PHARMACOLOGY 1 FINAL EXAM EXAM
SET EXAM SCRIPT 2026 COMPREHENSIVE
MULTIPLE CHOICE QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ The nurse assesses erythema, warmth, and burning pain along the
patient's IV site. Which complication is this patient most likely
experiencing?
Pulmonary edema
Air embolism
Phlebitis
Extravasation. Answer: Phlebitis
⩥ The nurse assesses hives in a patient started on a new medication.
What is the nurse's priority action?
Notify physician of potential tolerance.
Notify physician of potential teratogenicity.
Notify physician of idiosyncratic reaction.
Notify physician of allergic reaction. Answer: Notify physician of
allergic reaction.
,⩥ The nurse is about to administer a prescribed medication IV push into
a patient's Hickman catheter. When providing this medication, the nurse
will first:
flush with saline.
flush with heparin.
prepare a pump.
administer the prescribed drug. Answer: flush with saline.
⩥ What is the process by which a drug is transported by circulating body
fluids to receptor sites?
Absorption
Osmosis
Distribution
Biotransformation Answer: Distribution
⩥ A 90-year-old woman is admitted to an acute care facility with the
diagnosis of pneumonia. She has a past medical history of diabetes
mellitus, hypertension, and right-sided mastectomy. When starting an IV
for infusion of antibiotic therapy, the nurse will:
choose the left radial artery for insertion.
,insert the IV catheter into the left hand.
use a lower extremity vein for insertion.
attempt insertion into the left antecubital space vein. Answer: attempt
insertion into the left antecubital space vein.
⩥ Which condition would the nurse expect to be treated with an isotonic
solution?
Cellular dehydration
Cerebral edema
Fluid overload
Hemorrhagic shock Answer: Hemorrhagic shock
⩥ The nurse notes that a patient with cardiac disease has IV heparin
infusing and that it is behind by 2 hours. What is the best nursing action?
Change the infusion rate to TKO.
Discontinue the solution using aseptic technique.
Contact the healthcare provider for consultation.
Increase the IV rate and recheck in 1 hour. Answer: Contact the
healthcare provider for consultation.
, ⩥ A patient is admitted with hypovolemia resulting from lack of fluid
intake and requires an infusion of isotonic fluids. Which IV solution will
the nurse administer?
0.9 NS
D5W
D50.2 NS
0.45 NS Answer: 0.9 NS
⩥ When obtaining a patient's health history, which assessment data
would the nurse identify as having the most effect on drug metabolism?
Intake of a vegetarian diet
History of liver disease
Sedentary lifestyle
Teacher as an occupation Answer: History of liver disease
⩥ What is the composition of hypotonic intravenous solutions such as
0.45% NaCl?
Approximately the same number of dissolved particles as blood
Fewer dissolved particles than blood
Electrolytes and dextrose
SET EXAM SCRIPT 2026 COMPREHENSIVE
MULTIPLE CHOICE QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ The nurse assesses erythema, warmth, and burning pain along the
patient's IV site. Which complication is this patient most likely
experiencing?
Pulmonary edema
Air embolism
Phlebitis
Extravasation. Answer: Phlebitis
⩥ The nurse assesses hives in a patient started on a new medication.
What is the nurse's priority action?
Notify physician of potential tolerance.
Notify physician of potential teratogenicity.
Notify physician of idiosyncratic reaction.
Notify physician of allergic reaction. Answer: Notify physician of
allergic reaction.
,⩥ The nurse is about to administer a prescribed medication IV push into
a patient's Hickman catheter. When providing this medication, the nurse
will first:
flush with saline.
flush with heparin.
prepare a pump.
administer the prescribed drug. Answer: flush with saline.
⩥ What is the process by which a drug is transported by circulating body
fluids to receptor sites?
Absorption
Osmosis
Distribution
Biotransformation Answer: Distribution
⩥ A 90-year-old woman is admitted to an acute care facility with the
diagnosis of pneumonia. She has a past medical history of diabetes
mellitus, hypertension, and right-sided mastectomy. When starting an IV
for infusion of antibiotic therapy, the nurse will:
choose the left radial artery for insertion.
,insert the IV catheter into the left hand.
use a lower extremity vein for insertion.
attempt insertion into the left antecubital space vein. Answer: attempt
insertion into the left antecubital space vein.
⩥ Which condition would the nurse expect to be treated with an isotonic
solution?
Cellular dehydration
Cerebral edema
Fluid overload
Hemorrhagic shock Answer: Hemorrhagic shock
⩥ The nurse notes that a patient with cardiac disease has IV heparin
infusing and that it is behind by 2 hours. What is the best nursing action?
Change the infusion rate to TKO.
Discontinue the solution using aseptic technique.
Contact the healthcare provider for consultation.
Increase the IV rate and recheck in 1 hour. Answer: Contact the
healthcare provider for consultation.
, ⩥ A patient is admitted with hypovolemia resulting from lack of fluid
intake and requires an infusion of isotonic fluids. Which IV solution will
the nurse administer?
0.9 NS
D5W
D50.2 NS
0.45 NS Answer: 0.9 NS
⩥ When obtaining a patient's health history, which assessment data
would the nurse identify as having the most effect on drug metabolism?
Intake of a vegetarian diet
History of liver disease
Sedentary lifestyle
Teacher as an occupation Answer: History of liver disease
⩥ What is the composition of hypotonic intravenous solutions such as
0.45% NaCl?
Approximately the same number of dissolved particles as blood
Fewer dissolved particles than blood
Electrolytes and dextrose
