a daily dose of warfarin for the past two weeks following an acute myocardial infarction. The client’s most recent INR is 1 to 2. If the client has been taking the warfarin as prescribed, the nurse should expect which of the following changes to the client’s prescription? a. The warfarin will be continued at the same dose. b. The warfarin will be discontinued. c.Thewarfarindosagewillbeincreased. d. The warfarin dosage will be decreased.
  4. When caring for a client taking aspirin to reduce the risk for a myocardial infarction, the nurse should monitor for which of the following adverse effects? (Select all that apply) a. Petechiae b. Hypertension c. Tinnitus d. Bruising e. Black stools
  5. Which of the following interventions should the nurse implement when preparing to administer filgrastim (Neupogen) for the first time to a client who has undergone a bone marrow transplant? a. Administer intramuscularly in a large muscle mass to prevent injury. b. Give orally with a meal or snack to prevent severe gastrointestinal upset. c. Shake vial gently to mix well before withdrawing dose. d.Discardvialafterremovingonedoseofthemedication.
  6. A nurse is caring for a client who has been receiving epoetin alfa (Epogen) three times a week for several weeks. At a visit to the clinic, the client’s Hgb has increased from 7 g/dL to 8.5 g/dL in the

a. Thickeningthecervicalmucustoslowspermpassage b. Inducing maturation of ovarian follicle c. Increasing development of the corpus luteum d. Altering the endometrial lining to prevent implantation e. Inhibiting ovulation

  1. A nurse is caring for a male client who has a new prescription for testosterone cypionate (Depo- Testosterone) IM every 2 to 4 weeks for hypogonadism. The nurse should plan to monitor which of the following laboratory values? a. Serum creatinine b.Cholesterollevels c. BUN d. Serum potassium
  2. A nurse is reinforcing teaching for a client who takes sildenafil (Viagra) several times weekly and has a new prescription for oral erythromycin (E-Mycin) to treat a respiratory tract infection. The nurse should instruct the client about an increased risk for which of the following findings due to an interaction between the two medications? a. Priapism b. Urinary frequency c. Weight gain d. Insomnia
  3. A nurse is reinforcing teaching for a female client who has a new prescription for hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The nurse evaluates that the client understand the teaching when she states, “While taking hydroxychloroquine I should a. go to the dentist more frequently b.callmydoctorifIdevelopblurredvision.” c. have a Pap test twice a year.” d. let my doctor know if my urine becomes darker.”
  4. A client who has osteoporosis is started on alendronate (Fosamax). The nurse should instruct the client to do which of the following? (Select all that apply.) A. Takethemedicationinthemorningafterarisingandbeforeeating. B. Chew tablets to increase bioavailability. C. Drink8ozofwater witheachtablet D. Take the medication with an antacid if heartburn occurs E. Avoidlyingdownaftertakingthemedication
  1. A nurse is caring for a client who has been prescribed calcitonin-salmon to treat osteoporosis. When evaluating the client’s therapy, the nurse should recognize that which of the following serum calcium levels is within the expected range? a. 8.6 mg/dl b.9.6mg/dl c. 10.6 mg/dl d. 11.6 mg/dl
  2. A nurse is caring for an older adult client who is taking large doses of aspirin four times daily for severe rheumatoid arthritis pain. For which of the following should the nurse monitor the client? a. Hepatotoxicity b.Renalimpairment c. Reye’s syndrome d. Ischemic stoke
  3. A nurse is caring for a toddler who was just admitted for an acetaminophen overdose. Which of the following medications should the nurse anticipate being administered to this client? a.Acetylcysteine(Mucomyst) b. Pegfilgrastim (Neulasta) c. Misoprostol (Cytotec) d. Naltrexone (Re Via)
  4. A nurse is caring for postoperative client who is prescribed ketorolac (Toradol) for pain management. The nurse should recognize that which of the following is true regarding the administration of ketorolac? a.Ketorolacisprescribedpostoperativelytolowerthedosageofopiodsneeded. b. Client’s who take ketorolac avoid the adverse reactions of NSAIDS. c. Ketorolac is available as a timed-release transdermal patch. d. Client’s maybe prescribed ketorolac for long-term relief of chronic pain, such as arthritis
  5. A nurse is monitoring a client who received regular doses of meperidine (Demerol) for post- operative pain for 36 hr. For which of the following should the nurse monitor the client? a. Hypothremia b. Bradycardia c.Delirium d. Watery diarrhea
  6. A nurse is caring for a client who has been receiving morphine for postoperative pain for the past few days. For which of the following should the nurse monitor the client? (Select all that apply)

d. Asthma

  1. A nurse is caring for a client who has severe pain in his right foot. Which of the following laboratory values tell the nurse that the client is having a flare-up of gout? a. Increased serum creatinine b. Decreased creatinine kinase c. Decreased total protein d.Increaseduricacid
  2. A nurse is caring for a client who has migraine headaches and is planning to ask her provider for a prescription for ergotamine is contraindicated for clients who have which of the following conditions? a. Seizure disorders b. Angle closure glaucoma c.Coronaryarterydisease d. Peptic ulcer disease
  3. A nurse is reinforcing teaching to a client with migraine headaches who has a new prescription for sumatriptan (Imitrex).The nurse should plan to monitor the client for which of the following? a. Nausea and vomiting b.Pressureinthechest c. Fever and sore throat d. Bleeding and bruising
  4. Match the time of NPH insulin (Humulin N) onset: a. Less than 15 min b. 0.5 to 1 hr c. 1 to 2 hr d. 1 hr
  5. A nurse is caring for a group of clients who need insulin injections. The nurse should recognize that he can mix. Which of the following insulin in the same syringe with another insulin? (Select all that apply) a. Insulin detemir (Levemir) b. Insulinlispro(Humalog) c. Insulin glargine (Lantus) d. Insulinaspart (Novolog)
  6. A nurse is caring for a client who has type 2 diabetes mellitus and a prescription for rosiglitazone (Avandia). For which of the following findings should the nurse monitor the client?

