PHARMACOLOGY PRACTICE QUIZ
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1. Followingmthemadministrationmofmsublingualmnitroglycerinmtomamclientmexperiencingmanmac
utemanginalmattack,mwhichmassessmentmfindingmindicatesmtomthemnursemthatmthemdesiredme
ffectmhasmbeenmachieved?
A) Clientmstatesmchestmpainmismrelieved.
B) Client'smpulsemdecreasesmfromm120mtom90.m
C) Client'smsystolicmbloodmpressuremdecreasesmfromm180mtom90.
D) Client'smSaO2mlevelmincreasesmfromm92%mtom96%.m-
mCORRECTmANSWERmClientmstatesmchestmpainmismrelieved.m
2. Rationale:mNitroglycerinmreducesmmyocardialmoxygenmconsumptionmwhichmdecreasesmisch
emiamandmreducesmchestmpainm(A).m(BmandmD)mwouldmalsomoccurmifmthemanginamwasmrelieve
d,mbutmaremnotmasmsignificantmasmthemclient'smsubjectivemreportmofmdecreasedmpain.m(C)mm
aymindicatemamreductionminmpain,mormampotentiallymseriousmsidemeffectmofmthemmedication.
3. Followingmheparinmtreatmentmformampulmonarymembolism,mamclientmismbeingmdischargedm
withmamprescriptionmformwarfarinmCoumadin.mInmconductingmdischargemteaching,mthemnurs
emadvisesmthemclientmtomhavemwhichmdiagnosticmtestmmonitoredmregularlymaftermdischarge
?m
A) Perfusionmscan.m
B) ProthrombinmTimem(PT/INR).m
C) Activatedmpartialmthromboplastinm(APTT).m
D) SerummCoumadinmlevelm(SCL).m-mCORRECTmANSWERmProthrombinmTimem(PT/INR)m
,4. Rationale:mWhenmusedmformamclientmwithmpulmonarymembolus,mthemtherapeuticmgoalmform
warfarinmtherapymismamPTm1½mtom2½mtimesmgreatermthanmthemcontrol,mormanmINRmofm2mtom3
m(B).mAmperfusionmmightmbemperformedmtommonitormlungmfunction,mbutmnotmmonthlym(A).m
APTTmismmonitoredmformthemclientmreceivingmheparinmtherapym(C).mAmbloodmlevelmformCou
madinmcannotmbemmeasuredm(D).
5. AmhealthcaremprovidermprescribesmcephalexinmmonohydratemKeflexmformamclientmwithmampo
stoperativeminfection.mItmismmostmimportantmformthemnursemtomassessmformwhatmadditionalm
drugmallergymbeforemadministeringmthismprescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.m-mCORRECTmANSWERmPenicillin
6. Rationale:mCross-
allergiesmexistmbetweenmpenicillinsm(A)mandmcephalosporins,msuchmasmcephalexinmmonohy
dratem(Keflex),msomcheckingmformpenicillinmallergymismamwisemprecautionmbeforemadministeri
ngmthismdrug.
7. Amclientmismadmittedmtomthemcoronarymcaremunitmwithmammedicalmdiagnosismofmacutemmyoc
ardialminfarction.mWhichmmedicationmprescriptionmdecreasesmbothmpreloadmandmafterload
?m
A) Nitroglycerin.m
B) Propranololm(Inderal).m
C) Morphine.m
D) Captoprilm(Capoten).m-mCORRECTmANSWERmNitroglycerinm
8. Rationale:mNitroglycerinm(A)mismamnitratemthatmcausesmperipheralmvasodilationmandmdecrea
sesmcontractility,mtherebymdecreasingmbothmpreloadmandmafterload.m(B)mismambetamadrener
gicmblockermthatmdecreasesmbothmheartmratemandmcontractility,mbutmonlymdecreasesmafterlo
, ad.mMorphinem(C)mdecreasesmmyocardialmoxygenmconsumptionmandmpreload.mCapotenm(D)
mismanmangiotensinmconvertingmenzymem(ACE)minhibitormthatmactsmtompreventsmvasoconstri
ction,mtherebymdecreasingmbloodmpressuremandmafterload.
9. Whichmdosingmschedulemshouldmthemnursemteachmthemclientmtomobservemformamcontrolled-
releasemoxycodonemprescription?m
A) Asmneeded.
