Extra Pharm Questions Proctored exam
questions and answers graded A+
1. The nurse answers a patient's call light and finds the patient sitting up in bed and requesting
pain medication. What will the nurse do first?
A. Check the orders and give the patient the requested pain medication
B. Provide comfort measures to the patient
C. Assess the patient's pain and pain level
D. Evaluate the effectiveness of previous pain medications
Answer: C
2. The nurse is preparing to administer a transdermal patch to a patient and finds that the
patient already has a medication patch on his right upper chest. What will the nurse do?
A. Remove the old medication patch and notify the health care provider
B. Apply the new patch without removing the old one
C. Remove the old patch and apply the new one in the same spot
D. Remove the old patch and apply the new patch to a different clean area
Answer: D
3. A patient is complaining of severe pain and has orders for morphine sulfate. The nurse knows
that the route that would give the slowest pain relief is which route?
A. IV
B. PO
C. Subcutaneous
D. IM
Answer: B
Extra Pharm Questions Proctored exam
questions and answers graded A+
, Extra Pharm Questions Proctored exam
questions and answers graded A+
4. A patient is recovering from an appendectomy. She also has asthma and allergies to shellfish
and iodine. To manage her postoperative pain, the physician has prescribed hydromorphone
(Dilaudid). Which vital sign is of greatest concern?
A. Temperature
B. Respirations
C. Pulse
D. Blood pressure
Answer: B
5. The patient is diagnosed with Parkinson's disease and has been started on a
dopaminergic replacement drug therapy with carbidopa-levodopa, it is important for the
nurse to
A. assess the patient for dizziness and syncope when the patient is walking
B. administer the medication first thing in the morning
C. administer the medication on an empty stomach
D. remove protein from the patient's diet
Answer: B
6. Which drug will the nurse anticipate administering to a patient experiencing a
benzodiazepine overdose?
A. Flumazenil
B. Narcan
C. Methadone
D. Antabuse
Answer: A
, Extra Pharm Questions Proctored exam
questions and answers graded A+
7. Which statement is important for the nurse to include when teaching a patient about
disulfiram (Antabuse) therapy?
A. This medication will cure your alcoholism if you take as directed
B. This medication will cause your blood pressure to get very high if you drink alcohol after taking it
C. "You cannot drink alcohol for at least 3-4 days after taking this medication
D. "If you miss a dose of Antabuse, double up the next time it is due"
Answer: C
8. A patient on a dobutamine drip starts complaining that her IV line "hurts really bad." The
nurse assessing the site notices that it is red, swollen and cool to touch. What will the nurse do
first?
A. Slow the infusion rate
B. Stop the infusion
C. Inject the area with phentolamine
D. Notify the health care provider
Answer: B
9. A nurse is planning care for a client who is receiving furosemide (lasix) IV for peripheral
edema. Which of the following interventions should the nurse include in the plan of care? (Select
all that apply)
A. Assess for tinnitus
B. Monitor serum potassium
C. Elevate head of bed before ambulation
D. Report urine output of 50mL/hr
E. Recommend eating a banana daily
Answer: A, B, C, E
, Extra Pharm Questions Proctored exam
questions and answers graded A+
10. A nurse is planning to administer a first dose of captopril to a client who has hypertension.
Which of the following medications can intensify first dose hypotension? (Select all that apply)
A. Simvastatin (Zocor)
B. Hydrochlorothiazide (HCTZ)
C. Dilantin (Phenytoin)
D. Clonidine (Catapres)
E. Nitroglycerin (Nitrostat)
Answer: B, D, E
11. A nurse is teaching a client about a new medication, verapamil (Calan), for hypertension.
What information should be included in the teaching?
A. Increase the amount of dietary fiber in the diet
B. Drink grapefruit juice daily to increase vitamin C intake
C. Decrease the amount of calcium in diet
D. Withhold food for 1 hour after the medication is taken
Answer: A
12. When planning care for an assigned patient, the nurse identifies the outcome of “Patient will be
able to safely self-administer enoxaparin (Lovenox) subcutaneously upon discharge.” Which method
is best for the nurse to use in evaluating the patient’s achievement of this outcome?
A. Demonstrate the correct administration procedure to the patient.
B. Give the patient detailed written instructions illustrating the procedure.
C. Observe the patient’s return demonstration of the administration procedure.
D. Ask the patient to verbalize the correct administration procedure step by step.
Answer: C
questions and answers graded A+
1. The nurse answers a patient's call light and finds the patient sitting up in bed and requesting
pain medication. What will the nurse do first?
