PHARMACOLOGY III FINAL EXAM (2025/2026 UPDATED) 100
CORRECTLY SOLVED 100% WELL STRUCTURED Q&A
Q1) Which of these statements indicates the client’s understanding of nitroglycerine self-
care practices?
(a) I should wait until I have taken 3 nitro’s before I call for help
(b) I should stop what I am doing and sit down before I take nitroglycerine for chest
pain
(c) I should keep unopened bottle of nitroglycerine in the freezer
(d) I can take nitroglycerine three times, but I need to space them three minutes apart
Q2) Which statement by a client taking levothyroxine indicates a need for further teaching
(a) I should report in Sonya tremors on an increased hardware to my provider
(b) if I take a multivitamin with iron I should take it four hours after the levothyroxine
(c) I should not take heartburn medication without consulting my provider
(d) if I take calcium supplement, I may need to decrease my dose of levothyroxine
Q3) Which side effect of clindamycin causes the most concern?
(a) Diarrhea
(b) Headache
(c) nausea
(d) vomiting
Q4) A nurse teaching a client who has asthma the appropriate use of inhale fluticasone.
What advice should the nurse give to help the client avoid complications with the use of
inhaled steroids.
(a) Check the pulse after taking the medication
(b) take the medication before eating
(c) rinse your mouth after inhaling the medicine
(d) limit your caffeine intake
Q5) A nurse is reviewing the chart of an adult male client who has been taking oral
androgens. Which assessment would warrant notifying the provider?
(a) Acne and increased facial hair
(b) Breast enlargement
(c) Increased libido
(d) Jaundice
Q6) The nurse reinforces instructions regarding when to take levothyroxine and determines
teaching was effective when the client states the medications should be taken in which
manner?
(a) With an antacid
(b) At bedtime
, (c) When they feel fatigued
(d) 30 minutes before breakfast
Q7) A client has infection caused by Pseudomonas aeruginosa, and the prescriber orders
intravenous piperacillin and amikacin. What will the nurse do?
(a) Make sure to administer the drugs using different intravenous tubing
(b) Suggest giving more substantial doses of piperacillin and discontinuing the amikacin
(c) Suggest a fixed-dose combination of piperacillin and tazobactam
(d) Watch the client closely for allergic reactions because this risk increases with this
combination
Q8) A client who is recovering from total knee surgery is preparing for discharge. Which of
these statements indicates the client needs further teaching?
(a) Taking Acetaminophen often could mask any infection-related fever I might have
(b) I can rotate acetaminophen with ibuprofen if needed for pain control, so I don’t take too
much of either one
(c) Taking more than 4000 mg of acetaminophen in a day can cause liver problem
(d) If I still have pain 20 minutes after taking 1000 mg of acetaminophen, I should take
two of oxycodone-acetaminophen.
Q9) Which of a client’s medication is the most likely cause of a persistent dry cough?
(a) Enalapril
(b) Atorvastatin
(c) Nifedipine
(d) Hydrochlorothiazide
Q11) Parent ask the nurse why an over-the-counter cough suppressant with sedative side
effect is not recommended for infants. Which response by the nurse is correct?
(a) Bables have a more rapid gastric emptying time and don’t absorb drugs well
(b) Cough medication tastes bad, and infants usually won’t take it
(c) Infants are more susceptible to central nervous system effect than are adults
(d) Infants metabolize drugs too rapidly, so drugs aren’t effective
Q12) What should the nurse include in discharge teaching regarding self-care for a client
taking loop or thiazide diuretics?
(a) Avoid fruits and potatoes
(b) Weigh daily and report any loss or gain exceeding two pounds in 24 hours to your
provider
(c) Walk at least a mile a day
(d) Take the medication after supper to avoid mid-day urgency
Q13) The nurse will include which information when teaching a client about hydroxyzine?
(a) The drug will reduce redness and itching but not edema
, (b) This medication is not likely to cause
(c) The client should avoid drinking alcohol while on the drug
(d) The client should report shortness of breath while taking the medication
Q14) The nurse working on a high-acuity medical-surgical unit is prioritizing care for four
clients who were just admitted. Which client should the nurse assess FIRST?
(a) The NPO client with a blood glucose level of 80 mg/Dl who just received 20 units of
insulin lispro
(b) The client with a pulse of 62 beats/min, about to receive digoxin
(c) The client with a blood pressure of 136/92 mm Hg. Who complains of having a
headache
(d) The client with an allergy to penicillin who is receiving an infusion of vancomycin
Q15) A client who is taking calcium supplements receives a prescription for ciprofloxacin
for a respiratory infection. What must the nurse include in the client teaching?
(a) Consume extra fluids while taking the ciprofloxacin to prevent hypercalciuria
(b) Stop taking the calcium supplements while taking the ciprofloxacin
(c) Take the two medications together to increase the absorption of both
(d) Take the calcium either six hours before or two hours after taking the ciprofloxacin
Q16) The nurse is caring for a client who is receiving vancomycin. The nurse notes the
client is experiencing flushing, rash, pruritus, and urticaria. The client’s heart rates is 120
beats/min, and blood pressure is 92/57 mmHg. The nurse knows these findings are
consistent with:
(a) Allergic reaction
(b) Redman syndrome
(c) Rhabdomyolysis
(d) Stevens-Johnson syndrome
Q17) A client is admitted to the hospital and will begin taking cephalexin. The nurse learns
that the client also takes warfarin. The nurse will notify the provider to discuss--------
the --------- dose
(a) Reducing; cephalexin
(b) Reducing; warfarin
(c) Increasing; cephalexin
(d) Increasing; warfarin
Q18) Insulin lispro was given to a client at 7 a.m. by a night nurse who needed to leave
early. At 7:30 am, the client is clammy and refusing breakfast, stating, “I don’t feel well. I
need to lie down.” What is the nurse’s next best action?
(a) Check the blood sugar convince the client to drink juice if possible
(b) Document the findings and let the client sleep since the insulin lispro won’t peak
until later in the morning.
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