PHARMACOLOGY
THIS IS  GRADE A NCLEX PHARMACOLOGY TEST. KINDLY BE SINCERE TO YOURSELF AND  ASSESS YOURSELF ON HOW YOU WILL PERFROM ON THE  REAL NCLEX TEXT. GOOD LUCK.
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Which of the following should the nurse include in education provided to a patient who is taking Lisinopril? Select All That Apply.
1 point
An independent nursing intervention relating to the administration of opioid narcotic analgesics is to:
1 point
Clear selection
When entering a patient’s room to administer medications. what should the nurse’s first action be?
1 point
Clear selection
Which of the following medications does the nurse know to monitor for the side effect of constipation? Select all that apply.
1 point
The clinic nurse is evaluating a patient’s medications to identify which one may be promoting constipation. Which of the following drugs would the nurse be correct in identifying as a constipating medication?
1 point
Clear selection
Megestrol acetate, an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client's history and should contact the primary health care provider if which diagnosis is documented in the client's history?
1 point
Clear selection
The healthcare provider has prescribed 50,000-units of Heparin via SC injection for a client with pulmonary emboli. The vial on hand contains 20,000 units per ml. The nurse calculates that the drug volume to be administered should be 2.5ml. The nurse verifies that the client understands the action of the medication when the client states: “This medication will help prevent blood clots.” After double-checking the dosage, the nurse decides to:
1 point
Clear selection
Which of the following medications is contraindicated for a pregnant client? Select All That Apply.
1 point
You are administering IV magnesium to a patient with a magnesium level of 1.5 mEq/L. You check on them halfway through the infusion, and they report that their face feels flushed. What is the priority nursing intervention?
1 point
Clear selection
Which of the following would cause an increase in cardiac output? Select all that apply.

1 point
Your pregnant client has been hospitalized with hyperemesis gravida. She is given ondansetron to treat this illness. What serious side effects should the hospital nurses be watching for?
1 point
Clear selection
The patient with testicular cancer is receiving cisplatin (Platinol) IV. The nurse understands that she must assess for:
1 point
Clear selection
The RN administers dobutamine to a patient with heart failure following a cardiac procedure. Which of the following should the nurse recognize as an intended effect of this medication?
1 point
Clear selection
A patient with cardiomyopathy has been given an ICD. Which of the following medications would the nurse expect to see in the MAR for this patient?
1 point
Clear selection
A patient is being intubated in the trauma bay after falling from a 20-ft deer stand. The doctor instructs the nurse to prepare intubation drugs. Which drug should the nurse administer first?
1 point
Clear selection
A client on Carbamazepine (Tegretol) for the intermittent explosive disorder was for discharge. To get a baseline parameter for determining whether the client is experiencing adverse effects of the medication or not, which blood study should be drawn?
1 point
Clear selection
The nurse is working in a palliative care unit. The client she is taking care of is on a fentanyl patch and is in the late stages of cancer. During her shift, the client dies. What is the action of the nurse regarding the piece?
1 point
Clear selection
The Community Health Nurse is doing a home visit on a client that was admitted to the hospital two weeks ago for Hypertension. The nurse checks the patient’s file and notes that he has prescribed Amlodipine 5 mg daily and was advised to lose weight. The nurse should be concerned when he notes which of the following during his visit?
1 point
Clear selection
A 16-year-old child is brought to the emergency department by his mother with a complaint that the child just experienced a tonic-clonic seizure, for which he is taking medications. The nurse plans care, knowing that which of the following drugs are used for long-term control of tonic-clonic seizures? Select all that apply.
1 point
Clear selection
Malignant hyperthermia is a serious adverse reaction that can occur after the administration of which of the following medications? Select all that apply
1 point
The nurse is caring for a patient who has a serum calcium level of 13.2 mg/dL. Which of the following medications does she expect to administer? Select all that apply.
1 point
Clear selection
Which of the following foods is contraindicated when the client is taking a monoamine oxidase inhibitor (MAOI) for depression?
1 point
Clear selection
Which of the following clients is at greatest risk for toxicity to lithium?
1 point
Clear selection
Which of these medications can be mixed in the same syringe without the risk of any incompatibility?
1 point
Clear selection
You have just received a doctor’s order for amoxicillin and lignocaine. You should:
1 point
Clear selection
Which legal substance’s street name is abused by some people and can lead to anorexia, tics, insomnia, nausea and mood changes during withdrawal?
1 point
Clear selection
Which term is synonymous with analgesic?
1 point
Clear selection
Select the analgesic that is accurately paired with a nursing implication and nursing intervention.
1 point
Clear selection
A nurse is conducting client teaching on a client receiving a monoamine oxidase inhibitor (MAOI) about his drug therapy. The client has demonstrated understanding by stating, “I should avoid tyramine-containing foods, or I may go into hypertensive crisis.” When asked to list down specific tyramine-containing foods, the client would be correct by including which of the following food?
1 point
Clear selection
The nurse reassesses the client's pain level after administering an oral analgesic. The client states that the pain is better but continues to report a backache. Which non-pharmacologic interventions may help the client's backache?
SATA
1 point
Clear selection
A client is taking a nonsteroidal anti-inflammatory drug (NSAID) for the relief of joint pain. A gastrointestinal bleed is suspected. Which laboratory value alerts the nurse to the possibility that the client is chronically losing small amounts of blood?
1 point
Clear selection
What should the nurse include when educating a client about the use of nitroglycerin sublingual.
SATA
1 point
Clear selection
The nurse is caring for a client with congestive heart failure (CHF). The nurse should anticipate a prescription for which medication?
1 point
Clear selection
While monitoring the administration of intravenous heparin to a patient. the nurse asks the physician to order which medication in case of an emergency?
1 point
Clear selection
The nurse has been educating a client on a new prescription for amitriptyline 25 mg PO twice a day. The nurse recognizes that teaching has been successful when the client makes which statement?
1 point
Clear selection
A client has a prescription for digoxin 0.125 mg IV push every morning. Prior to administering digoxin, the nurse notes that the digoxin level drawn this morning was 0.9 ng/mL. Which action would be most important for the nurse to take?

