PN PHARMACOLOGY ACTUAL PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED
A+
◉ A nurse is reinforcing teaching with a newly licensed nurse about
using metoprolol to treat hypertension. which of the following
conditions should the nurse include as a contraindication for this
medication? Answer: Bradycardia
Metoprolol is a beta blocker that slows the conduction through the
AV node. Therefore, it is contraindicated for clients who have
bradycardia, or a heart rate that is consistently less than 60/min
◉ A nurse is reinforcing teaching about immunizations with a client
who is pregnant. which of the following vaccines should the nurse
include in the teaching as a safe to administer during pregnancy?
Answer: Tetanus and Diphtheria(td)
The nurse should include that either the Td vaccine or the tetanus,
diphtheria, and pertussis(Tdap) vaccine is safe for administration
during pregnancy. Tdap is the preferred vaccine
◉ A nurse is assisting in the care of a client who has a history of
psychosis and is taking chlorpromazine. which of the following
,actions should the nurse take to contract the adverse effects of this
medication? Answer: Inform the client to apply sunblock before
going outside
counter act photosensitivity. Chlorpromazine increases skin's
sensitivity to UV light = temporary pigmentation changes and
increase risk of sunburn
◉ A nurse is instilling timolol eyedrops for a client who has
glaucoma. which of the following actions should the nurse take after
instilling the eyedrops? Answer: Press the nasolacrimal duct
to prevent the medication from absorbing into systemic circulation
◉ A nurse is reinforcing teaching with a client who is receiving
Enalapril 20mg PO daily. the nurse should instruct the client to
monitor for which of the following adverse effects of this
medication? Answer: Dry cough
persistent fry of nonproductive cough is an adverse effect of
enalapril. underlying cause of the dry cough is the accumulation of
bradykinin from the medication. client should notify the provider of
this adverse effects.
◉ A nurse is caring for a client who is taking phenylephrine. The
nurse should plan to monitor the client for which of the following
, manifestations as an adverse effect of this medication? Answer:
Increase Heart rate
due to cardiac effects, can cause tachycardia and other cardiac
dysrhythmias
◉ A nurse is caring for a client who has multiple sclerosis and a new
prescription for baclofen. which of the following findings indicates to
the nurse that the medication is having a therapeutic effects?
Answer: Decreased muscle spasticity
baclofen is a antispasmodic that decrease muscle spasticity in a client
who has MS
◉ A nurse is caring for a client who is reeceiving
methylprednisolone. which of the following laboratory values should
the nurse plan to monitor? (SATA) Answer: WBC
Serum K
blood glucose
increase risk for infection = leukocytosis
causes hypokalemia as well as fluid and sodium retention
increase blood glucose levels
QUESTIONS WITH SOLUTIONS GRADED
A+
◉ A nurse is reinforcing teaching with a newly licensed nurse about
using metoprolol to treat hypertension. which of the following
conditions should the nurse include as a contraindication for this
medication? Answer: Bradycardia
Metoprolol is a beta blocker that slows the conduction through the
AV node. Therefore, it is contraindicated for clients who have
bradycardia, or a heart rate that is consistently less than 60/min
◉ A nurse is reinforcing teaching about immunizations with a client
who is pregnant. which of the following vaccines should the nurse
include in the teaching as a safe to administer during pregnancy?
Answer: Tetanus and Diphtheria(td)
The nurse should include that either the Td vaccine or the tetanus,
diphtheria, and pertussis(Tdap) vaccine is safe for administration
during pregnancy. Tdap is the preferred vaccine
◉ A nurse is assisting in the care of a client who has a history of
psychosis and is taking chlorpromazine. which of the following
,actions should the nurse take to contract the adverse effects of this
medication? Answer: Inform the client to apply sunblock before
going outside
counter act photosensitivity. Chlorpromazine increases skin's
sensitivity to UV light = temporary pigmentation changes and
increase risk of sunburn
◉ A nurse is instilling timolol eyedrops for a client who has
glaucoma. which of the following actions should the nurse take after
instilling the eyedrops? Answer: Press the nasolacrimal duct
to prevent the medication from absorbing into systemic circulation
◉ A nurse is reinforcing teaching with a client who is receiving
Enalapril 20mg PO daily. the nurse should instruct the client to
monitor for which of the following adverse effects of this
medication? Answer: Dry cough
persistent fry of nonproductive cough is an adverse effect of
enalapril. underlying cause of the dry cough is the accumulation of
bradykinin from the medication. client should notify the provider of
this adverse effects.
◉ A nurse is caring for a client who is taking phenylephrine. The
nurse should plan to monitor the client for which of the following
, manifestations as an adverse effect of this medication? Answer:
Increase Heart rate
due to cardiac effects, can cause tachycardia and other cardiac
dysrhythmias
◉ A nurse is caring for a client who has multiple sclerosis and a new
prescription for baclofen. which of the following findings indicates to
the nurse that the medication is having a therapeutic effects?
Answer: Decreased muscle spasticity
baclofen is a antispasmodic that decrease muscle spasticity in a client
who has MS
◉ A nurse is caring for a client who is reeceiving
methylprednisolone. which of the following laboratory values should
the nurse plan to monitor? (SATA) Answer: WBC
Serum K
blood glucose
increase risk for infection = leukocytosis
causes hypokalemia as well as fluid and sodium retention
increase blood glucose levels
