NR341 PHARMACOLOGY CJE BENCHMARK
NEWEST 2026 2027 COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS FULLY
VERIFIED BRAND NEW VERSION HIGH YIELD
STUDY GUIDE ACTUAL UPDATED PRACTICE
QUESTIONS PHARMACOLOGY EXAM
PREPARATION GRADED A+
a client with chronic hypertension has a prescription for extended-release nifedipine. While
on the phone with the clinic nurse, the client states " i cant get my regular shoes on
anymore be they are too tight" what should be the nurses priority?
report the findings to the health care provider
The nurse plans care of a client receiving phenytoin for two months. which nursing
intervention does the nurse anticipate?
monitor for signs of drug toxicity
a nurse creates a plan of care on the electronic health record about the use of epoetin
alpha. which is a priority intervention for the plan of care?
frequently assess blood pressure
A client enters the emergency department presenting with chest pain. the client had a
myocardial infarction one year ago. The nurse places the client on oxygen administers
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aspirin. the nurse teaches the client about aspirin. which statement by the client indicates a
good understanding of instruction?
This medication will slow down my heart rate
A client with type 2 diabetes mellitus begins treatment. The nurse and certified diabetes
educator provide education mangement. Which statements indicate teaching was effective?
select all that apply
- if i lose weight, i may be able to avoid medication for a while - i need
to know when my blood glucose goes low. - i need to take care of my
feet
a nurse administers intravenous potassium chloride to a client in heart failure. the clients
serum potassium level is 2.8 mEq/L. Which is a primary concern when administering this
medication?
monitor the heart rate before and after administration
Paramedics bring a client to the emergency department with
symptoms of a cerebrovascular accident (CA). After the computed
tomography (CT) scan, alteplase is prescribed. The guidelines
indicate that 10% of the dose is given as an intravenous bolus over
one minute, and 90% of the dose is then infused over one hour. The
recommended dose is 0.9 mg/kg. The client weighs 157 pounds.
When reconstituted, the medication is available as 1 mg/mL. How
many milliliters (mL) should be given in the initial dose? Round to
the nearest hundredth.
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A nurse cares for an unconscious client with significant burns
to 36% of their body. The health care provider prescribes
pain relief via the intramuscular route. What is the priority
nursing action?
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Question the intramuscular route of administration
Prior to discharge, a client with type 1 diabetes is prescribed to
have glucagon in the home.
What will the nurse include in the discharge instructions? Select all
that apply.
-signs of hyperglycemia
-family members know how to give injections
-when to administer the glucagon
What are common sensory motor defects in elderly patients? - SOLUTION=Elderly patients
may experience sensory motor defects.
What cardiovascular changes occur in elderly patients? - SOLUTION=Elderly patients
experience decreased cardiac output (CO) and blood flow.
What is polypharmacy and why is it common in elderly patients? -
SOLUTION=Polypharmacy refers to the use of multiple medications, which is common in
elderly patients due to chronic illnesses.
How does aging affect drug absorption in elderly patients? - SOLUTION=Aging leads to
decreased gastric pH, decreased peristalsis, and reduced GI blood flow.
What changes occur in drug distribution in elderly patients? - SOLUTION=Elderly patients
have increased fat content, decreased body mass and albumin, and decreased body water.
How does metabolism change in elderly patients? - SOLUTION=Elderly patients experience
a slower first-pass effect.
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What is the impact of aging on drug excretion? - SOLUTION=Aging results in decreased
Glomerular Filtration Rate (GFR).
What is crucial for pediatric patients regarding medication? -
SOLUTION=Weight/dose calculation is crucial due to limited studies on pediatric patients.
How does drug absorption differ in pediatric patients? - SOLUTION=Pediatric patients have
less acidic pH until 1-2 years old, slow gastric emptying, faster IM absorption, and thinner
skin.
What are the distribution characteristics of drugs in pediatric patients? -
SOLUTION=Pediatric patients have low fat content, decreased protein binding, increased
blood-brain barrier permeability, and dehydration.
How does metabolism in pediatric patients differ from adults? -
SOLUTION=Pediatric patients have an immature first-pass effect, while older children may
have increased metabolism.
What is the effect of immature kidney function on drug excretion in pediatric patients? -
SOLUTION=Decreased perfusion and immature kidney function lead to decreased drug
excretion.
What are the pregnancy categories for medications? - SOLUTION=Category A: No risk to
humans; Category B: No risk to animal fetus; Category C: Adverse risk to animal fetus;
Category D: Possible risk to fetus; Category X: Fetal abnormalities reported, DO NOT GIVE.
What should be considered for lactating mothers regarding medication? - SOLUTION=Risk
is present for lactating mothers despite low medication concentration.