Pharmacology NCLEX Exam Questions

Pharmacology NCLEX Exam Questions and Answers.

An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities?

• The patient and patient's daughter will state the proper way to take the drug.
• The nurse will provide teaching about the drug's adverse effects.
• The patient will state all the symptoms of digitalis toxicity.
• The patient will call the prescriber if adverse effects occur. - ANSWER-a. The patient

and patient's daughter will state the proper way to take the drug.

A patient has a new prescription for a blood pressure medication that may cause him to feel dizzy during the first few days of therapy. Which is the best nursing diagnosis for this situation?

• Activity intolerance
• Risk for injury
• Disturbed body image
• Self-care deficit - ANSWER-b. Risk for injury

A patient's chart includes an order that reads as follows: "Lanoxin 250 mcg once daily at 0900." Which action by the nurse is correct?

• The nurse gives the drug via the transdermal route.
• The nurse gives the drug orally.
• The nurse gives the drug intravenously.
• The nurse contacts the prescriber to clarify the dosage route. - ANSWER-d. The

nurse contacts the prescriber to clarify the dosage route.

A 77-year-old man who has been diagnosed with an upper respiratory tract infection tells the nurse that he is allergic to penicillin. Which is the most appropriate response by the nurse?

• "that's to be expected--lots of people are allergic to penicillin."
• "This allergy is not of major concern because the drug is given so commonly."
• "What type of reaction did you have when you took penicillin?"
• "Drug allergies don't usually occur in older individuals because they have built up

resistance." - ANSWER-c. "What type of reaction did you have when you took penicillin?"

The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the most information from the patient? 1 / 2

• "Do you depend on sleeping pills to get to sleep?"
• "Do you have a family history of heart disease?"
• "When you have pain, what do you do to relieve it?"
• "What childhood diseases did you have?" - ANSWER-c. "When you have pain, what

do you do to relieve it?"

The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2 diabetes mellitus. Put into correct order the steps of the nursing process, with 1 being the first step and 5 being the last step.

• Implementation
• Planning
• Assessment
• Evaluation
• Nursing diagnoses - ANSWER-4, 3, 1, 5, 2

The nurse is reviewing new medication orders that have been written for a newly admitted patient. The nurse will need to clarify which orders? Select all that apply.

• Metformin (Glucophage) 1000 mg PO twice a day
• Sitagliptin (Januvia) 50 mg daily
• Simvastatin (Zocor) 20 mg PO every evening
• Irbesartan (Avapro) 300 mg PO once a day
• Docusate (Colace) as needed for constipation - ANSWER-b. Sitagliptin (Januvia) 50

mg daily

• Docusate (Colace) as needed for constipation

An elderly woman took a prescription medicine to help her to sleep; however, she felt restless all night and did not sleep at all. The nurse recognizes that this woman has experienced which type of reaction or effect?

• Allergic reaction
• Idiosyncratic reaction
• Mutagenic effect
• Synergistic effect - ANSWER-b. Idiosyncratic reaction

While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which phase of pharmacokinetics may occur?

• Absorption
• Distribution
• Metabolism
• Excretion - ANSWER-c. Metabolism
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