B) Everym12mhours.m
C) Everym24mhours.m
D) Everym4mtom6mhours.m-mCORRECTmANSWERmEverym12mhoursm
10. Rationale:mAmcontrolled-releasemoxycodonemprovidesmlong-
actingmanalgesiamtomrelievemmoderatemtomseverempain,msomamdosingmschedulemofmeverym12
mhoursm(B)mprovidesmthembestmaround-the-clockmpainmmanagement.mControlled-
releasemoxycodonemismnotmprescribedmformbreakthroughmpainmonmamPRNmormasmneededmsc
hedulem(A).m(C)misminadequatemformcontinuousmpainmmanagement.mUsingmamschedulemofme
verym4mtom6mhoursm(D)mmaymjeopardizempatientmsafetymduemtomcumulativemeffects.
11. Ampeakmandmtroughmlevelmmustmbemdrawnmformamclientmreceivingmantibioticmtherapy.mWhat
mismthemoptimummtimemformthemnursemtomobtainmthemtroughmlevel?m
A) Sixtymminutesmaftermthemantibioticmdosemismadministered.mB)mImmediatelymbeforem
themnextmantibioticmdosemismgiven.m
B) Whenmthemnextmbloodmglucosemlevelmismtombemchecked.m
C) Thirtymminutesmbeforemthemnextmantibioticmdosemismgiven.m-
mCORRECTmANSWERmImmediatelymbeforemthemnextmantibioticmdosemismgivenm
12. Rationale:mTroughmlevelsmaremdrawnmwhenmthembloodmlevelmismatmitsmlowest,mwhichmismtypi
callymjustmbeforemthemnextmdosemismgivenm(B).m(A,mC,mandmD)mdomnotmdescribemthemoptimu
mmtimemformobtainingmamtroughmlevelmofmanmantibiotic.
, 13. Aftermabdominalmsurgery,mammalemclientmismprescribedmlowmmolecularmweightmheparinmLM
WH.mDuringmadministrationmofmthemmedication,mthemclientmasksmthemnursemwhymhemismrec
eivingmthismmedication.mWhichmismthembestmresponsemformthemnursemtomprovide?m
A) Thismmedicationmismambloodmthinnermgivenmtompreventmbloodmclotmformation.m
B) Thismmedicationmenhancesmantibioticsmtompreventminfection.m
C) Thismmedicationmdissolvesmanymclotsmthatmdevelopminmthemlegs.m
D) Thismabdominalminjectionmassistsminmthemhealingmofmthemabdominalmwound.m-
mCORRECTmANSWERmThismmedicationmismambloodmthinnermgivenmtompreventmbloodm
clotmformationm
14. Rationale:mUnfractionatedmheparinmormlowmmolecularmweightmheparinm(LMWH)mismanmanti
coagulantmthatminhibitsmthrombin-
mediatedmconversionmofmfibrinogenmtomfibrinmandmismgivenmprophylacticallymtompreventmpo
stoperativemvenousmthrombosism(A)mormtomtreatmpulmonarymembolismmormdeepmveinmthro
mbosismfollowingmkneemandmabdominalmsurgeries.mHeparinmdoesmnotmdissolvemclotsmbutmp
reventsmclotmextensionmormfurthermclotmformationm(C).mThemanticoagulantmheparinmdoesmn
otmpreventminfectionm(B)morminfluencemoperativemwoundmhealingm(D).
15. AmclientmwithmParkinson'smdiseasemismtakingmcarbidopa-
levodopam(Sinemet).mWhichmobservationmbymthemnursemshouldmindicatemthatmthemdesiredm
outcomemofmthemmedicationmismbeingmachieved?m
A) Decreasedmbloodmpressure.m
B) Lesseningmofmtremors.m
C) Increasedmsalivation.m
D) Increasedmattentionmspan.m-mCORRECTmANSWERmLesseningmofmtremorsm
16. Rationale:mSinemetmincreasesmthemamountmofmlevodopamtomthemCNSm(dopaminemtomthembr
ain).mIncreasedmamountsmofmdopaminemimprovemthemsymptomsmofmParkinson's,msuchmasmi
nvoluntarymmovements,mrestingmtremorsm(B),mshufflingmgait,metc.m(A)mismamsidemeffectmofmSi
nemet.mDecreasedmdroolingmwouldmbemamdesiredmeffect,mnotm(C).mSinemetmdoesmnotmaffec
tm(D).
