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Pharmacology Exam 2 NCLEX Review Questions TEST FINAL
EXAM AND PRACTICE EXAM 2026/2027 BANK 2 VERSIONS
QUESTIONS WITH DETAILED VERIFIED ANSWERS / EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS/ A+ GRADED
The nurse is monitoring a patient who is receiving anti-thrombolytic
therapy in the emergency department because of a possible MI. Which
adverse effect would be of the greatest concern at this time?
A. Dizziness
B. Blood pressure of 130/98 mm Hg
C. Slight bloody oozing from the IV insertion site
D. Irregular heart rhythm - ANSWERS--D. Irregular heart rhythm
A patient is receiving instructions regarding warfarin therapy and asks
the nurse about what medications she can take for headaches. The
nurse will tell her to avoid which type of medication?
A. Opioids
B. acetaminophen (Tylenol)
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C. NSAIDs
D. There are no restrictions while taking warfarin - ANSWERS--C.
NSAIDs
The nurse is teaching a patient about self-administration of enoxaparin
(Lovenox). Which statement will be included in this teaching session?
A. "We will need to teach a family member how ti give this drug in your
arm."
B. "This drug is given in the folds of your abdomen, but at least 2 inches
away from your navel."
C. "This drug needs to be taken at the same time every day with a full
glass of water."
D. "Be sure to massage the injection site thoroughly after giving the
drug." - ANSWERS--B. "This drug is given in the folds of your abdomen,
but at least 2 inches away from your navel."
A patient is receiving dabigatran (Pradaxa), 150 mg twice daily, as part
of treatment for atrial fibrillation. Which condition, if present, would be
a concern if the patient were to receive this dose?
A. Asthma
B. Elevated liver enzymes
C. Renal impairment
D. History of myocardial infarction - ANSWERS--C. Renal impairment
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A patient has received a double dose of heparin during surgery and is
bleeding through the incision site. While the surgeons are working to
stop the bleeding at the incision site, the nurse will prepare to take
what action at this time?
A. Give IV vitamin K as an antidote.
B. Give IV protamine sulfate as an antidote.
C. Call the blood bank for an immediate platelet transfusion.
D. Obtain an order for packed red blood cells. - ANSWERS--B. Give IV
protamine sulfate as an antidote.
A patient is starting warfarin (Coumadin) therapy as part of treatment
for atrial fibrillation. The nurse will follow which principles of warfarin
therapy? (SELECT ALL THAT APPLY)
A. Teach proper subcutaneous administration.
B. Administer the oral dose at the same time ever day.
C. Assess carefully for excessive bruising or unusual bleeding.
D. Monitor laboratory results for a target INR or 2 to 3.
E. Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5
times the control value. - ANSWERS--B. Administer the oral dose at the
same time ever day.
C. Assess carefully for excessive bruising or unusual bleeding.
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D. Monitor laboratory results for a target INR or 2 to 3.
The order for enoxaparin (Lovenox) reads: "Give 1 mg/kg subcut every
12 hours. The patient weighs 242 lbs, and the medication is available in
an injection form of 120 mg/0.8 mL. How many milliliters will the nurse
draw up for the injection? (ROUND TO HUNDRETHS) - ANSWERS--110
mg; 0.73 mL
The nurse is assessing a patient who has a new prescription for
vorapaxar (Zonitivity). Which of these conditions are considered
contraindications to the use of vorapaxar? (SELECT ALL THAT APPLY)
A. Impaired renal function
B. Impaired liver function
C. History of myocardial infarction
D. Peripheral artery disease
E. History of stroke - ANSWERS--A. Impaired renal function
B. Impaired liver function
E. History of stroke
CHAPTER 45 - ANSWERS--
A patient is experiencing stomatitis after a round of chemotherapy.
Which intervention by the nurse is correct?
Pharmacology Exam 2 NCLEX Review Questions TEST FINAL
EXAM AND PRACTICE EXAM 2026/2027 BANK 2 VERSIONS
QUESTIONS WITH DETAILED VERIFIED ANSWERS / EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS/ A+ GRADED
The nurse is monitoring a patient who is receiving anti-thrombolytic
therapy in the emergency department because of a possible MI. Which
adverse effect would be of the greatest concern at this time?
A. Dizziness
B. Blood pressure of 130/98 mm Hg
C. Slight bloody oozing from the IV insertion site
D. Irregular heart rhythm - ANSWERS--D. Irregular heart rhythm
A patient is receiving instructions regarding warfarin therapy and asks
the nurse about what medications she can take for headaches. The
nurse will tell her to avoid which type of medication?
A. Opioids
B. acetaminophen (Tylenol)
,2|Page
C. NSAIDs
D. There are no restrictions while taking warfarin - ANSWERS--C.
NSAIDs
The nurse is teaching a patient about self-administration of enoxaparin
(Lovenox). Which statement will be included in this teaching session?
A. "We will need to teach a family member how ti give this drug in your
arm."
B. "This drug is given in the folds of your abdomen, but at least 2 inches
away from your navel."
C. "This drug needs to be taken at the same time every day with a full
glass of water."
D. "Be sure to massage the injection site thoroughly after giving the
drug." - ANSWERS--B. "This drug is given in the folds of your abdomen,
but at least 2 inches away from your navel."
A patient is receiving dabigatran (Pradaxa), 150 mg twice daily, as part
of treatment for atrial fibrillation. Which condition, if present, would be
a concern if the patient were to receive this dose?
A. Asthma
B. Elevated liver enzymes
C. Renal impairment
D. History of myocardial infarction - ANSWERS--C. Renal impairment
,3|Page
A patient has received a double dose of heparin during surgery and is
bleeding through the incision site. While the surgeons are working to
stop the bleeding at the incision site, the nurse will prepare to take
what action at this time?
A. Give IV vitamin K as an antidote.
B. Give IV protamine sulfate as an antidote.
C. Call the blood bank for an immediate platelet transfusion.
D. Obtain an order for packed red blood cells. - ANSWERS--B. Give IV
protamine sulfate as an antidote.
A patient is starting warfarin (Coumadin) therapy as part of treatment
for atrial fibrillation. The nurse will follow which principles of warfarin
therapy? (SELECT ALL THAT APPLY)
A. Teach proper subcutaneous administration.
B. Administer the oral dose at the same time ever day.
C. Assess carefully for excessive bruising or unusual bleeding.
D. Monitor laboratory results for a target INR or 2 to 3.
E. Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5
times the control value. - ANSWERS--B. Administer the oral dose at the
same time ever day.
C. Assess carefully for excessive bruising or unusual bleeding.
, 4|Page
D. Monitor laboratory results for a target INR or 2 to 3.
The order for enoxaparin (Lovenox) reads: "Give 1 mg/kg subcut every
12 hours. The patient weighs 242 lbs, and the medication is available in
an injection form of 120 mg/0.8 mL. How many milliliters will the nurse
draw up for the injection? (ROUND TO HUNDRETHS) - ANSWERS--110
mg; 0.73 mL
The nurse is assessing a patient who has a new prescription for
vorapaxar (Zonitivity). Which of these conditions are considered
contraindications to the use of vorapaxar? (SELECT ALL THAT APPLY)
A. Impaired renal function
B. Impaired liver function
C. History of myocardial infarction
D. Peripheral artery disease
E. History of stroke - ANSWERS--A. Impaired renal function
B. Impaired liver function
E. History of stroke
CHAPTER 45 - ANSWERS--
A patient is experiencing stomatitis after a round of chemotherapy.
Which intervention by the nurse is correct?
