NCLEX PN Pharmacology Review Exam Questions &
Answers.
Nifedipine - Correct Answer causes vasodilation, resulting in decreased BP
Signs of Allergic reaction - Correct Answer hypotension, pruritus, flushing, wheezing
Eplerenone - Correct Answer treat HTN, adverse effects; diarrhea, decreased sodium
levels, vaginal bleeding, increased potassium levels cause of potassium retention effect
Hydrochlorothiazide - Correct Answer can cause hypokalemia from excessive potassium
excretion, other adverse effects are hyperchloremia, hypernatremia, hypercalcemia.
Pioglitazone - Correct Answer oral antidiabetic agent, works by increasing the body's
sensitivity to insulin
Acarbose - Correct Answer oral antidiabetic agent that postpones the absorption of
glucose
Glipizide - Correct Answer oral antidiabetic agent that stimulates insulin secretion
Timolol eyedrops - Correct Answer treat glaucoma, press the nasolacrimal duct to
prevent the medication from absorbing into systemic circulation
Magnesium sulfate - Correct Answer depresses neuromuscular activity, leading to
muscle weakness and paralysis
Magnesium toxicity - Correct Answer bradycardia, hyporeflexia, urine output 30ml or
less, respirations less than 12/min,
Human papillomavirus vaccine (HPV2) - Correct Answer 3 doses of immunization over
6mths,
Baclofen - Correct Answer antispasmodic, decreased muscle spasticity in client w/ MS,
can cause urinary retention, drowsiness in early phase of therapy, hypotension
, CD4 T-cell count - Correct Answer indicates the status of the pts immune system, a rise
indicates return of immune function for HIV pt
Bethanechol - Correct Answer muscarinic agonist that increases GI motility leading to
abdominal cramps and diarrhea
Varicella (chickenpox vaccine) - Correct Answer hypersensitivity to neomycin is
contraindicated for receiving vaccine
Risperidone - Correct Answer treat schizophrenia, put client at risk for developing
diabetes due to metabolic effects of medication, obtain fasting glucose baseline prior to
administration of first dose, and again, 12wks later, then annually
Benzodiazepine (Lorazepam) - Correct Answer withdrawal causes tremors and dizziness
making ADL's difficult to perform
Metoprolol - Correct Answer slows the conduction through AV node therefore is
contraindicated in pt who have AV block that is greater than first degree, caution in pt with
diabetes mellitus because it can mask the manifestations of hypoglycemia
Captopril - Correct Answer treat HTN, greatest risk to pt is infection r/t neutropenia
therefore unexplained fever, sore throat, and fatigue can indicate and infection and
provider should be notified
Tolbutamide - Correct Answer treat DM, contraindicated in pt with hypersensitivity to
sulfonamide antibiotics that might also be allergic to sulfonylureas
Isotretinoin - Correct Answer pt teaching will need to have triglyceride levels monitored,
may cause nosebleeds, due to nature of severe birth defects pt will need 2 negative
pregnancy test prior to starting medication
Amphotericin B - Correct Answer adverse reaction is ototoxicity (vertigo, tinnitus, hearing
loss)
Gemfibrozil - Correct Answer myopathy is an adverse effect, report muscle weakness or
tenderness
Answers.
Nifedipine - Correct Answer causes vasodilation, resulting in decreased BP
Signs of Allergic reaction - Correct Answer hypotension, pruritus, flushing, wheezing
Eplerenone - Correct Answer treat HTN, adverse effects; diarrhea, decreased sodium
levels, vaginal bleeding, increased potassium levels cause of potassium retention effect
Hydrochlorothiazide - Correct Answer can cause hypokalemia from excessive potassium
excretion, other adverse effects are hyperchloremia, hypernatremia, hypercalcemia.
Pioglitazone - Correct Answer oral antidiabetic agent, works by increasing the body's
sensitivity to insulin
Acarbose - Correct Answer oral antidiabetic agent that postpones the absorption of
glucose
Glipizide - Correct Answer oral antidiabetic agent that stimulates insulin secretion
Timolol eyedrops - Correct Answer treat glaucoma, press the nasolacrimal duct to
prevent the medication from absorbing into systemic circulation
Magnesium sulfate - Correct Answer depresses neuromuscular activity, leading to
muscle weakness and paralysis
Magnesium toxicity - Correct Answer bradycardia, hyporeflexia, urine output 30ml or
less, respirations less than 12/min,
Human papillomavirus vaccine (HPV2) - Correct Answer 3 doses of immunization over
6mths,
Baclofen - Correct Answer antispasmodic, decreased muscle spasticity in client w/ MS,
can cause urinary retention, drowsiness in early phase of therapy, hypotension
, CD4 T-cell count - Correct Answer indicates the status of the pts immune system, a rise
indicates return of immune function for HIV pt
Bethanechol - Correct Answer muscarinic agonist that increases GI motility leading to
abdominal cramps and diarrhea
Varicella (chickenpox vaccine) - Correct Answer hypersensitivity to neomycin is
contraindicated for receiving vaccine
Risperidone - Correct Answer treat schizophrenia, put client at risk for developing
diabetes due to metabolic effects of medication, obtain fasting glucose baseline prior to
administration of first dose, and again, 12wks later, then annually
Benzodiazepine (Lorazepam) - Correct Answer withdrawal causes tremors and dizziness
making ADL's difficult to perform
Metoprolol - Correct Answer slows the conduction through AV node therefore is
contraindicated in pt who have AV block that is greater than first degree, caution in pt with
diabetes mellitus because it can mask the manifestations of hypoglycemia
Captopril - Correct Answer treat HTN, greatest risk to pt is infection r/t neutropenia
therefore unexplained fever, sore throat, and fatigue can indicate and infection and
provider should be notified
Tolbutamide - Correct Answer treat DM, contraindicated in pt with hypersensitivity to
sulfonamide antibiotics that might also be allergic to sulfonylureas
Isotretinoin - Correct Answer pt teaching will need to have triglyceride levels monitored,
may cause nosebleeds, due to nature of severe birth defects pt will need 2 negative
pregnancy test prior to starting medication
Amphotericin B - Correct Answer adverse reaction is ototoxicity (vertigo, tinnitus, hearing
loss)
Gemfibrozil - Correct Answer myopathy is an adverse effect, report muscle weakness or
tenderness
