Pharmacology study set NCLEX Test Questions with 100%
Verified Answers
1. A diabetic client is 1. Excess blinking of eyes
prescribed metoclopramide. 2. Lip smaking
Which of the following side 3. Puffing of cheeks
effects must the nurse teach (Metoclopramide/REGLAN, is prescirbed for
the client to report immedi- the treatment of GERD and delayed gastric
ately to the HCP? emptying and as an antiemetic. It can cause
extrapyramidal side effects similar to antipsy-
chotics)
2. Tardive Dyskinesia symp- caused from: Metoclopramide (Reglan) and
toms antipsychotic drugs
-Protruding and twisting of the tongue
-Lip smacking
-Puffing of cheeks
-Chewing movements
-Frowning or blinking of eyes
-Twisting fingers
-Twisted or rotated neck
3. An elderly client w/depres- Serum creatinine is 2.3
sion, diabetes, and HF has
received a new digoxin pre-
scription for daily use. Which
client assessment indicates
that the nurse should follow
up on serum digoxin levels
frequently?
4. Creatinine levels 0.6-1.3
5. The home health nurse vis- Apply cream to hands and wait at least 30
its a client w/hand os- minutes before washing them
teoarthritis topical capsaicin
for pain relief. Which instruc-
tion about capsaicin should
the nurse provide the client?
6. Commonly used MAOI's Isocarboxazid, phenelzine, tranylcypromine
, Pharmacology study set NCLEX Test Questions with 100%
Verified Answers
7. A 21 yo client is being "This medication is not working; I am so tired
evaluated in the outpatient of being depressed"
psychiatric clinic after start- (MAOI's and other antidepressants are asso-
ing isocarboxazid 2 weeks ciated w/an increased risk of suicidal ideation
ago. Which of the clients during the first few weeks of treatment)
statements needs to be ad-
dressed first?
8. A client w/a brain tumor "It prevents seizure development"
is admitted for surgery. The (Levetiracetam/KEPPRA is used to treat
HCP prescribes levetirac- seizures)
etam. The client asks why.
What is the nurses's re-
sponse?
9. The nurse develops a teach- Taper down the imipramine, then discontinue
ing care plan for the for 2 weeks before starting phenelzine.
client w/a prescription to (when switching from a tricyclic antidpres-
change antidepressant med- sant to a MAOI, withdraw gradually w/a drug
ications from imipramine to free period before the new antidepressant is
phenelzine. Which instruc- initiated to avoid adverse reactions)
tion is appropriate to include
in the teaching?
10. Commonly used Tricyclic an- Amitriptyline, Nortriptyline, desipramine,
tidepressants imipramine...also used to treat neuropathic
pain
11. Neuroleptic Malignant Syn- -uncommon but life threatening adverse
drome (NMS) reaction to anti-psychotic medications
(haloperidol, fluphenazine). Symptoms are
high fever, muscular rigidity, ams, autonomic
dysfunction
Treatment is rehydration, cooling body temp
and immediate d/c of the medication and no-
tify HCP immediately
12. Client taking clozapine who has sudden on-
set of high fever, diaphoresis and change
, Pharmacology study set NCLEX Test Questions with 100%
Verified Answers
The nurse is working in the in mental status (Neuroleptic Malignant syn-
ER. Which client should the drome)
nurse see first?
13. A client w/active pulmonary Blurred vision
TB is prescribed 4-drug ther- (Ethambutol/MYAMBUTOL, is used in com-
apy ethambutol. The commu- bination w/other antitubercular drugs to treat
nity health nurse instructs active TB. The client must have baseline eye
the client to notify the HCP examinations during therapy as optic neuritis
immediately if which ad- is a potentially reversible adverse effect)
verse effect associated with
ethambutol occurs?
14. The nurse teaches the client Muscle aches
taking atorvastatin to call the (symptom of myopathy)
HCP if experiencing which
symptom associated w/a se-
rious adverse effect of ator-
vastatin?
15. A client w/seizure activity is Stop the feeding for 1 to 2 hours
receiving a continuous tube (Phenytoin/Dilantin, is an anticonvulsant
feeding via a small bore en- drug commonly used to treat seizures d/o's.
teral tube. The nurse pre- Steady absorption is necessary to maintain
pares to administer pheny- a therapeutic dosage range and drug level to
toin oral suspension via the control seizure activity)
enteral route. What is the
nurse's priority action before
administering this medica-
tion?
