Solutions manual
NUR2474 Pharmacology for Professional Nursing
NCLEX-Aligned Comprehensive Practice Examination
NUR2474 PHARMACOLOGY QUESTION NCLEX PRACTICE EXAM
💊 Medication Safety & Basics
1. The “rights” of medication administration include:
A. 4 rights
B. 5 rights
C. 6–10 rights depending on policy
✅
D. Only 3 rights
👉
Answer: C
Modern practice includes up to 10 rights (patient, drug, dose, route, time, documentation,
etc.)
2. First action before giving any medication:
A. Document
B. Assess patient
C. Prepare drug
✅
D. Call provider
B
3. Which abbreviation is unsafe?
A. mg
B. mL
C. U (for units)
✅
D. hr
C
4. Best way to verify patient identity:
A. Room number
B. Bed position
,C. Name & DOB
✅
D. Nurse recognition
C
5. High-alert medications require:
A. No monitoring
B. Extra verification
C. Lower dose only
✅
D. No documentation
B
6. Example of high-alert drug:
A. Acetaminophen
B. Insulin
C. Vitamin C
✅
D. Saline flush
B
7. Route with fastest absorption:
A. Oral
B. Subcutaneous
C. IV
✅
D. Topical
C
8. Oral medications are absorbed in:
A. Liver
B. Stomach only
C. GI tract
✅
D. Kidneys
C
9. First-pass metabolism occurs in:
A. Heart
B. Liver
C. Lungs
,✅
D. Brain
B
10. Pharmacokinetics means:
A. Drug effect on body
B. Body effect on drug
C. Drug storage
✅
D. Drug packaging
B
💉 Dosage Calculations (11–20)
11. 500 mg = ____ g
A. 0.5
B. 5
C. 50
✅
D. 0.05
A
12. 1 L = ____ mL
A. 100
B. 1000
C. 10,000
✅
D. 500
B
13. 0.25 g = ____ mg
A. 25
B. 250
C. 2500
✅
D. 2.5
B
14. Doctor orders 250 mg; tablets available 500 mg. Give:
A. 1 tablet
, B. ½ tablet
C. 2 tablets
✅
D. ¼ tablet
B
15. 75 mL/hr IV runs for 8 hours. Total volume:
A. 300 mL
B. 500 mL
C. 600 mL
✅
D. 750 mL
C
16. Safe adult acetaminophen max/day:
A. 1000 mg
B. 2000 mg
C. 3000–4000 mg
✅
D. 6000 mg
C
17. 1 mg = ____ mcg
A. 10
B. 100
C. 1000
✅
D. 10,000
C
18. IV infusion is measured in:
A. mL/hr
B. mg/kg
C. units only
✅
D. grams/day
A
19. If dose is unsafe, nurse should:
A. Give half
B. Clarify order
NUR2474 Pharmacology for Professional Nursing
NCLEX-Aligned Comprehensive Practice Examination
NUR2474 PHARMACOLOGY QUESTION NCLEX PRACTICE EXAM
💊 Medication Safety & Basics
1. The “rights” of medication administration include:
A. 4 rights
B. 5 rights
C. 6–10 rights depending on policy
✅
D. Only 3 rights
👉
Answer: C
Modern practice includes up to 10 rights (patient, drug, dose, route, time, documentation,
etc.)
2. First action before giving any medication:
A. Document
B. Assess patient
C. Prepare drug
✅
D. Call provider
B
3. Which abbreviation is unsafe?
A. mg
B. mL
C. U (for units)
✅
D. hr
C
4. Best way to verify patient identity:
A. Room number
B. Bed position
,C. Name & DOB
✅
D. Nurse recognition
C
5. High-alert medications require:
A. No monitoring
B. Extra verification
C. Lower dose only
✅
D. No documentation
B
6. Example of high-alert drug:
A. Acetaminophen
B. Insulin
C. Vitamin C
✅
D. Saline flush
B
7. Route with fastest absorption:
A. Oral
B. Subcutaneous
C. IV
✅
D. Topical
C
8. Oral medications are absorbed in:
A. Liver
B. Stomach only
C. GI tract
✅
D. Kidneys
C
9. First-pass metabolism occurs in:
A. Heart
B. Liver
C. Lungs
,✅
D. Brain
B
10. Pharmacokinetics means:
A. Drug effect on body
B. Body effect on drug
C. Drug storage
✅
D. Drug packaging
B
💉 Dosage Calculations (11–20)
11. 500 mg = ____ g
A. 0.5
B. 5
C. 50
✅
D. 0.05
A
12. 1 L = ____ mL
A. 100
B. 1000
C. 10,000
✅
D. 500
B
13. 0.25 g = ____ mg
A. 25
B. 250
C. 2500
✅
D. 2.5
B
14. Doctor orders 250 mg; tablets available 500 mg. Give:
A. 1 tablet
, B. ½ tablet
C. 2 tablets
✅
D. ¼ tablet
B
15. 75 mL/hr IV runs for 8 hours. Total volume:
A. 300 mL
B. 500 mL
C. 600 mL
✅
D. 750 mL
C
16. Safe adult acetaminophen max/day:
A. 1000 mg
B. 2000 mg
C. 3000–4000 mg
✅
D. 6000 mg
C
17. 1 mg = ____ mcg
A. 10
B. 100
C. 1000
✅
D. 10,000
C
18. IV infusion is measured in:
A. mL/hr
B. mg/kg
C. units only
✅
D. grams/day
A
19. If dose is unsafe, nurse should:
A. Give half
B. Clarify order
