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

NCLEX EXAM vc




Exam Solution vc




Pharmacology Final Exam REVIEW!!!! 2026 A+ GRADE A vc vc vc vc vc vc vc




SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE vc vc vc vc vc




RS (F0A5B) vc




QUESTION 1 vc




A patient about to receive his morning dose of digoxin has an apical pulse of 70 beats pe
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



r minute. What will the nurse do?
vc vc vc vc vc vc



A. Administer the dose.
vc vc vc



B. Administer the dose and notify the physician.
vc vc vc vc vc vc vc



C. Check the radial pulse for 1 full minute.
vc vc vc vc vc vc vc vc



D. Withhold the dose and notify the
vc vc vc vc vc vc




ANSWER

A. Administer the dose.
vc vc vc




QUESTION 2 vc




In assessing a patient before administration of a cardiac glycoside, the nurse knows that
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



what condition can predispose a patient to digitalis toxicity?
vc vc vc vc vc vc vc vc



A. Hypokalemia
vc



B. Hyperkalemia
vc



C. Hypocalcemia
vc



D. Hypernatremia
vc




ANSWER

A. Hypokalemia; control ventricular response to atrial fibrillation and a derived from foxglove. Digoxin i
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



s the only available cardiac glycoside---positive inotropic---
vc vc vc vc vc vc



inhibits sodium potassium pump (adenosine tripphophatase) Sodium and calcium rise. Cholinergic stim
vc vc vc vc vc vc vc vc vc vc vc



ulation via the vagus nerve of Parasympathetic nervous system. ---Negative chronotropic---
vc vc vc vc vc vc vc vc vc vc



Negative Dromotropic effect vc vc




QUESTION 3 vc

,While assessing a patient who is receiving intravenous digitalis, the nurse recognizes tha
vc vc vc vc vc vc vc vc vc vc vc vc



t the drug has a negative chronotropic effect. How would this drug effect be evident in th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



e patient?
vc



A. Increased heart rate
vc vc vc



B. Decreased heart rate
vc vc vc



C. Decreased conduction
vc vc



D. Increased ectopic beats
vc vc vc




ANSWER

B. Decreased heart rate
vc vc vc




QUESTION 4 vc




5. A patient has been placed on a milrinone infusion as part of the therapy for end-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



stage heart failure. What risks involved with this drug will the nurse keep in mind while
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



assessing this patient during the infusion? vc vc vc vc vc



A. Hypertension
vc



B. Hyperkalemia
vc



C. Nausea and vomiting
vc vc vc



D. Cardiac dysrhythmias
vc vc




ANSWER

D. Cardiac dysrhythmias (contraindictated with ventricular tachycardia, and fibrillation) used for treatm
vc vc vc vc vc vc vc vc vc vc vc



ent of atrial fibrillation. Available in Oral and injection form.
vc vc vc vc vc vc vc vc vc




QUESTION 5 vc




6. A patient with atrial fibrillation was started on digoxin, and 1 week later a digoxin lev
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



el was drawn. Which result is within normal therapeutic levels for digoxin?
vc vc vc vc vc vc vc vc vc vc vc



A. 0.4 ng/mL
vc vc



B. 0.7 ng/mL
vc vc



C. 2.1 ng/mL
vc vc



D. 2.6 ng/mL or higher
vc vc vc vc




ANSWER

B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
vc vc vc vc vc vc vc




QUESTION 6 vc




7. When reviewing the list of medications taken by a patient who will be receiving a new
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



prescription for digoxin, the nurse would be concerned about which medication that ma
vc vc vc vc vc vc vc vc vc vc vc vc



y interact with the digoxin?
vc vc vc vc



A. aspirin
vc



B. acetaminophen (Tylenol)
vc vc

, C. furosemide (Lasix)
vc vc



D. vitamin K
vc vc




ANSWER

C. furosemide (Lasix); (loop Diuretics); numerous ones on page 341
vc vc vc vc vc vc vc vc vc




QUESTION 7 vc




8. The nurse is reviewing discharge teaching for a patient who will be taking digoxin (La
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



noxin) therapy. The patient should be taught to avoid which foods when taking the digox
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



in?
A. Leafy green vegetables
vc vc vc



B. Dairy products
vc vc



C. Grapefruit juice
vc vc



D. Bran muffins
vc vc




ANSWER

D. Bran muffins
vc vc




QUESTION 8 vc




9. In assessing a patient before administration of a cardiac glycoside, the nurse knows th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



at which lab result can increase the toxicity of the drug?
vc vc vc vc vc vc vc vc vc vc



A. Potassium level 2.8 mEq/L
vc vc vc vc



B. Potassium level 4.9 mEq/L
vc vc vc vc



C. Sodium level 140 mEq/L
vc vc vc vc



D. Calcium level 10 mg/dL
vc vc vc vc




ANSWER

A. Potassium level 2.8 mEq/L (low potassium normal is 3.5 to 5.0)
vc vc vc vc vc vc vc vc vc vc vc




QUESTION 9 vc




10. The nurse administering the phosphodiesterase inhibitor inamrinone recognizes tha
vc vc vc vc vc vc vc vc vc



t this drug should have a positive inotropic effect. This effect will result in increased
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



A. heart rate.
vc vc



B. blood vessel dilation.
vc vc vc



C. force of cardiac contraction.
vc vc vc vc



D. conduction of electrical impulses across the heart.
vc vc vc vc vc vc vc




ANSWER

C. force of cardiac contraction. (increase cAMP) positive inotropic (by more calcium available in SR)effec
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



t and vasodilation, (inodilators)---
vc vc vc



positive chornotropic effect); USED IN ICU; ADVERSE EFFECT...thrombocytopenia, dysrhythmia, ventricu
vc vc vc vc vc vc vc vc vc



lar, hypotension and angina, hypokalemia, tremor.
vc vc vc vc vc