a. Edema b. Palpitations c. Seizures d. Urinary retention

  1. A nurse is reinforcing teaching for a client newly diagnosed who has type 2 diabetes mellitus. Which of the following should the nurse include the teaching? (Select all that apply) a. Check blood glucose levels less frequently when feeling ill. b. Take an extra dose of the oral hypoglycemic agent the next day if a dose is missed. c. Carry a fast-acting glucose source at all times. d. Eat a snack prior to planned exercise. e. Inspect feet surfaces daily
  2. A nurse is caring for a client who is taking levothyroxine (Synthroid). For which of the following should the nurse monitor to identify levothyroxine toxicity? a. Hair loss b. Lethargy c.Weightloss d. Cold intolerance
  3. A nurse is reinforcing teaching for a client with hyperthyroidism who has a new prescription for propanolol (Inderal). The nurse should teach the client that propranolol should perform which of the following actions? a. Increase blood flow to the thyroid gland b. Prevent thyroid hormone synthesis c.Suppresstachycardia d. Promote conversion of T4 to T
  4. A nurse is reinforcing teaching for a client who is prescribed strong iodide solution (Lugol’s solution) prior to thyroid surgery. For which of the following adverse effects should the nurse monitor the client? a. Blurred vision b.Metallictaste c. Absence seizures d. Frontal headache
  5. A client taking hydrocortisone for adrenocortical insufficiency (Addison’s disease) is admitted to the hospital for a total hip arthroplasty. Which is the following actions is the highest priority? a.Administrationofsupplementaldosesofhydrocortisone b. Instruction on coughing and deep breathing c. Insertion of an indwelling urinary catheter d. Requesting a referral for physical therapy

c. “I will finish all the medicine even if I am feeling better.” d. “I will take the medication first thing in the morning.’

  1. A nurse is caring for a client who will receive gentamicin (Garamycin) intermittent IV bolus at noon. The infusion will take 30 min. When should the nurse plan to have a peak level of gentamicin drawn by the laboratory? a. 12:30 pm b. 1:00pm c. 2:30 pm d. 3:00 pm
  2. A nurse is caring for a client with prescription for erythromycin (E-Mycin) to treat a urethral infection. The client also takes daily prescriptions for furosemide (Lasix) and warfarin (Coumadin). For which of the following manifestations of a drug interaction should the nurse monitor the client? a. Bradycardia b. Urinary retention c.Bleeding d. Hypernatremia
  3. A nurse is caring for a client who receives amikacin (Amikin) by intermittent IV bolus for a severe infection. Which of the following laboratory values should the nurse recognize as an adverse effect of amikacin? a. Elevatedserumcreatinine b. Elevated triglycerides c. Decrease serum potassium d. Decrease hematocrit
  4. A nurse is caring for a group of clients who each have urinary tract infections. The nurse should know that trimethroprim-sulfamethoxazole is contraindicated in clients who have had a hypersensitivity reaction to which of the following medications? a. Digoxin (Lanoxin) b.Chlorothiazide(Diuril) c. Ranitidine (Zantac) d. Rosiglitazone (Avandia)
  5. A nurse is reinforcing teaching for a client with prescription for trimethoprim-sulfamethoxazole (Bactrim). Which of the following precautions should the nurse reinforce to the client in order to minimize an adverse effect of the medication?

a. Avoidprolongedsunexposure. b. Slip water or suck hard candy frequently. c. Stop taking the medication if ringing in the ears occurs. d. Increase the amount of fiber and liquids in the diet.

  1. A nurse is caring for a client who has diabetes mellitus and pulmonary tuberculosis. The client has a new prescription for isoniazid (INH). Which of the following supplements should the nurse expect to administer to prevent an adverse effect of isoniazid? a. Ascorbic acid b.Pyridoxine c. Folic acid d. Cyanocobalamin
  2. A nurse is caring for a client who has a prescription for oral ketoconazole (Nizoral), which he will be taking for several months to treat a systemic fungal infection. Which of the following should the nurse to monitor? a. BUN and serum creatinine levels b. Hemoglobin and hematocrit levels c.Liverfunctiontests d. Thyroid function tests
  3. A nurse is monitoring a client with latent tuberculosis who has been taking twice-weekly isoniazid (INH) for the past 3 months. For which of the following findings should the nurse monitor the client? a. Jaundice b. Renal impairment c. Hypotension d. Palpitations
  4. A nurse is reinforcing teaching to a client who has HIV-positive and has a new prescription for efavirenz (Sustiva), an NNRTI medication. Which 0f the following adverse effects should the nurse teach the client to watch for? a. Arash,whichmaybeginwithintwoweeks b. Orthostatic hypotension, which may occur following the first dose c. Hair loss, which may start after 2 to 3 days d. Ankle edema, which may occur after several months of therapy
  5. A nurse is preparing to administer medication for a client who is receiving intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take? a. Crush extended release tablets