RN NCLEX Comprehensive Review:
Pharmacology in Nursing Exam
Questions And Answers 100% Correct!
1 mg = ? mcg - ANSWERS1,000 mcg
1 g = ? mg - ANSWERS1,000 mg
1 kg = ? lbs - ANSWERS2.2 lbs
1 gr = ? mg - ANSWERS60 mg
1 oz = ? mL - ANSWERS30 mL
1 L = ? mL - ANSWERS1,000 mL
1 tsp = ? mL - ANSWERS5 mL
1 tbsp = ? mL - ANSWERS15 mL
1 tbsp = ? tsp - ANSWERS3 tsp
37.0 degrees Celsius = ? degrees Fahrenheit - ANSWERS98.6 degrees Fahrenheit
Formula to find Celsius - ANSWERSC=(F-32)x(5/9)
Formula to find Fahrenheit - ANSWERSF=(Cx9/5)+32
Adverse Reaction - ANSWERSNegative effects experienced by a client as a result of a
specific medication; may be hazardous, tolerated, or subside with continued use
RN must assess before administering medications to a pt. (3) - ANSWERS1. Allergies
and adverse effects
2. Current medication regimen for potential interactions
3. Physiologic status compared to baseline assessment data
6 Rights of Medication Administration - ANSWERS1. Right client
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right documentation
,Average time to draw peak levels: Oral (PO) - ANSWERS1-2 hours after administration
Average time to draw peak levels: Intramuscular (IM) - ANSWERS1 hour after
administration
Average time to draw peak levels: Intravenous (IV) - ANSWERS30 minutes
Trough Level - ANSWERSReflect the lowest concentration or residual level and are
usually obtained within 15 minutes prior to administration of the next scheduled dose
Culture and Sensitivity - ANSWERSCultures are obtained to detect the presence of
pathogens within the specimen collected. If a culture produces organisms, testing is
performed in the laboratory to identify the appropriate antibiotic therapy. Begin antibiotic
therapy after obtaining lab sample.
Guidelines for Safe IV Administration (5) - ANSWERS1. Review medication guidelines
for precautions related to IV administration for compatibility, rate of admin., necessity of
infusion pump, and serious adverse reactions
2. Never administer medications through tubing being used for blood administration
3. Implement standard precautions when performing and IV site change
4. Fluids should be infused within 24 hours to prevent infection (discard unused portion)
5. Maintain patency of IV access
Prevent Infiltration of IV site (3) - ANSWERS1. Use smallest catheter for prescribed
therapy
2. Stabilize port-access
3. Assess blood return
Treatment for Infiltrated IV (5) - ANSWERS1. Stop infusion
2. Remove peripheral catheters
3. Apply cold compress
4. Elevate extremity
5. Insert new catheter into opposite extremity
Prevent Extravasation of IV (1) - ANSWERS1. Know vesicant potential before giving
med.
Treatment for Extravasated IV (5) - ANSWERS1. Stop infusion
2. Discontinue administration set
3. Aspirate drug if possible
4. Apply cold compress
5. Document condition of site (may photograph)
Infiltration - ANSWERSWhen IV fluid or medication leaks into surrounding tissue
, Extravasation - ANSWERSLeakage of IV fluid or medication into the extravascular
tissue around the site of infusion
Phlebitis/Thrombophlebitis - ANSWERSInflammatory process that causes a blood clot
to form able block one or more vein
Prevent Phlebitis/Thrombophlebitis (3) - ANSWERS1. Rotate site every 72h-96h
2. Secure catheter
3. Use aseptic technique
Treatment for Phlebitis/Thrombophlebitis at IV site (4) - ANSWERS1. Stop infusion
2. Remove peripheral catheters
3. Apply heat compress
4. Insert new catheter in opposite extremity
Hematoma - ANSWERSLocalized bleeding outside of blood vessels
Prevent Hematoma at IV site (2) - ANSWERS1. Avoid veins not easily seen or palpated
2. Obtain hemostasis after insertion
Treatment for Hematoma at IV site (3) - ANSWERS1. Remove IV device
2. Apply light pressure if bleeding
3. Monitor for signs of phlebitis
Prevention of IV Catheter Embolus (1) - ANSWERS1. Do not reinsert stylet needle into
catheter
Treatment of IV Catheter Embolus (2) - ANSWERS1. Immediately apply tourniquet high
on extremity to limit venous flow
2. Prepare for removal under X-ray
Treatment of Air Embolism in Central Venous Catheter (2) - ANSWERS1. Place client in
left lateral Trendelenburg position
2. Administer oxygen
Treatment of Lumen Occlusion in Central Venous Catheter - ANSWERSUse 10mL
syringe with a pulsing motion
Treatment of Bloodstream Infection in Central Venous Catheter (4) - ANSWERS1.
Change entire infusion system
2. Notify provider
3. Obtain cultures
4. Administer antibiotics
Intervention of Catheter Occlusions in PICC Line (5) - ANSWERS1. Prevent kinks
2. Reposition arm
Pharmacology in Nursing Exam
Questions And Answers 100% Correct!
