NR341
PHARMACOLOGY
CJE Benchmark Examination
Complete Questions & Correct Detailed Answers
Verified Answers | Brand New Version 2025/2026
Academic Year: 2025 – 2026
Subject: Pharmacology in Nursing Practice
Format: Clinical Judgment Examination (CJE) Benchmark
, DOCUMENT DESCRIPTION
Overview
This document is a comprehensive study resource for NR341 Pharmacology, designed to assist
nursing students in preparing for the Clinical Judgment Examination (CJE) Benchmark. It
contains a complete collection of examination questions along with verified, detailed answers
covering core pharmacological concepts relevant to contemporary nursing practice.
Content Areas Covered
• Clinical scenario-based pharmacology questions with rationales
• Drug classifications, mechanisms of action, and nursing implications
• Special populations: elderly, pediatric, pregnant, and lactating patients
• Cardiovascular, respiratory, neurological, and endocrine pharmacology
• Anticoagulants, diuretics, analgesics, antibiotics, and more
• Drug toxicity, adverse effects, antidotes, and overdose management
• Medication administration rights and error prevention strategies
• Comprehensive drug reference: generic and brand name medications
Intended Audience
This benchmark guide is intended for nursing students enrolled in NR341 Pharmacology who
are preparing for their CJE benchmark examination. It may also serve as a reference tool for
practicing nurses seeking to review essential pharmacological principles.
How to Use This Guide
Read each question carefully before reviewing the answer. Attempt to formulate your own
response first to maximize learning retention. The answers provided are verified and include
clinical rationales where applicable. The drug reference section at the end provides a quick-
reference summary for key medications.
Disclaimer
This document is intended solely for educational purposes. All clinical decisions must be guided
by current evidence-based practice, institutional protocols, and the professional judgment of
licensed healthcare providers. Dosage calculations and drug information should always be
verified with authoritative pharmacological references.
, Section 1: Clinical Scenario Questions & Answers
A client with chronic hypertension has a prescription for extended-release nifedipine.
While on the phone with the clinic nurse, the client states 'I can't get my regular shoes on
anymore because they are too tight.' What should the nurse's priority be?
Report the findings to the health care provider.
The nurse plans care of a client receiving phenytoin for two months. Which nursing
intervention does the nurse anticipate?
Monitor for signs of drug toxicity.
A nurse creates a plan of care on the electronic health record about the use of epoetin
alpha. Which is a priority intervention for the plan of care?
Frequently assess blood pressure.
A client enters the emergency department presenting with chest pain. The client had a
myocardial infarction one year ago. The nurse places the client on oxygen and
administers aspirin. The nurse teaches the client about aspirin. Which statement by the
client indicates a good understanding of instruction?
This medication will slow down my heart rate.
A client with type 2 diabetes mellitus begins treatment. Which statements indicate
teaching was effective? (Select all that apply)
- If I lose weight, I may be able to avoid medication for a while. - I need to know when my blood
glucose goes low. - I need to take care of my feet.
A nurse administers intravenous potassium chloride to a client in heart failure. The
client's serum potassium level is 2.8 mEq/L. Which is a primary concern when
administering this medication?
Monitor the heart rate before and after administration.
Paramedics bring a client to the emergency department with symptoms of a
cerebrovascular accident (CVA). After the CT scan, alteplase is prescribed. The
recommended dose is 0.9 mg/kg. The client weighs 157 pounds. When reconstituted, the
medication is available as 1 mg/mL. How many milliliters (mL) should be given in the
initial dose? Round to the nearest hundredth.
64 mL
A nurse cares for an unconscious client with significant burns to 36% of their body. The
health care provider prescribes pain relief via the intramuscular route. What is the
priority nursing action?
Question the intramuscular route of administration.
Prior to discharge, a client with type 1 diabetes is prescribed to have glucagon in the
home. What will the nurse include in the discharge instructions? (Select all that apply)
- Signs of hyperglycemia. - Family members know how to give injections. - When to administer
the glucagon.
