1
NR 293/ NR293 EXAM 1 PHARMACOLOGY
FOR NURSING PRACTICE REVIEW |
QUESTIONS & ANSWERS 100% CORRECT
(VERIFIED SOLUTIONS)- CHAMBERLAIN :
(NEW 2026/ 2027 UPDATE)
A nurse is assisting with the administration of an IV injection to a client. For which
of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism ANSWER: A. to reduce toxicity risk
A nurse is reinforcing teaching with a client who has atrial fibrillation and a new
prescription for amiodarone. Which of the following items should the nurse
instruct the client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
C. garlic
D. salt substitutes ANSWER: B. grapefruit juice
A nurse is caring fora client who has developed MRSA in a surgical incision. Which
of the following medications should the nurse expect the provider to prescribe?
A. ceftriaxone
B. vancomycin
C. ketoconazole
D. ciprofloxacin ANSWER: B. vancomycin
, 2
A nurse is caring for a client who is experiencing severe cancer pain. Which of the
following medications should the nurse expect the provider to prescribe?
A. buprenorphine
B. tramadol
C. hydromorphone
D. oxycodone ANSWER: C. hydromorphone
Hydromorphone is an opioid antagonist. It is used for the treatment of moderate
to severe pain management in clients who have cancer.
A nurse is collecting data from a client who is experiencing chest pain. Which of
the following medications should the nurse expect to administer to suppress the
aggregation of platelets?
A. nitro-glycerine
B. Aspirin
C. Morphine
D. Metoprolol ANSWER: B. Aspirin
A nurse is caring for a client who takes gentamicin IM and has a prescription to
obtain a blood sample to measure a trough level. At which of the following times
should the nurse draw the blood sample?
A. within 15 minutes prior to the next medication dose
B. 3 hours prior to administering a dose.
C. Within 15 minutes following the next medication dose
D. 2 hours after administering a dose. ANSWER: A. within 15 minutes prior to
the next medication dose
A nurse is reinforcing teaching with a client who has a new prescription for
sertraline. The client asks the nurse if he should continue to take St. John's wort
for depression. Which of the following instructions should the nurse give the
client?
A. take the medication and herbal supplement together.
B. stop taking the herbal supplement while taking the medication.
C. take the herbal supplement and the medication at least 2 hours apart.
D. take an antacid with both the herbal supplement and the medication.
ANSWER: B. stop taking the herbal supplement while taking the medication.
Taking the antidepressant sertraline and St. John's wort together puts the client
at risk for serotonin syndrome.
, 3
A nurse is preparing to administer meperidine 100 mg IM to a client who has a
BMI of 23. Which of the following needle lengths should the nurse use to
administer the medication?
A. 1/2 inch
B. 1 1/2 inch
C. 2 1/2 inch
D. 3 inch ANSWER: B. 1 1/2 inch
A nurse in a long-term care facility is administering medications to a group of
older clients. Which of the following factors of pharmacokinetics should the nurse
consider when caring for this age group?
A. the excretion of the medication is reduced
B. the percentage of medication absorbed is increased
C. the liver metabolizes the medication more quickly.
D. the rate at which the liver metabolizes medication declines with age.
ANSWER: A. the excretion of the medication is reduced
A nurse in a provider's office is assessing a client who has been taking amoxicillin
for 10 days and reports diarrhea and cramping. The nurse should recognize that
these manifestations occur secondary to which of the following adverse effects?
A. development of gastric ulcers
B. development of milk intolerance
C. allergic reactions to the medication
D. alterations in the gastrointestinal flora ANSWER: D. alterations in the
gastrointestinal flora
A nurse is preparing to administer desmopressin 0.1 mcg/kg in 0.9% sodium
chloride 50 mL IV over 30 min to a client who weights 154 lb. How many mcg of
medication should the client receive? ANSWER: 21
A nurse is preparing to administer 150 units/hr of regular insulin to a client.
