Exam 1: NR293/ NR 293 Pharmacology for
Nursing Practice Exam| 100% Correct
Questions and Verified Answers (2023/ 2024
Update) -Chamberlain
Q: 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
Answer:
A. to reduce toxicity risk
Q: A nurse is reinforcing teaching with a client who has atrial fibrillation and a new
prescription for amiodarone. Which of the following items should the nurse instruct the client to
avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
C. garlic
D. salt substitutes
Answer:
B. grapefruit juice
Q: A nurse is caring fora client who has developed MRSA in a surgical incision. Which of the
following medications should the nurse expect the provider to prescribe?
A. ceftriaxone
B. vancomycin
C. ketoconazole
D. ciprofloxacin
Answer:
B. vancomycin
Q: A nurse is caring for a client who is experiencing severe cancer pain. Which of the following
medications should the nurse expect the provider to prescribe?
A. buprenorphine
B. tramadol
C. hydromorphone
D. oxycodone
Answer:
C. hydromorphone
Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to severe pain
management in clients who have cancer.
Q: A nurse is collecting data from a client who is experiencing chest pain. Which of the
following medications should the nurse expect to administer to suppress the aggregation of
platelets?
A. nitroglycerin
B. Aspirin
C. Morphine
D. Metoprolol
Answer:
B. Aspirin
Q: A nurse is caring for a client who takes gentamicin IM and has a prescription to obtain a
blood sample to measure a trough level. At which of the following times should the nurse draw
the blood sample?
A. within 15 minutes prior to the next medication dose
B. 3 hours prior to administering a dose.
C. Within 15 minutes following the next medication dose
D. 2 hours after administering a dose.
Answer:
A. within 15 minutes prior to the next medication dose
Q: A nurse is reinforcing teaching with a client who has a new prescription for sertraline. The
client asks the nurse if he should containue to take St. John’s wort for depression. Which of the
following instructions should the nurse give the client?
A. take the medication and herbal supplement together.
B. stop taking the herbal supplement while taking the medication.
C. take the herbal supplement and the medication at least 2 hours apart.
D. take an antacid with both the herbal supplement and the medication.
Answer:
B. stop taking the herbal supplement while taking the medication.
Taking the antidepressant sertraline and St. John’s wort together puts the client at risk for
serotonin syndrome.
Q: A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23.
Which of the following needle lengths should the nurse use to administer the medication?
A. 1/2 inch
B. 1 1/2 inch
C. 2 1/2 inch
D. 3 inch
Answer:
B. 1 1/2 inch
Q: A nurse in a long-term care facility is administering medications to a group of older clients.
Which of the following factors of pharmacokinetics should the nurse consider when caring for
this age group?
A. the excretion of the medication is reduced
B. the percentage of medication absorbed is increased
C. the liver metabolizes the medication more quickly.
D. the rate at which the liver metabolizes medication declines with age.
Answer:
A. the excretion of the medication is reduced
Q: A nurse in a provider’s office is assessing a client who has been taking amoxicillin for 10
days and reports diarrhea and cramping. The nurse should recognize that these manifestations
occur secondary to which of the following adverse effects?
A. development of gastric ulcers
B. development of milk intolerance
C. allergic reactions to the medication
D. alterations in the gastrointestinal flora
Answer:
D. alterations in the gastrointestinal flora
Q: A nurse is preparing to administer desmopressin 0.1 mcg/kg in 0.9% sodium chloride 50 mL
IV over 30 min to a client who weights 154 lb. How many mcg of medication should the client
receive?
Answer:
21
Q: A nurse is preparing to administer 150 units/hr of regular insulin to a client. Regular insulin
is available at 1,500 units in 0.9% sodium chloride 500 mL. The nurse should set the IV pump to
deliver how many mL/hr?
Answer:
50
Q: A nurse is preparing to administer medication to a preschooler. The nurse should use which
of the following measurements to calculate the medication dosage for this client?
A. body mass index
B. height
c. weight
d. rule of 9s
Answer:
c. weight