Pharmacology NCLEX Questions
A 47-year-old patient with diabetes is being discharged to home and must take
insulin injections twice a day. The nurse keeps in mind which concepts when
considering patient teaching?
a. Teaching needs to begin at the time of diagnosis or admission and is
individualized to the patient's reading level.
b. The nurse can assume that because the patient is in his forties he will be able
to read any written or printed documents provided.
c. The majority of teaching can be done with pamphlets that the patient can share
with family members.
d. A thorough and comprehensive teaching plan designed for an eleventh-grade
reading level needs to be developed. - ANS - a. Teaching needs to begin at the
time of diagnosis or admission and is individualized to the patient's reading level.
\A 77-year-old man who has been diagnosed with an upper respiratory tract
infection tells the nurse that he is allergic to penicillin. Which is the most
appropriate response by the nurse?
a. "that's to be expected--lots of people are allergic to penicillin."
b. "This allergy is not of major concern because the drug is given so commonly."
c. "What type of reaction did you have when you took penicillin?"
d. "Drug allergies don't usually occur in older individuals because they have built
up resistance." - ANS - c. "What type of reaction did you have when you took
penicillin?"
\A drug that delivers 500 mg has a half-life of 4 hours. How many milligrams of
drug will remain in the body after 1 half-life? - ANS - 250 mg
\A new drug has been approved for use and the drug manufacturer has made it
available for sale. During the first 6 months, the FDA receives reports of severe
adverse effects that were not discovered during the testing and considers
withdrawing the drug. This illustrates which phase of investigational studies?
a. Phase I
b. Phase II
c. Phase III
d. Phase IV - ANS - d. Phase IV
, \A nursing student is identifying situations that involve the psychomotor domain
of learning as part of a class project. Which are examples of learning activities
that involve the psychomotor domain? (Select all that apply.)
a. Teaching a patient how to self-administer eyedrops
b. Having a patient list the adverse effects of an antihypertensive drug
c. Discussing what foods to avoid while taking atilipemic drugs
d. Teaching a patient how to measure the pulse before taking a beta blocker
e. Teaching a family member how to give an injection
f. Teaching a patient the rationale for checking a drug's blood level - ANS - A, D, E
\A patient comes to the clinic complaining of elbow pain after an injury. He states
that he has been taking two pain pills, eight times a day, for the past few days.
The medication bottle contains acetaminophen. 325-mg tablets. Calculate how
much medication he has been taking per day. Is this a safe dose of this
medication? - ANS - 5200 mg/day, No
\A patient has a new prescription for a blood pressure medication that may cause
him to feel dizzy during the first few days of therapy. Which is the best nursing
diagnosis for this situation?
a. Activity intolerance
b. Risk for injury
c. Disturbed body image
d. Self-care deficit - ANS - b. Risk for injury
\A patient has just received a prescription for an enteric-coated stool softener.
When teaching the patient, the nurse should include which statement?
a. "Take the tablet with 2 to 3 ounces of orange juice."
b. "Avoid taking all other medications with any enteric-coated tablet."
c. "Crush the tablet before swallowing if you have problems with swallowing."
d. "Be sure to swallow the tablet whole without chewing it." - ANS - d. "Be sure to
swallow the tablet whole without chewing it."
\A patient is being counseled for possible participation in a clinical trial for a new
medication. After the patient meets with the physician, the nurse is asked to
obtain the patient's signature on the consent forms. The nurse knows that this
"informed consent" indicates which of the following?
a. Once therapy has begun, the patient cannot withdraw from the clinical trial.
b. The patient has been informed of all potential hazards and benefits of the
therapy.
A 47-year-old patient with diabetes is being discharged to home and must take
insulin injections twice a day. The nurse keeps in mind which concepts when
considering patient teaching?
a. Teaching needs to begin at the time of diagnosis or admission and is
individualized to the patient's reading level.
b. The nurse can assume that because the patient is in his forties he will be able
to read any written or printed documents provided.
c. The majority of teaching can be done with pamphlets that the patient can share
with family members.
d. A thorough and comprehensive teaching plan designed for an eleventh-grade
reading level needs to be developed. - ANS - a. Teaching needs to begin at the
time of diagnosis or admission and is individualized to the patient's reading level.
\A 77-year-old man who has been diagnosed with an upper respiratory tract
infection tells the nurse that he is allergic to penicillin. Which is the most
appropriate response by the nurse?
a. "that's to be expected--lots of people are allergic to penicillin."
b. "This allergy is not of major concern because the drug is given so commonly."
c. "What type of reaction did you have when you took penicillin?"
d. "Drug allergies don't usually occur in older individuals because they have built
up resistance." - ANS - c. "What type of reaction did you have when you took
penicillin?"
\A drug that delivers 500 mg has a half-life of 4 hours. How many milligrams of
drug will remain in the body after 1 half-life? - ANS - 250 mg
\A new drug has been approved for use and the drug manufacturer has made it
available for sale. During the first 6 months, the FDA receives reports of severe
adverse effects that were not discovered during the testing and considers
withdrawing the drug. This illustrates which phase of investigational studies?
a. Phase I
b. Phase II
c. Phase III
d. Phase IV - ANS - d. Phase IV
, \A nursing student is identifying situations that involve the psychomotor domain
of learning as part of a class project. Which are examples of learning activities
that involve the psychomotor domain? (Select all that apply.)
a. Teaching a patient how to self-administer eyedrops
b. Having a patient list the adverse effects of an antihypertensive drug
c. Discussing what foods to avoid while taking atilipemic drugs
d. Teaching a patient how to measure the pulse before taking a beta blocker
e. Teaching a family member how to give an injection
f. Teaching a patient the rationale for checking a drug's blood level - ANS - A, D, E
\A patient comes to the clinic complaining of elbow pain after an injury. He states
that he has been taking two pain pills, eight times a day, for the past few days.
The medication bottle contains acetaminophen. 325-mg tablets. Calculate how
much medication he has been taking per day. Is this a safe dose of this
medication? - ANS - 5200 mg/day, No
\A patient has a new prescription for a blood pressure medication that may cause
him to feel dizzy during the first few days of therapy. Which is the best nursing
diagnosis for this situation?
a. Activity intolerance
b. Risk for injury
c. Disturbed body image
d. Self-care deficit - ANS - b. Risk for injury
\A patient has just received a prescription for an enteric-coated stool softener.
When teaching the patient, the nurse should include which statement?
a. "Take the tablet with 2 to 3 ounces of orange juice."
b. "Avoid taking all other medications with any enteric-coated tablet."
c. "Crush the tablet before swallowing if you have problems with swallowing."
d. "Be sure to swallow the tablet whole without chewing it." - ANS - d. "Be sure to
swallow the tablet whole without chewing it."
\A patient is being counseled for possible participation in a clinical trial for a new
medication. After the patient meets with the physician, the nurse is asked to
obtain the patient's signature on the consent forms. The nurse knows that this
"informed consent" indicates which of the following?
a. Once therapy has begun, the patient cannot withdraw from the clinical trial.
b. The patient has been informed of all potential hazards and benefits of the
therapy.
