NCLEX-RN Pharmacology Mastery: Drug Classes, Side
Effects & Nursing Considerations - 330 Questions
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
2. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
3. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
4. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
,5. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
6. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
7. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
8. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
9. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
10. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
, C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
11. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
12. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
13. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
14. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
15. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
, Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
16. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
17. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
18. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
19. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
20. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
21. Client on warfarin INR 4.5 with bleeding. Antidote expected?
Effects & Nursing Considerations - 330 Questions
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
2. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
3. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
4. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
,5. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
6. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
7. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
8. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
9. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
10. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
, C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
11. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
12. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
13. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
14. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
15. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
, Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
16. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
17. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
18. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
19. Client on warfarin INR 4.5 with bleeding. Antidote expected?
A. Vitamin K and possibly PCC
B. Protamine
C. Naloxone
D. Atropine
Correct Answer: A
Rationale: Warfarin overdose: Vitamin K reverses, 4-factor PCC for life-threatening bleed.
20. Metformin teaching includes holding for?
A. Contrast dye procedure
B. Mild headache
C. High fiber meal
D. Exercise
Correct Answer: A
Rationale: Hold metformin before contrast to prevent lactic acidosis if contrast-induced AKI.
21. Client on warfarin INR 4.5 with bleeding. Antidote expected?
