PHARMACOLOGY NR 293 EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
C. Data Collection - (ANSWER)A nurse is caring for a client who has multiple medication allergies. During
which of the following steps of the nursing process should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - (ANSWER)A nurse is caring for a client and realizes after administering
the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of
digoxin 0.125 mg PO. Which of the following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - (ANSWER)A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - (ANSWER)A nurse is reviewing the
medication administration record of a client who has impaired swallowing. The nurse should crush the
medication when administering which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
,PHARMACOLOGY NR 293 EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis. It is a
second generation cephalosporin. - (ANSWER)A nurse is caring for a client who is receiving cefotetan 1 g
via intermittent IV bolus every 12 hours to treat a postoperative infection. Which of the following
manifestations should the nurse monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - (ANSWER)A nurse is assisting with the care of a client who is postoperative. The client
reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the
following routes of administration will deliver the medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - (ANSWER)nurse is monitoring a client with
pneumonia who has received penicillin G intramuscularly. Which of the following findings should the
nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
, PHARMACOLOGY NR 293 EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
c. hepatic toxicity - (ANSWER)A nurse is reviewing the laboratory results of a client who is taking a
medication and notes that the client's blood tests show an elevated level of the enzymes aspartate
aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these
findings are potential indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - (ANSWER)A nurse is reviewing the laboratory data for a client who
has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of
the following findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
5 mL - (ANSWER)A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child
who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many mL should the
nurse administer? (Round your answer to the nearest tenth. Use a leading zero if applicable but do not
use a trailing zero.)
A. to reduce toxicity risk - (ANSWER)A nurse is assisting with the administration of an IV injection to a
client. For which of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
C. Data Collection - (ANSWER)A nurse is caring for a client who has multiple medication allergies. During
which of the following steps of the nursing process should the nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - (ANSWER)A nurse is caring for a client and realizes after administering
the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of
digoxin 0.125 mg PO. Which of the following actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - (ANSWER)A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - (ANSWER)A nurse is reviewing the
medication administration record of a client who has impaired swallowing. The nurse should crush the
medication when administering which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
,PHARMACOLOGY NR 293 EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis. It is a
second generation cephalosporin. - (ANSWER)A nurse is caring for a client who is receiving cefotetan 1 g
via intermittent IV bolus every 12 hours to treat a postoperative infection. Which of the following
manifestations should the nurse monitor for as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - (ANSWER)A nurse is assisting with the care of a client who is postoperative. The client
reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the
following routes of administration will deliver the medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - (ANSWER)nurse is monitoring a client with
pneumonia who has received penicillin G intramuscularly. Which of the following findings should the
nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
, PHARMACOLOGY NR 293 EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
c. hepatic toxicity - (ANSWER)A nurse is reviewing the laboratory results of a client who is taking a
medication and notes that the client's blood tests show an elevated level of the enzymes aspartate
aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these
findings are potential indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - (ANSWER)A nurse is reviewing the laboratory data for a client who
has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of
the following findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
5 mL - (ANSWER)A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child
who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many mL should the
nurse administer? (Round your answer to the nearest tenth. Use a leading zero if applicable but do not
use a trailing zero.)
A. to reduce toxicity risk - (ANSWER)A nurse is assisting with the administration of an IV injection to a
client. For which of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
