FINAL EXAM NCLEX STYLE QUESTIONS:
NR293 PHARMACOLOGY FOR NURSING
PRACTICE, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
The nurse should assess a patient for nephrotoxicity and ototoxicity when
administering which antimicrobial?
a. cefazolin
b. clindamycin
c. gentamicin
d. erythromycin - CORRECT-ANSWERS—C >>> The nurse should assess a
patient for nephrotoxicity (kidney damage) and ototoxicity (inner ear
damage) when administering c. gentamicin. Gentamicin is an
aminoglycoside antibiotic well known for these potential severe side
effects.
Which medical condition(s) is/are central nervous system (CNS) stimulants
approved to treat? (Select all that apply.)
a. Attention Deficit Hyperactivity Disorder (ADHD)
b. Anorexia
c. Narcolepsy
d. Obesity
e. Post-traumatic Stress Disorder (PTSD) - CORRECT-ANSWERS--A, C, D
>>> Explanation
Attention Deficit Hyperactivity Disorder (ADHD): CNS stimulants like
amphetamines and methylphenidates are considered first-line treatments
for ADHD. These medications increase the concentration of dopamine and
norepinephrine in the brain, improving focus and reducing impulsivity.
, Narcolepsy: CNS stimulants are used to manage excessive daytime
sleepiness associated with narcolepsy by promoting wakefulness and
alertness. Examples include methylphenidate, modafinil, and
amphetamines.
Obesity: Some CNS stimulants are approved for short-term use, in
conjunction with a low-calorie diet, to help with weight loss in patients
with obesity by suppressing appetite. Phentermine is an example of a
stimulant used for this purpose.
A client diagnosed with schizophrenia is prescribed clozapine (Clozaril).
Which client symptoms related to the side effects of this medication
should prompt a nurse to intervene immediately?
a. Sore throat, fever, and malaise
b. Akathisia and hypersalivation
c. Akinesia and insomnia
d. Dry mouth and urinary retention - CORRECT-ANSWERS--A
>>>Explanation
a. Sore throat, fever, and malaise (Correct)
Agranulocytosis is a severe and life-threatening drop in the body's white
blood cell count, specifically neutrophils.
A low white blood cell count compromises the body's ability to fight
infection.
A fever, sore throat, and general malaise (feeling unwell) are classic early
signs of an infection when the body's immune defenses are severely
impaired.
When a patient on clozapine reports these flu-like symptoms, the nurse
must intervene immediately by discontinuing the medication and
arranging for an urgent blood test to check the patient's complete blood
count (CBC).
NR293 PHARMACOLOGY FOR NURSING
PRACTICE, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
The nurse should assess a patient for nephrotoxicity and ototoxicity when
administering which antimicrobial?
a. cefazolin
b. clindamycin
c. gentamicin
d. erythromycin - CORRECT-ANSWERS—C >>> The nurse should assess a
patient for nephrotoxicity (kidney damage) and ototoxicity (inner ear
damage) when administering c. gentamicin. Gentamicin is an
aminoglycoside antibiotic well known for these potential severe side
effects.
Which medical condition(s) is/are central nervous system (CNS) stimulants
approved to treat? (Select all that apply.)
a. Attention Deficit Hyperactivity Disorder (ADHD)
b. Anorexia
c. Narcolepsy
d. Obesity
e. Post-traumatic Stress Disorder (PTSD) - CORRECT-ANSWERS--A, C, D
>>> Explanation
Attention Deficit Hyperactivity Disorder (ADHD): CNS stimulants like
amphetamines and methylphenidates are considered first-line treatments
for ADHD. These medications increase the concentration of dopamine and
norepinephrine in the brain, improving focus and reducing impulsivity.
, Narcolepsy: CNS stimulants are used to manage excessive daytime
sleepiness associated with narcolepsy by promoting wakefulness and
alertness. Examples include methylphenidate, modafinil, and
amphetamines.
Obesity: Some CNS stimulants are approved for short-term use, in
conjunction with a low-calorie diet, to help with weight loss in patients
with obesity by suppressing appetite. Phentermine is an example of a
stimulant used for this purpose.
A client diagnosed with schizophrenia is prescribed clozapine (Clozaril).
Which client symptoms related to the side effects of this medication
should prompt a nurse to intervene immediately?
a. Sore throat, fever, and malaise
b. Akathisia and hypersalivation
c. Akinesia and insomnia
d. Dry mouth and urinary retention - CORRECT-ANSWERS--A
>>>Explanation
a. Sore throat, fever, and malaise (Correct)
Agranulocytosis is a severe and life-threatening drop in the body's white
blood cell count, specifically neutrophils.
A low white blood cell count compromises the body's ability to fight
infection.
A fever, sore throat, and general malaise (feeling unwell) are classic early
signs of an infection when the body's immune defenses are severely
impaired.
When a patient on clozapine reports these flu-like symptoms, the nurse
must intervene immediately by discontinuing the medication and
arranging for an urgent blood test to check the patient's complete blood
count (CBC).
