NR293 Chamberlain College of Nursing Advanced Pharmacology Practice Exam With Answers (125 Solved Questions)

Name: NR293 Chamberlain College of Nursing Advanced Pharmacology Practice Exam With Answers (125 Solved Questions)
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Build exam confidence with NR293 Chamberlain College of Nursing Advanced Pharmacology Practice Exam With Answers, featuring a selection of past test questions.

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NR 293 Advanced Pharmacology Exam
N/B: Questions and Answers with Elaborations

NR 293 Questions and Answers
Chamberlain College of Nursing
1. Which response best supports the observations that the nurse
identifies in a client who isexperiencing a placebo effect?
✓ Psychological response to inert medication
2. Methylphenidate HCl (Concerta) is prescribed for daily
administration to a 10-year-old child with attention deficit-
hyperactivity disorder (ADHD). In preparing a teaching planfor the
parents of this child newly diagnosed with ADHD, which instruction
is most important for the nurse to provide to the parents?
✓ Administer the medication in the morning before the child goes to
school.
3. Which physiologic mechanism explains a drug's increased
metabolism that is triggeredby a disease process?
✓ Pharmacokinetics
4. The health care provider prescribes ipratropium (Atrovent) for a
client. An allergic reaction to which other medication would cause
the nurse to question the prescription forAtrovent?
✓ Atropine sulfate (Atropine)
5. A 42-year-old client is admitted to the emergency department after
taking an overdose ofamitriptyline (Elavil) in a suicide attempt.
Which drug should the nurse plan to administer to reverse the
cardiac & central nervous system effects of amitriptyline (Elavil)?
✓ Sodium bicarbonate
6. A client who is hypertensive receives a prescription for
hydrochlorothiazide (HCTZ) – thiazide diuretic cause potassium
wasting in the urine. When teaching about the sideeffects of this
drug, which symptoms are most important for the nurse to instruct
the client to report?
✓ Fatigue & muscle weakness
7. The nurse is preparing to apply a surface anesthetic agent for a
client. Which actionshould the nurse implement to reduce the
risk of systemic absorption?
✓ Avoid abraded skin areas when applying the anesthetic. – apply to

8. The health care provider prescribes cisplatin (Platinol) to be
administered in 5% dextrose& 0.45% normal saline with
mannitol (Osmitrol) added. Which assessment parameters
would be most helpful to the nurse in evaluating the
effectiveness of the Osmitrol therapy?
✓ Urine output
9. A 19-year-old male client who has sustained a severe head
injury is intubated & placed on assisted mechanical
ventilation. To facilitate optimal ventilation & prevent the
client from "fighting" the ventilator, the health care provider
administers pancuronium bromide(Pavulon) IV, with
adjunctive opioid analgesia. What medication should the
nurse maintain at the client's bedside?
✓ Neostigmine bromide (Prostigmin)
10.The nurse is reviewing a client's laboratory results before a
procedure in which a neuromuscular blocking agent is a
st&ing order. Which finding should the nurse report tothe
health care provider?
✓ Hypokalemia - Low potassium levels enhance the effects
of neuromuscular
blocking agents
11.A female client with myasthenia gravis is taking a
cholinesterase inhibitor & asks thenurse what can be done
to remedy her fatigue & difficulty swallowing. What action
should the nurse implement?
✓ Develop a teaching plan for the client to self-adjust the dose
of medication in
response to symptoms. - Clients should be taught to
recognize signs of
overmedication & undermedication so that they
can modify the dosagethemselves based on a
prescribed sliding scale.
12.A client receives pancuronium (Pavulon), a long-acting,
nondepolarizing neuromuscularblocker, during surgical
anesthesia. Which client situation should alert the nurse to
evaluate the client for a prolonged muscle relaxation
response to this medication?
✓ Renal insufficiency

13.A client is ordered 22 mg of gentamicin by IM injection. The
drug is available in 20 mg/2mL. How many mL should be
administered?
✓ 2.2 mL - (22 mg/20 mg) × 2 mL = 2.2 mL
14.A client is receiving oral griseofulvin (Grisactin) for a
persistent tinea corporis infection.Which response by the
client indicates an accurate underst&ing of the drug
teaching conducted by the nurse?
✓ "I'll wear sunscreen whenever I mow the lawn." -
Photosensitivity is a side effect of
griseofulvin (Grisactin), so clients should be cautioned
to wear protective
sunscreen during sun exposure.

