Specialty Pharmacology Exam Version 1 (Latest
Update 2025/ 2026 Brand New) Questions & Answers
| 100% Correct | Grade A+
_____________________________________________________________________________________
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa
two months ago. Which finding best indicates that the medication is effective? Reference
Range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Hemoglobin level increased to 12 g/dL (120 g/L).
D. Food diary shows increased consumption of iron-rich foods
Hemoglobin level increased to 12 g/dL (120 g/L).
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which
assessment is to complete?
A. Count the apical and radial pulses simultaneously.
B. Auscultate the client's bowel sounds.
C. Measure the client's capillary glucose level.
D. Observe for edema around the ankles.
Auscultate the client's bowel sounds.
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be
reported to the immediately?
Reference Range: Sodium [Adult 136 to 145 mEg/L (136 to 145 mmol/L)]
Digoxin level [0.8 to 2.0 ng/mL (0.6 to 13 nmol/L)]
Potassium (K+) [Adult: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]
Creatinine (0.5 to 1.1 mg/dL (44 to 97 umol/L)]
A. Sodium level of 135 mEg/L (135 mmol/L).
B. Potassium level of 3.2 mEg/L (3.2 mmol/L).
C. Creatinine level of 0.8 mg/dL (70.72 umol/L)
D. Digoxin level of 1.1 ng/mL (1.4 nmol/L).
Potassium level of 3.2 mEg/L (3.2 mmol/L).
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the medication?
,A. Body mass index (BMI).
B. Serum protein levels.
C. Depression screening
D. Daily calorie count.
Body mass index (BMI).
A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000
units/2mL". How many mL should the nurse administer? (Enter numeric value only)
4 ML
A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which
adverse effect is most important for the nurse to report?
A. Nausea.
B. Unusual irritability.
C. Diarrhea.
D. Involuntary movement
Involuntary movement
The home health nurse observes that a female client is using a topical preparation that contains
echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and
safety of using herbs. How should the nurse respond?
A. Many of the herbal p&gparations are helpful primarily because of their placebo effect.
B. Topical echinacea is usually used to soothe burns and can cause damage to the skin.
C. This product is essentially harmless but also is not very beneficial in treating skin infections.
D. Echinacea seems to be useful in the treatment of some infections, such as canker sores.
Echinacea seems to be useful in the treatment of some infections, such as canker sores.
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the
nurse that the client understands the instructions?
A. To mask taste of the medication, inhaler can be used during meals.
B. Caffeinated beverages should be limited to two cups per day.
C. The inhaler will be used before bed each night.
D. Rinsing the mouth with water should be done after each use
Rinsing the mouth with water should be done after each use
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which
statement provided by the client requires additional instruction by the nurse?
A. I should stop taking the medication if the intended effect is not immediate.
B. Move slowly from a sitting position to a standing position.
, C. Use relaxation techniques to reduce excessive anxiety,
D. Avoid alcohol and other sedatives while taking the medication.
I should stop taking the medication if the intended effect is not immediate.
The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic
medication was discontinued several days ago. Which medication should be discontinued?
A. Magnesium (Milk or Magnesia)
B. Alprazolam (Xanax)
C. Lithium (Lithotabs)
D. Benztropine (Cogentin)
Benztropine (Cogentin)
A client recently diagnosed with Parkinson's Disease receives a new prescription for
carbidopa/levodopa, a dopaminergic drug. To reduce the client's risk for injury, which instruction
should the nurse provide?
A) Ask if the client's morning voids are dark-colored.
B) Determine if the client is taking the medication before meals.
C) Explore what the client means by the drug "is not working."
D) Evaluate the client for signs of dyskinesia.
Evaluate the client for signs of dyskinesia.
Case Study: The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He
takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine
SUBQ daily. For each of the following, indicate whether the instructions given by the nurse are
contraindicated or indicated to prepare for the client's first dose of captopril.(SATA)
A) Increase the lantus dose by 3 units the morning of the first dose.
B) Limit fluids for several days before the first dose.
C) Lay down if the blood pressure drops quickly after the first dose.
D) Monitor blood pressure for several hours after the first dose.
E) Hold spironolactone for 3 days.
C) Lay down if the blood pressure drops quickly after the first dose.
D) Monitor blood pressure for several hours after the first dose.
