NLN Practice Pharm Exam 70 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) ALREADY
GRADED A+ 2025 NEW UPDATE
A 35-year-old client is admitted to the hospital for acute hypertension. The client reports
stopping all medication several months ago because they interfered with sexual
function. A nurse should inform the client that
• Serious hypertension is likely to result from stopping medications abruptly
• The side effects would have eventually disappeared with continued administration
• Alternative medication therapy that will not affect sexual function is available
• Stopping the medications now will cause a stroke - CORRECT ANSWER: c.
Alternative medication therapy that will not affect sexual function is available
A child who weighs 40 lb (18kg) is to receive a 900 mg of an antibiotic IV q6h. The
antibiotic is available in 1.5g/vial and it is to be reconstituted to a concentration of 375
mg/mL. How many mL per does should the child receive?
• 0.6
• 1.6
• 2.4
• 6.9 - CORRECT ANSWER: c. 2.4
A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied
in a vial that contains 300 mg/2 mL. How many milliters should a nurse administer to the
client? (single answer)
• 0.6
• 0.75
• 1.3
• 1.5 - CORRECT ANSWER: c. 1.3
,A client is receiving an IV infusion of 20 units of a medication mixed in 1 L of 0.9%NaCl.
How many units of the medication are present in one milliliter of solution?
• 0.002
• 0.02
• 0.2
• 2 - CORRECT ANSWER: b. 0.02
A client is receiving an IV solution of 20,000 units of heparin sodium in 1 L of D5Wat a
rate of 125 mL/hr. How many units per hour is the client receiving?
• 1,000
• 2,500
• 3,125
• 3,750 - CORRECT ANSWER: b. 2,500
A client is receiving nalbuphine hydrochloride (Nubain). Before administering the
medication, it is most important for a nurse to assess the client's
• Respiratory status
• Pupillary reaction
• Pulse rate
• Blood sugar - CORRECT ANSWER: a. Respiratory status
A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose;
a nurse should
• Ensure culture and sensitivity specimens have been obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - CORRECT ANSWER: a. Ensure culture and sensitivity
specimens have been obtained
, A client is started on vancomycin hydrochloride (Vancocin) for a methylcillin-resistant
staphylococcus aureus infection. A nurse should monitor the client carefully for signs of
renal toxicity, which include
• Increased serum creatinine level
• Decreased blood urea nitrogen (BUN) level
• Increased blood pressure
• Intermittent flank pain - CORRECT ANSWER: a. Increased serum creatinine level
A client is to receive 1 mg of a medication. If the medication is available in a solution of
5mg/9mL, how many mL of the medication should the client receive?
• 0.2
• 0.6
• 1.4
• 1.8 - CORRECT ANSWER: d. 1.8
A client is to receive 200mg of a medication. The medication is available as a
0.5gm/5mL suspension. How many mL should a nurse administer to the client?
a. 0.5
b. 2
c. 2.5
d. 4 - CORRECT ANSWER: b. 2
A client is to receive 5 mcg/kg/min of a medication. If the client weighs 66 lb (30kg), how
many mcg should the client receive in 1 hr?
• 150
• 360
• 3,300
• 9,000 - CORRECT ANSWER: d. 9,000
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) ALREADY
GRADED A+ 2025 NEW UPDATE
A 35-year-old client is admitted to the hospital for acute hypertension. The client reports
stopping all medication several months ago because they interfered with sexual
function. A nurse should inform the client that
• Serious hypertension is likely to result from stopping medications abruptly
• The side effects would have eventually disappeared with continued administration
• Alternative medication therapy that will not affect sexual function is available
• Stopping the medications now will cause a stroke - CORRECT ANSWER: c.
Alternative medication therapy that will not affect sexual function is available
A child who weighs 40 lb (18kg) is to receive a 900 mg of an antibiotic IV q6h. The
antibiotic is available in 1.5g/vial and it is to be reconstituted to a concentration of 375
mg/mL. How many mL per does should the child receive?
• 0.6
• 1.6
• 2.4
• 6.9 - CORRECT ANSWER: c. 2.4
A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied
in a vial that contains 300 mg/2 mL. How many milliters should a nurse administer to the
client? (single answer)
• 0.6
• 0.75
• 1.3
• 1.5 - CORRECT ANSWER: c. 1.3
,A client is receiving an IV infusion of 20 units of a medication mixed in 1 L of 0.9%NaCl.
How many units of the medication are present in one milliliter of solution?
• 0.002
• 0.02
• 0.2
• 2 - CORRECT ANSWER: b. 0.02
A client is receiving an IV solution of 20,000 units of heparin sodium in 1 L of D5Wat a
rate of 125 mL/hr. How many units per hour is the client receiving?
• 1,000
• 2,500
• 3,125
• 3,750 - CORRECT ANSWER: b. 2,500
A client is receiving nalbuphine hydrochloride (Nubain). Before administering the
medication, it is most important for a nurse to assess the client's
• Respiratory status
• Pupillary reaction
• Pulse rate
• Blood sugar - CORRECT ANSWER: a. Respiratory status
A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose;
a nurse should
• Ensure culture and sensitivity specimens have been obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - CORRECT ANSWER: a. Ensure culture and sensitivity
specimens have been obtained
, A client is started on vancomycin hydrochloride (Vancocin) for a methylcillin-resistant
staphylococcus aureus infection. A nurse should monitor the client carefully for signs of
renal toxicity, which include
• Increased serum creatinine level
• Decreased blood urea nitrogen (BUN) level
• Increased blood pressure
• Intermittent flank pain - CORRECT ANSWER: a. Increased serum creatinine level
A client is to receive 1 mg of a medication. If the medication is available in a solution of
5mg/9mL, how many mL of the medication should the client receive?
• 0.2
• 0.6
• 1.4
• 1.8 - CORRECT ANSWER: d. 1.8
A client is to receive 200mg of a medication. The medication is available as a
0.5gm/5mL suspension. How many mL should a nurse administer to the client?
a. 0.5
b. 2
c. 2.5
d. 4 - CORRECT ANSWER: b. 2
A client is to receive 5 mcg/kg/min of a medication. If the client weighs 66 lb (30kg), how
many mcg should the client receive in 1 hr?
• 150
• 360
• 3,300
• 9,000 - CORRECT ANSWER: d. 9,000
