Kaplan Pharmacology Integrated Proctored Exam – NGN Style Practice
Questions with Answer & Detailed Rationales
Question 1
The nurse provides care for a client diagnosed with schizophrenia who is taking chlorpromazine.
When providing medication education to the client, the nurse includes information about which
common adverse effects?
1. Insomnia and restlessness
2. Abnormal motor movements and dry mouth
3. Weight loss and increased libido
4. Hypertension and dyspnea
Correct Answer
2. Abnormal motor movements and dry mouth
Question 2
A client asks the nurse, "How does the lovastatin work?" which is the nurse's best response?
1. Lovastatin prevents the reabsorption of bile acids into the small intestine.
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
3. Lovastatin is a vitamin that increases the activity of lipoprotein lipase.
4. Lovastatin is a fibric acid agent that activates lipoprotein lipase.
Correct Answer
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
Question 3
Which factors increase the risk of medication error occurring?
1. The nurse is hurrying to pass a medication before breakfast.
2. The behavioral health nurse is unfamiliar with the units and clients.
3. The nurse verifies each medication dosage with the medication record.
4. The nurse fails to use two client identifiers.
5. The client speaks to the nurse when giving medication.
,6. The client's armband is not attached to the client.
7. The two clients in the nurse's care have the same last name.
8. The nurse does not acknowledge the client's concerns about the medication.
Correct Answer
1, 2, 4, 6, 7, 8
Question 4
The nurse in the cardiac rehabilitation unit knows the maintenance dose of oral digoxin for
adults is in which range?
1. 1-3 mg
2. 0.5-1 mg
3. 3.5-5 mg
4. 0.125-0.5 mg
Correct Answer
4. 0.125-0.5 mg
Question 5
The nurse instructs a client with a diagnosis of pernicious anemia to increase the amount of
vitamin B12 in the diet. Which food contains the greatest amount of vitamin B12?
1. Cabbage
2. Seafood
3. Chocolate
4. Fresh fruit
Correct Answer
2. Seafood
Question 6
A client with a history of asthma and bronchitis is prescribed montelukast. The nurse
determines the client understands teaching about the medication when the client makes which
,statement?
1. I will use this medication as needed when I have an asthma attack.
2. I need to take this medication first thing in the morning with breakfast.
3. It will take several weeks for this medication to lessen the effects of chronic asthma.
4. Montelukast prevents bacterial infections and is taken if I have an exacerbation of bronchitis.
Correct Answer
3. It will take several weeks for this medication to lessen the effects of chronic asthma.
Question 7
The nurse recognizes which medication is ineffective for the treatment of pulmonary emboli?
1. Tenecteplase
2. Streptomycin
3. Reteplase
4. Alteplase (tPA)
Correct Answer
2. Streptomycin
Question 8
A client is struggling with alcohol abuse and wants assistance to stop drinking. The nurse knows
which medication will most likely be prescribed for the client?
1. Diazepam
2. Dexamethasone
3. Docusate
4. Disulfiram
Correct Answer
4. Disulfiram
Question 9
, Ten days after using beclomethasone nasal spray for seasonal allergies, a client reports to the
nurse that even though the medication is being used correctly, only slight relief has been
experienced. Which action by the nurse is most important?
1. Review the correct procedure for administering the nasal spray
2. Contact the HCP to change the dose of medication
3. Remind the client that the peak effect can take up to 3 weeks of regular use
4. Educate the client about the strong effects of a high allergen level on sinuses
Correct Answer
3. Remind the client that the peak effect can take up to 3 weeks of regular use
Question 10
The nurse understands which occurrence is an adverse effect or toxic effect of aspirin? Select all
that apply
1. Rash
2. Tinnitus
3. Nausea
4. Vomiting
5. Hypoventilation
Correct Answer
2, 3, 4
Question 11
A client asks the nurse why diphenhydramine may be prescribed. The nurse understands that
diphenhydramine may be prescribed if a client reports which symptom? Select all that apply
1. Paresthesias
2. Dyspepsia
3. Pruritis
4. Dysuria
5. Motion sickness
6. Rhinitis
Questions with Answer & Detailed Rationales
Question 1
The nurse provides care for a client diagnosed with schizophrenia who is taking chlorpromazine.
