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NCLEX PHARMACOLOGY COMPLETE QUESTIONS WITH VERIFIED ANSWERS 2025-2026|ALREADY GRADED A+, Exams of Nursing

Midland University Nursing

Nclex pharmacology is a nursing exam. it was designed 2025, The index is year 2025-2026. it has well researched topical questions with verified answers. it is specialised in nursing course. it covers various medications, their uses, effects and important measurements for safe administrations. The questions are designed to test knowledge of drug usage and patient education which are related to common medications. The author is Chris Mulder. Professor is Mark Klimex. It guarentee 100% pass.

Typology: Exams

2024/2025

Available from 07/04/2025

lornez-yeng 🇺🇸

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NCLEX PHARMACOLOGY COMPLETE QUESTIONS WITH

VERIFIED ANSWERS 2025-2026|ALREADY GRADED A+

A nurse is caring for a hospitalized child with a history of seizures who is receiving oral

phenytoin sodium (Dilantin). Which of the following should be included in the plan of

care for this child?

1. Monitoring intake and output

2. Checking the heart rate before administering the phenytoin

3. Providing oral hygiene especially care of the gums

4. Administering medications 1 hour before food intake - ANSWER-3.

Providing oral hygiene especially care of the gums

Rationale:

Phenytoin sodium causes gum bleeding and hypertrophy, and therefore oral hygiene is

important. Soft toothbrushes and gum massage should be instituted to reduce the risk of

complications and prevent further trauma. Options 1 and 2 are incorrect because the

intake and output as well as heart rate are not affected by this medication. Option 4 is

incorrect because directions for administration of this medication include administering

with food to minimize gastrointestinal upset.

A nurse is caring for a child receiving carbamazepine (Tegretol) who has a

carbamazepine level drawn. Which of the following results indicates a therapeutic level?

1. 1 mcg/mL

2. 3 mcg/mL

3. 6 mcg/mL

4. 15 mcg/mL - ANSWER-3. 6 mcg/mL

what type of line is used for TPN - ANSWER-central line for 4 weeks

what type of line is used for PPN - ANSWER-peripheral line for ten days

Partial preview of the text

Download NCLEX PHARMACOLOGY COMPLETE QUESTIONS WITH VERIFIED ANSWERS 2025-2026|ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!

NCLEX PHARMACOLOGY COMPLETE QUESTIONS WITH

VERIFIED ANSWERS 202 5 - 2026 |ALREADY GRADED A+

A nurse is caring for a hospitalized child with a history of seizures who is receiving oral phenytoin sodium (Dilantin). Which of the following should be included in the plan of care for this child?

Monitoring intake and output
Checking the heart rate before administering the phenytoin
Providing oral hygiene especially care of the gums
Administering medications 1 hour before food intake - ANSWER-3. Providing oral hygiene especially care of the gums Rationale: Phenytoin sodium causes gum bleeding and hypertrophy, and therefore oral hygiene is important. Soft toothbrushes and gum massage should be instituted to reduce the risk of complications and prevent further trauma. Options 1 and 2 are incorrect because the intake and output as well as heart rate are not affected by this medication. Option 4 is incorrect because directions for administration of this medication include administering with food to minimize gastrointestinal upset. A nurse is caring for a child receiving carbamazepine (Tegretol) who has a carbamazepine level drawn. Which of the following results indicates a therapeutic level?
1 mcg/mL
3 mcg/mL
6 mcg/mL
15 mcg/mL - ANSWER-3. 6 mcg/mL what type of line is used for TPN - ANSWER-central line for 4 weeks what type of line is used for PPN - ANSWER-peripheral line for ten days

what is the maximum % of dextrose used for a PPN - ANSWER-10% maximum of dextrose to avoid vein irritation how much dextrose may be used for a TPN - ANSWER-greater than 10% what size and type of catheter is used for acentral line TPN - ANSWER-18G triple lumen Pepcid - ANSWER-Medication for Ulcer Axid - ANSWER-Medication for Ulcer Prilosec - ANSWER-Medication for Ulcer Prevacid - ANSWER-Medication for Ulcer AcipHex - ANSWER-Medication for Ulcer Nexium - ANSWER-Medication for Ulcer Protonix - ANSWER-Medication for Ulcer Cytotec - ANSWER-Medication for Ulcer Ethinyl - ANSWER-Women's Health Medication Ovral - ANSWER-Women's Health Medication

