NCLEX -Pharmacology Final Exam
Questions with Accurate/Complete
Answers 2026 Updated.
Isotretinoin (Amnesteem or Claravis) is prescribed for a client with severe acne. Before the
administration of this medication, the nurse anticipates that which laboratory test will be
prescribed? - Answer triglyceride test
A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The
nurse caring for the client anticipates that which diagnostic study will be prescribed? - Answer
pulmonary function studies
Bleomycin is an antineoplastic medication that can cause interstitial pneumonitis, which can
progress to pulmonary fibrosis. Pulmonary function studies along with hematological, hepatic,
and renal function tests need to be monitored. The nurse needs to monitor lung sounds for
dyspnea and crackles, which indicate pulmonary toxicity. The medication needs to be
discontinued immediately if pulmonary toxicity occurs.
he nurse is monitoring a client who is taking digoxin (Lanoxin) for adverse effects. Which
findings are characteristic of digoxin toxicity? Select all that apply.
Tremors
Diarrhea
Irritability
Blurred vision
Nausea and vomiting - Answer Diarrhea
Blurred vision
Nausea and vomiting
Prior to administering a client's daily dose of digoxin, the nurse reviews the client's laboratory
data and notes the following results: serum calcium, 9.8 mg/dL; serum magnesium, 1.2 mg/dL;
serum potassium, 4.1 mEq/L; serum creatinine, 0.9 mg/dL. Which result should alert the nurse
that the client is at risk for digoxin toxicity?
,Serum calcium level
Serum potassium level
Serum creatinine level
Serum magnesium level - Answer Serum magnesium level
An increased risk of toxicity exists in clients with hypercalcemia, hypokalemia,
hypomagnesemia, hypothyroidism, and impaired renal function. The calcium, creatinine, and
potassium levels are all within normal limits. The normal range for magnesium is 1.6 to 2.6
mg/dL and the results in the correct option are reflective of hypomagnesemia.
The nurse is reviewing the record of a client who arrives at the health care clinic. The nurse
notes that irbesartan (Avapro) has been prescribed for the client. The nurse should suspect that
the client has which condition?
Hypertension
Hypothyroidism
Diabetes mellitus
Renal transplant rejection - Answer Hypertension
A client is scheduled for a dose of ramipril (Altace). The nurse should check which measurement
before administering the medication?
Weight
Apical pulse
Blood pressure
Potassium level - Answer Blood pressure
,Ramipril (Altace) is an angiotensin-converting enzyme (ACE) inhibitor, and a serious side effect
of this drug is profound hypotension. The client's blood pressure should be checked before
administration of this medication. The medication does not cause weight gain or loss,
bradycardia, or depletion of potassium.
Study Mode
Question 22 of 111
▲▼
A client with hypertension has a new prescription for a medication called moexipril (Univasc).
The nurse plans to provide written directions that tell the client to take the medication at which
time?
At bedtime
With meals
1 hour before meals
With a snack in late afternoon - Answer 1 hour before meals
he other ACE inhibitor that should be taken 1 hour before meals is captopril (Capoten)
A health care provider (HCP) prescribes quinidine gluconate for a client. The nurse decides to
withhold the medication and contact the HCP if which assessment finding is documented in the
client's medical record?
Muscle weakness
History of asthma
Presence of infection
Complete atrioventricular (AV) block - Answer Complete atrioventricular (AV) block
Quinidine gluconate is an antidysrhythmic medication used to maintain normal sinus rhythm
after conversion of atrial fibrillation or atrial flutter. It is contraindicated in complete AV block
, Study Mode
Question 43 of 111
▲▼
The home care nurse visits a client with a diagnosis of unstable angina. The client is taking
acetylsalicylic acid (aspirin) on a daily basis to reduce the risk of myocardial infarction (MI).
Which medication dose would the nurse expect the client to be taking?
300 to 325 mg daily
650 to 700 mg daily
1.3 g daily
3 g daily - Answer 300 to 325 mg daily
The nurse prepares to teach a client with subarachnoid hemorrhage about the effects of
nimodipine. The nurse plans to explain which information about the purpose of this
medication?
β-Adrenergic blocker that will decrease blood pressure
Vasodilator that has an affinity for cerebral blood vessels
Diuretic that will decrease blood pressure by decreasing fluid volume
Calcium channel blocker that will decrease spasm in cerebral blood vessels - Answer Calcium
channel blocker that will decrease spasm in cerebral blood vessels
Acetylsalicylic acid (ASA), or aspirin, has been prescribed for a client with angina, and the client
asks the nurse how the medication will help. The nurse responds that this medication has been
prescribed for which purpose?
Reduce pain.
Reduce inflammation.
