NCLEX Pharmacology Unit I FSCJ Exam Rated A+ 2026-2027
A 97-year old client asks why a protein supplement has been prescribed. What Is the
nurse's best response to the client?
a. "you have increased circulation of free drug"
b. "you have decreased hepatic size"
c. "you have decreased calcium absorption"
d. "you have increased motility" - ANSWER-a. "you have increased circulation of free
drug"
A child is ordered to receive naloxone (Narcan) IV, STAT. The child's weight is 20kg,
and the recommended child's drug dosage is 0.01 mg/kg. Naloxone is available in 400
mcg/mL solution. The nurse should administer: - ANSWER-0.5 mL
A male nurse has been assigned to care for a young married woman who practices
Islam. It is important that the nurse perform which action?
a. Not touch any part of the client's body
b. Delegate nursing care that involves touching to a female member of the nursing team
whenever appropriate
c. Touch the client only when her spouse is present
d. Communicate to the nurse manager that he cannot take care of female clients who
practice Islam - ANSWER-b. Delegate nursing care that involves touching to a female
member of the nursing team whenever appropriate
A medication health teaching plan is tailored to a specific client. Common topics for
health teaching include which? (select all that apply)
a. Importance of adherence to the prescribed regimen
b. How to administer medication(s)
c. What side/adverse effects to report to the health care provider
d. Instruction of the client on which foods should be eaten - ANSWER-a. Importance of
adherence to the prescribed regimen
b. How to administer medication(s)
c. What side/adverse effects to report to the health care provider
A Native American client is newly diagnosed with diabetes mellitus type 2 and is
prescribed the antidiabetic drug metformin (Glucophage) 500 mg PO with morning and
evening meals. Which statement best indicated to the nurse that the client will adhere to
the pharmacotherapy?
a. "I will no longer put sugar on my cereal"
b. "I will feel better soon if I take this medicine"
c. I need to take the medicine as scheduled to reduce the possibility of damage to my
body"
, d. "I have diabetes because of my ancestry" - ANSWER-c. I need to take the medicine
as scheduled to reduce the possibility of damage to my body"
A nurse is teaching a 16-year old female client about a newly prescribed medication.
The client is bilingual in Spanish and English. Which behavior best indicated the client's
understanding of the instructions?
a. The client frequently nods her head while listening to the nurse's instructions
b. The client stated that she understands the instructions
c. The client repeats the nurse's instruction to her mother who is present during the
teaching
d. The client does not ask the nurse for any clarification of the instructions - ANSWER-c.
The client repeats the nurse's instruction to her mother who is present during the
teaching
A parent is learning to administer medication to a school-aged child. Which strategy
should the nurse teach the parent to achieve cooperation in a child of this age?
a. Enlisting physical restraint
b. Tolerating violent reactions
c. Providing age-appropriate explanations
d. Establishing medication contracts - ANSWER-c. Providing age-appropriate
explanations
A pediatric client is ordered to receive 3 mg/kg of a medication. The client weighs 88
pounds. The medication is available in a 15 mg/mL elixir. How much medication should
the client receive?
a. 2 mL
b. 4 mL
c. 8 mL
d. 16 mL - ANSWER-c. 8 mL
A prenatal client tells the nurse that she is not taking vitamins because she heard that
"vitamins may cause damage to my baby." What is the best response by the nurse?
a. "vitamins can only help you and your baby"
b. "take extra vitamins now to make up for missed doses"
c. "megadoses of vitamins can be harmful in the first trimester"
d. "taking above the RDA of any vitamin is not recommended" - ANSWER-c.