When providing medication education to the client, the nurse includes information about which
common adverse effects?
1. Insomnia and restlessness
2. Abnormal motor movements and dry mouth
3. Weight loss and increased libido
4. Hypertension and dyspnea
Correct Answer
2. Abnormal motor movements and dry mouth
Question 2
A client asks the nurse, "How does the lovastatin work?" which is the nurse's best response?
1. Lovastatin prevents the reabsorption of bile acids into the small intestine.
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
3. Lovastatin is a vitamin that increases the activity of lipoprotein lipase.
4. Lovastatin is a fibric acid agent that activates lipoprotein lipase.
Correct Answer
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
Question 3
Which factors increase the risk of medication error occurring?
1. The nurse is hurrying to pass a medication before breakfast.
2. The behavioral health nurse is unfamiliar with the units and clients.
3. The nurse verifies each medication dosage with the medication record.
4. The nurse fails to use two client identifiers.
5. The client speaks to the nurse when giving medication.
,6. The client's armband is not attached to the client.
7. The two clients in the nurse's care have the same last name.
8. The nurse does not acknowledge the client's concerns about the medication.
Correct Answer
1, 2, 4, 6, 7, 8
Question 4
The nurse in the cardiac rehabilitation unit knows the maintenance dose of oral digoxin for
adults is in which range?
1. 1-3 mg
2. 0.5-1 mg
3. 3.5-5 mg
4. 0.125-0.5 mg
Correct Answer
4. 0.125-0.5 mg
Question 5
The nurse instructs a client with a diagnosis of pernicious anemia to increase the amount of
vitamin B12 in the diet. Which food contains the greatest amount of vitamin B12?
1. Cabbage
2. Seafood
3. Chocolate
4. Fresh fruit
Correct Answer
2. Seafood
Question 6
A client with a history of asthma and bronchitis is prescribed montelukast. The nurse
determines the client understands teaching about the medication when the client makes which
,statement?
1. I will use this medication as needed when I have an asthma attack.
2. I need to take this medication first thing in the morning with breakfast.
3. It will take several weeks for this medication to lessen the effects of chronic asthma.
4. Montelukast prevents bacterial infections and is taken if I have an exacerbation of bronchitis.
Correct Answer
3. It will take several weeks for this medication to lessen the effects of chronic asthma.
Question 7
The nurse recognizes which medication is ineffective for the treatment of pulmonary emboli?
1. Tenecteplase
2. Streptomycin
3. Reteplase
4. Alteplase (tPA)
Correct Answer
2. Streptomycin
Question 8
A client is struggling with alcohol abuse and wants assistance to stop drinking. The nurse knows
which medication will most likely be prescribed for the client?
1. Diazepam
2. Dexamethasone
3. Docusate
4. Disulfiram
Correct Answer
4. Disulfiram
Question 9
, Ten days after using beclomethasone nasal spray for seasonal allergies, a client reports to the
nurse that even though the medication is being used correctly, only slight relief has been
experienced. Which action by the nurse is most important?
1. Review the correct procedure for administering the nasal spray
2. Contact the HCP to change the dose of medication
3. Remind the client that the peak effect can take up to 3 weeks of regular use
4. Educate the client about the strong effects of a high allergen level on sinuses
Correct Answer
3. Remind the client that the peak effect can take up to 3 weeks of regular use
Question 10
The nurse understands which occurrence is an adverse effect or toxic effect of aspirin? Select all
that apply
1. Rash
2. Tinnitus
3. Nausea
4. Vomiting
5. Hypoventilation
Correct Answer
2, 3, 4
Question 11
A client asks the nurse why diphenhydramine may be prescribed. The nurse understands that
diphenhydramine may be prescribed if a client reports which symptom? Select all that apply
1. Paresthesias
2. Dyspepsia
3. Pruritis
4. Dysuria
5. Motion sickness
6. Rhinitis