Case study: The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He
takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine
Update 2025/ 2026 Brand New) Questions & Answers
| 100% Correct | Grade A+
_____________________________________________________________________________________
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa
two months ago. Which finding best indicates that the medication is effective? Reference
Range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Hemoglobin level increased to 12 g/dL (120 g/L).
D. Food diary shows increased consumption of iron-rich foods
Hemoglobin level increased to 12 g/dL (120 g/L).
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which
assessment is to complete?
A. Count the apical and radial pulses simultaneously.
B. Auscultate the client's bowel sounds.
C. Measure the client's capillary glucose level.
D. Observe for edema around the ankles.
Auscultate the client's bowel sounds.
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be
reported to the immediately?
Reference Range: Sodium [Adult 136 to 145 mEg/L (136 to 145 mmol/L)]
Digoxin level [0.8 to 2.0 ng/mL (0.6 to 13 nmol/L)]
Potassium (K+) [Adult: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]
Creatinine (0.5 to 1.1 mg/dL (44 to 97 umol/L)]
A. Sodium level of 135 mEg/L (135 mmol/L).
B. Potassium level of 3.2 mEg/L (3.2 mmol/L).
C. Creatinine level of 0.8 mg/dL (70.72 umol/L)
D. Digoxin level of 1.1 ng/mL (1.4 nmol/L).
Potassium level of 3.2 mEg/L (3.2 mmol/L).
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the medication?
,A. Body mass index (BMI).
B. Serum protein levels.
C. Depression screening
D. Daily calorie count.
Body mass index (BMI).
A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000
units/2mL". How many mL should the nurse administer? (Enter numeric value only)
4 ML
A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which
adverse effect is most important for the nurse to report?
A. Nausea.
B. Unusual irritability.
C. Diarrhea.
D. Involuntary movement
Involuntary movement
The home health nurse observes that a female client is using a topical preparation that contains
echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and
safety of using herbs. How should the nurse respond?
A. Many of the herbal p&gparations are helpful primarily because of their placebo effect.
B. Topical echinacea is usually used to soothe burns and can cause damage to the skin.
C. This product is essentially harmless but also is not very beneficial in treating skin infections.
D. Echinacea seems to be useful in the treatment of some infections, such as canker sores.
Echinacea seems to be useful in the treatment of some infections, such as canker sores.
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the
nurse that the client understands the instructions?
A. To mask taste of the medication, inhaler can be used during meals.
B. Caffeinated beverages should be limited to two cups per day.
C. The inhaler will be used before bed each night.
D. Rinsing the mouth with water should be done after each use
Rinsing the mouth with water should be done after each use
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which
statement provided by the client requires additional instruction by the nurse?
A. I should stop taking the medication if the intended effect is not immediate.
B. Move slowly from a sitting position to a standing position.
, C. Use relaxation techniques to reduce excessive anxiety,
D. Avoid alcohol and other sedatives while taking the medication.
I should stop taking the medication if the intended effect is not immediate.
The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic
medication was discontinued several days ago. Which medication should be discontinued?
A. Magnesium (Milk or Magnesia)
B. Alprazolam (Xanax)
C. Lithium (Lithotabs)
D. Benztropine (Cogentin)
Benztropine (Cogentin)
A client recently diagnosed with Parkinson's Disease receives a new prescription for
carbidopa/levodopa, a dopaminergic drug. To reduce the client's risk for injury, which instruction
should the nurse provide?
A) Ask if the client's morning voids are dark-colored.
B) Determine if the client is taking the medication before meals.
C) Explore what the client means by the drug "is not working."
D) Evaluate the client for signs of dyskinesia.
Evaluate the client for signs of dyskinesia.
Case Study: The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He
takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine
SUBQ daily. For each of the following, indicate whether the instructions given by the nurse are
contraindicated or indicated to prepare for the client's first dose of captopril.(SATA)
A) Increase the lantus dose by 3 units the morning of the first dose.
B) Limit fluids for several days before the first dose.
C) Lay down if the blood pressure drops quickly after the first dose.
D) Monitor blood pressure for several hours after the first dose.
E) Hold spironolactone for 3 days.
C) Lay down if the blood pressure drops quickly after the first dose.
D) Monitor blood pressure for several hours after the first dose.
Case study: The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He
takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine
