PHARMACOLOGY PROCTORED EXAM 1 AND 2 QUESTIONS WITH ANSWERS 2023

PHARMACOLOGY PROCTORED EXAM 1 AND 2 QUESTIONS WITH ANSWERS 2023

GUIDE

• A patient has received a prescription for a 1-week course of anti-fungal suppositories for

a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying "I don't want to do this for 2 weeks! Which of the following would be an acceptable alternative?

• A single dose of fluconazole oral tablet
• There Is no better alternative to the suppositories
• Amphotericin B
• A stronger dose of a vaginal anti-fungal cream

• The nurse is assessing a client who is about to receive an anti-fungal drug. What

condition would be of most concern to the nurse?

• Pulmonary disease
• bleeding disorders
• Hepatitis
• Diabetes mellitus

• A patient who has been hospitalized for two weeks has developed pressure ulcer that

contain multi drugs resistant staphylococcus aureus (MRSA). What drug could be an effective treatment?

• Ciprofloxacin
• Vancomycin
• Metronidazole
• Amphotericin

• Which of the following conditions would the nurse suspect the client is prescribed

Codeine?

• urinary pain
• a severe dry cough
• mild pain
• constipation

• The nurse is caring for a patient on Filgrastim while on immunosuppressant drugs, The

nurse knows which lab value needs to be monitored while taking this medication?

• Hematocrit
• Platelet count
• White blood cell count
• Hemoglobin 1 / 4

• When hanging a new infusion bag of a chemotherapy drug, the nurse accidentally spills a

small amount of the solution onto the floor. Which action by the nurse is appropriate?

• Let it dry and then mop the floor
• Ask the housekeeping department to clean the floor
• Wipe the area with a disposable paper towel
• Use a spill kit to clean the area.

• a nurse ls caring for a client who has active pulmonary tuberculosis (TB) and a new

prescription for IV rifampin. The nurse should instruct the Client that they should expect to experience which of the following manifestations while taking this medication?

• Constipation
• staining of teeth
• Red-Colored urine
• Black color stools

• The nurse is preparing to use a disinfectant. Which statement is correct regarding how

disinfectants differ from antiseptics?

• Antiseptics only Inhibit growth of organisms
• Disinfectants are used as preoperative skin preparation
• Antiseptics are used on living tissue to kill micrograms
• Disinfectants are used only on non-living objects.

• The post anesthesia care unit (PACU) nurse Is caring for a client who just arrives to the

unit with a temperature of 104 degrees F. Respirations are 30 breaths/min, blood pressure is becoming unstable, and his oxygen saturation begins to drop. What does the PACU nurse suspect?

• Septic-shock
• Malignant hyperthermia
• Malignant hypertension
• Anaphylactic reaction

• À patient is admitted with a fever of 102.8* F (39.3* C). origin unknown. Assessment

reveals cloudy, foul -smelling urine that is dark amber in color. Orders have Just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence?

• Blood and urine cultures antibiotic dose
• Antibiotic dose, blood, and urine cultures
• Urine culture, antibiotic dose. blood culture 2 / 4

• Blood culture, antibiotic dose urine culture

• A nurse is teaching the client about her three-month tetracycline prescription that is even

for her acne treatment. What Information Is Important to tell the client? (Select all that apply.)

• constipation may develop
• Do not take with dairy products
• Do not give it to any children under 8yrs of age
• It is safe to use if you become pregnant
• Permanent discoloration of fetal teeth can occur if taken while you are pregnant

• A nurse is reviewing a client prescription for 1,000ml of 5% dextrose in water IV to

infuse over 8 hr. At 1,400 the nurse observes there is 500ml of solution remaining in the client current IV bag. At what time should the nurse administer the next bag of IV solution l?

A. 1600

B. 1700

C. 1800

D. 1500

• A nurse is preparing to administer ampicillin and gentamicin sulphate via IV infusion,

which of the following resources should the nurse consult first regarding medication compatibility?

• Nurse management
• Health care providers
• Medication sale representative
• Hospital pharmacist

• A nurse is assessing an IV Infusion site on a client left hand. Which of the following

findings should the nurse identify as an indication of an Infiltration?

• Warmth around the insertion site
• Blood in the IV tubbing
• Redness at the insertion site
• Edema of the hand 3 / 4

• The medication order reads, give diphenhydramine IV, before beginning Vancomycin to

prevent Red Man Syndrome. What are the nurses best action?

• Give 50mg because Vancomycin is a Potent antibiotic
• Start the vancomycin immediately and give the diphenhydramine after clarifying the

order with the doctor

• Give the medication orally because the tablets are 50mg doses and the patient is

capable of swallowing

• Contact the prescriber to clarify the order

• client has been receiving home health care and IV antibiotics therapy for cellulitis of the

lower right leg for the past 3 weeks. What will the nurse assess to evaluate the effectiveness of the drug?

• Liver function tests and peak/trough levels
• Culture and sensitivity at the drug completion
• Wound culture and CBC
• Therapeutic drug levels

• A nurse is teaching a client who takes acetaminophen dally to manage mild knee pain.

The nurse would be concerned about what adverse reaction as a result of this drug?

• Muscle pain
• Jaundice
• Tinnitus
• Hyperglycemia

• The nurse is aware the client just finished a course of antineoplastic agents to treat her

malignancy. Which of the following are general adverse effects of chemotherapy?

• Leukocytosis and Hypotension
• Alopecia and Leukocytosis
• Anemia and Neutropenia
• Thrombocytosis and Leukopenia

• A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing

of the neck and tachycardia. Which of the following actions should the nurse take?

• Stop the IV infusion
• Document that the client experienced an anaphylactic reaction to the medication
• Decrease the infusion rate on the IV
• Apply cold compresses on the neck area
• / 4