9/1/25, 9:54 PM NCLEX PN Prep: Pharmacology
NCLEX PN Pharmacology Actual Test Bank Exam Newest
2025/2026 With Complete Questions And Correct Answers
|Already Graded A+||Brand New Version!|
Correct Answers: B, D, and F
Clients with preexisting conditions
(eg, asthma, hypertension,
diabetes) may require changes to
medication therapy if they become
pregnant. In particular, teratogenic
or unnecessary medications should
be discontinued (before conception,
when possible). The nurse should
refer a client taking contraindicated
medications to a health care
provider immediately. For example:
· Doxycycline, a tetracycline
antibiotic, is avoided in pregnancy
because it can impair bone
A client at 9 weeks gestation
mineralization and discolor
arrives at the clinic for an initial
permanent teeth in the fetus.
obstetric appointment. The
· Isotretinoin (Accutane) has a black
nurse reviews the client's
box warning for severe birth
medical history and obtains a
defects. Retinoids may not be
list of current medications.
prescribed to women of
The nurse recognizes that
childbearing age without a formal
which of the following
agreement to participate in
medications should be clarified
iPLEDGE (a prescription tracking
with the health care provider
program) and a commitment to use
immediately? Select all that
two forms of contraception.
apply.
· ACE inhibitors such as lisinopril
(Prinivil) have a black box warning
A. Albuterol
for use in pregnancy because they
B. Doxycycline
can affect fetal renal function and
C. Isulin aspart
lung development or cause fetal
D. Isotretinoin
death.
/ 1/361
,9/1/25, 9:54 PM NCLEX PN Prep: Pharmacology
E. Levothyroxine
F. Lisinopril
Incorrect Answers:
[A. Albuterol] Albuterol, an inhaled
beta agonist, has not been
conclusively proved to be safe
during pregnancy but should be
continued when medically indicated
(eg, severe asthma) to prevent the
risks of asthma during pregnancy
(eg, preterm birth, growth
restriction).
[C. Isulin aspart] Insulin is safe
for use during pregnancy and is
commonly used to treat
pregestational or gestational
diabetes.
[E. Levothyroxine] Levothyroxine
(Synthroid) for treatment of
hypothyroidism is safe but should be
monitored carefully to ensure an
appropriate dose due to
physiological changes in pregnancy.
Educational objective:Commonly
used medications that are absolutely
contraindicated in pregnancy
include doxycycline, isotretinoin,
and ACE inhibitors.
/ 2/361
,9/1/25, 9:54 PM NCLEX PN Prep: Pharmacology
Correct Answer: C. Client falls
asleep while talking to the nurse
Respiratory depression is the most
serious side effect of narcotic
medication. Sedation precedes
respiratory depression. Falling
asleep during a conversation scores
"3" on the Pasero Opioid- Induced
Sedation Scale (POSS); no
additional narcotics should be given
to the client. Other classes of drugs
(eg, non-steroidal anti-
inflammatory medications) can be
given if the client is still in pain.
The client will also be at increased
risk for respiratory depression if the
pain is completely relieved and/or it
is night time. No additional
The nurse administers the
narcotics should be given until the
prescribed dose of
client is at level 2 sedation on POSS
hydromorphone 2 mg to a
(eg, slightly drowsy, easily
client who is 2 days
aroused).
postoperative from a
colostomy.
Incorrect Answers:
Which assessment finding is [A. Client has 1 emesis of green
most important for the nurse to fluid] Nausea or vomiting is a typical
follow-up? side-effect of narcotic
administration, especially when it is
A. Client has 1 emesis of green
given in a larger dose or to the
fluid
B. Client has had no bowel opioid-naïve client. It usually lessens
movement for 2 days with time and repeat administration.
C. Client falls asleep while Nausea or vomiting would not be a
concern unless it is excessive or
talking to the nurse
D. Client reports experiencing severe. The nurse should ensure
pruritus
that the client receives adequate
hydration (eg, intravenous fluids,
clear liquids, antiemetics).