"megadoses of vitamins can be harmful in the first trimester"
An 8-month old boy is discharged from the hospital with a plan of care to receive
intramuscular (IM) injections each day. The parents have been taught how to administer
IM injections. Which statement, if verbalized by the parents, indicates a need for more
teaching?
a. "I need to administer this medication in the upper, outer quadrant of this buttocks"
b. "IM injections are safe for children if administered correctly"
c. "When I give my child this injection, the safest place for insertion is in the thigh"
A 97-year old client asks why a protein supplement has been prescribed. What Is the
nurse's best response to the client?
a. "you have increased circulation of free drug"
b. "you have decreased hepatic size"
c. "you have decreased calcium absorption"
d. "you have increased motility" - ANSWER-a. "you have increased circulation of free
drug"
A child is ordered to receive naloxone (Narcan) IV, STAT. The child's weight is 20kg,
and the recommended child's drug dosage is 0.01 mg/kg. Naloxone is available in 400
mcg/mL solution. The nurse should administer: - ANSWER-0.5 mL
A male nurse has been assigned to care for a young married woman who practices
Islam. It is important that the nurse perform which action?
a. Not touch any part of the client's body
b. Delegate nursing care that involves touching to a female member of the nursing team
whenever appropriate
c. Touch the client only when her spouse is present
d. Communicate to the nurse manager that he cannot take care of female clients who
practice Islam - ANSWER-b. Delegate nursing care that involves touching to a female
member of the nursing team whenever appropriate
A medication health teaching plan is tailored to a specific client. Common topics for
health teaching include which? (select all that apply)
a. Importance of adherence to the prescribed regimen
b. How to administer medication(s)
c. What side/adverse effects to report to the health care provider
d. Instruction of the client on which foods should be eaten - ANSWER-a. Importance of
adherence to the prescribed regimen
b. How to administer medication(s)
c. What side/adverse effects to report to the health care provider
A Native American client is newly diagnosed with diabetes mellitus type 2 and is
prescribed the antidiabetic drug metformin (Glucophage) 500 mg PO with morning and
evening meals. Which statement best indicated to the nurse that the client will adhere to
the pharmacotherapy?
a. "I will no longer put sugar on my cereal"
b. "I will feel better soon if I take this medicine"
c. I need to take the medicine as scheduled to reduce the possibility of damage to my
body"
, d. "I have diabetes because of my ancestry" - ANSWER-c. I need to take the medicine
as scheduled to reduce the possibility of damage to my body"
A nurse is teaching a 16-year old female client about a newly prescribed medication.
The client is bilingual in Spanish and English. Which behavior best indicated the client's
understanding of the instructions?
a. The client frequently nods her head while listening to the nurse's instructions
b. The client stated that she understands the instructions
c. The client repeats the nurse's instruction to her mother who is present during the
teaching
d. The client does not ask the nurse for any clarification of the instructions - ANSWER-c.
The client repeats the nurse's instruction to her mother who is present during the
teaching
A parent is learning to administer medication to a school-aged child. Which strategy
should the nurse teach the parent to achieve cooperation in a child of this age?
a. Enlisting physical restraint
b. Tolerating violent reactions
c. Providing age-appropriate explanations
d. Establishing medication contracts - ANSWER-c. Providing age-appropriate
explanations
A pediatric client is ordered to receive 3 mg/kg of a medication. The client weighs 88
pounds. The medication is available in a 15 mg/mL elixir. How much medication should
the client receive?
a. 2 mL
b. 4 mL
c. 8 mL
d. 16 mL - ANSWER-c. 8 mL
A prenatal client tells the nurse that she is not taking vitamins because she heard that
"vitamins may cause damage to my baby." What is the best response by the nurse?
a. "vitamins can only help you and your baby"
b. "take extra vitamins now to make up for missed doses"
c. "megadoses of vitamins can be harmful in the first trimester"
d. "taking above the RDA of any vitamin is not recommended" - ANSWER-c.
"megadoses of vitamins can be harmful in the first trimester"
An 8-month old boy is discharged from the hospital with a plan of care to receive
intramuscular (IM) injections each day. The parents have been taught how to administer
IM injections. Which statement, if verbalized by the parents, indicates a need for more
teaching?
a. "I need to administer this medication in the upper, outer quadrant of this buttocks"
b. "IM injections are safe for children if administered correctly"
c. "When I give my child this injection, the safest place for insertion is in the thigh"