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1. Followingmthemadministrationmofmsublingualmnitroglycerinmtomamclientmexperiencingmanmac
utemanginalmattack,mwhichmassessmentmfindingmindicatesmtomthemnursemthatmthemdesiredme
ffectmhasmbeenmachieved?
A) Clientmstatesmchestmpainmismrelieved.
B) Client'smpulsemdecreasesmfromm120mtom90.m
C) Client'smsystolicmbloodmpressuremdecreasesmfromm180mtom90.
D) Client'smSaO2mlevelmincreasesmfromm92%mtom96%.m-
mCORRECTmANSWERmClientmstatesmchestmpainmismrelieved.m
2. Rationale:mNitroglycerinmreducesmmyocardialmoxygenmconsumptionmwhichmdecreasesmisch
emiamandmreducesmchestmpainm(A).m(BmandmD)mwouldmalsomoccurmifmthemanginamwasmrelieve
d,mbutmaremnotmasmsignificantmasmthemclient'smsubjectivemreportmofmdecreasedmpain.m(C)mm
aymindicatemamreductionminmpain,mormampotentiallymseriousmsidemeffectmofmthemmedication.
3. Followingmheparinmtreatmentmformampulmonarymembolism,mamclientmismbeingmdischargedm
withmamprescriptionmformwarfarinmCoumadin.mInmconductingmdischargemteaching,mthemnurs
emadvisesmthemclientmtomhavemwhichmdiagnosticmtestmmonitoredmregularlymaftermdischarge
?m
A) Perfusionmscan.m
B) ProthrombinmTimem(PT/INR).m
C) Activatedmpartialmthromboplastinm(APTT).m
D) SerummCoumadinmlevelm(SCL).m-mCORRECTmANSWERmProthrombinmTimem(PT/INR)m
,4. Rationale:mWhenmusedmformamclientmwithmpulmonarymembolus,mthemtherapeuticmgoalmform
warfarinmtherapymismamPTm1½mtom2½mtimesmgreatermthanmthemcontrol,mormanmINRmofm2mtom3
m(B).mAmperfusionmmightmbemperformedmtommonitormlungmfunction,mbutmnotmmonthlym(A).m
APTTmismmonitoredmformthemclientmreceivingmheparinmtherapym(C).mAmbloodmlevelmformCou
madinmcannotmbemmeasuredm(D).
5. AmhealthcaremprovidermprescribesmcephalexinmmonohydratemKeflexmformamclientmwithmampo
stoperativeminfection.mItmismmostmimportantmformthemnursemtomassessmformwhatmadditionalm
drugmallergymbeforemadministeringmthismprescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.m-mCORRECTmANSWERmPenicillin
6. Rationale:mCross-
allergiesmexistmbetweenmpenicillinsm(A)mandmcephalosporins,msuchmasmcephalexinmmonohy
dratem(Keflex),msomcheckingmformpenicillinmallergymismamwisemprecautionmbeforemadministeri
ngmthismdrug.
7. Amclientmismadmittedmtomthemcoronarymcaremunitmwithmammedicalmdiagnosismofmacutemmyoc
ardialminfarction.mWhichmmedicationmprescriptionmdecreasesmbothmpreloadmandmafterload
?m
A) Nitroglycerin.m
B) Propranololm(Inderal).m
C) Morphine.m
D) Captoprilm(Capoten).m-mCORRECTmANSWERmNitroglycerinm
8. Rationale:mNitroglycerinm(A)mismamnitratemthatmcausesmperipheralmvasodilationmandmdecrea
sesmcontractility,mtherebymdecreasingmbothmpreloadmandmafterload.m(B)mismambetamadrener
gicmblockermthatmdecreasesmbothmheartmratemandmcontractility,mbutmonlymdecreasesmafterlo
, ad.mMorphinem(C)mdecreasesmmyocardialmoxygenmconsumptionmandmpreload.mCapotenm(D)
mismanmangiotensinmconvertingmenzymem(ACE)minhibitormthatmactsmtompreventsmvasoconstri
ction,mtherebymdecreasingmbloodmpressuremandmafterload.
9. Whichmdosingmschedulemshouldmthemnursemteachmthemclientmtomobservemformamcontrolled-
releasemoxycodonemprescription?m
A) Asmneeded.
