NURS 676 MIDTERM EXAM 2025/2026
NURS 676 MIDTERM EXAM 3 2025/2026
WEST COAST UNIVERSITY ADVANCED
PHARMACOLOGY SPRING/SUMMER
EXAM COMPLETE TEST BANK VERIFIED
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
A+ TEST BANK 1
, NURS 676 MIDTERM EXAM 2025/2026
While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to
another type of antiinfective agent should the nurse ask the client about when taking the nursing
history?
A. Aminoglycosides.
B. Cephalosporins. Correct
C. Sulfonamides.
D. Tetracyclines.
Cross allergies exist between penicillins and cephalosporins (B). Penicillin allergies are unrelated to
allergies associated with (A, C, or D).
A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the
client to notify the healthcare provider immediately if which symptom occurs?
A. Rash. Correct
B. Nausea.
C. Headache.
D. Dizziness.
Rash (A) is the most common adverse effect of all penicillins, indicating an allergy to the medication
which could result in anaphylactic shock, a medical emergency. (B, C, and D) are common side effects
of penicillins that should subside after the body adjusts to the medication. These would not require
immediate medical care unless the symptoms persist beyond the first few days or become extremely
severe.
A+ TEST BANK 2
, NURS 676 MIDTERM EXAM 2025/2026
A client receiving albuterol (Proventil) tablets complains of nausea every evening with her 9 p.m. dose.
What action should the nurse take to alleviate this side effect?
A. Change the time of the dose.
B. Hold the 9 p.m. dose.
C. Administer the dose with a snack. Correct
D. Administer an antiemetic with the dose
Administering oral doses with food (C) helps minimize GI discomfort. (A) would be appropriate only if
changing the time of the dose corresponds to meal times while at the same time maintaining an
appropriate time interval between doses. (B) would disrupt the dosing schedule, and could result in a
nontherapeutic serum level of the medication. (D) should not be attempted before other
interventions, such as (C), have been proven ineffective in relieving the nausea
A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a postoperative
infection. It is most important for the nurse to assess for what additional drug allergy before
administering this prescription?
A. Penicillins. Correct
B. Aminoglycosides.
C. Erythromycins.
D. Sulfonamides.
Cross-allergies exist between penicillins (A) and cephalosporins, such as cephalexin monohydrate
(Keflex), so checking for penicillin allergy is a wise precaution before administering this drug.
A+ TEST BANK 3
, NURS 676 MIDTERM EXAM 2025/2026
A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What
adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report
promptly to the healthcare provider?
A. Tinnitus and dizziness.
B. Tachycardia and chest pain. Correct
C. Dry skin and intolerance to cold.
D. Weight gain and increased appetite.
Thyroid replacement hormone increases the metabolic rate of all tissues, so common signs and
symptoms of toxicity include tachycardia and chest pain (B). (A, C, and D) do not indicate a thyroid
hormone toxicity
Which nursing intervention is most important when caring for a client receiving the antimetabolite
cytosine arabinoside (Arc-C) for chemotherapy?
A. Hydrate the client with IV fluids before and after infusion.
B. Assess the client for numbness and tingling of extremities.
C. Inspect the client's oral mucosa for ulcerations. Correct
D. Monitor the client's urine pH for increased acidity.
A+ TEST BANK 4
NURS 676 MIDTERM EXAM 3 2025/2026
WEST COAST UNIVERSITY ADVANCED
PHARMACOLOGY SPRING/SUMMER
EXAM COMPLETE TEST BANK VERIFIED
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
A+ TEST BANK 1
, NURS 676 MIDTERM EXAM 2025/2026
While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to
another type of antiinfective agent should the nurse ask the client about when taking the nursing
history?
A. Aminoglycosides.
B. Cephalosporins. Correct
C. Sulfonamides.
D. Tetracyclines.
Cross allergies exist between penicillins and cephalosporins (B). Penicillin allergies are unrelated to
allergies associated with (A, C, or D).
A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the
client to notify the healthcare provider immediately if which symptom occurs?
A. Rash. Correct
B. Nausea.
C. Headache.
D. Dizziness.
Rash (A) is the most common adverse effect of all penicillins, indicating an allergy to the medication
which could result in anaphylactic shock, a medical emergency. (B, C, and D) are common side effects
of penicillins that should subside after the body adjusts to the medication. These would not require
immediate medical care unless the symptoms persist beyond the first few days or become extremely
severe.
A+ TEST BANK 2
, NURS 676 MIDTERM EXAM 2025/2026
A client receiving albuterol (Proventil) tablets complains of nausea every evening with her 9 p.m. dose.
What action should the nurse take to alleviate this side effect?
A. Change the time of the dose.
B. Hold the 9 p.m. dose.
C. Administer the dose with a snack. Correct
D. Administer an antiemetic with the dose
Administering oral doses with food (C) helps minimize GI discomfort. (A) would be appropriate only if
changing the time of the dose corresponds to meal times while at the same time maintaining an
appropriate time interval between doses. (B) would disrupt the dosing schedule, and could result in a
nontherapeutic serum level of the medication. (D) should not be attempted before other
interventions, such as (C), have been proven ineffective in relieving the nausea
A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a postoperative
infection. It is most important for the nurse to assess for what additional drug allergy before
administering this prescription?
A. Penicillins. Correct
B. Aminoglycosides.
C. Erythromycins.
D. Sulfonamides.
Cross-allergies exist between penicillins (A) and cephalosporins, such as cephalexin monohydrate
(Keflex), so checking for penicillin allergy is a wise precaution before administering this drug.
A+ TEST BANK 3
, NURS 676 MIDTERM EXAM 2025/2026
A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What
adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report
promptly to the healthcare provider?
A. Tinnitus and dizziness.
B. Tachycardia and chest pain. Correct
C. Dry skin and intolerance to cold.
D. Weight gain and increased appetite.
Thyroid replacement hormone increases the metabolic rate of all tissues, so common signs and
symptoms of toxicity include tachycardia and chest pain (B). (A, C, and D) do not indicate a thyroid
hormone toxicity
Which nursing intervention is most important when caring for a client receiving the antimetabolite
cytosine arabinoside (Arc-C) for chemotherapy?
A. Hydrate the client with IV fluids before and after infusion.
B. Assess the client for numbness and tingling of extremities.
C. Inspect the client's oral mucosa for ulcerations. Correct
D. Monitor the client's urine pH for increased acidity.
A+ TEST BANK 4
