NCLEX RN pharmacology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

NCLEX EXAM vc




Exam Solution
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UWorld NCLEX RN Pharmacology 2026 A+ GRADE ASSUvc vc vc vc vc vc vc




RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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B34C3)




QUESTION 1 vc




Naloxone
ANSWER

(narcan) opioid antagonist -counteracts the effects of opioids/ post-op anesthesia/ over-sedation -
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short halflife (wears off in 1-2h) -
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important to assess respiratory status at 1 h post administration and perform appropriate action(s)
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QUESTION 2 vc




Opioid analgesics: side effects
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ANSWER

sedation hypotension/ orthostatic hypotension N/V (short-term effect) constipation (long-
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term effect) respiratory depression
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QUESTION 3 vc




codeine is an vc vc




ANSWER

opioid



QUESTION 4 vc




______position will decrease nausea vc vc vc




ANSWER

still, supine (anti-emetic may be necessary initially)
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,QUESTION 5 vc




Opioid analgesics: nursing indications
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ANSWER

-monitor sedation level -instruct pt not to get out of bed unassisted -administer PRN stool softeners
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QUESTION 6 vc




It is most important for the nurse to monitor _______ when a pt is taking opioid analgesics;
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notify the HCP if the pt:
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A. _____________ or
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B. _____________
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ANSWER

sedation level vc



A. falls asleep during conversation
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B. has minimal or no response to verbal or physical stimuli
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QUESTION 7 vc




If the pt falls asleep during conversation:
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ANSWER

monitor respiratory status and notify HCP to decrease sedation by 25-
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50% (slightly drowsy is acceptable/normal)
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QUESTION 8 vc




If pt has minimal or no response to verbal/physical stimuli:
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ANSWER

stop sedation, consider using naloxone, notify HCP, monitor respiratory status
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QUESTION 9 vc




Pts at high risk for respiratory depression associated w/ opioid analgesics:
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ANSWER

-advanced age -surgery w/in 24 h -COPD/ underlying pulmonary disease -smoking -snoring -obesity -
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opiate naive vc

,QUESTION 10 vc




IV hydromorphone should be given _______, over ______-______ minutes
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ANSWER

slowly, 2-3 minutes vc vc




QUESTION 11 vc




Hold morphine if RR is less than
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ANSWER

12



QUESTION 12 vc




Pt prescribed IV PCA, but still has a lot of pain-
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ANSWER

preform thorough pain assessment
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QUESTION 13 vc




Extended release Oxycodone or Oxycontin, a long-
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acting opioid analgesic, is given when immediate release opioids are inadequate for pain
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management; they should be administered __________, even if the pt denies ________
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ANSWER

around-the-
clock pain (effective for 12 h; administered 2x daily) *tolerance and dependence is developed and highe
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r doses are eventually required to achieve therapeutic effect
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QUESTION 14 vc




NSAIDs
ANSWER

-naproxen (Aleve) -ibuprofen (Advil) -idomethacin (Tivorbex) -ketorlac (Toradol) *potent*
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QUESTION 15 vc




Complications associated with NSAIDs vc vc vc




ANSWER

, -GI toxicity: dyspepsia, peptic ulcers, pain, bleeding (report black tarry stool and take med w/ food) -
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Nephrotoxicity: (associated w/ long term use; can lead to AKI and CKD) -
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HTN and HF: NSAIDs can cause fluid retention which can exacerbate HF, HTN, and ascites, or lead to MI,
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or stroke -
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Bleeding: mainly GI (tell HCP if taking w/ other NSAIDs, aspirin, or anti platelets) *Do not give NSAIDs t
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o pts who have the above conditions* *NSAIDs should be used at the lowest dose for the shortest period
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possible*
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QUESTION 16 vc




NSAIDs decrease the effectiveness of _______ and ______ medications
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ANSWER

diuretic, blood pressure vc vc




QUESTION 17 vc




Misoprostol
ANSWER

tx: prevents gastric ulcers in long-
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term NSAID therapy; induces labor Indications: *can be taken w/ food but NOT ANTACIDs *effective birt
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h control should be in place *causes labor induction (can give to induce labor but NOT w/ oxytocin, pt
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w c-section hx, and pt w/ abnormal cxs)
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QUESTION 18 vc




Salicylate meds vc




ANSWER

acetylsalicylic acid (Aspirin) acetaminophen (Tylenol) bismuth subsalicylate (Pepto Bismol)
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QUESTION 19 vc




acetylsalicylic acid (Aspirin) overdose vc vc vc




ANSWER

Give activated charcoal
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QUESTION 20 vc




Aspirin and other salicylate meds should not be given to children with viral infections su
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ch as ______ or _______, otherwise _______syndrome can occur
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