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NCLEX PN PHARMACOLOGY EXAM 250 QUESTIONS AND ANSWERS 2024_
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NCLEX PN PHARMACOLOGY EXAM 250 QUESTIONS AND ANSWERS 2024_
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PHARMACOLOGY1. A nurse is administering subcutaneous herprin to a client who is at risk for
deep vein thrombosis. Which of the following actions should the nurse
take?
a. Administer the medication into the client’s abdomen.
b. Inject the medication into a muscle.
c. Massage the site after administering the medication
d. Use a 22-gauge needle to administer the medication
2. A nurse is providing teaching to a client who has a urinary tract infection
and new prescription for phenazopyridine and ciprofloxacin. Which of the
following statements by the client indicates the need for further teaching?
a. “If the phenazopyridine upsets my stomach, I can take it with meals.”
b. “The phenazopyridine will relieve my discomfort, but the ciprofloxacin
will get rid of the infection.”
c. “ I need to drink 2 liters of fluid per day while I am taking the
ciprofloxacin.”
d. “ I should notify my provider immediately if my urine turns an orange
color.”
3. A nurse is providing teaching to a group of new parents about medications.
The nurse should include that aspirin is contraindicated for children who
have a viral infection due to the risk of developing which of the following
adverse effects?
a. Reye’s syndrome
b. Visual disturbances
c. Diabetes mellitus
d. Willm’s tumor
4. A nurse ir preparing to administer lactated Ringer’s (LR) 1,000 mL IV to
infuse over 8 hr. the drop factor or the manual IV tubing is 10 gt/mL. The
, nurse should set the manual IV infusion to deliver how may gtt/min?
(Round the answer to the nearest whole number).
1 hr/60 min = 8 hr/X min
X = 480 min
1,000 mL/480 min X 10 gtt/mL = X
Gtt/min X = 20.833 21 gtt/min
5. A nurse is caring for a client who has a new prescription for tamoxifen. The
nurse should recognize that tamoxifen has which of the following
therapeutic effects?
a. Antiestrogenic
b. Antimicrobial
c. Androgenic
d. Anti-inflammatory
6. A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into
2 equal doses daily to a toddler who weighs 22lb. how many mg should the
nurse administer per dose?
( round the answer to the nearest whole number)
2.2 lb/ 1kg = 22lb/X kg
X = 10kg
4 mg x 10 kg = 40 mg/ day
20 mg
7. A nurse is assessing a client who is receiving IV gentamicin three times daily.
Which of the following findings indicates that the client is experiencing an
adverse effect of this medication?
a. Hypoglycemia
b. Proteinuria
c. Nasal congestion
d. Visual disturbance
,8. A nurse is providing teaching to a client who has cirrhosis and a new
prescription for lactulose. The nurse should instruct the client that lactose
has which of the following therapeutic effects?
a. Increases blood pressure
b. Prevents esophageal bleeding
c. Decreasing heart rate
d. Reduces ammonia levels
9. A nurse is providing teaching to a newly licensed nurse about
metoclopramide. The nurse should include in the teaching that which of the
following conditions is a contraindication to this medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure
10.A nurse is teaching a newly licensed nurse about contraindication to
ceftriaxone. The nurse should include a severe allergy to which of the
following medications is a contraindication to ceftriaxone?
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethoprim
11.A nurse is caring for a client who has a new diagnosis of oral candidiasis
after taking tetracycline for 7 days. The nurse should recognize that
candidiasis is a manifestation of which of the following adverse effects?
a. Allergic response
b. Superinfection
c. Renal toxicity
d. Hepatotoxicity
, 12.A nurse is reviewing the laboratory values for a client who is receiving a
continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the
following actions should the nurse prepare to take?
a. Administer vitamin K
b. Reduce the infusion rate
c. Give the client a low-dose aspirin
d. Request an INR
13.A nurse is planning to administer diltiazem via IV bolus to a client who has
atrial fibrillation. When assessing the client, the nurse should recognize that
which of the following findings is a contraindication to administration of
diltiazem?
Hypotension tachycardia
Decreased level of consciousness
History of diuretic use
14.A nurse is planning to administer epoetin alfa to a client who has chronic
kidney failure. Which of the following data should the nurse plan to review
prior to administration of this medication?
a. Blood pressure
b. Temperature blood
c. Glucose levels
d. Total protein levels
15.A nurse is providing discharge teaching to a client who has heart failure and
a new prescription for digoxin 0.215 mg PO daily and furosemide 20 mg PO
daily. Which of the following statements by the client indicates an
understanding of the teaching?
a. “ I know that blurred vision is something I will expect to happen while
taking digoxin.”
b. “ I will measure my urine output each day and document daily.”
c. “ I will skip a dose of my digoxin if my resting heart rate is below 72
beats per minute.”
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