PHARMACOLOGY NCLEX SUCCESS QUESTIONS 2024
1. CHAPTER 1 INTRODUCTION TO PHARMACOLOGY: CHAPTER 1 INTRO-
DUCTION TO PHARMACOLOGY
2. The nurse is caring for a woman who has strong beliefs about not putting
anything unnatural into her body. It is most accurate to say that most
modern medications are:: natural products derived from plantHistorically, drugs
came from plants, animals, and minerals.
3. The nurse is taking care of a man who is confused about the different
medications he is prescribed. He notes that some of the drug names have
changed over the course of time he has been taking them. When counseling
him, it is most important to keep the following statement in mind:: A
prototype drug is the standard by which similar drugs are compared
4. In understanding the use of controlled substances for patients, it is
important that the nurse knows that controlled drugs are: scheduled
according to medical use and potential for abuse
5. A patient is asking what the difference is between a prescription for 800 mg
of a medication that can be purchased on an OTC basis as a 200-mg tablet.
To address this issue, it is important that the nurse knows that OTC drugs:
often differ in indications for use and recommended dosages from their
prescription version
6. A man is very upset with a drug recall of a medication he has been taking
for a long time. He states that he feels like he can no longer trust anyone to
protect him. In response to his questions about the process of drug
development, it is important to know that with a new drug, the U.S. Food
and Drug Administration (FDA) is responsible for: evaluating the drug for
safety and effectiveness
7. Error-reduction strategies during medication administration include:: A.
quiet zone signs at entrance to the medication room
B.protocols and checklist outlining medication administration
C. wearing of a sash or vest to signal others to avoid interruptions of the nurse
during medication administration
All of these strategies, except for carrying several patients' prescanned medications
on a cart, potentially reduce the risk of medication error. The work-around of
removing more than one patient's medication from an automated medication
dispensing system could lead to the administration of the wrong medication to a
patient.
,8. CHAPTER 2 BASIC CONCEPTS AND PROCESSES: CHAPTER 2 BASIC
CON-
CEPTS AND PROCESSES
9. A nurse practitioner (NP) has just changed a patient's medication from an
oral form to a patch formulation to avoid the first-pass effect. The NP has
explained it to the patient, but the patient still has questions and asks the
nurse to explain again what is meant by the first- pass effect. The NP would
be most correct in explaining that this has to do with how: initial metabolism
of an oral drug occurs before it reaches the systemic circulation
10. A nurse is reading a research report about use of a medication that
describes the pharmacokinetics of a particular medication that a patient
is taking. Pharmacokinetics involves: drug absorption, distribution,
metabolism, and elimination
11. A nurse is caring for a man who has worsening liver disease. In monitoring
his medication, it is important to know that a patient with liver disease may
have impaired drug: metabolism
12. A nurse is looking up information about the effects of a drug on different
receptors. Characteristics of receptors include the following?: They
regulate the actions of all drugs.
13. A patient with an overdose of an oral drug usually receives the following?:
activated charcoal
14. The mother of a 14-month old girl calls a nurse working in a pediatric clinic
and reports that her daughter ingested an unknown number of sleeping
pills about four hours ago and is now drowsy. The mother asks what she
should do. The best response to give the mother is: "Call 911 to transport
your daughter to the nearest emergency department"
15. CHAPTER 3 MEDICATION ADMINISTRATION AND THE NURSING
PROCESS OF DRUG THERAPY: CHAPTER 3 MEDICATION ADMINISTRATION
AND THE NURSING PROCESS OF DRUG THERAPY
16. A physician writes an order using the abbreviation MS. The order states
"MS 10 mg IV push every 6 hours as needed for pain." According to the
Joint Commission's "Do Not Use" list, what is the potential problem in this
order?: The drug could be magnesium sulfate or morphine sulfate
17. A prescriber has written an order for an oral medication to a patient
following a cerebrovascular accident (stroke). Prior to administering the
, PHARMACOLOGY NCLEX SUCCESS QUESTIONS 2024
medication, which of the following nursing interventions is most
important?: assessing the patient's ability to swallow
18. A prescriber has written an order for levothyroxine sodium (Synthroid) 50
mg per day by mouth. The nurse knows that the standard dose is 50 mcg.