1 point
Clear selection
When epinephrine is administered to a client. the nurse should expect this agent to rapidly affect:
1 point
Clear selection
  A nurse is preparing to give a client his daily dose of carbamazepine (Tegretol).  Which of the following best describes the nurse’s legal responsibilities when administering medication to a client?            
1 point
Clear selection
A high-risk pregnant client has had a complicated delivery and is in the recovery room with active bleeding. The physician has ordered the IV infusion hetastarch in sodium chloride (Hespan). Which best describes the indications for this fluid?            
1 point
Clear selection
 The nurse is caring for a client who has been taking erythromycin. For which of the following side effects should the nurse monitor?             
1 point
Clear selection
 A nurse is giving an IV antibiotic to a client that will be administered every eight hours via IV piggyback while maintenance fluid is running on an IV smart pump.  Which step would the nurse perform after the piggyback infusion is completed?            
1 point
Clear selection
 The nurse is reviewing a medication reconciliation and notes that the client is taking enalapril. Which of the following medication would the nurse tell the client to avoid?            
1 point
Clear selection
The nurse is caring for a client with bronchitis who requires respiratory treatments. The nurse reviews the client’s medication list and notes an order for metaproterenol. Which of the following conditions in the client’s health history would cause concern for a client prescribed this medication?            
1 point
Clear selection
A client with bronchitis is administered a dose of ipratropium inhalation. The client complains of a dry mouth and throat. The nurse knows that which of the following is a reason for this?
1 point
Clear selection
A nurse has an order to administer an intravenous drug to a patient who is in the hospital. Which of the following is an example of an indication of when an intravenous medication would be required for a patient, as opposed to other routes?

Select all that apply
1 point
The nurse questions an order for a beta-blocker in a client with peripheral vascular disease for which of the following reasons?
1 point
Clear selection
The nurse recognizes that which of the following substance is considered a topical anti-infective?

 Select all that apply.
1 point
An elderly client receives instructions regarding the use of warfarin sodium. Which statement indicates to the nurse that the client understands the possible food interactions which may occur with this medication?
1 point
Clear selection
A client is receiving allopurinol (Zyloprim) and asks what they should know about taking this medicine. The nurse would be most correct in stating which of the following?
1 point
Clear selection
Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?
1 point
Clear selection
The nurse is caring for a patient with chronic liver failure who received a live-donor transplant five days ago. She is taking anti-rejection medication and is experiencing headaches and diarrhea associated with the medication. She wants to know how long she will have to take the anti-rejection medication. The nurse tells her that she will take the medication for:
1 point
Clear selection
The patient is admitted to the Intensive Care Unit following a motor vehicle accident in which he sustained multiple fractures. He is scheduled to go to surgery for repair of his fractured femur. The physician has ordered famotidine 20 mg IV as one of the pre-operative medications. The nurse knows that this medication will:
1 point
Clear selection
The client using over-the-counter nasal decongestant drops reports unrelieved and worsening nasal congestion. What is the appropriate instruction for this client?
1 point
Clear selection
The nurse in the detoxification center is caring for a 42-year-old man with a history of alcohol abuse. He has significant tremors and tachycardia. The nurse should expect to give which medication to control the tachycardia:
1 point
Clear selection
Which statements describe the action of the medications? Select All That Apply.
1 point
While rounding on your patient in the morning, the healthcare provider states that they are in fluid volume excess and need additional diuretics despite already taking Lasix daily. Your patient is a 2-year-old who weighs 18 kilograms. They order chlorothiazide. The order reads:

“Chlorothiazide, 10mg/kg, PO, TID.”
You read the label on the medication and in the drug administration guide and find the following:

Concentration: 250 mg/5mL
Safe pediatric dosage range: 5-10 mg/kg/day
Not to exceed 375 mg/day.
Which of the following is the priority nursing action?
1 point
Clear selection
A client has been taking enoxaparin 40 mg subcutaneous once a day for 1 week. Which action should the nurse take?

