NURSING PHARMACOLOGY 2026 QUESTIONS AND
ANSWERS SURE A+
✔✔When assessing a client prior to the administration of digoxin (Lanoxin, APO-
Digoxin), which data is most important for the nurse to consider?
Presence of a grade 2 murmur.
Nailbed capillary refill of 5 seconds.
Irregular apical pulse with a rate of 87.
Bilateral lower extremity dependent rubor. - ✔✔Irregular apical pulse with a rate of 87.
✔✔A male client with meningitis is prescribed cefotaxime (Claforan) IV and asks the
nurse why he cannot receive an oral drug, such as cefaclor (Ceclor) or cefadroxil
(Duricef),that he has taken before for infections. How should the nurse respond when
considering the actions of cephalosporins?
Cefazolin (Ancef) is another IV antibiotic that can be prescribed.
Cefaclor (Ceclor) is a good alternative to suggest to the healthcare provider.
Cefadroxil (Duricef) is usually prescribed when the IV is discontinued.
Cefotaxime (Claforan) provides therapeutic CNS concentrations. - ✔✔Cefotaxime
(Claforan) provides therapeutic CNS concentrations.
✔✔The nurse should instruct a client to avoid which product while taking carisoprodol
(Soma) for muscle spasms?
, Aspirin products.
Antacids.
Alcoholic beverages.
Dairy products. - ✔✔Alcoholic beverages.
✔✔When prescribed for a client with hepatic encephalopathy, what is the therapeutic
action of lactulose (Portalac)?
Lowers the pH of the colon.
Softens the stool.
Increases glucose absorption.
Stimulates peristalsis. - ✔✔Lowers the pH of the colon.
✔✔What teaching should the nurse provide a client who has received a new
prescription for sildenafil (Viagra)? (Select all that apply.)
Select all that apply
Frequent use can lead to the development of hypertension.
Most effective if taken after at least 6 hours of REM sleep.
Take within 30 to 60 minutes of sexual stimulation.
Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache. - ✔✔Take within 30 to 60 minutes of sexual
stimulation.
Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache.
✔✔A client who takes a statin and gemfibrozil (Lopid) for hyperlipidemia reports onset
of muscle pain and weakness. What additional assessment is most important for the
nurse to obtain?
Serum liver enzymes.
T3 and T4 blood levels.
Bowel function.
Peripheral sensation. - ✔✔Serum liver enzymes.
✔✔A client who has Trichomonas vaginalis receives a prescription for metronidazole
(Flagyl). Which instruction should the nurse provide during client education?
Do not ingest with diary products.
Notify the clinic if the urine changes color.
Obtain liver function tests every 3 months.
Avoid over-the-counter antitussives. - ✔✔Avoid over-the-counter antitussives.
ANSWERS SURE A+
✔✔When assessing a client prior to the administration of digoxin (Lanoxin, APO-
Digoxin), which data is most important for the nurse to consider?
Presence of a grade 2 murmur.
Nailbed capillary refill of 5 seconds.
Irregular apical pulse with a rate of 87.
Bilateral lower extremity dependent rubor. - ✔✔Irregular apical pulse with a rate of 87.
✔✔A male client with meningitis is prescribed cefotaxime (Claforan) IV and asks the
nurse why he cannot receive an oral drug, such as cefaclor (Ceclor) or cefadroxil
(Duricef),that he has taken before for infections. How should the nurse respond when
considering the actions of cephalosporins?
Cefazolin (Ancef) is another IV antibiotic that can be prescribed.
Cefaclor (Ceclor) is a good alternative to suggest to the healthcare provider.
Cefadroxil (Duricef) is usually prescribed when the IV is discontinued.
Cefotaxime (Claforan) provides therapeutic CNS concentrations. - ✔✔Cefotaxime
(Claforan) provides therapeutic CNS concentrations.
✔✔The nurse should instruct a client to avoid which product while taking carisoprodol
(Soma) for muscle spasms?
, Aspirin products.
Antacids.
Alcoholic beverages.
Dairy products. - ✔✔Alcoholic beverages.
✔✔When prescribed for a client with hepatic encephalopathy, what is the therapeutic
action of lactulose (Portalac)?
Lowers the pH of the colon.
Softens the stool.
Increases glucose absorption.
Stimulates peristalsis. - ✔✔Lowers the pH of the colon.
✔✔What teaching should the nurse provide a client who has received a new
prescription for sildenafil (Viagra)? (Select all that apply.)
Select all that apply
Frequent use can lead to the development of hypertension.
Most effective if taken after at least 6 hours of REM sleep.
Take within 30 to 60 minutes of sexual stimulation.
Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache. - ✔✔Take within 30 to 60 minutes of sexual
stimulation.
Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache.
✔✔A client who takes a statin and gemfibrozil (Lopid) for hyperlipidemia reports onset
of muscle pain and weakness. What additional assessment is most important for the
nurse to obtain?
Serum liver enzymes.
T3 and T4 blood levels.
Bowel function.
Peripheral sensation. - ✔✔Serum liver enzymes.
✔✔A client who has Trichomonas vaginalis receives a prescription for metronidazole
(Flagyl). Which instruction should the nurse provide during client education?
Do not ingest with diary products.
Notify the clinic if the urine changes color.
Obtain liver function tests every 3 months.
Avoid over-the-counter antitussives. - ✔✔Avoid over-the-counter antitussives.
