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NR 293 Pharmacology Final Exam Test Bank |
Verified Questions & Answers with Detailed
Rationales | 2026–2027 Chamberlain Nursing |
Grade A Study Guide
Question 1
The nurse is educating a client about prescribed antiepileptic medication. What
response shows education is effective?
A. "I can stop this medication once my seizures stop."
B. "I will most likely take this medication my entire life."
C. "I should take this medication only when I have a seizure."
D. "I can double the dose if I feel a seizure coming on."
CORRECT ANSWER: B. "I will most likely take this medication my entire life."
Rationale: Antiepileptic drugs are typically required for long-term, often lifelong,
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therapy to control seizure activity. Abrupt discontinuation can lead to withdrawal
seizures or status epilepticus.
Question 2
A nurse is teaching a client who has a urinary tract infection (UTI) and is taking
ciprofloxacin. Which of the following instructions should the nurse give to the client?
A. "Take this medication with antacids to prevent stomach upset."
B. "You should report any tendon discomfort you experience while taking this
medication."
C. "Stop taking the medication once your symptoms improve."
D. "Avoid direct sunlight, but it's okay to use tanning beds."
CORRECT ANSWER: B. "You should report any tendon discomfort you experience
while taking this medication."
Rationale: Fluoroquinolones like ciprofloxacin carry a Black Box Warning for an
increased risk of tendinitis and tendon rupture. Patients should be instructed to stop the
drug and report any tendon pain, swelling, or inflammation immediately.
Question 3
The nurse is educating clients with a new prescription for allopurinol. Which
statements indicate understanding?
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A. "I can take this medication only when I have joint pain."
B. "I will stop taking this medication as soon as my uric acid level is normal."
C. "It may take a few weeks to work, and I will take this medication daily."
D. "I should take this medication on an empty stomach for best absorption."
CORRECT ANSWER: C. "It may take a few weeks to work, and I will take this
medication daily."
Rationale: Allopurinol is used for chronic management of gout and hyperuricemia, not
for acute attacks. It may take several weeks to become effective and must be taken daily
as prescribed.
Question 4
A client diagnosed with influenza A receives a new prescription for oseltamivir. The
nurse should plan to instruct the client that this drug is most effective when taken
within how many hours of the onset of symptoms?
A. 12 hours
B. 24 hours
C. 48 hours
D. 72 hours
CORRECT ANSWER: C. 48 hours
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Rationale: Oseltamivir (Tamiflu) is most effective for treating influenza when initiated
within 48 hours of symptom onset.
Question 5
A 32-year-old client presents to the ED with abdominal pain and no bowel movements
for 3 days; their abdomen is tender and slightly distended. Which should the nurse
anticipate implementing?
A. Administer a stimulant laxative immediately.
B. Administer a bulk-forming laxative.
C. No laxative should be given at this time.
D. Prepare the client for a stool softener enema.
CORRECT ANSWER: C. No laxative should be given at this time.
Rationale: Laxatives are contraindicated in clients with undiagnosed abdominal pain,
especially with tenderness and distention, as this could indicate a surgical condition
(e.g., appendicitis, bowel obstruction). The cause must be determined first.
Question 6
A client with renal disease has been diagnosed with gastritis and is requesting an
antacid. Which antacid is appropriate for this client?
A. Magnesium salts (e.g., Milk of Magnesia)
B. Calcium salts (e.g., Tums)
NR 293 Pharmacology Final Exam Test Bank |
Verified Questions & Answers with Detailed
Rationales | 2026–2027 Chamberlain Nursing |
Grade A Study Guide
Question 1
The nurse is educating a client about prescribed antiepileptic medication. What
response shows education is effective?
A. "I can stop this medication once my seizures stop."
B. "I will most likely take this medication my entire life."
C. "I should take this medication only when I have a seizure."
D. "I can double the dose if I feel a seizure coming on."
CORRECT ANSWER: B. "I will most likely take this medication my entire life."
Rationale: Antiepileptic drugs are typically required for long-term, often lifelong,
,2|Page
therapy to control seizure activity. Abrupt discontinuation can lead to withdrawal
seizures or status epilepticus.
Question 2
A nurse is teaching a client who has a urinary tract infection (UTI) and is taking
ciprofloxacin. Which of the following instructions should the nurse give to the client?
A. "Take this medication with antacids to prevent stomach upset."
B. "You should report any tendon discomfort you experience while taking this
medication."
C. "Stop taking the medication once your symptoms improve."
D. "Avoid direct sunlight, but it's okay to use tanning beds."
CORRECT ANSWER: B. "You should report any tendon discomfort you experience
while taking this medication."
Rationale: Fluoroquinolones like ciprofloxacin carry a Black Box Warning for an
increased risk of tendinitis and tendon rupture. Patients should be instructed to stop the
drug and report any tendon pain, swelling, or inflammation immediately.
Question 3
The nurse is educating clients with a new prescription for allopurinol. Which
statements indicate understanding?
,3|Page
A. "I can take this medication only when I have joint pain."
B. "I will stop taking this medication as soon as my uric acid level is normal."
C. "It may take a few weeks to work, and I will take this medication daily."
D. "I should take this medication on an empty stomach for best absorption."
CORRECT ANSWER: C. "It may take a few weeks to work, and I will take this
medication daily."
Rationale: Allopurinol is used for chronic management of gout and hyperuricemia, not
for acute attacks. It may take several weeks to become effective and must be taken daily
as prescribed.
Question 4
A client diagnosed with influenza A receives a new prescription for oseltamivir. The
nurse should plan to instruct the client that this drug is most effective when taken
within how many hours of the onset of symptoms?
A. 12 hours
B. 24 hours
C. 48 hours
D. 72 hours
CORRECT ANSWER: C. 48 hours
, 4|Page
Rationale: Oseltamivir (Tamiflu) is most effective for treating influenza when initiated
within 48 hours of symptom onset.
Question 5
A 32-year-old client presents to the ED with abdominal pain and no bowel movements
for 3 days; their abdomen is tender and slightly distended. Which should the nurse
anticipate implementing?
A. Administer a stimulant laxative immediately.
B. Administer a bulk-forming laxative.
C. No laxative should be given at this time.
D. Prepare the client for a stool softener enema.
CORRECT ANSWER: C. No laxative should be given at this time.
Rationale: Laxatives are contraindicated in clients with undiagnosed abdominal pain,
especially with tenderness and distention, as this could indicate a surgical condition
(e.g., appendicitis, bowel obstruction). The cause must be determined first.
Question 6
A client with renal disease has been diagnosed with gastritis and is requesting an
antacid. Which antacid is appropriate for this client?
A. Magnesium salts (e.g., Milk of Magnesia)
B. Calcium salts (e.g., Tums)
