Page 1 of 89
RN Pharmacology EXAMINATION 2025 UPDATED 2025 – 2026 WITH QUESTIONS WITH
CORRECT ANSWERS VERIFIED 100% GRADED A+
RN Pharmacology LATEST 2025 ACTUAL EXAM 242 QUESTIONS AND
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse orienting a newly licensed nurse is reviewing the procedure for taking
a telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?
A."A second nurse enters
the prescription into the
client's medical record."
B."Another nurse should
listen to the phone call."
C."The provider can clarify
the prescription when he
signs the health record."
D."I should omit the 'r
ead back' if this is a one-time prescription
B.A second nurse should listen to a telephone
prescription to prevent errors in communication.
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g
in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor
of the manual IV tubing is 10 gtt/mL. The nurse should
adjust the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Do not use a trailing zero.
22 gtt/min
A nurse is preparing to administer clindamycin 200 mg by intermittent IV
bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9%
sodium chloride
(0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver
how many mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.
200 mL/hr
A nurse is preparing to administer furosemide 80 mg PO daily. The amount
available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the
answer to the nearest whole number. Do not use a trailing zero.)
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8 mL
A nurse is preparing to administer haloperidol 2 mg PO every 12 hr. The
amount available is haloperidol 1 mg/tablet.
how many tablets
should the nurse administer? (Round
the answer to the nearest whole number. Do not use a trailing zero.
2 tablets
A nurse is preparing to administer amoxicillin 20 mg/kg/day PO to divide
equally every 12 hr to a
preschooler who weighs 44 lb. The amount available is amoxicillin suspension
250 mg/5 mL. how many
mL should the nurse administer per dose? (Round the answer
to the nearest whole number. Do not use a trailing zero.)
4 mL
A nurse is preparing to administer heparin 15,000 units subcutaneously
every 12 hr. The amount available is heparin injection 20,000 units/mL.
how many mL should the nurse administer per dose? (Round the answer to
the nearest tenth. Do not use a trailing zero.
0.8 mL
A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN
for pain. The amount available is acetaminophen liquid 500 mg/5 mL.
how many mL should
the nurse administer per dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.
6.5 mL
A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to
infuse over 6 hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole number. Do
not use a trailing zero.
125 mL/hr
A nurse is assessing a client's IV infusion site. Which of the following findings
should the
nurse identify as an indication of phlebitis? (Select all that apply.)
A.Pallor
B.Dampness
C.Erythema
D.Coolness
E.Pain
C. Erythema at the insertion site is a manifestation of phlebitis.
E.Pain at the insertion site is a manifestation of phlebitis.
A nurse manager is reviewing the facility's policies for IV therapy
with the members of his team. The nurse manager should remind the team that
which of the following
techniques helps minimize the risk of catheter embolism?
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A.Performing hand hygiene
before and after IV insertion
B.Rotating IV sites at
least every 72 hr
C.minimizing tourniquet time
D.Avoiding reinserting the
needle into an IV catheter
D. The nurse manager should remind the members of the team to avoid reinserting
the stylet needle into an IV catheter. This action can result in severing the end of the
catheter and consequently cause a catheter embolism
A nurse is preparing to initiate IV therapy for an older adult client. Which of the
following actions
should the nurse plan to take?
A.Use a disposable razor
to remove excess hair
on the extremity.
B.Select the back of the client's hand to insert the IV catheter.
C.Distend the veins by using a blood pressure cuff.
D.Direct the client to raise
his arm above his heart
C.The nurse should distend the veins using a blood pressure
cuff to reduce overfilling of the vein, which can result in a hematoma.
A nurse assessing a client's IV catheter insertion site notes a hematoma.
Which of the following actions should the nurse take? (Select all that apply.)
A.Stop the infusion.
B.Apply alcohol to the
insertion site.
C.Apply warm compresses
to the insertion site
D.Elevate the client's arm.
E.Obtain a specimen for
culture at the insertion site
C. Warm compresses can help promote healing of a hematoma.
D. Elevation of the arm helps reduce edema, which can cause pressure and pain
and additional bleeding in the area of the hematoma.
A nurse in a clinic is caring for a group of clients. The nurse should contact
the provider about a
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potential contraindication to a medication for which of the following clients?
(Select all that apply.)
A.A client at 8 weeks of
gestation who asks for an
influenza immunization
B.A client who takes
prednisone and has a
possible fungal infection
C.A client who has chronic
liver disease and is
taking hydrocodone
D.A client who has peptic ulcer disease, takes sucralfate, and tells the nurse
she has started taking OTC aluminum hydroxide
E.A client who has a pr
osthetic heart valve, takes warfarin, and reports a suspected pregnancy
B. Glucocorticoids should not be taken by a client
who has a possible systemic fungal infection. The nurse should
recognize a contraindication and notify the provider.
C. Acetaminophen is contraindicated due to toxicity for a client who has a liver
disorder. The nurse should notify the provider,
who can prescribe a medication that does not contain acetaminophen.
E. Warfarin is a Pregnancy Category X medication,
which can cause severe birth defects to the fetus. The nurse
should notify the provider about the suspected pregnancy
A nurse is preparing to administer an Im dose of penicillin to a client who has
a new prescription. The
client states she took penicillin 3 years ago and developed a rash. Which of
the following actions should the nurse take?
A.Administer the
prescribed dose.
B.Withhold the medication.
C.Ask the provider to change the prescription to an oral form.
D.Administer an oral
antihistamine at the same time
B. The nurse should withhold the medication and notify the provider of the client's
previous reaction to penicillin so that an alternative antibiotic can be prescribed.
Allergic
reactions to penicillin can range from mild to severe anaphylaxis,
and prior sensitization should be reported to the provider.
