NURS 198 PHARMACOLOGY EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
1. The nurse knows that a contraindication to a client receiving
Methylergonovine is: a- Increased vaginal bleeding
b- Uterus well contracted at the umbilicus
c- Respirations 10
D- Blood pressure 120/80
RATIONALE : Monitor pt. For High BP when GIVING this Medication !
4. The nurse knows that a contraindication to a client receiving Methylergonovine is:
A. Increased vaginal bleeding
B. BP 140/90
C. Respirations 10
D. Oral temperature 100.6 F
2. The parent of a 25 week preterm newborn being cared for in the neonatal
intensive care unit (NICU) are coming to visit for the first time. The newborn is
receiving mechanical ventilation, intravenous fluids and medications and is being
monitored electronically by various devices. Which action by the nurse would be
most appropriate?
A- Discuss the care that the newborn is receiving at
this time. b- Reassure them that their newborn is
progressing well.
c- Encourage the parents to touch their preterm newborn
D- Discuss the care they will be giving the newborn upon discharge.
3. The nurse recognizes that a common acute symptom which would alert the
nurse to the fact that a preterm infant is developing respiratory distress syndrome
( RDS ) is:
a- Hyperglycemia
b- Intercostal vertebral retractions, respiratory grunting
c- Inspiratory
wheezing D-
Tremors
47. The nurse recognizes that a common acute symptom which would alert the
nurse to the fact that a preterm infant is developing respiratory distress syndrome
(RDS) is
A. Hyperglycemia
B. Expiratory grunting
C. Expiratory wheezing
D. Tremors
Rationale for RDS
: S/s Are : Chest retractions , SOB & Expiratory grunting - ONLY EXPIRATORY , nasal
flaring , all with a change of vitals , AND Oxygen saturation drops (late sign )
,NURS 198 PHARMACOLOGY EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
4. A nurse is caring for a large for gestational age (LGA) newborn whose blood
glucose level is
,NURS 198 PHARMACOLOGY EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
20 mg/dL. Which of the following interventions has priority in the nurse’s plan of care
for this newborn?
A - Assess for hypothermia.
b- Evaluate glucose levels again in 4 hours.
c- Provide glucose water exclusively.
D- Initiate IV 10% Dextrose in water in the neonatal unit
RATIONALE : If less than < 30, start IV 10% DW - dextrose water and transfer to NICU .
-- b/c of hypoglycemia
5. A 26 week preemie is admitted to the neonatal intensive care unit. The nurse
knows that which feeding method is best practice to prevent the infant from
developing necrotizing enterocolitis ( NEC ) an inflammatory bacterial infection
of the gastrointestinal mucosa.
A. Orogastric enteral feedings with a high calorie formula
B. Total parenteral nutrition with lipids TPN
C. IV 10% dextrose in water
D. Nasogastric feedings with a mixture of formula and water
Rationale : FOR NEC --- STOP Tube Feedings & Start Them On w/ LIPIDS Then gradually
start tube feeding again !
8. A nurse who is caring for a newborn observes signs of diaphoresis , jitteriness ,
and lethargy . Which of the following is the appropriate nursing action?
A. Obtain a glucose heel stick
B. Initiate phototherapy per HCP order
C. Assess newborns blood pressure
D. Place newborn in a radiant warmer
Rationale : Sign of Hypoglycemia -- need to do finger stick !
41. A newborn is noticeably jaundiced on the third day of life. Which of the
following responses to the parent would be most appropriate by the nurse?
A. He may have a blood incompatibility developing
B. This is from normal red blood cell breakdown and the newborn’s small liver
C. He will need an evaluation for hepatic disease
D. This is assign of neonatal infection that was undetected during
delivery RATIONALE : Pathologic Jaundice (due to mother & babies blood ) =
occurs first 24 hours of baby life !!!!
Physiological Jaundice ( due to immature liver ) = occurs after 24 hours , on day 2nd -
3rd !!!!
