NR 293 PHARMACOLOGY ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) | ALREADY GRADED
A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!|| 2026
OFFICIAL PROFESSOR-VERIFIED EXAM BANK - 300 QUESTIONS
CARDIOVASCULAR PHARMACOLOGY
1. The nurse is educating a client about prescribed antiepileptic medication. Which response by the client
indicates that the education was effective?
• I can stop taking this once the seizures go away.
• I will most likely take this medication my entire life.
• I should only take this when I feel a seizure coming on.
• This medication will cure my epilepsy within a year.
Correct Answer: I will most likely take this medication my entire life.
Detailed Rationale: Antiepileptic drugs are typically taken for life to maintain therapeutic blood levels and prevent
seizure activity. Abrupt discontinuation can lead to status epilepticus.
NEUROLOGICAL PHARMACOLOGY
2. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which
of the following instructions should the nurse give to the client?
• "Take this medication with a high-calcium antacid."
• "Stop taking the medication as soon as symptoms resolve."
• "You should report any tendon discomfort you experience while taking this medication."
• "Expect your urine to turn bright orange."
Correct Answer: "You should report any tendon discomfort you experience while taking this medication."
Detailed Rationale: Ciprofloxacin, a fluoroquinolone, carries a black box warning for tendonitis and tendon rupture.
Clients should report any pain or inflammation in tendons immediately.
INFECTIOUS DISEASE PHARMACOLOGY
,3. A client with renal disease has been diagnosed with gastritis and is requesting an antacid. Which
antacid is most appropriate for this client?
• Magnesium salts
• Sodium bicarbonate
• Calcium carbonate
• Aluminum salts
Correct Answer: Aluminum salts
Detailed Rationale: Aluminum-based antacids are preferred for clients with renal disease because they are more easily
excreted and do not cause the magnesium toxicity associated with magnesium-based antacids.
GASTROINTESTINAL PHARMACOLOGY
4. A nurse is planning to administer digoxin to a client with heart failure. Which laboratory result should
the nurse review prior to administration to prevent toxicity?
• Sodium level
• Potassium level
• Hemoglobin
• Creatinine kinase
Correct Answer: Potassium level
Detailed Rationale: Hypokalemia (low potassium) increases the risk of digoxin toxicity. The nurse must check potassium
levels and the apical pulse for one full minute before administration.
ENDOCRINE PHARMACOLOGY
5. Which intervention should the nurse perform before initiating antibiotic therapy for a client with a
suspected infection?
• Administer the first dose immediately.
• Obtain specimen for culture and sensitivity.
• Assess the client's blood pressure.
• Check the client's white blood cell count.
Correct Answer: Obtain specimen for culture and sensitivity.
Detailed Rationale: Culture and sensitivity specimens must be obtained before starting antibiotics to ensure the
medication doesn't interfere with the identification of the causative organism.
RESPIRATORY PHARMACOLOGY
,6. A hospitalized client has an order for ketorolac. Why is the use of this medication limited to a maximum
of 5 days?
• It becomes addictive after 5 days.
• The drug can cause severe renal effects and GI bleeding.
• It loses its effectiveness after 5 days.
• It causes permanent hearing loss.
Correct Answer: The drug can cause severe renal effects and GI bleeding.
Detailed Rationale: Ketorolac (Toradol) is a potent NSAID. Prolonged use beyond 5 days significantly increases the risk
of serious adverse effects, particularly renal failure and gastrointestinal perforation.
CARDIOVASCULAR PHARMACOLOGY
7. A nurse provides care for a client with a pulmonary embolism (PE) treated with a continuous IV
infusion of heparin. Which action should the nurse perform?
• Monitor PT/INR levels.
• Monitor APTT (Activated Partial Thromboplastin Time) every 6 hours.
• Check the client's vitamin K intake.
• Administer aspirin as a secondary anticoagulant.
Correct Answer: Monitor APTT (Activated Partial Thromboplastin Time) every 6 hours.
Detailed Rationale: APTT is the standard laboratory test used to monitor the effectiveness and safety of heparin therapy.
Adjustments to the infusion rate are based on these values.
