NURS 406 PHARMACOLOGY ASSESSMENT 1 & 2,
WITH NGN QUESTIONS AND 100% VERIFIED
ANSWERS -UPDATED 2025-2026-A+ GRADE
CONTENTS
ASSESSMENT 1
ASSESSMENT 2
POST-ASSESSMENT ASSIGNENT 1
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NURS 406 Pharmacology Assessment 1 & 2: Practice Questions and Answers, Exams of Pharmacology
A set of practice questions and answers for nurs 406 pharmacology assessment 1 & 2. It covers various topics related to medication administration, adverse effects, and client education. The questions are designed to test knowledge and understanding of key concepts in pharmacology.
Typology: Exams
2024/2025
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NURS 406 PHARMACOLOGY ASSESSMENT 1 & 2,
WITH NGN QUESTIONS AND 100% VERIFIED
ANSWERS - UPDATED 202 5 - 2026 - A+ GRADE
CONTENTS
ASSESSMENT 1
ASSESSMENT 2
POST-ASSESSMENT ASSIGNENT 1
1. The first action the nurse should take is to assess the client for injury due to medication error. Assess the client 2. A nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medication? Albuterol Furosemide Digoxin Atenolol 3. A nurse is providing teaching to a client who has a new prescription for ranitidine for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions? It decreases stomach motility It reduces gastric acid production It forms a protective barrier in the stomach lining. It neutralizes gastric acid. 4. A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose, the nurse should ask the client if they have allergy to which of the following medication classifications? Nitrates Sulfa-based medications Antilipemic agents Proton pump inhibitors 5. A nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. The client asks why they must take both medications. Which of the following response should the nurse make? If you take the two medications together, it will shorten the duration of you…. Taking the two medications together keeps you from becoming resistant to either of them. Taking the two medication together keeps you from developing toxicity from either of them Zidovudine will help protect you from the possible adverse effects of ritonavir 6. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate release exenatide. Which of the following client statements indicates an understanding of the teaching?
Respiratory rate 20/min Oral temperature 37. Blood pressure 118/ mm Apical pulse 50 /min
13. A nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day. Which of the following information should the nurse include in the teaching? Increase fluids while taking the medication Expect an elevation in blood pressure with initial doses of the medication Stop the medication immediately if urine becomes orange in color Take the medication in the morning 14. A nurse is providing teaching to a client who has a new prescription for oral extended-release potassium chloride tablets. Which of the following instructions should the nurse include in the teaching? Do not crush this medication Dissolve the tablet in your mouth Take this medication on an empty stomach Take this medication every other day 15. A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements by the client indications an understanding of the teaching? I should take this medication with foodI will take three doses each day I might not realize the full effect of the medication for several weeks I might gain weight while taking this medication if I do not exercise 16. While assessing a client at the beginning of the shift a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error? After the end of the current shift After contacting risk management As soon as the assessment is complete As soon as the nurse from the previous shift has been informed 17. A nurse is preparing to administer a second unit of packed RBCs to a client who is experiencing hemorrhagic shock. The nurse should monitor the client for which of the following manifestation as an indication of circulatory overload? Chills Wheezing
Dyspnea Flushing
18. A nurse is planning care for a client who has neutropenia. Which of the following medication should the nurse expect to administer? Epoetin Filgastrim Enoxaparin Oprelvekin 19. A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statement indicate an understanding of the teaching? It’s ok to put the drops in my eyes while I’m wearing my contacts I can expect to feel some irritation when I put these drops in my eyes I should expect to stop taking the medication after 3 weeks At least these drops will help clear up the redness I get in my eyes sometimes 20. A nurse is caring for a client who has varicella- zoster virus. Which of the following medications should the nurse expect to administer? Acyclovir Vancomycin Gentamicin Quinine 21. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. Vitamin K Physostigmine Protamine Calcium gluconate 22. A nurse is providing teaching to a client who has Parkinson's disease and has a new prescription for carbidopa/levodopa. Which of the following instructions should the nurse include in the teaching? "Stop taking the medication if your urine becomes dark." "Take this medication at the first sign of tremors." "Increase your intake of foods high in protein." "Move slowly when you stand up." 23. A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer. Which of the following information should the nurse include in the teaching?
