Pharmacology NCLEX Exam Questions with 100% Verified Answers
1. An 86-year-old patient is being discharged to home a. The patient and
on digitalis therapy and has very little information re- patient's daughter
garding the medication. Which statement best reflects will state the prop-
a realistic outcome of patient teaching activities? er way to take the
drug.
a. The patient and patient's daughter will state the
proper way to take the drug.
b. The nurse will provide teaching about the drug's
adverse effects.
c. The patient will state all the symptoms of digitalis
toxicity.
d. The patient will call the prescriber if adverse effects
occur.
2. A patient has a new prescription for a blood pressure b. Risk for injury
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
3. A patient's chart includes an order that reads as fol- d. The nurse con-
lows: "Lanoxin 250 mcg once daily at 0900." Which tacts the pre-
action by the nurse is correct? scriber to clarify
the dosage route.
a. The nurse gives the drug via the transdermal route.
b. The nurse gives the drug orally.
c. The nurse gives the drug intravenously.
d. The nurse contacts the prescriber to clarify the
dosage route.
4. A 77-year-old man who has been diagnosed with an c. "What type of
upper respiratory tract infection tells the nurse that he reaction did you
is allergic to penicillin. Which is the most appropriate have when you
response by the nurse? took penicillin?"
, Pharmacology NCLEX Exam Questions with 100% Verified Answers
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 individ-
uals because they have built up resistance."
5. The nurse is compiling a drug history for a patient. c. "When you have
Which question from the nurse will obtain the most pain, what do you
information from the patient? do to relieve it?"
a. "Do you depend on sleeping pills to get to sleep?"
b. "Do you have a family history of heart disease?"
c. "When you have pain, what do you do to relieve it?"
d. "What childhood diseases did you have?"
6. The nurse is preparing a care plan for a patient who 4, 3, 1, 5, 2
has been newly diagnosed with type 2 diabetes mel-
litus. Put into correct order the steps of the nursing
process, with 1 being the first step and 5 being the
last step.
a. Implementation
b. Planning
c. Assessment
d. Evaluation
e. Nursing diagnoses
7. The nurse is reviewing new medication orders that b. Sitagliptin
have been written for a newly admitted patient. The (Januvia) 50 mg
nurse will need to clarify which orders? Select all that daily
apply. e. Docusate (Co-
lace) as needed
a. Metformin (Glucophage) 1000 mg PO twice a day for constipation
b. Sitagliptin (Januvia) 50 mg daily
c. Simvastatin (Zocor) 20 mg PO every evening
, Pharmacology NCLEX Exam Questions with 100% Verified Answers
d. Irbesartan (Avapro) 300 mg PO once a day
e. Docusate (Colace) as needed for constipation
8. An elderly woman took a prescription medicine to b. Idiosyncratic re-
help her to sleep; however, she felt restless all night action
and did not sleep at all. The nurse recognizes that
this woman has experienced which type of reaction
or effect?
a. Allergic reaction
b. Idiosyncratic reaction
c. Mutagenic effect
d. Synergistic effect
9. While caring for a patient with cirrhosis or hepatitis, c. Metabolism
the nurse knows that abnormalities in which phase of
pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
10. A patient who has advanced cancer is receiving opi- a. Palliative thera-
oid medications around the clock to "keep him com- py
fortable" as he nears the end of his life. Which term
best describes this type of therapy?
a. Palliative therapy
b. Maintenance therapy
c. Supportive therapy
d. Supplemental therapy
11. The nurse is giving medications to a patient in heart d. diminished cir-
failure. The intravenous route is chosen instead of the culation.
intramuscular route. The nurse knows that the factor
that most influences the decision about which route
to use is the patient's
a. altered biliary function.
1. An 86-year-old patient is being discharged to home a. The patient and
on digitalis therapy and has very little information re- patient's daughter
garding the medication. Which statement best reflects will state the prop-
a realistic outcome of patient teaching activities? er way to take the
drug.
a. The patient and patient's daughter will state the
proper way to take the drug.
b. The nurse will provide teaching about the drug's
adverse effects.
c. The patient will state all the symptoms of digitalis
toxicity.
d. The patient will call the prescriber if adverse effects
occur.
2. A patient has a new prescription for a blood pressure b. Risk for injury
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
3. A patient's chart includes an order that reads as fol- d. The nurse con-
lows: "Lanoxin 250 mcg once daily at 0900." Which tacts the pre-
action by the nurse is correct? scriber to clarify
the dosage route.
a. The nurse gives the drug via the transdermal route.
b. The nurse gives the drug orally.
c. The nurse gives the drug intravenously.
d. The nurse contacts the prescriber to clarify the
dosage route.
4. A 77-year-old man who has been diagnosed with an c. "What type of
upper respiratory tract infection tells the nurse that he reaction did you
is allergic to penicillin. Which is the most appropriate have when you
response by the nurse? took penicillin?"
, Pharmacology NCLEX Exam Questions with 100% Verified Answers
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 individ-
uals because they have built up resistance."
5. The nurse is compiling a drug history for a patient. c. "When you have
Which question from the nurse will obtain the most pain, what do you
information from the patient? do to relieve it?"
a. "Do you depend on sleeping pills to get to sleep?"
b. "Do you have a family history of heart disease?"
c. "When you have pain, what do you do to relieve it?"
d. "What childhood diseases did you have?"
6. The nurse is preparing a care plan for a patient who 4, 3, 1, 5, 2
has been newly diagnosed with type 2 diabetes mel-
litus. Put into correct order the steps of the nursing
process, with 1 being the first step and 5 being the
last step.
a. Implementation
b. Planning
c. Assessment
d. Evaluation
e. Nursing diagnoses
7. The nurse is reviewing new medication orders that b. Sitagliptin
have been written for a newly admitted patient. The (Januvia) 50 mg
nurse will need to clarify which orders? Select all that daily
apply. e. Docusate (Co-
lace) as needed
a. Metformin (Glucophage) 1000 mg PO twice a day for constipation
b. Sitagliptin (Januvia) 50 mg daily
c. Simvastatin (Zocor) 20 mg PO every evening
, Pharmacology NCLEX Exam Questions with 100% Verified Answers
d. Irbesartan (Avapro) 300 mg PO once a day
e. Docusate (Colace) as needed for constipation
8. An elderly woman took a prescription medicine to b. Idiosyncratic re-
help her to sleep; however, she felt restless all night action
and did not sleep at all. The nurse recognizes that
this woman has experienced which type of reaction
or effect?
a. Allergic reaction
b. Idiosyncratic reaction
c. Mutagenic effect
d. Synergistic effect
9. While caring for a patient with cirrhosis or hepatitis, c. Metabolism
the nurse knows that abnormalities in which phase of
pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
10. A patient who has advanced cancer is receiving opi- a. Palliative thera-
oid medications around the clock to "keep him com- py
fortable" as he nears the end of his life. Which term
best describes this type of therapy?
a. Palliative therapy
b. Maintenance therapy
c. Supportive therapy
d. Supplemental therapy
11. The nurse is giving medications to a patient in heart d. diminished cir-
failure. The intravenous route is chosen instead of the culation.
intramuscular route. The nurse knows that the factor
that most influences the decision about which route
to use is the patient's
a. altered biliary function.