NEUROLOGICAL PHARMACOLOGY
8. The nurse is educating a client about prescribed antiepileptic medication. Which response by the client
indicates that the education was effective?
• I can stop taking this once the seizures go away.
• I will most likely take this medication my entire life.
• I should only take this when I feel a seizure coming on.
• This medication will cure my epilepsy within a year.
Correct Answer: I will most likely take this medication my entire life.
Detailed Rationale: Antiepileptic drugs are typically taken for life to maintain therapeutic blood levels and prevent
seizure activity. Abrupt discontinuation can lead to status epilepticus.
INFECTIOUS DISEASE PHARMACOLOGY
, 9. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which
of the following instructions should the nurse give to the client?
• "Take this medication with a high-calcium antacid."
• "Stop taking the medication as soon as symptoms resolve."
• "You should report any tendon discomfort you experience while taking this medication."
• "Expect your urine to turn bright orange."
Correct Answer: "You should report any tendon discomfort you experience while taking this medication."
Detailed Rationale: Ciprofloxacin, a fluoroquinolone, carries a black box warning for tendonitis and tendon rupture.
Clients should report any pain or inflammation in tendons immediately.
GASTROINTESTINAL PHARMACOLOGY
10. A client with renal disease has been diagnosed with gastritis and is requesting an antacid. Which
antacid is most appropriate for this client?
• Magnesium salts
• Sodium bicarbonate
• Calcium carbonate
• Aluminum salts
Correct Answer: Aluminum salts
Detailed Rationale: Aluminum-based antacids are preferred for clients with renal disease because they are more easily
excreted and do not cause the magnesium toxicity associated with magnesium-based antacids.
ENDOCRINE PHARMACOLOGY
11. A nurse is planning to administer digoxin to a client with heart failure. Which laboratory result should
the nurse review prior to administration to prevent toxicity?
• Sodium level
• Potassium level
• Hemoglobin
• Creatinine kinase
Correct Answer: Potassium level
Detailed Rationale: Hypokalemia (low potassium) increases the risk of digoxin toxicity. The nurse must check potassium
levels and the apical pulse for one full minute before administration.
RESPIRATORY PHARMACOLOGY
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) | ALREADY GRADED
A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!|| 2026
OFFICIAL PROFESSOR-VERIFIED EXAM BANK - 300 QUESTIONS
CARDIOVASCULAR PHARMACOLOGY
1. The nurse is educating a client about prescribed antiepileptic medication. Which response by the client
indicates that the education was effective?
• I can stop taking this once the seizures go away.
• I will most likely take this medication my entire life.
• I should only take this when I feel a seizure coming on.
• This medication will cure my epilepsy within a year.
Correct Answer: I will most likely take this medication my entire life.
Detailed Rationale: Antiepileptic drugs are typically taken for life to maintain therapeutic blood levels and prevent
seizure activity. Abrupt discontinuation can lead to status epilepticus.
NEUROLOGICAL PHARMACOLOGY
2. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which
of the following instructions should the nurse give to the client?
• "Take this medication with a high-calcium antacid."
• "Stop taking the medication as soon as symptoms resolve."
• "You should report any tendon discomfort you experience while taking this medication."
• "Expect your urine to turn bright orange."
Correct Answer: "You should report any tendon discomfort you experience while taking this medication."
Detailed Rationale: Ciprofloxacin, a fluoroquinolone, carries a black box warning for tendonitis and tendon rupture.
Clients should report any pain or inflammation in tendons immediately.
INFECTIOUS DISEASE PHARMACOLOGY
,3. A client with renal disease has been diagnosed with gastritis and is requesting an antacid. Which
antacid is most appropriate for this client?
• Magnesium salts
• Sodium bicarbonate
• Calcium carbonate
• Aluminum salts
Correct Answer: Aluminum salts
Detailed Rationale: Aluminum-based antacids are preferred for clients with renal disease because they are more easily
excreted and do not cause the magnesium toxicity associated with magnesium-based antacids.
GASTROINTESTINAL PHARMACOLOGY
4. A nurse is planning to administer digoxin to a client with heart failure. Which laboratory result should
the nurse review prior to administration to prevent toxicity?