PHARMACOLOGY
CJE Benchmark Examination
Complete Questions & Correct Detailed Answers
Verified Answers | Brand New Version 2025/2026
Academic Year: 2025 – 2026
Subject: Pharmacology in Nursing Practice
Format: Clinical Judgment Examination (CJE) Benchmark
, DOCUMENT DESCRIPTION
Overview
This document is a comprehensive study resource for NR341 Pharmacology, designed to assist
nursing students in preparing for the Clinical Judgment Examination (CJE) Benchmark. It
contains a complete collection of examination questions along with verified, detailed answers
covering core pharmacological concepts relevant to contemporary nursing practice.
Content Areas Covered
• Clinical scenario-based pharmacology questions with rationales
• Drug classifications, mechanisms of action, and nursing implications
• Special populations: elderly, pediatric, pregnant, and lactating patients
• Cardiovascular, respiratory, neurological, and endocrine pharmacology
• Anticoagulants, diuretics, analgesics, antibiotics, and more
• Drug toxicity, adverse effects, antidotes, and overdose management
• Medication administration rights and error prevention strategies
• Comprehensive drug reference: generic and brand name medications
Intended Audience
This benchmark guide is intended for nursing students enrolled in NR341 Pharmacology who
are preparing for their CJE benchmark examination. It may also serve as a reference tool for
practicing nurses seeking to review essential pharmacological principles.
How to Use This Guide
Read each question carefully before reviewing the answer. Attempt to formulate your own
response first to maximize learning retention. The answers provided are verified and include
clinical rationales where applicable. The drug reference section at the end provides a quick-
reference summary for key medications.
Disclaimer
This document is intended solely for educational purposes. All clinical decisions must be guided
by current evidence-based practice, institutional protocols, and the professional judgment of
licensed healthcare providers. Dosage calculations and drug information should always be
verified with authoritative pharmacological references.
, Section 1: Clinical Scenario Questions & Answers
A client with chronic hypertension has a prescription for extended-release nifedipine.
While on the phone with the clinic nurse, the client states 'I can't get my regular shoes on
anymore because they are too tight.' What should the nurse's priority be?
Report the findings to the health care provider.
The nurse plans care of a client receiving phenytoin for two months. Which nursing
intervention does the nurse anticipate?
Monitor for signs of drug toxicity.
A nurse creates a plan of care on the electronic health record about the use of epoetin
alpha. Which is a priority intervention for the plan of care?
Frequently assess blood pressure.
A client enters the emergency department presenting with chest pain. The client had a
myocardial infarction one year ago. The nurse places the client on oxygen and
administers aspirin. The nurse teaches the client about aspirin. Which statement by the
client indicates a good understanding of instruction?
This medication will slow down my heart rate.
A client with type 2 diabetes mellitus begins treatment. Which statements indicate
teaching was effective? (Select all that apply)
- If I lose weight, I may be able to avoid medication for a while. - I need to know when my blood
glucose goes low. - I need to take care of my feet.
A nurse administers intravenous potassium chloride to a client in heart failure. The
client's serum potassium level is 2.8 mEq/L. Which is a primary concern when
administering this medication?
Monitor the heart rate before and after administration.
Paramedics bring a client to the emergency department with symptoms of a
cerebrovascular accident (CVA). After the CT scan, alteplase is prescribed. The
recommended dose is 0.9 mg/kg. The client weighs 157 pounds. When reconstituted, the
medication is available as 1 mg/mL. How many milliliters (mL) should be given in the
initial dose? Round to the nearest hundredth.
64 mL
A nurse cares for an unconscious client with significant burns to 36% of their body. The
health care provider prescribes pain relief via the intramuscular route. What is the
priority nursing action?
Question the intramuscular route of administration.
Prior to discharge, a client with type 1 diabetes is prescribed to have glucagon in the
home. What will the nurse include in the discharge instructions? (Select all that apply)
- Signs of hyperglycemia. - Family members know how to give injections. - When to administer
the glucagon.