Hgb - 15 g/dl (2.3 mmol/l)
Hct - 42%
Platelets - 110,000/ mm3
aPTT - 110 seconds
INR - 1.2
1 point
Clear selection
When assessing a patient who is receiving a continuous opioid infusion, the nurse should immediately notify the physician of which of the following
1 point
Clear selection
The nurse is giving discharge instructions to a patient being discharged with a diagnosis of a duodenal ulcer. The physician has prescribed metronidazole (Flagyl) as part of the patient’s home care. The nurse knows that the patient understands his instructions when he says:
1 point
Clear selection
Which of the following drugs is associated with photosensitivity? Select All That Apply.
1 point
Which of the following treatments are options for treating hyperkalemia? Select all that apply.
1 point
A patient presents with dizziness upon standing. Bilateral hand tremors. Inability to sleep. Irritability. Sweating. And a heart rate of 95. From what substance is the patient most likely experiencing these withdrawal symptoms?
1 point
Clear selection
You are caring for a pregnant client during the third trimester of gestation, who is in moderate pain related to rheumatoid arthritis. Which of the following is the least likely to be ordered by the doctor for this pain?
1 point
Clear selection
An altered physical condition caused by the nervous system adapting to repeated drug use is:
1 point
Clear selection
The most serious adverse effect of tricyclic antidepressant (TCA) overdose is:
1 point
Clear selection
Select the pharmacological term(s) that is (are)accurately paired with its definition or description. Select all that apply.
1 point
You are preparing a patient for surgery. The operative consent is signed, and you have an order to give Meperidine 75mg IM before sending the patient to the pre-operative area. The medication you have on hand is: (See Exhibit)
1 point
Captionless Image
Clear selection
A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication?
1 point
Clear selection
The nurse has just administered the first dose of omalizumab to a client. Which statement by the client alerts the nurse of a life-threatening effect?
1 point
Clear selection
The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. The nurse contacts the primary health care provider before administering the medication if which disorder is documented in the client's history?
1 point
Clear selection
A client is started on tolbutamide once daily. The nurse should instruct the client to monitor for which intended effect of this medication?
1 point
Clear selection
A client experiences initial indications of excitation after having an I.V. infusion of lidocaine hydrochloride started. The nurse should further assess the client when the client reports having:
1 point
Clear selection
When monitoring a client who is receiving tissue plasminogen activator (t-PA), the nurse should have resuscitation equipment available because reperfusion of the cardiac tissue can result in which of the following?
1 point
Clear selection
After the administration of t-PA, the assessment priority is to:
1 point
Clear selection
Which of the following is the reason a patient receives nitrous oxide in addition to thiopental sodium (Pentothal)?
1 point
Clear selection
The patient on IV heparin is started on Warfarin because:
1 point
Clear selection
Which oral medication, if present in the client's history, indicates a need for teaching related to the woman's potential risk for carrying a fetus with a congenital cleft lip or cleft palate?

1 point
Clear selection
The HCP prescribed atorvastatin, (Lipitor), an HMG-CoA reductase inhibitor. Which teaching intervention should the nurse include when discussing
this medication?
1 point
Clear selection
The nurse assesses a client who has just received morphine sulfate. The client’s blood pressure is 90/50 mm Hg; pulse rate, 58 bpm; respiration rate, 4 breaths/minute. The nurse should check the client’s chart for an order to administer?
1 point
Clear selection
A health care provider prescribes 0.65 g of acetaminophen for a client with a fever. The medication is available in 325 mg tablets. The nurse administers how many tablets? Record your answer rounding to the nearest whole number.

tablets
1 point
A client receives a prescription for levothyroxine 0.1 mg daily. The pharmacy sends the medication in 25 mcg tablets. How many tablets does the nurse administer? Record your answer rounding to the nearest whole number.

 tablets
1 point
The nurse prepares to administer enoxaparin sodium 40 mg subcutaneously to a client. The nurse retrieves enoxaparin sodium 60 mg/0.6 mL from the medication dispensing system. How many mL does the nurse administer? (Record your answer using one decimal point.)

mL
1 point
A nurse administers vancomycin 1,000 mg in 200 mL normal saline to a client who has an infection. The infusion runs in over two and a half hours with a drip factor of 60 drops/mL. The nurse sets the infusion rate to be how many drops/min? (Record your answer rounding to the nearest whole number.)

drops
1 point
An adult client’s insulin dosage is ten units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:
1 point
Clear selection
Common side effects of antidysrhythmic medications include:
1 point
Clear selection
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