B) Everym12mhours.m
C) Everym24mhours.m
D) Everym4mtom6mhours.m-mCORRECTmANSWERmEverym12mhoursm
10. Rationale:mAmcontrolled-releasemoxycodonemprovidesmlong-
actingmanalgesiamtomrelievemmoderatemtomseverempain,msomamdosingmschedulemofmeverym12
mhoursm(B)mprovidesmthembestmaround-the-clockmpainmmanagement.mControlled-
releasemoxycodonemismnotmprescribedmformbreakthroughmpainmonmamPRNmormasmneededmsc
hedulem(A).m(C)misminadequatemformcontinuousmpainmmanagement.mUsingmamschedulemofme
verym4mtom6mhoursm(D)mmaymjeopardizempatientmsafetymduemtomcumulativemeffects.
11. Ampeakmandmtroughmlevelmmustmbemdrawnmformamclientmreceivingmantibioticmtherapy.mWhat
mismthemoptimummtimemformthemnursemtomobtainmthemtroughmlevel?m
A) Sixtymminutesmaftermthemantibioticmdosemismadministered.mB)mImmediatelymbeforem
themnextmantibioticmdosemismgiven.m
B) Whenmthemnextmbloodmglucosemlevelmismtombemchecked.m
C) Thirtymminutesmbeforemthemnextmantibioticmdosemismgiven.m-
mCORRECTmANSWERmImmediatelymbeforemthemnextmantibioticmdosemismgivenm
12. Rationale:mTroughmlevelsmaremdrawnmwhenmthembloodmlevelmismatmitsmlowest,mwhichmismtypi
callymjustmbeforemthemnextmdosemismgivenm(B).m(A,mC,mandmD)mdomnotmdescribemthemoptimu
mmtimemformobtainingmamtroughmlevelmofmanmantibiotic.
, 13. Aftermabdominalmsurgery,mammalemclientmismprescribedmlowmmolecularmweightmheparinmLM
WH.mDuringmadministrationmofmthemmedication,mthemclientmasksmthemnursemwhymhemismrec
eivingmthismmedication.mWhichmismthembestmresponsemformthemnursemtomprovide?m
A) Thismmedicationmismambloodmthinnermgivenmtompreventmbloodmclotmformation.m
B) Thismmedicationmenhancesmantibioticsmtompreventminfection.m
C) Thismmedicationmdissolvesmanymclotsmthatmdevelopminmthemlegs.m
D) Thismabdominalminjectionmassistsminmthemhealingmofmthemabdominalmwound.m-
mCORRECTmANSWERmThismmedicationmismambloodmthinnermgivenmtompreventmbloodm
clotmformationm
14. Rationale:mUnfractionatedmheparinmormlowmmolecularmweightmheparinm(LMWH)mismanmanti
coagulantmthatminhibitsmthrombin-
mediatedmconversionmofmfibrinogenmtomfibrinmandmismgivenmprophylacticallymtompreventmpo
stoperativemvenousmthrombosism(A)mormtomtreatmpulmonarymembolismmormdeepmveinmthro
mbosismfollowingmkneemandmabdominalmsurgeries.mHeparinmdoesmnotmdissolvemclotsmbutmp
reventsmclotmextensionmormfurthermclotmformationm(C).mThemanticoagulantmheparinmdoesmn
otmpreventminfectionm(B)morminfluencemoperativemwoundmhealingm(D).
15. AmclientmwithmParkinson'smdiseasemismtakingmcarbidopa-
levodopam(Sinemet).mWhichmobservationmbymthemnursemshouldmindicatemthatmthemdesiredm
outcomemofmthemmedicationmismbeingmachieved?m
A) Decreasedmbloodmpressure.m
B) Lesseningmofmtremors.m
C) Increasedmsalivation.m
D) Increasedmattentionmspan.m-mCORRECTmANSWERmLesseningmofmtremorsm
16. Rationale:mSinemetmincreasesmthemamountmofmlevodopamtomthemCNSm(dopaminemtomthembr
ain).mIncreasedmamountsmofmdopaminemimprovemthemsymptomsmofmParkinson's,msuchmasmi
nvoluntarymmovements,mrestingmtremorsm(B),mshufflingmgait,metc.m(A)mismamsidemeffectmofmSi
nemet.mDecreasedmdroolingmwouldmbemamdesiredmeffect,mnotm(C).mSinemetmdoesmnotmaffec
tm(D).