Regular insulin is available at 1,500 units in 0.9% sodium chloride 500 mL. The
nurse should set the IV pump to deliver how many mL/hr? ANSWER: 50
NR 293/ NR293 EXAM 1 PHARMACOLOGY
FOR NURSING PRACTICE REVIEW |
QUESTIONS & ANSWERS 100% CORRECT
(VERIFIED SOLUTIONS)- CHAMBERLAIN :
(NEW 2026/ 2027 UPDATE)
A nurse is assisting with the administration of an IV injection to a client. For which
of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism ANSWER: A. to reduce toxicity risk
A nurse is reinforcing teaching with a client who has atrial fibrillation and a new
prescription for amiodarone. Which of the following items should the nurse
instruct the client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
C. garlic
D. salt substitutes ANSWER: B. grapefruit juice
A nurse is caring fora client who has developed MRSA in a surgical incision. Which
of the following medications should the nurse expect the provider to prescribe?
A. ceftriaxone
B. vancomycin
C. ketoconazole
D. ciprofloxacin ANSWER: B. vancomycin
, 2
A nurse is caring for a client who is experiencing severe cancer pain. Which of the
following medications should the nurse expect the provider to prescribe?
A. buprenorphine
B. tramadol
C. hydromorphone
D. oxycodone ANSWER: C. hydromorphone
Hydromorphone is an opioid antagonist. It is used for the treatment of moderate
to severe pain management in clients who have cancer.
A nurse is collecting data from a client who is experiencing chest pain. Which of
the following medications should the nurse expect to administer to suppress the
aggregation of platelets?
A. nitro-glycerine
B. Aspirin
C. Morphine
D. Metoprolol ANSWER: B. Aspirin
A nurse is caring for a client who takes gentamicin IM and has a prescription to
obtain a blood sample to measure a trough level. At which of the following times
should the nurse draw the blood sample?
A. within 15 minutes prior to the next medication dose
B. 3 hours prior to administering a dose.
C. Within 15 minutes following the next medication dose
D. 2 hours after administering a dose. ANSWER: A. within 15 minutes prior to
the next medication dose
A nurse is reinforcing teaching with a client who has a new prescription for
sertraline. The client asks the nurse if he should continue to take St. John's wort
for depression. Which of the following instructions should the nurse give the
client?
A. take the medication and herbal supplement together.
B. stop taking the herbal supplement while taking the medication.
C. take the herbal supplement and the medication at least 2 hours apart.
D. take an antacid with both the herbal supplement and the medication.
ANSWER: B. stop taking the herbal supplement while taking the medication.
Taking the antidepressant sertraline and St. John's wort together puts the client
at risk for serotonin syndrome.
, 3
A nurse is preparing to administer meperidine 100 mg IM to a client who has a
BMI of 23. Which of the following needle lengths should the nurse use to
administer the medication?
A. 1/2 inch
B. 1 1/2 inch
C. 2 1/2 inch
D. 3 inch ANSWER: B. 1 1/2 inch
A nurse in a long-term care facility is administering medications to a group of
older clients. Which of the following factors of pharmacokinetics should the nurse
consider when caring for this age group?
A. the excretion of the medication is reduced
B. the percentage of medication absorbed is increased
C. the liver metabolizes the medication more quickly.
D. the rate at which the liver metabolizes medication declines with age.
ANSWER: A. the excretion of the medication is reduced
A nurse in a provider's office is assessing a client who has been taking amoxicillin
for 10 days and reports diarrhea and cramping. The nurse should recognize that
these manifestations occur secondary to which of the following adverse effects?
A. development of gastric ulcers
B. development of milk intolerance
C. allergic reactions to the medication
D. alterations in the gastrointestinal flora ANSWER: D. alterations in the
gastrointestinal flora
A nurse is preparing to administer desmopressin 0.1 mcg/kg in 0.9% sodium
chloride 50 mL IV over 30 min to a client who weights 154 lb. How many mcg of
medication should the client receive? ANSWER: 21
A nurse is preparing to administer 150 units/hr of regular insulin to a client.
Regular insulin is available at 1,500 units in 0.9% sodium chloride 500 mL. The
nurse should set the IV pump to deliver how many mL/hr? ANSWER: 50
