Pharmacology NCLEX Questions and Answers Highlighted
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. - ansa. 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." - ansc. "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? - ans250 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 - ansd. 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 - ansA, 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? -
ans5200 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 - ansb. 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 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. - ansa. 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." - ansc. "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? - ans250 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 - ansd. 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 - ansA, 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? -
ans5200 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 - ansb. 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?