1 mg = ? mcg - ANSWERS1,000 mcg
1 g = ? mg - ANSWERS1,000 mg
1 kg = ? lbs - ANSWERS2.2 lbs
1 gr = ? mg - ANSWERS60 mg
1 oz = ? mL - ANSWERS30 mL
1 L = ? mL - ANSWERS1,000 mL
1 tsp = ? mL - ANSWERS5 mL
1 tbsp = ? mL - ANSWERS15 mL
1 tbsp = ? tsp - ANSWERS3 tsp
37.0 degrees Celsius = ? degrees Fahrenheit - ANSWERS98.6 degrees Fahrenheit
Formula to find Celsius - ANSWERSC=(F-32)x(5/9)
Formula to find Fahrenheit - ANSWERSF=(Cx9/5)+32
Adverse Reaction - ANSWERSNegative effects experienced by a client as a result of a
specific medication; may be hazardous, tolerated, or subside with continued use
RN must assess before administering medications to a pt. (3) - ANSWERS1. Allergies
and adverse effects
2. Current medication regimen for potential interactions
3. Physiologic status compared to baseline assessment data
6 Rights of Medication Administration - ANSWERS1. Right client
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right documentation
,Average time to draw peak levels: Oral (PO) - ANSWERS1-2 hours after administration
Average time to draw peak levels: Intramuscular (IM) - ANSWERS1 hour after
administration
Average time to draw peak levels: Intravenous (IV) - ANSWERS30 minutes
Trough Level - ANSWERSReflect the lowest concentration or residual level and are
usually obtained within 15 minutes prior to administration of the next scheduled dose
Culture and Sensitivity - ANSWERSCultures are obtained to detect the presence of
pathogens within the specimen collected. If a culture produces organisms, testing is
performed in the laboratory to identify the appropriate antibiotic therapy. Begin antibiotic
therapy after obtaining lab sample.
Guidelines for Safe IV Administration (5) - ANSWERS1. Review medication guidelines
for precautions related to IV administration for compatibility, rate of admin., necessity of
infusion pump, and serious adverse reactions
2. Never administer medications through tubing being used for blood administration
3. Implement standard precautions when performing and IV site change
4. Fluids should be infused within 24 hours to prevent infection (discard unused portion)
5. Maintain patency of IV access
Prevent Infiltration of IV site (3) - ANSWERS1. Use smallest catheter for prescribed
therapy
2. Stabilize port-access
3. Assess blood return
Treatment for Infiltrated IV (5) - ANSWERS1. Stop infusion
2. Remove peripheral catheters
3. Apply cold compress
4. Elevate extremity
5. Insert new catheter into opposite extremity
Prevent Extravasation of IV (1) - ANSWERS1. Know vesicant potential before giving
med.
Treatment for Extravasated IV (5) - ANSWERS1. Stop infusion
2. Discontinue administration set
3. Aspirate drug if possible
4. Apply cold compress
5. Document condition of site (may photograph)
Infiltration - ANSWERSWhen IV fluid or medication leaks into surrounding tissue
, Extravasation - ANSWERSLeakage of IV fluid or medication into the extravascular
tissue around the site of infusion
Phlebitis/Thrombophlebitis - ANSWERSInflammatory process that causes a blood clot
to form able block one or more vein
Prevent Phlebitis/Thrombophlebitis (3) - ANSWERS1. Rotate site every 72h-96h
2. Secure catheter
3. Use aseptic technique
Treatment for Phlebitis/Thrombophlebitis at IV site (4) - ANSWERS1. Stop infusion
2. Remove peripheral catheters
3. Apply heat compress
4. Insert new catheter in opposite extremity
Hematoma - ANSWERSLocalized bleeding outside of blood vessels
Prevent Hematoma at IV site (2) - ANSWERS1. Avoid veins not easily seen or palpated
2. Obtain hemostasis after insertion
Treatment for Hematoma at IV site (3) - ANSWERS1. Remove IV device
2. Apply light pressure if bleeding
3. Monitor for signs of phlebitis
Prevention of IV Catheter Embolus (1) - ANSWERS1. Do not reinsert stylet needle into
catheter
Treatment of IV Catheter Embolus (2) - ANSWERS1. Immediately apply tourniquet high
on extremity to limit venous flow
2. Prepare for removal under X-ray
Treatment of Air Embolism in Central Venous Catheter (2) - ANSWERS1. Place client in
left lateral Trendelenburg position
2. Administer oxygen
Treatment of Lumen Occlusion in Central Venous Catheter - ANSWERSUse 10mL
syringe with a pulsing motion
Treatment of Bloodstream Infection in Central Venous Catheter (4) - ANSWERS1.
Change entire infusion system
2. Notify provider
3. Obtain cultures
4. Administer antibiotics
Intervention of Catheter Occlusions in PICC Line (5) - ANSWERS1. Prevent kinks
2. Reposition arm