29. A nurse is monitoring a client who received an excessive dose of morphine. Which of the following adverse effects should the nurse identify as the priority? Nausea and vomiting Urinary retention Decreased respirations Increased drowsiness 30. A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the following instructions should the nurse include in the teaching? "Expect to experience a harmless rash while taking this medication." "Increase your fluid intake." "Increase your dietary beer intake to prevent constipation." "Take one dose every hour until the pain subsides." 31. A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler? "You should gargle with water after each use of this inhaler." "There is no need to use a spacer for this inhaler.” “You should use this inhaler for any acute incidents of shortness of breath.” “Use the beclomethasone inhaler before using your albuterol inhaler to increase absorption.” 32. A nurse is reviewing laboratory results prior to administering ketorolac to a client. Which of the following findings should the nurse report to the provider prior to administration? Sodium 140 mEq/L Creatinine 1.6 mg/dL Aspartate aminotransferase (AST) 33 units/L Lactic acid 6 mg/dL 33. A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? "Remove the patch for two to four hours daily." "Cover the patch with plastic wrap." "Apply a new patch each day after waking up." "Replace the existing patch with a new patch as soon as anginal pain begins." 34. A nurse is assessing a client who reports taking spironolactone 50 mg PO twice daily for several months. For which of the following manifestations should the nurse withhold the prescribed dose of spironolactone and notify the provider? Muscle weakness BUN 15 mg/dL
Gynecomastia BP 118/
35. A nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize that misoprostol is contraindicated for which of the following clients? A client who might be pregnant A client who is experiencing diarrhea A client who is receiving long-term NSAID therapy A client who has a gastrointestinal bleed 36. A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mgPO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? (Select all that apply.) Educate the client about the possible consequences of not taking the medication. Suggest the client take food with the medication to minimize GI effects. Document the client's refusal in the medication administration record. Offer to administer the medication IM. Recommend the client ask the provider to prescribe an enteric-coated medication. 37. A nurse is providing teaching to a client who has a new prescription for Montelukast. Which of the following statements by the client indicates an understanding of the teaching? I will take an extra dose of this medication. If I have an acute asthma attack I can take up to four tables per day to help control my asthma symptoms I will take this medication every day to control my exercise induced asthma I should always keep this medication with me in case I have an acute asthma attack 38. A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medication should the nurse expect administer? Bisacodyl Naloxone Flumazenil Pentazocine
pressure Decreased pulmonary congestion
Decreased anginal pain
43. A nurse is discussing adverse effects with a client who has non-Hodgkin’s lymphoma and is starting to take methotrexate. Which of the following information should the nurse provide? Methotrexate can increase the risk for bleeding Methotrexate can cause bradycardia Methotrexate can cause arthritic pain Methotrexate can cause insomnia. 44. A nurse is caring who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders. (Selected all that apply) Hypertensio n Heart failure Male pattern baldness Benign prostatic hypertrophyErectile dysfunction 45. A nurse for a client who has a prescription for vancomycin 1 g Iv intermittent infusion over 30 min every 12 hr. Which of the following actions should the nurse take? Request a serum through level blood draw for 60 min after completion of infusion Change the infusion site after each dose administration Contact the provider for prescription clarification Request a serum peak level to be draw 30 min prior infusion. 46. A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication? Decreased tyramine levels
Pharm
Assessment 2
1. A nurse is teaching a client who is to start taking methyldopa for the treatment of hypertension. Witch of the client following information should the nurse include in the teaching. This medication can cause dizziness This medication can cause insomnia Expect to experience depression while taking this medication Expect to have increased salivation while taking this medication 2. A nurse is preparing to administer gentamicin 200 mg infusion over hr to a school-age child. Available is gentamicin 200mg in 100 mL 0.5 % sodium chloride solution. The nurse should set the IV pump to deliver how many mL per hour? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) 100mL/hr 3. A nurse is providing teaching to the parents of a child who is starting to take liquid ferrous sulfate. Which of the following information should the nurse include in the teaching? Monitoring your child for constipation Milk increases the absorption of the medication Administer the medication undiluted Stop the medication immediately if you notice any dark stool 4. A nurse is assessing a client who has been taking hydrochlorothiazide. Which of the following client statements indicates that the medication is effective? The swelling in my feet has decreasing My appetite has increased I no longer feel depressed I am sleeping better 5. A nurse is assessing a client who is in preterm labor and is receiving magnesium
sulfate via continuous IV infusion. Which of the following findings should the nurse identify as the priority?
