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NLN Medication Exam 2025/2026 – 120+ Practice Questions with Answers on Drug Actions, Safe Administration, Pharmacokinetics, Adverse Effects, Interactions & Lab Monitoring

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This updated NLN Medication Exam Review for 2025/2026 contains over 120 professionally structured questions and answers, offering full coverage of pharmacology concepts typically assessed in nursing entrance, progression, or remediation exams. Designed for student nurses and educators, it provides a real-exam feel with scenario-based and knowledge-focused questions. Key learning areas include: Pharmacologic actions & uses: Mechanism of action and therapeutic use of antibiotics, cardiovascular drugs, corticosteroids, analgesics, anticoagulants, insulin, and psychotropics Safe drug administration: Routes of administration (oral, IV, subcutaneous, transdermal), peak/trough levels, five rights of medication, sublingual vs enteric precautions Adverse effects and patient safety: Recognizing and intervening in symptoms like respiratory depression (opioids), bleeding (anticoagulants), renal toxicity (aminoglycosides), and immunosuppression (glucocorticoids) Drug interactions and contraindications: MAOIs with other CNS drugs, warfarin with vitamin K, lithium with diuretics, NSAIDs with antihypertensives Laboratory values & monitoring: aPTT with heparin, INR with warfarin, blood glucose with insulin, creatinine for nephrotoxic drugs Dosage calculations & conversions: Metric conversions, weight-based dosing, pediatric formulas, and IV rate problems Ideal for LPN/RN students, pre-nursing program candidates, NCLEX-PN/NCLEX-RN exam prep, and nursing instructors, this document is a practical and comprehensive tool to master core pharmacology and clinical medication safety. Keywords: nln medication test prep, pharmacology nursing 2025, drug side effects, medication interactions, safe med administration, IV med nursing, dosage calculation, insulin types, aPTT INR monitoring, opioid precautions, sublingual route, warfarin teaching, pediatric dosage formulas, lab values for meds, NCLEX med review, glucocorticoid adverse effects

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Institution
NLN Medication
Course
NLN Medication

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NLN Medication Exam 2025/2026 Exam
Questions and Answers 100%
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Routes - Slowest to Fastest - 🧠 ANSWER ✔✔Transdermal --> sub-q --> IM -->

buccal --> inhalation --> IV


6 Rights of Medication Administration - 🧠 ANSWER ✔✔1. Right Person


2. Right medication

3. Right dose

4. Right time

5. Right route

6. Right medication

,3 Medication Checks - 🧠 ANSWER ✔✔1. When removing medication from

drawer/cart/pixis

2. Before dispensing medication

3. After dispensing medication but before giving it


Allergic/Hypersensitivity Reactions - 🧠 ANSWER ✔✔Immune response - not a

side effect

Determined by degree of sensitization of the immune system

Sensitivity can change over time

mild itching to severe rash to anaphylaxsis


Absorption - 🧠 ANSWER ✔✔Process of incorporating drug into blood


Distribution - 🧠 ANSWER ✔✔Movement of drugs through the body


Transport via blood to site of action


Metabolism - 🧠 ANSWER ✔✔Ability to change a drug biologically from its

original form into a water-soluble form so it can be excreted by the kidneys


Excretion - 🧠 ANSWER ✔✔Removal of drugs from the body

,Agranulocytosis/Neutropenia/Agranulocytopenia - 🧠 ANSWER ✔✔Acute

decrease int eh number of granulocytes/leukopenia (WBCs) in peripheral blood

Causes: treatment with broad spectrum penicillin, sulfonamides, or cephalosporin;

bone marrow transplant; chemotherapy; radiation

Generally impaired resulting from bone marrow depression by drugs and

chemicals or replacement by a neoplasm

Lymphadenopathy or lypmphadenitis may be prevalent

Could --> respiratory infection, ulceration of mouth, colon, high fever, or UTI

May be asymptomatic


Chelating Agents - 🧠 ANSWER ✔✔A substance whose molecules can form

several bonds to a single metal ion

Involves oral administration or injection of Ethylene Diamine tetra Acetic Avide

may be used to treat hardening of the arteries, heart attack, stroke, arthritis, and

gangrene - removes excess calcium from body

Used for lead poisoning and hypercalcemia


Ethylenediaminetetraacetic Acid (EDTA) - 🧠 ANSWER ✔✔Use in children with a

lead level between 45-70 micron/dL


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED



3

, Binds to lead in blood and excreted by bowel and kidney

May be toxic to the kidney - monitor urine output

Give IV - dose depends on weight of child, severity of poison

- Give q4h 5 days

- Second course may be needed if there is a rebound in blood level

Give oral and IV fluid to enhance excretion

Do not use with hypocalcemia or hypokalemia

Used to treat lead poisoning and hyperkalmeia


British AntiLeistie (BAL) - 🧠 ANSWER ✔✔Do not give with iron supplement


Avoid in patients with plant allergy

Give IM

Treats poisoning with heavy metals (arsenic, gold, mercury)


Succimer (Chemer/Chemet) - 🧠 ANSWER ✔✔Chemet = oral


Used to treat lead poisoning

Do not give in patient with encephalopathy


Epistaxis - 🧠 ANSWER ✔✔Nose bleed

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