PN Pharmacology Online Practice A: Comprehensive
Guide to Medication Safety, Adverse Effects, and
Patient Teaching Questions Provided with A+ Graded
Rationales Latest Updated 2026
A nurse is reinforcing teaching with the client about their new prescription. Which of the
following information should the nurse include in the teaching?
Take the entire prescribed dose of medication.
This medication can cause diarrhea.
Notify your provider if you experience a rash.
A nurse is assisting with the care of a client.
Which of the following findings indicate a complication with the client's PEG tube?
Gastric pH
Lung sounds
Gastric residual
Speech
Cough
A nurse is assisting in the care of a client in a provider's office.
The nurse is reviewing the client's medical record.
Click to highlight the findings that require immediate follow-up by the client's provider. To
deselect a finding, click on the finding again.
Client reports of being tired
Nurse notes rash
Heart rate of 58/min
A nurse is assisting in the care of a female older adult client on a medical-surgical unit.
Complete the following sentence by using the lists of options.
The client is at greatest risk for developing ________ as evidenced by __________
Medication toxicity
Elevated trough level
A nurse is assisting in the care of a client in the provider's office.
, Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly prescribed
medication. The nurse should plan to reinforce with the client to _________, and _________
Use saline nasal spray prior to administering medication
Instill two sprays of the medication in each nostril
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of
joint pain. The nurse should identify that which of the following findings is a contraindication
to receiving celecoxib?
History of myocardial infarction
Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and
unimpeded platelet aggregation. It is contraindicated for a client who has a history of
myocardial infarction or heart disease.
A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For
which of the following adverse effects should the nurse instruct the client to notify the
provider?
Muscle pain
The nurse should instruct the client to notify the provider if muscle pain or tenderness
develops because this can indicate the client is developing rhabdomyolysis.
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The
nurse should instruct the client to monitor for which of the following adverse effects of this
medication?
Dry cough
The nurse should identify that a persistent dry or nonproductive cough is an adverse effect of
enalapril. The underlying cause of the dry cough is the accumulation of bradykinin from the
medication. The client should notify the provider of this adverse effect.
A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat
hypertension. Which of the following conditions should the nurse include as a
contraindication for this medication?
Bradycardia
Guide to Medication Safety, Adverse Effects, and
Patient Teaching Questions Provided with A+ Graded
Rationales Latest Updated 2026
A nurse is reinforcing teaching with the client about their new prescription. Which of the
following information should the nurse include in the teaching?
Take the entire prescribed dose of medication.
This medication can cause diarrhea.
Notify your provider if you experience a rash.
A nurse is assisting with the care of a client.
Which of the following findings indicate a complication with the client's PEG tube?
Gastric pH
Lung sounds
Gastric residual
Speech
Cough
A nurse is assisting in the care of a client in a provider's office.
The nurse is reviewing the client's medical record.
Click to highlight the findings that require immediate follow-up by the client's provider. To
deselect a finding, click on the finding again.
Client reports of being tired
Nurse notes rash
Heart rate of 58/min
A nurse is assisting in the care of a female older adult client on a medical-surgical unit.
Complete the following sentence by using the lists of options.
The client is at greatest risk for developing ________ as evidenced by __________
Medication toxicity
Elevated trough level
A nurse is assisting in the care of a client in the provider's office.
, Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly prescribed
medication. The nurse should plan to reinforce with the client to _________, and _________
Use saline nasal spray prior to administering medication
Instill two sprays of the medication in each nostril
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of
joint pain. The nurse should identify that which of the following findings is a contraindication
to receiving celecoxib?
History of myocardial infarction
Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and
unimpeded platelet aggregation. It is contraindicated for a client who has a history of
myocardial infarction or heart disease.
A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For
which of the following adverse effects should the nurse instruct the client to notify the
provider?
Muscle pain
The nurse should instruct the client to notify the provider if muscle pain or tenderness
develops because this can indicate the client is developing rhabdomyolysis.
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The
nurse should instruct the client to monitor for which of the following adverse effects of this
medication?
Dry cough
The nurse should identify that a persistent dry or nonproductive cough is an adverse effect of
enalapril. The underlying cause of the dry cough is the accumulation of bradykinin from the
medication. The client should notify the provider of this adverse effect.
A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat
hypertension. Which of the following conditions should the nurse include as a
contraindication for this medication?
Bradycardia