A. Check the orders and give the patient the requested pain medication
B. Provide comfort measures to the patient
C. Assess the patient's pain and pain level
D. Evaluate the effectiveness of previous pain medications
Answer: C
2. The nurse is preparing to administer a transdermal patch to a patient and finds that the
patient already has a medication patch on his right upper chest. What will the nurse do?
A. Remove the old medication patch and notify the health care provider
B. Apply the new patch without removing the old one
C. Remove the old patch and apply the new one in the same spot
D. Remove the old patch and apply the new patch to a different clean area
Answer: D
3. A patient is complaining of severe pain and has orders for morphine sulfate. The nurse knows
that the route that would give the slowest pain relief is which route?
A. IV
B. PO
C. Subcutaneous
D. IM
Answer: B
Extra Pharm Questions Proctored exam
questions and answers graded A+
, Extra Pharm Questions Proctored exam
questions and answers graded A+
4. A patient is recovering from an appendectomy. She also has asthma and allergies to shellfish
and iodine. To manage her postoperative pain, the physician has prescribed hydromorphone
(Dilaudid). Which vital sign is of greatest concern?
A. Temperature
B. Respirations
C. Pulse
D. Blood pressure
Answer: B
5. The patient is diagnosed with Parkinson's disease and has been started on a
dopaminergic replacement drug therapy with carbidopa-levodopa, it is important for the
nurse to
A. assess the patient for dizziness and syncope when the patient is walking
B. administer the medication first thing in the morning
C. administer the medication on an empty stomach
D. remove protein from the patient's diet
Answer: B
6. Which drug will the nurse anticipate administering to a patient experiencing a
benzodiazepine overdose?
A. Flumazenil
B. Narcan
C. Methadone
D. Antabuse
Answer: A
, Extra Pharm Questions Proctored exam
questions and answers graded A+
7. Which statement is important for the nurse to include when teaching a patient about
disulfiram (Antabuse) therapy?
A. This medication will cure your alcoholism if you take as directed
B. This medication will cause your blood pressure to get very high if you drink alcohol after taking it
C. "You cannot drink alcohol for at least 3-4 days after taking this medication
D. "If you miss a dose of Antabuse, double up the next time it is due"
Answer: C
8. A patient on a dobutamine drip starts complaining that her IV line "hurts really bad." The
nurse assessing the site notices that it is red, swollen and cool to touch. What will the nurse do
first?
A. Slow the infusion rate
B. Stop the infusion
C. Inject the area with phentolamine
D. Notify the health care provider
Answer: B
9. A nurse is planning care for a client who is receiving furosemide (lasix) IV for peripheral
edema. Which of the following interventions should the nurse include in the plan of care? (Select
all that apply)
A. Assess for tinnitus
B. Monitor serum potassium
C. Elevate head of bed before ambulation
D. Report urine output of 50mL/hr
E. Recommend eating a banana daily
Answer: A, B, C, E
, Extra Pharm Questions Proctored exam
questions and answers graded A+
10. A nurse is planning to administer a first dose of captopril to a client who has hypertension.
Which of the following medications can intensify first dose hypotension? (Select all that apply)
A. Simvastatin (Zocor)
B. Hydrochlorothiazide (HCTZ)
C. Dilantin (Phenytoin)
D. Clonidine (Catapres)
E. Nitroglycerin (Nitrostat)
Answer: B, D, E
11. A nurse is teaching a client about a new medication, verapamil (Calan), for hypertension.
What information should be included in the teaching?
A. Increase the amount of dietary fiber in the diet
B. Drink grapefruit juice daily to increase vitamin C intake
C. Decrease the amount of calcium in diet
D. Withhold food for 1 hour after the medication is taken
Answer: A
12. When planning care for an assigned patient, the nurse identifies the outcome of “Patient will be
able to safely self-administer enoxaparin (Lovenox) subcutaneously upon discharge.” Which method
is best for the nurse to use in evaluating the patient’s achievement of this outcome?
A. Demonstrate the correct administration procedure to the patient.
B. Give the patient detailed written instructions illustrating the procedure.
C. Observe the patient’s return demonstration of the administration procedure.
D. Ask the patient to verbalize the correct administration procedure step by step.
Answer: C
