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Custom Pharmacology Midterm Exam

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Title : Custom Pharmacology Midterm Exam

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : PHARMACOLOGY (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 190 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Pharmacology questions tailored for RN students.

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1 :
A 65-year-old patient with a history of pernicious anemia presents with fatigue, numbness and tingling in the hands and feet, and a recent blood test revealing macrocytic anemia. Which vitamin deficiency should the nurse prioritize in the care plan to address the patient's condition?

Iron deficiency

Vitamin B12 deficiency

Vitamin C deficiency

Folate deficiency

Hint : 🩺Consider which vitamin is essential for red blood cell maturation and neurological integrity.

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2 :
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

"l will take the medicine every morning on an empty stomach."

"l will store the medication at room temperature."

"l will only need to take this medication for a few days."

"l will spit the medication out after swishing it around my mouth."

Hint : 🧫Remember how storage conditions influence the potency of antifungal medications.

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3 :
A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?

Complete an incident report.

Contact the provider for further orders.

Notify the blood bank of the discrepancy.

Administer the blood as ordered.

Hint : 💉Focus on which blood type can safely receive from all others.

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4 :
A nurse is caring for a client experiencing their first episode of genital herpes. Which antiviral medication should the nurse anticipate administering to effectively reduce the duration of the outbreak and prevent transmission?

Ibuprofen

Acyclovir

Furosemide

Amoxicillin

Hint : 🧪Think of the antiviral that targets herpes virus DNA replication.

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5 :
A nurse is caring for four clients. The nurse should anticipate that a client who has which of the following conditions will be prescribed amphotericin B?

Bacterial sepsis presenting with high fever and low blood pressure

Systemic candidiasis exhibiting fever and chills

Viral hepatitis experiencing jaundice and fatigue

Tinea versicolor with discolored patches on the skin

Hint : 🧫Identify which infection type requires a potent antifungal with systemic coverage.

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6 :
A nurse is caring for a client diagnosed with influenza who started oseltamivir 36 hours after symptom onset. The client asks why the medication is important even though they feel better. How should the nurse explain the rationale for continuing the antiviral medication?

Continuing the medication helps prevent the virus from spreading and reduces the risk of severe complications.

Stopping the medication early is safe once symptoms improve to prevent side effects.

Taking extra doses if a dose is missed will speed up recovery from influenza manifestations.

The medication acts as an antibiotic to eliminate any bacterial infection that accompanies influenza.

Hint : 💊Consider why completing antiviral therapy is vital even after symptoms subside.

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7 :
A nurse is caring for a client who has started isoniazid (INH) therapy for latent tuberculosis infection. Which nursing intervention is the highest priority to prevent a common serious adverse effect associated with INH?

Encourage the client to take INH with meals to reduce gastrointestinal upset.

Administer vitamin B6 (pyridoxine) daily as prescribed.

Place the client on contact isolation to prevent spread of infection during therapy.

Monitor blood glucose levels daily to detect hypoglycemia.

Hint : 🧠Focus on which vitamin protects nerves during INH therapy.

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8 :
A nurse is providing education to a client who has been prescribed oral ketoconazole for the treatment of a systemic fungal infection. Which of the following instructions regarding the administration of the medication should the nurse include?

"If you miss a dose, you can double the next dose to maintain the medication's effectiveness."

"Chew the ketoconazole tablet thoroughly before swallowing to ensure proper absorption."

"Take the medication with food or a carbonated beverage to improve absorption."

“You can take the medication with a proton-pump inhibitor to prevent heartburn."

Hint : 🍋Consider what enhances absorption of medications needing acidic gastric pH.

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9 :
A nurse is planning care for a patient prescribed parenteral nutrition but is unsure whether to recommend TPN or PPN based on nutrient concentration needs and vascular access. Which consideration most accurately differentiates TPN from PPN regarding concentration and administration route?

OPPN contains higher protein and lipid concentrations and requires central line administration, while TPN uses lower concentration solutions suitable for peripheral veins.

