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PHARMACOLOGY NCLEX-PN 2024 ACTUAL EXAM QUESTIONS AND ANSWER WITH COMPLETE VERIFIED SOLUTIONS GRADED A++
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PHARMACOLOGY NCLEX-PN 2024 ACTUAL EXAM QUESTIONS AND ANSWER WITH COMPLETE VERIFIED SOLUTIONS GRADED A++ Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus) two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. ...

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  • June 1, 2024
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  • 2023/2024
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PHARMACOLOGY NCLEX-PN 2024 ACTUAL EXAM QUESTIONS
AND ANSWER WITH COMPLETE VERIFIED SOLUTIONS GRADED
A++

Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus)
two puffs by metered-dose inhaler have been prescribed for a client with chronic
obstructive pulmonary disease. The nurse caring for the client provides
instructions regarding administration of the medication. Which statement by the
client indicates an understanding of how to take these medications?


1. "I will take the two puffs of the fluticasone propionate first and then the two
puffs of the albuterol."


2. "I will take the two puffs of the albuterol first and then the two puffs of the
fluticasone propionate."


3."I will alternate a single puff of each, beginning with the fluticasone
propionate."


4. "I will alternate a single puff of each, beginning with the albuterol."
2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone
propionate."
Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric
health care clinic. The nurse is collecting data on the client and is providing
instructions regarding the use of this medication. Which is most important for the
nurse to determine before administration of this medication?
4. When the last alcoholic drink was consumed

,A nurse is caring for a client with liver disease. Laboratory studies are performed,
and the client's serum calcium level is 13 mg/dL. The nurse checks to see that
which medication is available in the stock medication supply area on the clinical
nursing unit that may be needed to treat this calcium imbalance?
4. Calcitonin (Cibacalcin)
A client with carcinoma is admitted to the hospital for a chemotherapy treatment
with intravenous bleomycin sulfate. The plan of care mentions observing for
interstitial pneumonitis as the priority of care. Which assessment finding most
closely correlates to symptoms of interstitial pneumonitis, requiring reporting?
4. Lung wheezing and shortness of breath
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if
noted on the client's record, indicates that the medication needs to be
administered with caution?
3. Renal insufficiency
A nurse employed in the emergency department is preparing to administer syrup
of ipecac to a 7-month-old child. The nurse prepares 5 mL of the syrup and
administers one half glass of water following administration of the ipecac syrup.
Which response would the nurse expect?
1. Vomiting
A nurse is reinforcing dietary instructions to a client who has been prescribed
cyclosporine (Sandimmune). Which food item would the nurse instruct the client
to avoid?
3. Grapefruit juice
A client is being treated for acute congestive heart failure with intravenously
administered bumetanide. The vital signs are as follows: blood pressure, 100/60
mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial
dose, which of the following is the priority assessment?
3. Monitoring blood pressure
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole.
Which of the following should be included in the list of instructions?
2. Maintain a high fluid intake.

,Docetaxel (Taxotere) is prescribed for a client with metastatic breast cancer. In
addition, dexamethasone (Decadron) is prescribed to be administered before
initiation of the docetaxel. The nurse tells the client that the dexamethasone is
prescribed to:
2. Reduce the severity of fluid retention.
Streptokinase (Streptase) is being administered to a client following an acute
inferior myocardial infarction. The nurse plans care, knowing that the primary
purpose of streptokinase is to:
4. Dissolve the thrombus.
A client is seen in the clinic for complaints of skin itchiness that has been
persistent over the past several weeks. Following data collection, it has been
determined that the client has scabies. Lindane is prescribed, and the nurse is
asked to provide instructions to the client regarding the use of the medication.
The nurse tells the client to:
4. Leave the cream on for 8 to 12 hours and then remove by washing.
A nurse is assisting in caring for a pregnant client who is receiving intravenous
magnesium sulfate for the management of preeclampsia and notes that the
client's deep tendon reflexes are absent. On the basis of this data, the nurse
reports the finding and makes which determination?
4. The client is experiencing magnesium toxicity.
A client who is human immunodeficiency virus (HIV) seropositive has been taking
zalcitabine (ddC) as a component of treatment. The nurse tells the client that
which laboratory test will need to be monitored while taking this medication?
4. Liver function studies
The nurse administering medications to a group of clients notes a prescription to
give a subcutaneous dose of heparin sodium. The nurse should do which of the
following to give this medication safely?
3. Give the injection using a 25- to 27-gauge, ⅝-inch needle.
The nurse is analyzing the laboratory results of a client with leukemia who has
received a regimen of chemotherapy. Which laboratory value would the nurse

, specifically note as a result of the massive cell destruction that occurred from the
chemotherapy?
3. Increased uric acid level
The client has begun medication therapy with pancrelipase (Pancrease MT). The
nurse evaluates that the medication is having the optimal intended benefit if
which effect is observed?
3. Reduction of steatorrhea
Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound
containing purulent drainage. The nurse is assisting in developing a plan of care
for the client and includes which of the following in the plan?
1. Ensure that the solution is freshly prepared before use.
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse
monitoring this client should look for which of the following to indicate a primary
therapeutic response from the medication?
1. Decreased muscle spasms
A client with cancer is receiving cisplatin. Which finding indicates that the client
is experiencing an adverse effect of the medication?
1. Tinnitus
The nurse provides medication instructions to an older hypertensive client who is
taking 20 mg of lisinopril (Prinivil, Zestril) orally daily. The nurse evaluates the
need for further teaching when the client states which of the following?
1. "I can skip a dose once a week."
A nurse provides instructions to a client who has been prescribed betaxolol
(Betoptic) eye drops for the treatment of glaucoma. The nurse instructs the client
regarding the administration of the medication and about the importance of
returning to the clinic for monitoring of the:
2. Blood pressure and apical pulse
A nurse is reviewing medications with the client receiving colchicine for the
treatment of gout. The nurse determines that the medication is effective if the
client reports a decrease in:
3. Joint inflammation

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