What action should the nurse take?: Call the prescriber and question the
order
19. The nurse is administering the first dose of an antiinfective (to treat
infection) agent. Which of the following assessments should the nurse
make prior to administering the antiinfective agent?: Assess if the patient is
allergic to any antiinfective agent
20. What nursing actions will prevent adverse drug events?: Use bar code
technology according to institutional policy
21. A nurse is administering an elixir. Which of the following measures is
appropriate: milliliter
22. The nurse has administered lacosamide (Vimpat -used to treat partial-
onset seizures) to the wrong patient. What is the first action the nurse
should take?: Assess the patient's vital signs and level of consciousness
23. A patient is to receive lamotrigine (Lamictal for seizures) 300 mg by mouth
two times per day. The pharmacy has delivered 50-mg tablets.
How many tablets should the nurse administer each time?: 6 tablet 24.
A nurse is preparing to administer a subcutaneous injection.
What size needle should the nurse use to administer the injection?: 25 gauge
25. A patient is to receive an IM injection of ketorolac (anti inflammatory - treat
pain.
Which of the following muscles should be avoided?: dorsogluteal 26.
The patient receives regular insulin 5 units subcutaneously.
To what degree is the syringe held for the injection?: 45 to 90 degree
27. How is a medication delivered by piggyback administered?: It is mixed with
50 to 100 mL of IV fluid in a separate container
28. During an initial nursing assessment, the patient reports that he is allergic
to a particular medicine. What should the nurse ask the patient?: What
symptoms occurred when you had the allergic reaction?
29. How do nursing interventions increase safety and effectiveness of drug
therapy?: By teaching patients about their drug therapy
30. What should the nurse keep in mind when evaluating a patient's response
to drug therapy?: Drugs may cause virtually any symptom or problem
1. CHAPTER 1 INTRODUCTION TO PHARMACOLOGY: CHAPTER 1 INTRO-
DUCTION TO PHARMACOLOGY
2. The nurse is caring for a woman who has strong beliefs about not putting
anything unnatural into her body. It is most accurate to say that most
modern medications are:: natural products derived from plantHistorically, drugs
came from plants, animals, and minerals.
3. The nurse is taking care of a man who is confused about the different
medications he is prescribed. He notes that some of the drug names have
changed over the course of time he has been taking them. When counseling
him, it is most important to keep the following statement in mind:: A
prototype drug is the standard by which similar drugs are compared
4. In understanding the use of controlled substances for patients, it is
important that the nurse knows that controlled drugs are: scheduled
according to medical use and potential for abuse
5. A patient is asking what the difference is between a prescription for 800 mg
of a medication that can be purchased on an OTC basis as a 200-mg tablet.
To address this issue, it is important that the nurse knows that OTC drugs:
often differ in indications for use and recommended dosages from their
prescription version
6. A man is very upset with a drug recall of a medication he has been taking
for a long time. He states that he feels like he can no longer trust anyone to
protect him. In response to his questions about the process of drug
development, it is important to know that with a new drug, the U.S. Food
and Drug Administration (FDA) is responsible for: evaluating the drug for
safety and effectiveness
7. Error-reduction strategies during medication administration include:: A.
quiet zone signs at entrance to the medication room
B.protocols and checklist outlining medication administration
C. wearing of a sash or vest to signal others to avoid interruptions of the nurse
during medication administration
All of these strategies, except for carrying several patients' prescanned medications
on a cart, potentially reduce the risk of medication error. The work-around of
removing more than one patient's medication from an automated medication
dispensing system could lead to the administration of the wrong medication to a
patient.