RN Pharmacology EXAMINATION 2025 UPDATED 2025 – 2026 WITH QUESTIONS WITH
CORRECT ANSWERS VERIFIED 100% GRADED A+
RN Pharmacology LATEST 2025 ACTUAL EXAM 242 QUESTIONS AND
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse orienting a newly licensed nurse is reviewing the procedure for taking
a telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?
A."A second nurse enters
the prescription into the
client's medical record."
B."Another nurse should
listen to the phone call."
C."The provider can clarify
the prescription when he
signs the health record."
D."I should omit the 'r
ead back' if this is a one-time prescription
B.A second nurse should listen to a telephone
prescription to prevent errors in communication.
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g
in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor
of the manual IV tubing is 10 gtt/mL. The nurse should
adjust the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Do not use a trailing zero.
22 gtt/min
A nurse is preparing to administer clindamycin 200 mg by intermittent IV
bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9%
sodium chloride
(0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver
how many mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.
200 mL/hr
A nurse is preparing to administer furosemide 80 mg PO daily. The amount
available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the
answer to the nearest whole number. Do not use a trailing zero.)
, Page 2 of 89
8 mL
A nurse is preparing to administer haloperidol 2 mg PO every 12 hr. The
amount available is haloperidol 1 mg/tablet.
how many tablets
should the nurse administer? (Round
the answer to the nearest whole number. Do not use a trailing zero.
2 tablets
A nurse is preparing to administer amoxicillin 20 mg/kg/day PO to divide
equally every 12 hr to a
preschooler who weighs 44 lb. The amount available is amoxicillin suspension
250 mg/5 mL. how many
mL should the nurse administer per dose? (Round the answer
to the nearest whole number. Do not use a trailing zero.)
4 mL
A nurse is preparing to administer heparin 15,000 units subcutaneously
every 12 hr. The amount available is heparin injection 20,000 units/mL.
how many mL should the nurse administer per dose? (Round the answer to
the nearest tenth. Do not use a trailing zero.
0.8 mL
A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN
for pain. The amount available is acetaminophen liquid 500 mg/5 mL.
how many mL should
the nurse administer per dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.
6.5 mL
A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to
infuse over 6 hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole number. Do
not use a trailing zero.
125 mL/hr
A nurse is assessing a client's IV infusion site. Which of the following findings
should the
nurse identify as an indication of phlebitis? (Select all that apply.)
A.Pallor
B.Dampness
C.Erythema
D.Coolness
E.Pain
C. Erythema at the insertion site is a manifestation of phlebitis.
E.Pain at the insertion site is a manifestation of phlebitis.
A nurse manager is reviewing the facility's policies for IV therapy
with the members of his team. The nurse manager should remind the team that
which of the following
techniques helps minimize the risk of catheter embolism?
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A.Performing hand hygiene
before and after IV insertion
B.Rotating IV sites at
least every 72 hr
C.minimizing tourniquet time
D.Avoiding reinserting the
needle into an IV catheter
D. The nurse manager should remind the members of the team to avoid reinserting
the stylet needle into an IV catheter. This action can result in severing the end of the
catheter and consequently cause a catheter embolism
A nurse is preparing to initiate IV therapy for an older adult client. Which of the
following actions
should the nurse plan to take?
A.Use a disposable razor
to remove excess hair
on the extremity.
B.Select the back of the client's hand to insert the IV catheter.
C.Distend the veins by using a blood pressure cuff.
D.Direct the client to raise
his arm above his heart
C.The nurse should distend the veins using a blood pressure
cuff to reduce overfilling of the vein, which can result in a hematoma.
A nurse assessing a client's IV catheter insertion site notes a hematoma.
Which of the following actions should the nurse take? (Select all that apply.)
A.Stop the infusion.
B.Apply alcohol to the
insertion site.
C.Apply warm compresses
to the insertion site
D.Elevate the client's arm.
E.Obtain a specimen for
culture at the insertion site
C. Warm compresses can help promote healing of a hematoma.
D. Elevation of the arm helps reduce edema, which can cause pressure and pain
and additional bleeding in the area of the hematoma.
A nurse in a clinic is caring for a group of clients. The nurse should contact
the provider about a
, Page 4 of 89
potential contraindication to a medication for which of the following clients?
(Select all that apply.)
A.A client at 8 weeks of
gestation who asks for an
influenza immunization
B.A client who takes
prednisone and has a
possible fungal infection
C.A client who has chronic
liver disease and is
taking hydrocodone
D.A client who has peptic ulcer disease, takes sucralfate, and tells the nurse
she has started taking OTC aluminum hydroxide
E.A client who has a pr
osthetic heart valve, takes warfarin, and reports a suspected pregnancy
B. Glucocorticoids should not be taken by a client
who has a possible systemic fungal infection. The nurse should
recognize a contraindication and notify the provider.
C. Acetaminophen is contraindicated due to toxicity for a client who has a liver
disorder. The nurse should notify the provider,
who can prescribe a medication that does not contain acetaminophen.
E. Warfarin is a Pregnancy Category X medication,
which can cause severe birth defects to the fetus. The nurse
should notify the provider about the suspected pregnancy
A nurse is preparing to administer an Im dose of penicillin to a client who has
a new prescription. The
client states she took penicillin 3 years ago and developed a rash. Which of
the following actions should the nurse take?
A.Administer the
prescribed dose.
B.Withhold the medication.
C.Ask the provider to change the prescription to an oral form.
D.Administer an oral
antihistamine at the same time
B. The nurse should withhold the medication and notify the provider of the client's
previous reaction to penicillin so that an alternative antibiotic can be prescribed.
Allergic
reactions to penicillin can range from mild to severe anaphylaxis,
and prior sensitization should be reported to the provider.