d. tolterodine tartrate (Detrol) - ANSWER-b. metoprolol (Lopressor) 2.The nurse will monitor the client taking albuterol (Proventil) for which condition? a. Palpitations b. Hypoglycemia c. Bronchospasm d. Uterine contractions - ANSWER-a. Palpitations 3.A client is prescribed metoprolol (Lopressor) to treat hypertension. It is important for the nurse to monitor the client for which condition? a. Bradycardia b. Hypertension c. Ankle edema d. Decreased respirations - ANSWER-a. Bradycardia 4.Atenolol (Tenormin) is prescribed for a client. The nurse realizes that this drug is a beta-adrenergic blocker and that this drug classification is contraindicated for clients with which condition? a. Hypothyroidism b. Angina pectoris c. Cardiogenic shock d. Liver dysfunction - ANSWER-c. Cardiogenic shock 5.The nurse realizes that beta1 receptor stimulation is differentiated from beta stimulation in that stimulation of beta1 receptors leads to which condition? a. Increased bronchodilation b. Decreased uterine contractility

c. Increased myocardial contractility d. Decreased blood flow to skeletal muscles - ANSWER-c. Increased myocardial contractility

A client is given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic). The nurse should monitor the client for which condition? a. Decreased pulse b. Pupil constriction c. Bronchial constriction d. Increased blood pressure - ANSWER-d. Increased blood pressure 7.The nurse is administering atenolol (Tenormin) to a client. Which concurrent drug does the nurse expect to most likely cause an interaction? a. ginseng herb b. An NSAID, such as aspirin c. methyldopa (Aldomet) d. haloperidol (Haldol) - ANSWER-b. An NSAID, such as aspirin Chapter 19
A client is receiving bethanechol (Urecholine). The nurse realizes that the action of this drug is to treat: a. Glaucoma b. Urinary retention c. Delayed gastric emptying d. Gastroesophageal reflux disease - ANSWER-b. Urinary retention
The nurse teaches the client receiving atropine to expect which side effect? a. Diarrhea b. Bradycardia

d. Increased pupil constriction - ANSWER-d. Increased pupil constriction

When the client has a cholinergic overdose, the nurse anticipates administration of which drug as the antidote? a. atropine b. bethanechol c. ambenonium d. metoclopramide - ANSWER-a. atropine Chapter 20
When a 12-year-old child is prescribed methylphenidate, which is most important for the nurse to monitor? a. The child's temperature b. The child's respirations c. The child's intake and output d. The child's height and weight - ANSWER-d. The child's height and weight
Several children are admitted for diagnosis with possible attention deficit/hyperactivity disorder. Which is most important for the nurse to observe? a. A girl who is lethargic b. A girl who lacks impulsivity c. A boy with smooth coordination d. A boy with an inability to complete tasks - ANSWER-d. A boy with an inability to complete tasks
A client is taking benzphetamine. The nurse teaches the client which information about this drug? a. That it may cause drowsiness

b. That it may lead to hypotension c. That it is a respiratory stimulant d. That it is safe during pregnancy

The nurse monitoring a client for methylphenidate withdrawal should observe the client for which condition? a. Tremors b. Insomnia d. Tachycardia - ANSWER-3= b. That it may lead to hypotension 4= c. Weakness
The nurse teaches a client about which common side effect of analeptics? a. Bradycardia b. Constipation c. Nervousness d. Urinary retention - ANSWER-c. Nervousness
The nurse who is teaching the client to self-administer medications explains to the client that which drug treats narcolepsy? a. modafinil b. atomoxetine

A client is taking zolpidem (Ambien) for insomnia. The nurse prepares a care plan that includes monitoring of the client for side effects/adverse reactions of this drug. Which is a side effect of zolpidem? a. Insomnia b. Headache c. Laryngospasm d. Blood dyscrasias - ANSWER-b. Headache
A client received spinal anesthesia. Which is most important for the nurse to monitor? a. Loss of consciousness b. Hangover effects and dependence c. Hypotension and headaches d. Excitement or delirium - ANSWER-c. Hypotension and headaches
A nurse is teaching a client about zolpidem. Which is important for the nurse to include in the teaching of this drug? a. Maximum dose is 20 mg/d b. May lead to psychological dependence c. For older adults, dose is 15 mg at bedtime d. Should only be used for 21 days or less - ANSWER-b. May lead to psychological dependence
A client is taking triazolam (Halcion). Which instructions about this drug are important for the nurse to include? a. It may be used as a barbiturate for only 4 weeks. b. Use as a nonbenzodiazepine to reduce anxiety. c. This drug does not lead to vivid dreams or nightmares. d. Avoid alcohol and smoking to prevent rebound insomnia. - ANSWER-d. Avoid alcohol and smoking to prevent rebound insomnia.