27.A nurse is caring for a client who is beginning to breastfeed her newborn after
delivery. The new mother states, “ I do not want to take anything for pain because
I am breastfeeding ”.
, NURS 198 PHARMACOLOGY EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
Which of the following is an appropriate response by the nurse?
A. You must take pain medications so that you are more comfortable
B. We can time your pain medication so that you have an hour or two before
the next feeding
C. All medications found in breast milk are harmful to the baby
D. You have the option of not taking any pain medication if you are concerned
11.A client calls the clinic to report some cramping since the insertion of the IUD
a few weeks ago and her present menstrual flow is heavy. You advise her to
a. Change her method of birth control
b. Consider this normal and should subside by next month
c. Take her temperature every 4 hours
d. Come to the clinic as soon as possible
Rationale : For IUD - Expect heavy menstrual flow and cramps in the first month =
EXPECTED (subsides after the first month )
4. A nurse is caring for a client who asks which of the several contraception
methods she is considering is most reliable. The correct response by the nurse
is:
a- A male condom
b-A hormonal intrauterine device (IUD)
c- An oral contraceptive
d- A diaphragm with spermicide
Rationale : IUD has less than 1 % failure rate -- it's very effective & best to give !
26.A postpartum client delivered a 9 lb baby vaginally 2 hours ago, without
episiotomy or lacerations. The nurse notes the fundus is at the umbilicus and not
firm with heavy lochia rubra and large clots and no edema of the legs. Which
priority actions by the nurse are needed? Select all that apply. ??
A. Massage the fundus and recheck bleeding
B. Assist the mother out of bed to void
C. Maintain IV 0.9 NS with 30 units of Pitocin
D. Assess mothers vital signs
E. Notify physician on call immediately
F. Administer magnesium sulfate
7. A client is now 8 hours post cesarean section with spinal anesthesia. Which of
the following findings requires further action by the nurse. SATA
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
1. The nurse knows that a contraindication to a client receiving
Methylergonovine is: a- Increased vaginal bleeding
b- Uterus well contracted at the umbilicus
c- Respirations 10
D- Blood pressure 120/80
RATIONALE : Monitor pt. For High BP when GIVING this Medication !
4. The nurse knows that a contraindication to a client receiving Methylergonovine is:
A. Increased vaginal bleeding
B. BP 140/90
C. Respirations 10
D. Oral temperature 100.6 F
2. The parent of a 25 week preterm newborn being cared for in the neonatal
intensive care unit (NICU) are coming to visit for the first time. The newborn is
receiving mechanical ventilation, intravenous fluids and medications and is being
monitored electronically by various devices. Which action by the nurse would be
most appropriate?
A- Discuss the care that the newborn is receiving at
this time. b- Reassure them that their newborn is
progressing well.
c- Encourage the parents to touch their preterm newborn
D- Discuss the care they will be giving the newborn upon discharge.
3. The nurse recognizes that a common acute symptom which would alert the
nurse to the fact that a preterm infant is developing respiratory distress syndrome
( RDS ) is:
a- Hyperglycemia
b- Intercostal vertebral retractions, respiratory grunting
c- Inspiratory
wheezing D-
Tremors
47. The nurse recognizes that a common acute symptom which would alert the
nurse to the fact that a preterm infant is developing respiratory distress syndrome
(RDS) is
A. Hyperglycemia
B. Expiratory grunting
C. Expiratory wheezing
D. Tremors
Rationale for RDS
: S/s Are : Chest retractions , SOB & Expiratory grunting - ONLY EXPIRATORY , nasal
flaring , all with a change of vitals , AND Oxygen saturation drops (late sign )
,NURS 198 PHARMACOLOGY EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
4. A nurse is caring for a large for gestational age (LGA) newborn whose blood
glucose level is
,NURS 198 PHARMACOLOGY EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
20 mg/dL. Which of the following interventions has priority in the nurse’s plan of care
for this newborn?
