NR341 CJE Pharmacology Benchmark Exam – Med-Surg
Drug Safety, Adverse Effects & Nursing
Priorities|Verified Questions with A+ Graded Rationales
Latest Updated 2026
A client admitted to the medical unit complains of dizziness and shortness of
breath. the client had no allergies and denies a history of smoking. last client
weight 185 lbs. identify the nurses best action?
Question the prescription
a client with a history of alcoholism and chronic pancreatitis is admitted to the
medical surgical unit for acute pancreatitis exacerbation. the nurse reviews the
trending nursing notes click to identify the client data that most likely indicated
that pancreatic enzyme replacement therapy is effective for this client
1 formed brown stool
The nurse visits the client at home. The pharmacy has the nurse deliver lisinopril
and furosemide during the home visit. During the visit, the client shows the nurse
other medications that are being used. Which medication is most concerning?
non-steroidal anti-inflammatories (NSAIDS)
2/7 0900 client presents to providers office with reports of swelling and pain to left
big toe. client has a history of elevated triglycerides and takes atorvastatin daily.
client reports experiencing this before but states it typically has gone away in the
past after taking naproxen "for a while". client reports difficulty walking over the
past 3 days related to pain. on assessment client doe report daily alcohol intake and
a diet with high beef and red meat intake. uric acid levels assessed and high. client
diagnosed with gout and prescribed colchicine high dose initially to be followed by
low-dose for maintenance. 2/12 follow up phone call to client. client reports
improvement in pain and swelling of left toe and improved mobility. client does
report a few episodes of diarrhea after initially taking the colchicine and some
lingering mild bad pain. client also reports "feeling kind of weak" over the past two
days.
-feeling weak or muscle weakness
-Atorvastatin
, NR341 CJE Pharmacology Benchmark Exam – Med-Surg
Drug Safety, Adverse Effects & Nursing
Priorities|Verified Questions with A+ Graded Rationales
Latest Updated 2026
The nurse plans to administer clopidogrel to a client. After reviewing the drug
reference guide and electronic health record, what is a concern for the nurse?
a lower dose of the medication is needed
1600: client returned to surgical unit following abdominal surgery. estimated blood
loss greater than expected. provider prescribes 2 units of packed RBCs and
administration of furosemide IV push after first unit. RN assess client and
prescriptions. blood bank called to notify blood is ready. 16:15 unlicensed assistive
personnel retrieved 1 unit PRBC from blood bank. RN with second RN verified
prescription for transfusion and verified client consent already on chart. both RNs
verify unit of PRBC at nursing station and at clients bedside after verifying client
identification. RN prepares Y-tubing with lactated ringers solution and primes
tubing with blood. vital signs obtained and blood administration started in 18
guage peripheral IV to left forearm 16:30 client with no complaints. resting in bed.
vital sings stable and infusion rate increased. 21:30 PRBC unit infusion complete
vital signs obtained. furosemide IVP ad
-priming solution used
-tubing used for second PRBC administration
-Allowing the UAP to retrieve the blood from the blood bank
-length of time for the first PRBC infusion
-timing of second PRBC administration from retrieval
A client with arthritis reports persistent and daily pain and receives medication as
needed. Which assessment indicates treatment is effective?
Able to bathe and dress without assistance
The client discusses the use of paroxetine with the nurse. Which statement by the
client causes the nurse the most concern?
"I am taking St. John's wort so I should feel better soon."
Drug Safety, Adverse Effects & Nursing
Priorities|Verified Questions with A+ Graded Rationales
Latest Updated 2026
A client admitted to the medical unit complains of dizziness and shortness of
breath. the client had no allergies and denies a history of smoking. last client
weight 185 lbs. identify the nurses best action?
Question the prescription
a client with a history of alcoholism and chronic pancreatitis is admitted to the
medical surgical unit for acute pancreatitis exacerbation. the nurse reviews the
trending nursing notes click to identify the client data that most likely indicated
that pancreatic enzyme replacement therapy is effective for this client
1 formed brown stool
The nurse visits the client at home. The pharmacy has the nurse deliver lisinopril
and furosemide during the home visit. During the visit, the client shows the nurse
other medications that are being used. Which medication is most concerning?
non-steroidal anti-inflammatories (NSAIDS)
2/7 0900 client presents to providers office with reports of swelling and pain to left
big toe. client has a history of elevated triglycerides and takes atorvastatin daily.
client reports experiencing this before but states it typically has gone away in the
past after taking naproxen "for a while". client reports difficulty walking over the
past 3 days related to pain. on assessment client doe report daily alcohol intake and
a diet with high beef and red meat intake. uric acid levels assessed and high. client
diagnosed with gout and prescribed colchicine high dose initially to be followed by
low-dose for maintenance. 2/12 follow up phone call to client. client reports
improvement in pain and swelling of left toe and improved mobility. client does
report a few episodes of diarrhea after initially taking the colchicine and some
lingering mild bad pain. client also reports "feeling kind of weak" over the past two
days.
-feeling weak or muscle weakness
-Atorvastatin
, NR341 CJE Pharmacology Benchmark Exam – Med-Surg
Drug Safety, Adverse Effects & Nursing
Priorities|Verified Questions with A+ Graded Rationales
Latest Updated 2026
The nurse plans to administer clopidogrel to a client. After reviewing the drug
reference guide and electronic health record, what is a concern for the nurse?
a lower dose of the medication is needed
1600: client returned to surgical unit following abdominal surgery. estimated blood
loss greater than expected. provider prescribes 2 units of packed RBCs and
administration of furosemide IV push after first unit. RN assess client and
prescriptions. blood bank called to notify blood is ready. 16:15 unlicensed assistive
personnel retrieved 1 unit PRBC from blood bank. RN with second RN verified
prescription for transfusion and verified client consent already on chart. both RNs
verify unit of PRBC at nursing station and at clients bedside after verifying client
identification. RN prepares Y-tubing with lactated ringers solution and primes
tubing with blood. vital signs obtained and blood administration started in 18
guage peripheral IV to left forearm 16:30 client with no complaints. resting in bed.
vital sings stable and infusion rate increased. 21:30 PRBC unit infusion complete
vital signs obtained. furosemide IVP ad
-priming solution used
-tubing used for second PRBC administration
-Allowing the UAP to retrieve the blood from the blood bank
-length of time for the first PRBC infusion
-timing of second PRBC administration from retrieval
A client with arthritis reports persistent and daily pain and receives medication as
needed. Which assessment indicates treatment is effective?
Able to bathe and dress without assistance
The client discusses the use of paroxetine with the nurse. Which statement by the
client causes the nurse the most concern?
"I am taking St. John's wort so I should feel better soon."