Inhibit platelet aggregation.
Questions with Accurate/Complete
Answers 2026 Updated.
Isotretinoin (Amnesteem or Claravis) is prescribed for a client with severe acne. Before the
administration of this medication, the nurse anticipates that which laboratory test will be
prescribed? - Answer triglyceride test
A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The
nurse caring for the client anticipates that which diagnostic study will be prescribed? - Answer
pulmonary function studies
Bleomycin is an antineoplastic medication that can cause interstitial pneumonitis, which can
progress to pulmonary fibrosis. Pulmonary function studies along with hematological, hepatic,
and renal function tests need to be monitored. The nurse needs to monitor lung sounds for
dyspnea and crackles, which indicate pulmonary toxicity. The medication needs to be
discontinued immediately if pulmonary toxicity occurs.
he nurse is monitoring a client who is taking digoxin (Lanoxin) for adverse effects. Which
findings are characteristic of digoxin toxicity? Select all that apply.
Tremors
Diarrhea
Irritability
Blurred vision
Nausea and vomiting - Answer Diarrhea
Blurred vision
Nausea and vomiting
Prior to administering a client's daily dose of digoxin, the nurse reviews the client's laboratory
data and notes the following results: serum calcium, 9.8 mg/dL; serum magnesium, 1.2 mg/dL;
serum potassium, 4.1 mEq/L; serum creatinine, 0.9 mg/dL. Which result should alert the nurse
that the client is at risk for digoxin toxicity?
,Serum calcium level
Serum potassium level
Serum creatinine level
Serum magnesium level - Answer Serum magnesium level
An increased risk of toxicity exists in clients with hypercalcemia, hypokalemia,
hypomagnesemia, hypothyroidism, and impaired renal function. The calcium, creatinine, and
potassium levels are all within normal limits. The normal range for magnesium is 1.6 to 2.6
mg/dL and the results in the correct option are reflective of hypomagnesemia.
The nurse is reviewing the record of a client who arrives at the health care clinic. The nurse
notes that irbesartan (Avapro) has been prescribed for the client. The nurse should suspect that
the client has which condition?
Hypertension
Hypothyroidism
Diabetes mellitus
Renal transplant rejection - Answer Hypertension
A client is scheduled for a dose of ramipril (Altace). The nurse should check which measurement
before administering the medication?
Weight
Apical pulse
Blood pressure
Potassium level - Answer Blood pressure
,Ramipril (Altace) is an angiotensin-converting enzyme (ACE) inhibitor, and a serious side effect
of this drug is profound hypotension. The client's blood pressure should be checked before
administration of this medication. The medication does not cause weight gain or loss,
bradycardia, or depletion of potassium.
Study Mode
Question 22 of 111
▲▼
A client with hypertension has a new prescription for a medication called moexipril (Univasc).
The nurse plans to provide written directions that tell the client to take the medication at which
time?
At bedtime
With meals
1 hour before meals
With a snack in late afternoon - Answer 1 hour before meals
he other ACE inhibitor that should be taken 1 hour before meals is captopril (Capoten)
A health care provider (HCP) prescribes quinidine gluconate for a client. The nurse decides to
withhold the medication and contact the HCP if which assessment finding is documented in the
client's medical record?
Muscle weakness
History of asthma
Presence of infection
Complete atrioventricular (AV) block - Answer Complete atrioventricular (AV) block
Quinidine gluconate is an antidysrhythmic medication used to maintain normal sinus rhythm
after conversion of atrial fibrillation or atrial flutter. It is contraindicated in complete AV block
, Study Mode
Question 43 of 111
▲▼
The home care nurse visits a client with a diagnosis of unstable angina. The client is taking
acetylsalicylic acid (aspirin) on a daily basis to reduce the risk of myocardial infarction (MI).
Which medication dose would the nurse expect the client to be taking?
300 to 325 mg daily
650 to 700 mg daily
1.3 g daily
3 g daily - Answer 300 to 325 mg daily
The nurse prepares to teach a client with subarachnoid hemorrhage about the effects of
nimodipine. The nurse plans to explain which information about the purpose of this
medication?
β-Adrenergic blocker that will decrease blood pressure
Vasodilator that has an affinity for cerebral blood vessels
Diuretic that will decrease blood pressure by decreasing fluid volume
Calcium channel blocker that will decrease spasm in cerebral blood vessels - Answer Calcium
channel blocker that will decrease spasm in cerebral blood vessels
Acetylsalicylic acid (ASA), or aspirin, has been prescribed for a client with angina, and the client
asks the nurse how the medication will help. The nurse responds that this medication has been
prescribed for which purpose?
Reduce pain.
Reduce inflammation.
Inhibit platelet aggregation.