A client is to receive conscious sedation for a minor surgical procedure. Which drug administration should the nurse expect? (Select all that apply.) a. Propofol (Diprivan) to sustain natural sleep b. Lidocaine (Xylocaine) to provide local anesthesia c. Midazolam (Versed) to promote sedation and following of commands d. Ketamine (Ketalar) for rapid inductionand prolonged duration of action - ANSWER-a. Propofol (Diprivan) to sustain natural sleep c. Midazolam (Versed) to promote sedation and following of commands Chapter 22
The nurse witnesses a client's seizure involving generalized contraction of the body followed by jerkiness of arms and legs. The nurse reports that this is which type of seizure? a. Myoclonic b. Petit mal c. Tonic clonic d. Psychomotor - ANSWER-c. Tonic clonic
Phenytoin (Dilantin) has been prescribed for a client with seizures. The nurse should include which appropriate nursing intervention in the plan of care? a. Reporting an abnormal phenytoin level of 18 mcg/mL b. Monitoring CBC levels for early detection of blood dyscrasias c. Encouraging the client to brush teeth vigorously to prevent plaque buildup d. Teaching the client to stop the drug immediately when passing pinkish-red or reddish- brown urine - ANSWER-b. Monitoring CBC levels for early detection of blood dyscrasias
When administering phenytoin (Dilantin), the nurse realizes more teaching is needed if the client makes which statement?

c. Hypertension d. Gum erosion - ANSWER-b. Nosebleeds

A client is taking valproic acid (Depakote). The nurse should monitor the client for a which therapeutic serum range? a. 10 to 20 mcg/mL b. 15 to 40 mcg/mL c. 20 to 80 ng/mL d. 40 to 100 mcg/mL - ANSWER-d. 40 to 100 mcg/mL Chapter 23
A client with parkinsonism asks the nurse to explain what causes this condition. The most accurate response by the nurse is that parkinsonism is caused by the degeneration of which? a. Cholinergic neurons b. Dopaminergic neurons c. Acetylcholine neurotransmitters d. Monamine oxidase-B neurotransmitters - ANSWER-b. Dopaminergic neurons
A client is receiving carbidopa-levodopa for parkinsonism. What should the nurse know about this drug? a. Carbidopa-levodopa may lead to hypertension. b. Carbidopa-levodopa may lead to excessive saliva. c. Dopaminergic and anticholinergic therapy may lead to drowsiness and sedation. d. Dopaminergics and anticholinergics are contraindicated in clients with glaucoma. - ANSWER-d. Dopaminergics and anticholinergics are contraindicated in clients with glaucoma.
A family member of a client with Alzheimer's disease asks the nurse what causes this disorder. What does the nurse explain is the cause of Alzheimer's disease?

a. An excess of acetylcholine b. Neurofibrillary tangles inside neurons c. Degeneration of dopaminergic neurons d. Neuritic plaques that form inside neurons in the cerebellum - ANSWER-b. Neurofibrillary tangles inside neurons

A client is taking rivastigmine (Exelon). The nurse should teach the client and family which information about rivastigmine? a. That hepatotoxicity may occur b. That the initial dose is 6 mg t.i.d c. That GI distress is a common side effect d. That weight gain may be a side effect - ANSWER-c. That GI distress is a common side effect
Nursing interventions for the client taking carbidopa-levodopa for parkinsonism include which? a. Encouraging client to adhere to a high-protein diet b. Informing client that perspiration may be dark and stain clothing c. Advising client that glucose levels should be checked through urine testing d. Warning client that it may take 4 to 5 days before symptoms are controlled - ANSWER- b. Informing client that perspiration may be dark and stain clothing
What should the client who is taking anticholinergic therapy for parkinsonism be taught? (Select all that apply.) a. To avoid alcohol, cigarettes, and caffeine b. To relieve dry mouth with hard candy or ice chips c. To use sunglasses to reduce photophobia d. To urinate 2 hours after taking the drug

acetylcholine to cholinergic receptors produces weak muscles and reduced nerve impulses.

For the client receiving pyridostigmine administration, the nurse should monitor for which adverse reaction? a. Hypertension b. Bronchospasm c. Thrombocytopenia d. Stevens-Johnson syndrome - ANSWER-b. Bronchospasm
A client has spasticity following a spinal cord injury. The nurse should expect which drug to be prescribed to treat this client's spasticity? a. Tacrine b. Ropinirole c. Carisoprodol d. Pyridostigmine - ANSWER-c. Carisoprodol
A client with multiple sclerosis is in the chronic progressive phase. The nurse should expect which drug to be most helpful at this time? a. Interferon β- 1 a (Avonex, Rebif) b. Glucocorticoids c. Azathioprine (Imuran) d. Cyclophosphamide (Cytoxan) - ANSWER-d. Cyclophosphamide (Cytoxan)
A client is taking carisoprodol (Soma). Which statement would the nurse include in teaching the client about this drug? a. It may cause hypertension. b. It may lead to bradycardia. c. It blocks interneuronal activity.

d. Its action is decreased by antihistamines. - ANSWER-c. It blocks interneuronal activity.

