Florida NCLEX Pharmacology and Medication Administration
Practice Exam II Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions (Actual Exam 2026-
2027) Correct Detailed & Verified ANSWERS (100% Accurate
Solutions) ALREADY GRADED A+||NEWEST VERSION Of
The Exam Guarantee Pass!!
1.A nurse is preparing to administer digoxin to a client with heart failure. Which
assessment finding requires the nurse to withhold the medication and notify the
provider?
A. Blood pressure 138/82 mm Hg
B. Apical pulse 54 beats/min
C. Respiratory rate 18 breaths/min
D. Temperature 98.6°F (37°C)
Answer: B. Apical pulse 54 beats/min
Rationale: Digoxin slows heart rate. The nurse should withhold digoxin if the adult apical
pulse is below 60 beats/min because administering the medication may cause severe
bradycardia. The provider should be notified before giving the medication.
2. A client receiving intravenous vancomycin suddenly develops flushing of the face,
neck, and upper torso. What is the nurse's priority action?
A. Stop the infusion temporarily and notify the provider.
B. Continue the infusion at the same rate.
C. Administer acetaminophen immediately.
D. Encourage oral fluids.
Answer: A. Stop the infusion temporarily and notify the provider.
Rationale: Rapid infusion of vancomycin may cause Red Man Syndrome, characterized by
flushing, itching, and hypotension. The infusion should be stopped or slowed, and the
provider notified. Future doses should be infused over at least 60–120 minutes.
, 3. Which medication should the nurse question before administration to a client with a
documented anaphylactic allergy to penicillin?
A. Azithromycin
B. Cefazolin
C. Doxycycline
D. Levofloxacin
Answer: B. Cefazolin
Rationale: Cephalosporins such as cefazolin have structural similarities to penicillins.
Although cross-reactivity is uncommon, a client with a history of anaphylaxis requires
careful evaluation before receiving a cephalosporin.
4. A nurse is teaching a client about warfarin therapy. Which statement by the client
indicates a need for further teaching?
A. "I will have my INR checked regularly."
B. "I should use a soft toothbrush."
C. "I can take aspirin whenever I have a headache."
D. "I should report unusual bleeding."
Answer: C. "I can take aspirin whenever I have a headache."
Rationale: Aspirin increases bleeding risk when combined with warfarin. Clients should
consult their healthcare provider before taking aspirin or NSAIDs and should use alternative
medications as recommended.
5. A client taking furosemide should be monitored closely for which electrolyte
imbalance?
A. Hypercalcemia
B. Hypernatremia
C. Hypokalemia
D. Hypermagnesemia
Answer: C. Hypokalemia
Rationale: Loop diuretics promote potassium excretion, increasing the risk for
hypokalemia, which can lead to muscle weakness and cardiac dysrhythmias.
, 6. Which laboratory value should the nurse monitor most closely in a client receiving
unfractionated heparin?
A. INR
B. aPTT
C. Hemoglobin A1C
D. Serum sodium
Answer: B. aPTT
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor the therapeutic
effectiveness of unfractionated heparin and guide dosage adjustments.
7. A client is prescribed nitroglycerin sublingual tablets for angina. Which instruction is
most appropriate?
A. Swallow the tablet immediately.
B. Store the tablets in the bathroom medicine cabinet.
C. Sit down before taking the medication.
D. Take the medication with milk.
Answer: C. Sit down before taking the medication.
Rationale: Nitroglycerin can cause sudden hypotension and dizziness. Sitting or lying down
before administration reduces the risk of falls.
8. Which adverse effect should the nurse expect in a client receiving morphine?
A. Tachycardia
B. Respiratory depression
C. Hypertension
D. Hyperactivity
Answer: B. Respiratory depression
Rationale: Morphine suppresses the respiratory center in the brain. Monitoring respiratory
rate and level of consciousness is essential before and after administration.
Practice Exam II Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions (Actual Exam 2026-
2027) Correct Detailed & Verified ANSWERS (100% Accurate
Solutions) ALREADY GRADED A+||NEWEST VERSION Of
The Exam Guarantee Pass!!
1.A nurse is preparing to administer digoxin to a client with heart failure. Which
assessment finding requires the nurse to withhold the medication and notify the
provider?
A. Blood pressure 138/82 mm Hg
B. Apical pulse 54 beats/min
C. Respiratory rate 18 breaths/min
D. Temperature 98.6°F (37°C)
Answer: B. Apical pulse 54 beats/min
Rationale: Digoxin slows heart rate. The nurse should withhold digoxin if the adult apical
pulse is below 60 beats/min because administering the medication may cause severe
bradycardia. The provider should be notified before giving the medication.
2. A client receiving intravenous vancomycin suddenly develops flushing of the face,
neck, and upper torso. What is the nurse's priority action?
A. Stop the infusion temporarily and notify the provider.
B. Continue the infusion at the same rate.
C. Administer acetaminophen immediately.
D. Encourage oral fluids.
Answer: A. Stop the infusion temporarily and notify the provider.
Rationale: Rapid infusion of vancomycin may cause Red Man Syndrome, characterized by
flushing, itching, and hypotension. The infusion should be stopped or slowed, and the
provider notified. Future doses should be infused over at least 60–120 minutes.
, 3. Which medication should the nurse question before administration to a client with a
documented anaphylactic allergy to penicillin?
A. Azithromycin
B. Cefazolin
C. Doxycycline
D. Levofloxacin
Answer: B. Cefazolin
Rationale: Cephalosporins such as cefazolin have structural similarities to penicillins.
Although cross-reactivity is uncommon, a client with a history of anaphylaxis requires
careful evaluation before receiving a cephalosporin.
4. A nurse is teaching a client about warfarin therapy. Which statement by the client
indicates a need for further teaching?
A. "I will have my INR checked regularly."
B. "I should use a soft toothbrush."
C. "I can take aspirin whenever I have a headache."
D. "I should report unusual bleeding."
Answer: C. "I can take aspirin whenever I have a headache."
Rationale: Aspirin increases bleeding risk when combined with warfarin. Clients should
consult their healthcare provider before taking aspirin or NSAIDs and should use alternative
medications as recommended.
5. A client taking furosemide should be monitored closely for which electrolyte
imbalance?
A. Hypercalcemia
B. Hypernatremia
C. Hypokalemia
D. Hypermagnesemia
Answer: C. Hypokalemia
Rationale: Loop diuretics promote potassium excretion, increasing the risk for
hypokalemia, which can lead to muscle weakness and cardiac dysrhythmias.
, 6. Which laboratory value should the nurse monitor most closely in a client receiving
unfractionated heparin?
A. INR
B. aPTT
C. Hemoglobin A1C
D. Serum sodium
Answer: B. aPTT
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor the therapeutic
effectiveness of unfractionated heparin and guide dosage adjustments.
7. A client is prescribed nitroglycerin sublingual tablets for angina. Which instruction is
most appropriate?
A. Swallow the tablet immediately.
B. Store the tablets in the bathroom medicine cabinet.
C. Sit down before taking the medication.
D. Take the medication with milk.
Answer: C. Sit down before taking the medication.
Rationale: Nitroglycerin can cause sudden hypotension and dizziness. Sitting or lying down
before administration reduces the risk of falls.
8. Which adverse effect should the nurse expect in a client receiving morphine?
A. Tachycardia
B. Respiratory depression
C. Hypertension
D. Hyperactivity
Answer: B. Respiratory depression
Rationale: Morphine suppresses the respiratory center in the brain. Monitoring respiratory
rate and level of consciousness is essential before and after administration.
