“PHARMACOLOGY NCLEX QUESTIONS EXAM
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Pharmacology NCLEX Questions
The nurse is reviewing the four clinical phases of investigational drug studies.
Place the four phases in the correct order of occurrence.
a. Studies that are voluntarily conducted by pharmaceutical companies to
obtain more information about the therapeutic and adverse effects of a drug.
b. Studies that involve small numbers of volunteers who have the disease or
ailment that the drug is designed to diagnose or treat.
c. Studies that involve small numbers of healthy subjects who do not have the
disease or ailment that the drug is intended to treat.
d. Studies that involve large numbers of patients who have the disease that the
drug is intended to treat; these studies establish the drug's clinical
effectiveness, safety, and dosage range.
4, 2, 1, 3
The nurse keeps in mind that which measure is used to reduce the risk of
medication errors?
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a. When questioning a drug order, keep in mind that the prescriber is correct.
b. Be careful about questioning the drug order a board-certified physician has
written for a patient.
c. Always double-check the many drugs with sound-alike and look-alike names
because of the high risk of error.
d. If the drug route has not been specified, use the oral route.
c. Always double-check the many drugs with sound-alike and look-alike names
because of the high risk of error.
During the medication administration process, it is important that the nurse
remembers which guideline?
a. When in doubt about a drug, ask a colleague about it before giving the drug.
b. Ask what the patient knows about the drug before giving it.
c. When giving a new drug, be sure to read about it after giving it.
d. If a patient expresses a concern about a drug, stop, listen and investigate
the concerns.
d. If a patient expresses a concern about a drug, stop, listen and investigate the
concerns.
If a student nurse realizes that he or she has made a drug error, the instructor
should remind the student of which concept?
a. The student bears no legal responsibility when giving medications.
b. The major legal responsibility lies with the health care institution at which
the student is placed for clinical experience.
c. The major legal responsibility for drug errors lies with the faculty members.
d. Once the student has committed a medication error, his/her responsibility is
to the patient and to being honest and accountable.
d. Once the student has committed a medication error, his/her responsibility is to the
patient and to being honest and accountable.
The nurse is giving medications to a newly admitted patient who is to receive
nothing by mouth (NPO status) and finds an order written as follows: "Digoxin,
250 mcg stat." Which action is appropriate?
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a. Give the medication immediately (stat) by mouth because the patient has no
intravenous (IV) access at this time.
b. Clarify the order with the prescribing physician before giving the drug.
c. Ask the charge nurse what route the physician meant to use.
d. Start an IV line, then give the medication IV so that it will work faster,
because the patient's status is NPO at this time.
b. Clarify the order with the prescribing physician before giving the drug.
The nurse is reviewing medication orders. Which digoxin dose is written
correctly?
a. digoxin .25 mg
b. digoxin .250 mg
c. digoxin 0.250 mg
d. digoxin 0.25 mg
d. digoxin 0.25 mg
The nurse is administering medications. Examples of high-alert medications
include: (Select all that apply.)
a. Insulins
b. Antibiotics
c. Opiates
d. Anticoagulants
A, C, D
Convert 250 micrograms to milligrams. Be sure to depict the number correctly
according to the guidelines for decimals and zeroes.
0.25 mg
A 47-year-old patient with diabetes is being discharged to home and must take
insulin injections twice a day. The nurse keeps in mind which concepts when
considering patient teaching?
a. Teaching needs to begin at the time of diagnosis or admission and is
individualized to the patient's reading level.
b. The nurse can assume that because the patient is in his forties he will be
able to read any written or printed documents provided.
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c. The majority of teaching can be done with pamphlets that the patient can
share with family members.
d. A thorough and comprehensive teaching plan designed for an eleventh-
grade reading level needs to be developed.
a. Teaching needs to begin at the time of diagnosis or admission and is
individualized to the patient's reading level.
The nurse is developing a discharge plan regarding a patient's medication.
Which of these statements about the discharge plan is true?
a. It will be developed right before the patient leaves the hospital.
b. It will be developed only after the patient is comfortable or after pain
medications are administered.
c. It will include videos, demonstrations, and instructions written at least at the
fifth-grade level.
d. It will be individualized and based on the patient's level of cognitive
development.
d. It will be individualized and based on the patient's level of cognitive development.
The nurse is responsible for preoperative teaching for a patient who is mildly
anxious about receiving pain medications postoperatively. The nurse
recognizes that this level of anxiety may
a. impede learning because anxiety is always a barrier to learning.
b. lead to major emotional unsteadiness.
c. result in learning by increasing the patient's motivation to learn.
d. reorganize the patient's thoughts and lead to inadequate potential for
learning.
c. result in learning by increasing the patient's motivation to learn.
What action by the nurse is the best way to assess a patient's learning needs?
a. Quiz the patient daily on all medications.
b. Begin with validations of the patient's present level of knowledge.
c. Assess family members' knowledge of the prescribed medication even if
they are not involved in the patient's care.
d. Ask the caregivers what the patient knows about the medications.