• Sodium level
• Potassium level
• Hemoglobin
• Creatinine kinase
Correct Answer: Potassium level
Detailed Rationale: Hypokalemia (low potassium) increases the risk of digoxin toxicity. The nurse must check potassium
levels and the apical pulse for one full minute before administration.
ENDOCRINE PHARMACOLOGY
5. Which intervention should the nurse perform before initiating antibiotic therapy for a client with a
suspected infection?
• Administer the first dose immediately.
• Obtain specimen for culture and sensitivity.
• Assess the client's blood pressure.
• Check the client's white blood cell count.
Correct Answer: Obtain specimen for culture and sensitivity.
Detailed Rationale: Culture and sensitivity specimens must be obtained before starting antibiotics to ensure the
medication doesn't interfere with the identification of the causative organism.
RESPIRATORY PHARMACOLOGY
,6. A hospitalized client has an order for ketorolac. Why is the use of this medication limited to a maximum
of 5 days?
• It becomes addictive after 5 days.
• The drug can cause severe renal effects and GI bleeding.
• It loses its effectiveness after 5 days.
• It causes permanent hearing loss.
Correct Answer: The drug can cause severe renal effects and GI bleeding.
Detailed Rationale: Ketorolac (Toradol) is a potent NSAID. Prolonged use beyond 5 days significantly increases the risk
of serious adverse effects, particularly renal failure and gastrointestinal perforation.
CARDIOVASCULAR PHARMACOLOGY
7. A nurse provides care for a client with a pulmonary embolism (PE) treated with a continuous IV
infusion of heparin. Which action should the nurse perform?
• Monitor PT/INR levels.
• Monitor APTT (Activated Partial Thromboplastin Time) every 6 hours.
• Check the client's vitamin K intake.
• Administer aspirin as a secondary anticoagulant.
Correct Answer: Monitor APTT (Activated Partial Thromboplastin Time) every 6 hours.
Detailed Rationale: APTT is the standard laboratory test used to monitor the effectiveness and safety of heparin therapy.
Adjustments to the infusion rate are based on these values.
NEUROLOGICAL PHARMACOLOGY
8. The nurse is educating a client about prescribed antiepileptic medication. Which response by the client
indicates that the education was effective?
• I can stop taking this once the seizures go away.
• I will most likely take this medication my entire life.
• I should only take this when I feel a seizure coming on.
• This medication will cure my epilepsy within a year.
Correct Answer: I will most likely take this medication my entire life.
Detailed Rationale: Antiepileptic drugs are typically taken for life to maintain therapeutic blood levels and prevent
seizure activity. Abrupt discontinuation can lead to status epilepticus.
INFECTIOUS DISEASE PHARMACOLOGY
, 9. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which
of the following instructions should the nurse give to the client?
• "Take this medication with a high-calcium antacid."
• "Stop taking the medication as soon as symptoms resolve."
• "You should report any tendon discomfort you experience while taking this medication."
• "Expect your urine to turn bright orange."
Correct Answer: "You should report any tendon discomfort you experience while taking this medication."
Detailed Rationale: Ciprofloxacin, a fluoroquinolone, carries a black box warning for tendonitis and tendon rupture.
Clients should report any pain or inflammation in tendons immediately.
GASTROINTESTINAL PHARMACOLOGY
10. A client with renal disease has been diagnosed with gastritis and is requesting an antacid. Which
antacid is most appropriate for this client?
• Magnesium salts
• Sodium bicarbonate
• Calcium carbonate
• Aluminum salts
Correct Answer: Aluminum salts
Detailed Rationale: Aluminum-based antacids are preferred for clients with renal disease because they are more easily
excreted and do not cause the magnesium toxicity associated with magnesium-based antacids.
ENDOCRINE PHARMACOLOGY
11. A nurse is planning to administer digoxin to a client with heart failure. Which laboratory result should
the nurse review prior to administration to prevent toxicity?
• Sodium level
• Potassium level
• Hemoglobin
• Creatinine kinase
Correct Answer: Potassium level
Detailed Rationale: Hypokalemia (low potassium) increases the risk of digoxin toxicity. The nurse must check potassium
levels and the apical pulse for one full minute before administration.
RESPIRATORY PHARMACOLOGY