A client who is prescribed pyridostigmine bromide (Mestinon) is being taught about the drug. Which statements should the nurse include in the teaching? (Select all that apply.) a. The drug must be taken on time. b. The drug must be taken two times per day. c. Underdosing can result in cholinergic crisis. d. Overdosing can result in cholinergic crisis. e. The client should report the adverse effects of tachycardia to the health care provider. - ANSWER-a. The drug must be taken on time. c. Underdosing can result in cholinergic crisis. d. Overdosing can result in cholinergic crisis.
A client is beginning to take carisoprodol (Soma). Which interventions should the nurse include in the care of this client? (Select all that apply.) a. Ask the client if there is any history of narrow-angle glaucoma. b. Inform the client that muscular pain is usually relieved within 1 week. c. Tell the client to report dizziness and double vision to the health care provider. d. Advise the client to avoid alcohol and other CNS depressants. e. Instruct the client that this drug should not be stopped abruptly. - ANSWER-b. Inform the client that muscular pain is usually relieved within 1 week. c. Tell the client to report dizziness and double vision to the health care provider. d. Advise the client to avoid alcohol and other CNS depressants. e. Instruct the client that this drug should not be stopped abruptly. Chapter 26
The nurse knows that which medication will cause the least gastrointestinal distress?

Assessing a client following IV morphine administration, the nurse notes cold, clammy skin; a pulse of 40 beats/min; respirations of 10 breaths/min; and constricted pupils. Which medication will the client likely need next? a. naloxone (Narcan) b. meloxicam (Mobic) c. pentazocine (Talwin) d. propoxyphene (Darvon) - ANSWER-a. naloxone (Narcan)
For the client who is taking acetaminophen (Tylenol), what should the nurse do? (Select all that apply.) a. Monitor routine liver enzyme tests. b. Encourage the client to check package labels of OTC drugs to avoid overdosing. c. Teach the diabetic client taking acetaminophen to check blood glucose more frequently. d. Teach the female client that oral contraceptives can increase the effect of acetaminophen. e. Teach the client that caffeine decreases the effects of acetaminophen. - ANSWER-a. Monitor routine liver enzyme tests. b. Encourage the client to check package labels of OTC drugs to avoid overdosing. c. Teach the diabetic client taking acetaminophen to check blood glucose more frequently.
For the client who is taking nalbuphine (Nubain), what should the nurse do? (Select all that apply.) a. Monitor any changes in respirations. b. Instruct the client to report bradycardia. c. Administer IV nalbuphine undiluted. d. Explain to the client to expect an excessive amount of urine output. e. Instruct the client to avoid alcohol when taking nalbuphine to avoid respiratory depression. - ANSWER-a. Monitor any changes in respirations.

c. Administer IV nalbuphine undiluted. e. Instruct the client to avoid alcohol when taking nalbuphine to avoid respiratory depression.

The nurse should know that which drugs are used to treat migraine attacks? a. Triptans b. Anticonvulsants c. Tricyclic antidepressants d. Beta-adrenergic blockers - ANSWER-a. Triptans Chapter 27
The nurse realizes that facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face are indicative of which condition? a. Akathisia b. Acute dystonia c. Tardive dyskinesia d. Pseudoparkinsonism - ANSWER-b. Acute dystonia
The nurse understands that antipsychotics act in which way? a. By blocking actions of dopamine b. By blocking actions of epinephrine c. By promoting prostaglandin synthesis d. By enhancing the action of gamma-aminobutyric acid - ANSWER-a. By blocking actions of dopamine
An antipsychotic agent, fluphenazine (Prolixin), is ordered for a client with psychosis. The nurse knows that this agent can lead to extrapyramidal symptoms (EPS) that may be treated with which medication?

NCLEX PHARMACOLOGY COMPLETE QUESTIONS WITH VERIFIED ANSWERS 2025-2026|ALREADY GRADED A+, Exams of Nursing

Related documents

Partial preview of the text

Download NCLEX PHARMACOLOGY COMPLETE QUESTIONS WITH VERIFIED ANSWERS 2025-2026|ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!

NCLEX PHARMACOLOGY COMPLETE QUESTIONS WITH

VERIFIED ANSWERS 202 5 - 2026 |ALREADY GRADED A+