A - Assess for hypothermia.
b- Evaluate glucose levels again in 4 hours.
c- Provide glucose water exclusively.
D- Initiate IV 10% Dextrose in water in the neonatal unit
RATIONALE : If less than < 30, start IV 10% DW - dextrose water and transfer to NICU .
-- b/c of hypoglycemia
5. A 26 week preemie is admitted to the neonatal intensive care unit. The nurse
knows that which feeding method is best practice to prevent the infant from
developing necrotizing enterocolitis ( NEC ) an inflammatory bacterial infection
of the gastrointestinal mucosa.
A. Orogastric enteral feedings with a high calorie formula
B. Total parenteral nutrition with lipids TPN
C. IV 10% dextrose in water
D. Nasogastric feedings with a mixture of formula and water
Rationale : FOR NEC --- STOP Tube Feedings & Start Them On w/ LIPIDS Then gradually
start tube feeding again !
8. A nurse who is caring for a newborn observes signs of diaphoresis , jitteriness ,
and lethargy . Which of the following is the appropriate nursing action?
A. Obtain a glucose heel stick
B. Initiate phototherapy per HCP order
C. Assess newborns blood pressure
D. Place newborn in a radiant warmer
Rationale : Sign of Hypoglycemia -- need to do finger stick !
41. A newborn is noticeably jaundiced on the third day of life. Which of the
following responses to the parent would be most appropriate by the nurse?
A. He may have a blood incompatibility developing
B. This is from normal red blood cell breakdown and the newborn’s small liver
C. He will need an evaluation for hepatic disease
D. This is assign of neonatal infection that was undetected during
delivery RATIONALE : Pathologic Jaundice (due to mother & babies blood ) =
occurs first 24 hours of baby life !!!!
Physiological Jaundice ( due to immature liver ) = occurs after 24 hours , on day 2nd -
3rd !!!!
27.A nurse is caring for a client who is beginning to breastfeed her newborn after
delivery. The new mother states, “ I do not want to take anything for pain because
I am breastfeeding ”.
, NURS 198 PHARMACOLOGY EXAM QUESTIONS
WITH ANSWERS 2023 A+ ASSUARED SUCCESS
Which of the following is an appropriate response by the nurse?
A. You must take pain medications so that you are more comfortable
B. We can time your pain medication so that you have an hour or two before
the next feeding
C. All medications found in breast milk are harmful to the baby
D. You have the option of not taking any pain medication if you are concerned
11.A client calls the clinic to report some cramping since the insertion of the IUD
a few weeks ago and her present menstrual flow is heavy. You advise her to
a. Change her method of birth control
b. Consider this normal and should subside by next month
c. Take her temperature every 4 hours
d. Come to the clinic as soon as possible
Rationale : For IUD - Expect heavy menstrual flow and cramps in the first month =
EXPECTED (subsides after the first month )
4. A nurse is caring for a client who asks which of the several contraception
methods she is considering is most reliable. The correct response by the nurse
is:
a- A male condom
b-A hormonal intrauterine device (IUD)
c- An oral contraceptive
d- A diaphragm with spermicide
Rationale : IUD has less than 1 % failure rate -- it's very effective & best to give !
26.A postpartum client delivered a 9 lb baby vaginally 2 hours ago, without
episiotomy or lacerations. The nurse notes the fundus is at the umbilicus and not
firm with heavy lochia rubra and large clots and no edema of the legs. Which
priority actions by the nurse are needed? Select all that apply. ??
A. Massage the fundus and recheck bleeding
B. Assist the mother out of bed to void
C. Maintain IV 0.9 NS with 30 units of Pitocin
D. Assess mothers vital signs
E. Notify physician on call immediately
F. Administer magnesium sulfate
7. A client is now 8 hours post cesarean section with spinal anesthesia. Which of
the following findings requires further action by the nurse. SATA
