NCLEX PN pharmacology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

NCLEX EXAM zm




Exam Solution zm




Pharmacology PN NCLEX Review Qs 2026 A+ GRADE AS zm zm zm zm zm zm zm zm




SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER
zm zm zm zm zm




S (EE3FA)
zm




QUESTION 1 zm




Dopamine (Intropin) is administered to a client who is hypotensive. Which finding sho
zm zm zm zm zm zm zm zm zm zm zm zm



uld the nurse identify as a therapeutic response?
zm zm zm zm zm zm zm



A. Gain in weight
zm zm zm



B. Increase in urine output
zm zm zm zm



C. Improved gastric motility
zm zm zm



D. Decrease in blood pressure
zm zm zm zm




ANSWER

B. Increase in urine output Rationale: Intropin activates dopamine receptors in the kidney and dilate
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



s blood vessels to improve renal perfusion, so an increase in urine output (
zm zm zm zm zm zm zm zm zm zm zm zm zm



B) indicates an increase in glomerular filtration caused by increased arterial blood pressure. (
zm zm zm zm zm zm zm zm zm zm zm zm zm



A) is related to fluid retention but is not an indicator of a therapeutic response to dopamine therap
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



y. (
zm



C) is not related to the vasopressor effect of dopamine therapy. Dopamine increases cardiac output,
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



which increases a client's blood pressure, not (D).
zm zm zm zm zm zm zm




QUESTION 2 zm




A client with diabetes mellitus takes insulin daily and is prescribed propranolol (Inde
zm zm zm zm zm zm zm zm zm zm zm zm



ral). Which information should the nurse provide this client?
zm zm zm zm zm zm zm zm




ANSWER

Propranolol suppresses a rapid heart rate as a sign of hypoglycemia.
zm zm zm zm zm zm zm zm zm zm




QUESTION 3 zm




A client who arrives in the PACU after surgery is not awake from general anesthesia.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



What action should the nurse implement first?
zm zm zm zm zm zm

, ANSWER

Review the medication administration record (MAR).
zm zm zm zm zm




QUESTION 4 zm




During therapy with isoniazid (INH), it is most important for the nurse to monitor wh
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ich laboratory value closely?
zm zm zm



A. Liver enzyme levels
zm zm zm



B. Blood urea nitrogen (BUN) level
zm zm zm zm zm



C. Serum electrolyte levels
zm zm zm



D. Complete blood count (CBC)
zm zm zm zm




ANSWER

A. Liver enzyme levels Rationale: The client receiving isoniazid (INH) is at risk for the development
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



of hepatitis; therefore, liver function test results should be monitored carefully during drug therapy
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



(A). (B, C, and
zm zm zm



D) are not specific indicators of liver function, so they are not monitored closely during isoniazid (I
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



NH) therapy.zm




QUESTION 5 zm




A client who arrives in the postanesthesia care unit (PACU) after surgery is not awake
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



from general anesthesia. Which action should the nurse implement first?
zm zm zm zm zm zm zm zm zm zm



A. Assess for deep tendon reflexes.
zm zm zm zm zm



B. Observe urinary output.
zm zm zm



C. Review the medication administration record (MAR).
zm zm zm zm zm zm



D. Administer naloxone (Narcan).
zm zm zm




ANSWER

C. Review the medication administration record (MAR). Rationale: Most general anesthetics produce
zm zm zm zm zm zm zm zm zm zm zm zm



cardiovascular and respiratory depression, so a review of the client's MAR identifies all the medicati
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ons ( zm



C) received during surgery and helps the nurse anticipate the client's response and emergence from
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



anesthesia. (A and zm zm



B) are ongoing postoperative assessments. Based on the medications that the client has received, (
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



D) may need to be administered if indicated by the client's vital signs and delayed spontaneous reac
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



tivity



QUESTION 6 zm




In addition to nitrate therapy, a client is receiving nifedipine (Procardia), 10 mg PO e
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



very 6 hours. The nurse should plan to observe for which common side effect of this t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



reatment regimen? zm



A. Hypotension
zm



B. Hyperkalemia
zm