11. A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching? Take the medication immediately after a meal Drink 8 ounces of milk when taking the medication Take the medication before bedtime Take one tablet of the medication on the same date each month 12. A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam? Hyperglycemia Stomatitis Fever Constipation 13. A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for treatment of GRED. Which of the following statements by the client indicates an understanding of the teaching? This medication kills the bacteria in my stomach This medication neutralizes stomach acid This medication coasts the lining of my stomach This medication reduces stomach acid 14. A nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? Repeat up to four doses until pain is relieved Store unused tablets at room temperature Take two tablets at the onset of pain Take medication 2 hr prior to exercise 15. A nurse erroneously administered a prescribe medication IV instead of IM to a client. Which of the following actions is the nurse’s priority? Assess the client Report the error Document the errorInform the client 16. A nurse is assessing a client who has a prescription for haloperidol 0.5 mg PO three times daily. The medication administration record shows that the client received 5 mg
per dose on the previous day. Which of the following manifestations is the nurse’s priority to assess? Muscle stiffness Blurred Vision Constipation Daytime drowsiness
17. A nurse is reviewing the medical record of a client who has asthma and takes albuterol. Which of the following should the nurse identify as an adverse effect of albuterol? Fasting blood glucose 68 mg/dL Heart rate 110/min Respiratory rate 14/min Temperature 38° C (100.4° F) 18. A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching? This medication can cause constipation I will contact the provider if my throat becomes sore I will weigh myself once a week while on this medication This medication should be taken as needed when symptoms occur 19. A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect off this medication? Decreased excretion of urine sodium Increased urinary output Decreased serum glucose Increased blood pressure 20. A nurse is assessing a group of client. Which of the following findings is the priority to report to the provider? A client who is receiving IM betamethasone and has a casual blood glucose of 198mg/dL A client whose heart rate charges from 110min to 75min after receiving IV amiodarone A client who is receiving subcutaneous enoxaparin and reports slight bruising at the injection sites A client who is receiving continuous IV lidocaine and has a respiratory rate of 10 min Aceta 21. A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medication should the nurse expect the provider to prescribe?
Chlordiazepoxide Bupropion Methadone
22. A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about starting neostigmine. The nurse should identify which of the following client condition as a potential contraindication for cholinesterase inhibitor therapy? Cataracts Hypertension Hypothyroidism Peptic ulcer disease 23. A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide>The nurse should explain to the client that leuprolide treats prostate cancer by which of the following action? Leuprolide decreases the production of testosterone Leuprolide kills cells at all stages of cellular division Leuprolide increases estrogen levels in your body to counteract the cancer cells Leuprolide suppresses the pituitary glands production of growth hormone to decrease cancer cellular growth 24. A nurse is caring for a client who requires a transfusion of one unit of packed RBC. The nurse receives the following prescription diphenhydramine 50 mg by mouth once. One hour prior to transfusion. The nurse should identify this as which of the following types of prescription? PRM prescription Standing prescription Stat prescription Single prescription 25. A nurse is caring for an older adult client is confirmed positive for HIV and will begin medication therapy. Which of the following instructions should the nurse give the client Select all that apply?
You will be prescribed more than one medication to fight the virus Your medication dose will need to be slightly stronger than the recommended range Your medication plan can also include an antibiotic medication You will need to take medication for the rest of your life You can take St John’s wort to minimize medication adverse effects.
26. A nurse is caring for a client a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider? Phenytoin Calcitonin Buspirone Fludrocortisone 27. A nurse is caring for a client who has a systemic fugal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take? Apply a warming blanket prior to administration Infuse the medication over 1 hr Administer diphenhydramine prior to administration Monitor vital signs once per hour following administration 28. A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching? I should not crush this medication before taking it I should discontinue this medication when my symptoms subside I will need to have regular eye exams while taking this medication If I miss a dose of my medication, I can take a double dose the next time 29. A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which of the following client statements indicates an understanding of the teaching? I will expect to have dark urine while taking this medication