,8. CHAPTER 2 BASIC CONCEPTS AND PROCESSES: CHAPTER 2 BASIC
CON-
CEPTS AND PROCESSES
9. A nurse practitioner (NP) has just changed a patient's medication from an
oral form to a patch formulation to avoid the first-pass effect. The NP has
explained it to the patient, but the patient still has questions and asks the
nurse to explain again what is meant by the first- pass effect. The NP would
be most correct in explaining that this has to do with how: initial metabolism
of an oral drug occurs before it reaches the systemic circulation
10. A nurse is reading a research report about use of a medication that
describes the pharmacokinetics of a particular medication that a patient
is taking. Pharmacokinetics involves: drug absorption, distribution,
metabolism, and elimination
11. A nurse is caring for a man who has worsening liver disease. In monitoring
his medication, it is important to know that a patient with liver disease may
have impaired drug: metabolism
12. A nurse is looking up information about the effects of a drug on different
receptors. Characteristics of receptors include the following?: They
regulate the actions of all drugs.
13. A patient with an overdose of an oral drug usually receives the following?:
activated charcoal
14. The mother of a 14-month old girl calls a nurse working in a pediatric clinic
and reports that her daughter ingested an unknown number of sleeping
pills about four hours ago and is now drowsy. The mother asks what she
should do. The best response to give the mother is: "Call 911 to transport
your daughter to the nearest emergency department"
15. CHAPTER 3 MEDICATION ADMINISTRATION AND THE NURSING
PROCESS OF DRUG THERAPY: CHAPTER 3 MEDICATION ADMINISTRATION
AND THE NURSING PROCESS OF DRUG THERAPY
16. A physician writes an order using the abbreviation MS. The order states
"MS 10 mg IV push every 6 hours as needed for pain." According to the
Joint Commission's "Do Not Use" list, what is the potential problem in this
order?: The drug could be magnesium sulfate or morphine sulfate
17. A prescriber has written an order for an oral medication to a patient
following a cerebrovascular accident (stroke). Prior to administering the
, PHARMACOLOGY NCLEX SUCCESS QUESTIONS 2024
medication, which of the following nursing interventions is most
important?: assessing the patient's ability to swallow
18. A prescriber has written an order for levothyroxine sodium (Synthroid) 50
mg per day by mouth. The nurse knows that the standard dose is 50 mcg.
What action should the nurse take?: Call the prescriber and question the
order
19. The nurse is administering the first dose of an antiinfective (to treat
infection) agent. Which of the following assessments should the nurse
make prior to administering the antiinfective agent?: Assess if the patient is
allergic to any antiinfective agent
20. What nursing actions will prevent adverse drug events?: Use bar code
technology according to institutional policy
21. A nurse is administering an elixir. Which of the following measures is
appropriate: milliliter
22. The nurse has administered lacosamide (Vimpat -used to treat partial-
onset seizures) to the wrong patient. What is the first action the nurse
should take?: Assess the patient's vital signs and level of consciousness
23. A patient is to receive lamotrigine (Lamictal for seizures) 300 mg by mouth
two times per day. The pharmacy has delivered 50-mg tablets.
How many tablets should the nurse administer each time?: 6 tablet 24.
A nurse is preparing to administer a subcutaneous injection.
What size needle should the nurse use to administer the injection?: 25 gauge
25. A patient is to receive an IM injection of ketorolac (anti inflammatory - treat
pain.
Which of the following muscles should be avoided?: dorsogluteal 26.
The patient receives regular insulin 5 units subcutaneously.
To what degree is the syringe held for the injection?: 45 to 90 degree
27. How is a medication delivered by piggyback administered?: It is mixed with
50 to 100 mL of IV fluid in a separate container
28. During an initial nursing assessment, the patient reports that he is allergic
to a particular medicine. What should the nurse ask the patient?: What
symptoms occurred when you had the allergic reaction?
29. How do nursing interventions increase safety and effectiveness of drug
therapy?: By teaching patients about their drug therapy
30. What should the nurse keep in mind when evaluating a patient's response
to drug therapy?: Drugs may cause virtually any symptom or problem
