NCLEX PHARMACOLOGY FINAL EXAM-2025/2026
QUESTION AND CORRECT DETAILED ANSWERS
WITH RATIONALES RATED A GRADE
For the client taking epinephrine, the nurse realizes there is a possible drug interaction
with which drug?
a. albuterol (Proventil)
b. metoprolol (Lopressor)
c. bethanechol (Urecholine)
d. tolterodine tartrate (Detrol)
b. metoprolol (Lopressor)
2.The nurse will monitor the client taking albuterol (Proventil) for which condition?
a. Palpitations
b. Hypoglycemia
c. Bronchospasm
d. Uterine contractions
a. Palpitations
3.A client is prescribed metoprolol (Lopressor) to treat hypertension. It is important for
the nurse to monitor the client for which condition?
a. Bradycardia
b. Hypertension
c. Ankle edema
d. Decreased respirations
a. Bradycardia
4.Atenolol (Tenormin) is prescribed for a client. The nurse realizes that this drug is a
beta-adrenergic blocker and that this drug classification is contraindicated for clients
with which condition?
a. Hypothyroidism
b. Angina pectoris
c. Cardiogenic shock
d. Liver dysfunction
c. Cardiogenic shock
5.The nurse realizes that beta1 receptor stimulation is differentiated from beta2
stimulation in that stimulation of beta1 receptors leads to which condition?
a. Increased bronchodilation
b. Decreased uterine contractility
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,c. Increased myocardial contractility
d. Decreased blood flow to skeletal muscles
c. Increased myocardial contractility
6. A client is given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic).
The nurse should monitor the client for which condition?
a. Decreased pulse
b. Pupil constriction
c. Bronchial constriction
d. Increased blood pressure
d. Increased blood pressure
7.The nurse is administering atenolol (Tenormin) to a client. Which concurrent drug
does the nurse expect to most likely cause an interaction?
a. ginseng herb
b. An NSAID, such as aspirin
c. methyldopa (Aldomet)
d. haloperidol (Haldol)
b. An NSAID, such as aspirin
Chapter 19
1. A client is receiving bethanechol (Urecholine). The nurse realizes that the action of
this drug is to treat:
a. Glaucoma
b. Urinary retention
c. Delayed gastric emptying
d. Gastroesophageal reflux disease
b. Urinary retention
2. The nurse teaches the client receiving atropine to expect which side effect?
a. Diarrhea
b. Bradycardia
c. Blurred vision
d. Frequent urination
c. Blurred vision
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,3. When benztropine (Cogentin) is ordered for a client, the nurse acknowledges that this
drug is an effective treatment for which condition?
a. Parkinsonism
b. Paralytic ileus
c. Motion sickness
d. Urinary retention
a. Parkinsonism
4. Dicyclomine (Bentyl) is an anticholinergic, which the nurse realizes is given to treat
which condition?
a. Mydriasis
b. Constipation
c. Urinary retention
d. Irritable bowel syndrome
d. Irritable bowel syndrome
5. The nurse realizes that cholinergic agonists mimic which parasympathetic
neurotransmitter?
a. dopamine
b. acetylcholine
c. cholinesterase
d. monoamine oxidase
b. acetylcholine
6. The nurse is administering a cholinergic agonist and should know that the expected
cholinergic effects include which of the following?
a. Increased heart rate
b. Decreased peristalsis
c. Decreased salivation
d. Increased pupil constriction
d. Increased pupil constriction
Page | 3
, 7. When the client has a cholinergic overdose, the nurse anticipates administration of
which drug as the antidote?
a. atropine
b. bethanechol
c. ambenonium
d. metoclopramide
a. atropine
Chapter 20
1. When a 12-year-old child is prescribed methylphenidate, which is most important for
the nurse to monitor?
a. The child's temperature
b. The child's respirations
c. The child's intake and output
d. The child's height and weight
d. The child's height and weight
2. Several children are admitted for diagnosis with possible attention deficit/hyperactivity
disorder. Which is most important for the nurse to observe?
a. A girl who is lethargic
b. A girl who lacks impulsivity
c. A boy with smooth coordination
d. A boy with an inability to complete tasks
d. A boy with an inability to complete tasks
3. A client is taking benzphetamine. The nurse teaches the client which information
about this drug?
