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1 | Page COMPREHENSIVE PHASE WORKBOOK NURSING PHARMACOLOGY NOV 2025 Philippine Nurse Licensure Examination Review 1. The nurse is preparing to administer insulin to a client with diabetes mellitus for which of the following purposes? A. Relief of disease manifestations B. Preventive C. Health maintenance D. Curative 2. The nurse is collecting a medication history. Which of the following questions would elicit the most accurate information? Select all that apply: 1. “Do you take any herbal supplements?” 2. “What time of day do you go to bed?” 3. “What is the highest level of education you completed?” 4. “Do you have a vision or hearing impairment?” 5. “Where do you eat most of your meals?” 6. “Do you have drug insurance coverage?” A. 1, 3, 6 B. 2, 4, 5 C. 1, 3, 4, 6 D. 2, 3, 4, 5 3. Which of the following should the nurse include in the oral drug administration procedure? A. Administer a drug to a 3-year-old child as a capsule B. Administer two drugs at a time to an older adult client C. Administer a carbonated beverage over ice following a drug D. Administer a sustained action buccal drug under the tongue 4. The nurse should assess which of the following body systems while administering intravenous cimetidine (Tagamet) to a client? A. Urinary B. Immune C. Respiratory D. Cardiovascular 5. Which of the following should the nurse include when administering drugs by a nasogastric tube? A. Crush the drug before administering through a feeding tube B. Flush between drugs with 10 ml of sterile water C. Administer one drug with 30 ml of water D. Maintain the client in an upright position for 15 minutes following drug administration 6. Which of the following principles of parenteral drug administration is a priority for the nurse to consider before administering a parenteral injection to a 2-year-old child? A. Apply EMLA (lidocaine 2.5% and prilocaine 2.5%) to the injection site 1 hour before administering the injection B. Lightly tap the injection site before administering the injection C. Administer up to 1 ml of the prescribed drug to the injection site D. Select the vastus lateralis for the administration of the drug 7. The nurse selects which of the following isotonic intravenous solutions for the primary purpose of promoting rehydration and elimination, while providing a good vehicle for potassium replacement? A. Sodium chloride 0.45% B. Dextrose 5% in water C. Dextrose 5% in 0.45% saline D. Ringer’s lactate 8. The nurse is preparing the client assignments for the day. Which of the following assignments would be appropriate for the registered nurse (RN) to assign to a licensed practical nurse (LPN)? A. Administer a drug to a client who has an implantable intravenous infusion port B. Insert an angiocath into the medial antebrachial vein of a client going to surgery C. Instruct a client on the advantages of an autologous blood transfusion D. Discontinue a client’s peripheral IV site 9. The nurse prepares to hang which of the following for a client with thrombocytopenia? A. Whole blood B. Packed red blood cells C. Platelets D. Albumin 10. The nurse is caring for a client who admits to a 15-year history of gastric ulcers. The nurse instructs this client to take which of the following drugs for minor aches and pains? A. Acetaminophen (Tylenol) B. Buffered aspirin C. Plain aspirin D. Ibuprofen (Motrin) 11. The nurse should question which of the following drugs for use in a client who has glaucoma? A. Acetazolamide (Diamox) B. Pilocarpine C. Atropine sulfate D. Mannitol 12. The nurse is administering an adrenergic blocking agent, such as a beta blocker, to a client with glaucoma. Which of the following would the nurse interpret as indicative of a serious adverse reaction? A. Photophobia B. Blurred vision C. Drop in blood pressure D. Exacerbation of asthma 13. The nurse administers which of the following drugs to a client who has keratitis? A. Acyclovir (Zovirax) B. Acetazolamide (Diamox) C. Scopolamine (Isopto Hyoscine) D. Idoxuridine (Stoxil) 14. The nurse is to administer timolol (Timoptic) 1 drop in each eye. Which of the following comments by the client indicates the need for further teaching? A. “I must wash my hands before putting in my drops.” B. “This drug will decrease the fluid in my eye.” C. “I’ll need to take this until my eye pressure is normal.” D. “Adverse reactions include dizziness and double vision.” 15. The nurse instructs the client that the best position for instilling nose spray is to A. bend the head forward. B. push one nare to the side. C. tilt the head backward. D. open the mouth to facilitate breathing. 16. The nurse is assigned to administer eyedrops to a client being prepared for cataract surgery. Which of the following types of eyedrop does the nurse expect to administer? A. An osmotic diuretic B. A miotic agent * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

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