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15.The nurse has completed diabetic teaching for a client who
has been newly diagnosed with diabetes mellitus. Which
statement by this client would indicate to the nurse that
further teaching is needed?
✓ "When I exercise, I should plan to increase my insulin
dosage." - Exercise helps
facilitate the entry of glucose into the cell, so
increasing insulin doses with exercise would place
the client at high risk for a hypoglycemic reaction.
16.The nurse is evaluating a client's underst&ing of the
prescribed antilipemic drug lovastatin (Mevacor). Which
client statement indicates that further teaching is needed?
✓ "I will take the medication every day before breakfast." - The
enzyme that helps
metabolize cholesterol is activated at night, so this
medication should be taken
with the evening meal.
17.A client with acute lymphocytic leukemia is to begin
chemotherapy today. The health care provider's
prescription specifies that ondansetron (Zofran) is to be
administered IV30 minutes prior to the infusion of cisplatin
(Platinol). What is the rationale for administering Zofran
prior to the chemotherapy induction?
✓ Reduction or elimination of nausea & vomiting
18.A client who arrives in the postanesthesia care unit (PACU)
after surgery is not awakefrom general anesthesia. Which
action should the nurse implement first?
✓ Review the medication administration record (MAR). -
Most general anesthetics
produce cardiovascular & respiratory depression, so a
review of the client's MAR identifies all the
medications received during surgery & helps the nurse
anticipate the client's response & emergence from
anesthesia.
19.Which class of antineoplastic chemotherapy agents resembles
the essential elements required for DNA & RNA synthesis &
inhibits enzymes necessary for cellular function &
replication?
✓ Antimetabolites

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21.During administration of theophylline (Theo-Dur), the nurse
should monitor for signs oftoxicity. Which symptom would
cause the nurse to suspect Theo-Dur toxicity?
✓ Restlessness - Other signs of toxicity are anorexia,
nausea, vomiting, insomnia,
tachycardia, arrhythmias, & seizures.
22.Amoxicillin, 500 mg PO every 8 hours, is prescribed for a
client with an infection. The drug is available in a suspension
of 125 mg/5 mL. How many milliliters should the nurse
administer with each dose?
✓ 20 mL
23.A 45-year-old female client is receiving alprazolam
(Xanax) for anxiety. Which clientbehaviors would indicate
that the drug is effective?
✓ The staff observes the client sitting in the day room reading
a book.
24.Which parameter is most important for the nurse to
check prior to administering asubcutaneous injection of
heparin?
✓ Activated partial thromboplastin time (aPTT)
25.A client is receiving antiinfective drug therapy for a
postoperative infection. Whichcomplaint should alert the
nurse to the possibility that the client has contracted a
superinfection?
✓ "My mouth feels sore." - Stomatitis caused by a thrush
infection, which can cause
mouth pain, is a sign of superinfection.
26.A client is taking famotidine (Pepcid). Which client
statement should the nurse furtherassess because it may
indicate that the client is experiencing a side effect of this
drug?
✓ "I seem to be having difficulty thinking clearly." - A common
side effect of Pepcid is
confusion.
27.A 2-month-old infant is scheduled to receive the first DPT
immunization. What is thepreferred injection site to
administer this immunization?
✓ Vastus lateralis

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28.Prior to administering a scheduled dose of digoxin
(Lanoxin), the nurse reviews the client's current serum
digoxin level, which is 1.3 ng/dL. Which action should the
nurseimplement?
✓ Give the dose of digoxin if the client's heart rate is within a
safe range.
29.The nurse is preparing to administer a secondary infusion of
a dobutamine solution to a client. The nurse notes that the
solution is brown in color. Which action should the nurse
implement?
✓ Administer the drug if the solution's reconstitution time is
less than 24 hours.

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30.A client is being discharged with a prescription for
sulfasalazine (Azulfidine) to treatulcerative colitis. Which
instruction should the nurse provide to this client prior to
discharge?
✓ Drink eight glasses of fluid a day. - Adequate hydration is
important for all sulfa
drugs because they can crystallize in the urine. If
possible, the drug should betaken after eating to provide
longer intestinal transit time.
31.A psychiatric client is discharged from the hospital with a
prescription for haloperidol (Haldol). Which instruction
should the nurse include in the discharge teaching plan for
this client?
✓ Use sunglasses & sunscreen when outdoors. -
Photosensitivity is a common adverse
effect of haloperidol (Haldol).
32.In addition to nitrate therapy, a client is receiving nifedipine
(Procardia), 10 mg PO every 6 hours. The nurse should plan
to observe for which common side effect of this treatment
regimen?
✓ Hypotension - Nifedipine (Procardia) reduces peripheral
vascular resistance &
nitrates produce vasodilation, so concurrent use of
nitrates with nifedipine can cause hypotension with
the initial administration of these agents.
33.A client is receiving pyridostigmine bromide (Mestinon)
to control the symptoms ofmyasthenia gravis. Which
client behavior would indicate that the drug therapy is
effective?
✓ Clear speech - Clear speech is the result of increased
muscle strength. Muscle
weakness characteristic of myasthenia gravis often
first appears in the musclesof the neck & face.
34.An older client who had a colon resection yesterday is
receiving a constant dose of hydromorphone (Dilaudid)
via a patient-controlled analgesia (PCA) pump. Which
assessment finding is most significant & requires that
the nurse intervene?
✓ Respirations decrease to 14 breaths/min. - Hydromorphone

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Chamberlain College of Nursing

Subject

Pharmacology

NR293 Chamberlain College of Nursing Advanced Pharmacology Practice Exam With Answers (125 Solved Questions)

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