NCLEX SAUNDERS PHARMACOLOGY EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS UPDATED 2024/2025 BEST
RATED TO SCORE A+ FOR SUCCESS
A client is prescribed imipramine once daily. The nurse determines that additional
teaching is needed on the basis of which statement by the client?
"I need to avoid alcohol while taking this medication."
"I'll take the medication in the morning before breakfast."
"I won't notice any medication effects for at least 2 weeks."
"I'll be sure to take a missed medication dose as soon as possible unless it is almost time
for the next dose." - CORRECT ANSWERS "I'll take the medication in the morning before
breakfast."
Imipramine is a tricyclic antidepressant. The client should be instructed to take a single
daily dose of the medication at bedtime, not in the morning, because of its side effect of
sedation. The client should avoid alcohol or other central nervous system depressants
during therapy. The medication effects may not be noticed for at least 2 weeks. The
client should take the medication exactly as directed, but if a dose is missed the client
should take it as soon as possible unless it is almost time for another dose.
The nurse notes a persistent, dry cough in an adult client being seen in the ambulatory
clinic. When questioned, the client states that the cough began approximately 2 months
ago. On further assessment, the nurse learns that the client began taking quinapril
shortly before the time that the cough began. How should the nurse interpret the
development of the cough?
An early indication of heart failure
Caused by neutropenia as a result of therapy
Caused by a concurrent upper respiratory infection
An expected although bothersome side effect of therapy - CORRECT ANSWERS An
expected although bothersome side effect of therapy
,NCLEX SAUNDERS PHARMACOLOGY EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS UPDATED 2024/2025 BEST
RATED TO SCORE A+ FOR SUCCESS
A frequent side effect of therapy with any angiotensin-converting enzyme (ACE)
inhibitor, including quinapril, is a persistent, dry cough. In general, the cough does not
resolve during the course of medication therapy, so clients should be advised to notify
the primary health care provider if the cough becomes very troublesome. The other
options are incorrect.
The nurse is analyzing the laboratory studies on a client receiving dantrolene to treat
muscle spasms from an injury. Which laboratory test would identify an adverse effect
associated with the administration of this medication?
Platelet count
Creatinine level
Liver function tests
Blood urea nitrogen level - CORRECT ANSWERS Liver function tests
Dose-related liver damage is the most serious adverse effect of dantrolene. To reduce
the risk of liver damage, liver function tests should be performed before treatment and
throughout the treatment interval. Dantrolene is administered at the lowest effective
dosage for the shortest time necessary.
A client is taking trihexyphenidyl hydrochloride. The nurse should assess for which side
or adverse effect of this medication?
,NCLEX SAUNDERS PHARMACOLOGY EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS UPDATED 2024/2025 BEST
RATED TO SCORE A+ FOR SUCCESS
Trihexyphenidyl is an anticholinergic medication used for the treatment of Parkinson's
disease. Therefore, it can cause urinary hesitancy and retention, constipation, dry
mouth, and decreased sweating.
The nurse would anticipate that the primary health care provider (PHCP) would add
which medication to the regimen of the client receiving isoniazid?
Niacin
Pyridoxine
Gabapentin
Cyanocobalamin - CORRECT ANSWERS Pyridoxine
Isoniazid is an antituberculosis medication. Clients receiving isoniazid can develop
neuropathy, and the agent of choice to help prevent this adverse effect is pyridoxine,
vitamin B6. Niacin is used to lower the cholesterol level. Gabapentin is used to prevent
seizures and for peripheral neuropathy, and cyanocobalamin is used to treat anemia.
A client has begun therapy with a xanthine bronchodilator. The nurse determines that
the client understands dietary alterations if the client states to limit which items while
taking this medication? Select all that apply
, NCLEX SAUNDERS PHARMACOLOGY EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS UPDATED 2024/2025 BEST
RATED TO SCORE A+ FOR SUCCESS
The nurse teaches the client to limit the intake of xanthine-containing foods while taking
a xanthine bronchodilator. These include coffee and chocolate. The other food items are
acceptable to consume.
A client with multiple sclerosis is receiving baclofen. The nurse assessing the client
monitors for which finding as an indication of a primarytherapeutic response to the
medication?
Decreased nausea
Decreased muscle spasms
Increased muscle tone and strength
Increased range of motion of all extremities - CORRECT ANSWERS Decreased muscle
spasms
Baclofen is a skeletal muscle relaxant and acts at the spinal cord level to decrease the
frequency and amplitude of muscle spasms in clients with spinal cord injuries or
diseases or with multiple sclerosis. Increased muscle tone and strength and increased
range of motion of all extremities are not directly related to the effects of this
medication. Decreased nausea is an incorrect option.
A female client with carcinoma of the breast is admitted to the hospital for treatment
with intravenously administered doxorubicin. The client tells the nurse that she has
been told by her friends that she is going to lose all her hair. What is the most
appropriate nursing response?
"Your friends are correct."
"You will not lose your hair."
"Hair loss may occur, but it will grow back just as it is now."
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