TPN contains higher dextrose concentrations (up to 70%) and requires central venous access due to hypertonicity, whereas PPN has lower dextrose concentrations (10% or less) and is administered via peripheral veins.

Both TPN and PPN contain identical nutrient concentrations, but PPN is preferred for long-term nutritional support through central lines.

PPN solutions have dextrose concentrations of 50% or higher and must be infused through central lines, whereas TPN uses dextrose concentrations less than 10% suitable for peripheral veins.

Hint : 💉Differentiate nutrition routes by their dextrose concentration and venous access requirements.

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10 :
A nurse is caring for a patient diagnosed with influenza type A and B who has started antiviral therapy. Which medication should the nurse anticipate administering to effectively treat both types of influenza?

Oseltamivir

Amantadine

Ganciclovir

Acyclovir

Hint : 💊Identify which antiviral targets both major influenza strains.

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Total Questions: 10

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Ans

Custom Pharmacology Midterm Exam

No.

1 : A 65-year-old patient with a history of pernicious anemia presents with fatigue, numbness and tingling in the hands and feet, and a recent blood test revealing macrocytic anemia. Which vitamin deficiency should the nurse prioritize in the care plan to address the patient's condition?

2 : A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

3 : A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?

4 : A nurse is caring for a client experiencing their first episode of genital herpes. Which antiviral medication should the nurse anticipate administering to effectively reduce the duration of the outbreak and prevent transmission?

5 : A nurse is caring for four clients. The nurse should anticipate that a client who has which of the following conditions will be prescribed amphotericin B?

6 : A nurse is caring for a client diagnosed with influenza who started oseltamivir 36 hours after symptom onset. The client asks why the medication is important even though they feel better. How should the nurse explain the rationale for continuing the antiviral medication?

7 : A nurse is caring for a client who has started isoniazid (INH) therapy for latent tuberculosis infection. Which nursing intervention is the highest priority to prevent a common serious adverse effect associated with INH?

8 : A nurse is providing education to a client who has been prescribed oral ketoconazole for the treatment of a systemic fungal infection. Which of the following instructions regarding the administration of the medication should the nurse include?

9 : A nurse is planning care for a patient prescribed parenteral nutrition but is unsure whether to recommend TPN or PPN based on nutrient concentration needs and vascular access. Which consideration most accurately differentiates TPN from PPN regarding concentration and administration route?

10 : A nurse is caring for a patient diagnosed with influenza type A and B who has started antiviral therapy. Which medication should the nurse anticipate administering to effectively treat both types of influenza?

1 :
A 65-year-old patient with a history of pernicious anemia presents with fatigue, numbness and tingling in the hands and feet, and a recent blood test revealing macrocytic anemia. Which vitamin deficiency should the nurse prioritize in the care plan to address the patient's condition?

2 :
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

3 :
A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?

4 :
A nurse is caring for a client experiencing their first episode of genital herpes. Which antiviral medication should the nurse anticipate administering to effectively reduce the duration of the outbreak and prevent transmission?

5 :
A nurse is caring for four clients. The nurse should anticipate that a client who has which of the following conditions will be prescribed amphotericin B?

6 :
A nurse is caring for a client diagnosed with influenza who started oseltamivir 36 hours after symptom onset. The client asks why the medication is important even though they feel better. How should the nurse explain the rationale for continuing the antiviral medication?

7 :
A nurse is caring for a client who has started isoniazid (INH) therapy for latent tuberculosis infection. Which nursing intervention is the highest priority to prevent a common serious adverse effect associated with INH?

8 :
A nurse is providing education to a client who has been prescribed oral ketoconazole for the treatment of a systemic fungal infection. Which of the following instructions regarding the administration of the medication should the nurse include?

9 :
A nurse is planning care for a patient prescribed parenteral nutrition but is unsure whether to recommend TPN or PPN based on nutrient concentration needs and vascular access. Which consideration most accurately differentiates TPN from PPN regarding concentration and administration route?

10 :
A nurse is caring for a patient diagnosed with influenza type A and B who has started antiviral therapy. Which medication should the nurse anticipate administering to effectively treat both types of influenza?