16. The clinic nurse evaluates a 1. Apical heart rate of 88/min
client's response to levothy- 2. Elevation of mood
roxine after 8 weeks of treat- 3. Improved energy levels
ment. What therapeutic re- (used to treat hypothyroid. Notify HCP is HR
sponses to the medication is >100 or if the pt reports c/p, nervousness,
should the nurse expect? or tremors...dose may be too high)
17. The nurse plans teaching for 1. Notify the HCP if you feel a fluttering or
a client who was newly pre- rapid heartbeat
Verified Answers
1. A diabetic client is 1. Excess blinking of eyes
prescribed metoclopramide. 2. Lip smaking
Which of the following side 3. Puffing of cheeks
effects must the nurse teach (Metoclopramide/REGLAN, is prescirbed for
the client to report immedi- the treatment of GERD and delayed gastric
ately to the HCP? emptying and as an antiemetic. It can cause
extrapyramidal side effects similar to antipsy-
chotics)
2. Tardive Dyskinesia symp- caused from: Metoclopramide (Reglan) and
toms antipsychotic drugs
-Protruding and twisting of the tongue
-Lip smacking
-Puffing of cheeks
-Chewing movements
-Frowning or blinking of eyes
-Twisting fingers
-Twisted or rotated neck
3. An elderly client w/depres- Serum creatinine is 2.3
sion, diabetes, and HF has
received a new digoxin pre-
scription for daily use. Which
client assessment indicates
that the nurse should follow
up on serum digoxin levels
frequently?
4. Creatinine levels 0.6-1.3
5. The home health nurse vis- Apply cream to hands and wait at least 30
its a client w/hand os- minutes before washing them
teoarthritis topical capsaicin
for pain relief. Which instruc-
tion about capsaicin should
the nurse provide the client?
6. Commonly used MAOI's Isocarboxazid, phenelzine, tranylcypromine
, Pharmacology study set NCLEX Test Questions with 100%
Verified Answers
7. A 21 yo client is being "This medication is not working; I am so tired
evaluated in the outpatient of being depressed"
psychiatric clinic after start- (MAOI's and other antidepressants are asso-
ing isocarboxazid 2 weeks ciated w/an increased risk of suicidal ideation
ago. Which of the clients during the first few weeks of treatment)
statements needs to be ad-
dressed first?
8. A client w/a brain tumor "It prevents seizure development"
is admitted for surgery. The (Levetiracetam/KEPPRA is used to treat
HCP prescribes levetirac- seizures)
etam. The client asks why.
What is the nurses's re-
sponse?
9. The nurse develops a teach- Taper down the imipramine, then discontinue
ing care plan for the for 2 weeks before starting phenelzine.
client w/a prescription to (when switching from a tricyclic antidpres-
change antidepressant med- sant to a MAOI, withdraw gradually w/a drug
ications from imipramine to free period before the new antidepressant is
phenelzine. Which instruc- initiated to avoid adverse reactions)
tion is appropriate to include
in the teaching?
10. Commonly used Tricyclic an- Amitriptyline, Nortriptyline, desipramine,
tidepressants imipramine...also used to treat neuropathic
pain
11. Neuroleptic Malignant Syn- -uncommon but life threatening adverse
drome (NMS) reaction to anti-psychotic medications
(haloperidol, fluphenazine). Symptoms are
high fever, muscular rigidity, ams, autonomic
dysfunction
Treatment is rehydration, cooling body temp
and immediate d/c of the medication and no-
tify HCP immediately
12. Client taking clozapine who has sudden on-
set of high fever, diaphoresis and change
, Pharmacology study set NCLEX Test Questions with 100%
Verified Answers
The nurse is working in the in mental status (Neuroleptic Malignant syn-
ER. Which client should the drome)
nurse see first?
13. A client w/active pulmonary Blurred vision
TB is prescribed 4-drug ther- (Ethambutol/MYAMBUTOL, is used in com-
apy ethambutol. The commu- bination w/other antitubercular drugs to treat
nity health nurse instructs active TB. The client must have baseline eye
the client to notify the HCP examinations during therapy as optic neuritis
immediately if which ad- is a potentially reversible adverse effect)
verse effect associated with
ethambutol occurs?
14. The nurse teaches the client Muscle aches
taking atorvastatin to call the (symptom of myopathy)
HCP if experiencing which
symptom associated w/a se-
rious adverse effect of ator-
vastatin?
15. A client w/seizure activity is Stop the feeding for 1 to 2 hours
receiving a continuous tube (Phenytoin/Dilantin, is an anticonvulsant
feeding via a small bore en- drug commonly used to treat seizures d/o's.
teral tube. The nurse pre- Steady absorption is necessary to maintain
pares to administer pheny- a therapeutic dosage range and drug level to
toin oral suspension via the control seizure activity)
enteral route. What is the
nurse's priority action before
administering this medica-
tion?
16. The clinic nurse evaluates a 1. Apical heart rate of 88/min
client's response to levothy- 2. Elevation of mood
roxine after 8 weeks of treat- 3. Improved energy levels
ment. What therapeutic re- (used to treat hypothyroid. Notify HCP is HR
sponses to the medication is >100 or if the pt reports c/p, nervousness,
should the nurse expect? or tremors...dose may be too high)
17. The nurse plans teaching for 1. Notify the HCP if you feel a fluttering or
a client who was newly pre- rapid heartbeat