a. That it may cause drowsiness
b. That it may lead to hypotension
c. That it is a respiratory stimulant
d. That it is safe during pregnancy
Page | 4
QUESTION AND CORRECT DETAILED ANSWERS
WITH RATIONALES RATED A GRADE
For the client taking epinephrine, the nurse realizes there is a possible drug interaction
with which drug?
a. albuterol (Proventil)
b. metoprolol (Lopressor)
c. bethanechol (Urecholine)
d. tolterodine tartrate (Detrol)
b. metoprolol (Lopressor)
2.The nurse will monitor the client taking albuterol (Proventil) for which condition?
a. Palpitations
b. Hypoglycemia
c. Bronchospasm
d. Uterine contractions
a. Palpitations
3.A client is prescribed metoprolol (Lopressor) to treat hypertension. It is important for
the nurse to monitor the client for which condition?
a. Bradycardia
b. Hypertension
c. Ankle edema
d. Decreased respirations
a. Bradycardia
4.Atenolol (Tenormin) is prescribed for a client. The nurse realizes that this drug is a
beta-adrenergic blocker and that this drug classification is contraindicated for clients
with which condition?
a. Hypothyroidism
b. Angina pectoris
c. Cardiogenic shock
d. Liver dysfunction
c. Cardiogenic shock
5.The nurse realizes that beta1 receptor stimulation is differentiated from beta2
stimulation in that stimulation of beta1 receptors leads to which condition?
a. Increased bronchodilation
b. Decreased uterine contractility
Page | 1
,c. Increased myocardial contractility
d. Decreased blood flow to skeletal muscles
c. Increased myocardial contractility
6. A client is given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic).
The nurse should monitor the client for which condition?
a. Decreased pulse
b. Pupil constriction
c. Bronchial constriction
d. Increased blood pressure
d. Increased blood pressure
7.The nurse is administering atenolol (Tenormin) to a client. Which concurrent drug
does the nurse expect to most likely cause an interaction?
a. ginseng herb
b. An NSAID, such as aspirin
c. methyldopa (Aldomet)
d. haloperidol (Haldol)
b. An NSAID, such as aspirin
Chapter 19
1. A client is receiving bethanechol (Urecholine). The nurse realizes that the action of
this drug is to treat:
a. Glaucoma
b. Urinary retention
c. Delayed gastric emptying
d. Gastroesophageal reflux disease
b. Urinary retention
2. The nurse teaches the client receiving atropine to expect which side effect?
a. Diarrhea
b. Bradycardia
c. Blurred vision
d. Frequent urination
c. Blurred vision
Page | 2
,3. When benztropine (Cogentin) is ordered for a client, the nurse acknowledges that this
drug is an effective treatment for which condition?
a. Parkinsonism
b. Paralytic ileus
c. Motion sickness
d. Urinary retention
a. Parkinsonism
4. Dicyclomine (Bentyl) is an anticholinergic, which the nurse realizes is given to treat
which condition?
a. Mydriasis
b. Constipation
c. Urinary retention
d. Irritable bowel syndrome
d. Irritable bowel syndrome
5. The nurse realizes that cholinergic agonists mimic which parasympathetic
neurotransmitter?
a. dopamine
b. acetylcholine
c. cholinesterase
d. monoamine oxidase
b. acetylcholine
6. The nurse is administering a cholinergic agonist and should know that the expected
cholinergic effects include which of the following?
a. Increased heart rate
b. Decreased peristalsis
c. Decreased salivation
d. Increased pupil constriction
d. Increased pupil constriction
Page | 3
, 7. When the client has a cholinergic overdose, the nurse anticipates administration of
which drug as the antidote?
a. atropine
b. bethanechol
c. ambenonium
d. metoclopramide
a. atropine
Chapter 20
1. When a 12-year-old child is prescribed methylphenidate, which is most important for
the nurse to monitor?
a. The child's temperature
b. The child's respirations
c. The child's intake and output
d. The child's height and weight
d. The child's height and weight
2. Several children are admitted for diagnosis with possible attention deficit/hyperactivity
disorder. Which is most important for the nurse to observe?
a. A girl who is lethargic
b. A girl who lacks impulsivity
c. A boy with smooth coordination
d. A boy with an inability to complete tasks
d. A boy with an inability to complete tasks
3. A client is taking benzphetamine. The nurse teaches the client which information
about this drug?
a. That it may cause drowsiness
b. That it may lead to hypotension
c. That it is a respiratory stimulant
d. That it is safe during pregnancy
Page | 4