[B. Client has had no bowel
/ 3/361
, 9/1/25, 9:54 PM NCLEX PN Prep: Pharmacology
movement for 2 days] Constipation is
a known side effect of opioid
administration and does not lessen
with long-term administration.
Proactive measures are needed as
long as the client is on narcotics.
However, large intestine peristalsis
does not usually start until 2-3 days
after surgery.
[D. Client reports experiencing
pruritus] Pruritus (itching) is a known
side effect of narcotic administration.
It is usually treated with
diphenhydramine (Benadryl) or some
other antihistamine.
Educational objective:Sedation
precedes respiratory depression in
narcotic administration. A client
(especially if on high doses) should
be assessed for sedation level.
Level 3 sedation on POSS requires
that no additional narcotics be
administered to the client.
/ 4/361
NCLEX PN Pharmacology Actual Test Bank Exam Newest
2025/2026 With Complete Questions And Correct Answers
|Already Graded A+||Brand New Version!|
Correct Answers: B, D, and F
Clients with preexisting conditions
(eg, asthma, hypertension,
diabetes) may require changes to
medication therapy if they become
pregnant. In particular, teratogenic
or unnecessary medications should
be discontinued (before conception,
when possible). The nurse should
refer a client taking contraindicated
medications to a health care
provider immediately. For example:
· Doxycycline, a tetracycline
antibiotic, is avoided in pregnancy
because it can impair bone
A client at 9 weeks gestation
mineralization and discolor
arrives at the clinic for an initial
permanent teeth in the fetus.
obstetric appointment. The
· Isotretinoin (Accutane) has a black
nurse reviews the client's
box warning for severe birth
medical history and obtains a
defects. Retinoids may not be
list of current medications.
prescribed to women of
The nurse recognizes that
childbearing age without a formal
which of the following
agreement to participate in
medications should be clarified
iPLEDGE (a prescription tracking
with the health care provider
program) and a commitment to use
immediately? Select all that
two forms of contraception.
apply.
· ACE inhibitors such as lisinopril
(Prinivil) have a black box warning
A. Albuterol
for use in pregnancy because they
B. Doxycycline
can affect fetal renal function and
C. Isulin aspart
lung development or cause fetal
D. Isotretinoin
death.
/ 1/361
,9/1/25, 9:54 PM NCLEX PN Prep: Pharmacology
E. Levothyroxine
F. Lisinopril
Incorrect Answers:
[A. Albuterol] Albuterol, an inhaled
beta agonist, has not been
conclusively proved to be safe
during pregnancy but should be
continued when medically indicated
(eg, severe asthma) to prevent the
risks of asthma during pregnancy
(eg, preterm birth, growth
restriction).
[C. Isulin aspart] Insulin is safe
for use during pregnancy and is
commonly used to treat
pregestational or gestational
diabetes.
[E. Levothyroxine] Levothyroxine
(Synthroid) for treatment of
hypothyroidism is safe but should be
monitored carefully to ensure an
appropriate dose due to
physiological changes in pregnancy.
Educational objective:Commonly
used medications that are absolutely
contraindicated in pregnancy
include doxycycline, isotretinoin,
and ACE inhibitors.
/ 2/361
,9/1/25, 9:54 PM NCLEX PN Prep: Pharmacology
Correct Answer: C. Client falls
asleep while talking to the nurse
Respiratory depression is the most
serious side effect of narcotic
medication. Sedation precedes
respiratory depression. Falling
asleep during a conversation scores
"3" on the Pasero Opioid- Induced
Sedation Scale (POSS); no
additional narcotics should be given
to the client. Other classes of drugs
(eg, non-steroidal anti-
inflammatory medications) can be
given if the client is still in pain.
The client will also be at increased
risk for respiratory depression if the
pain is completely relieved and/or it
is night time. No additional
The nurse administers the
narcotics should be given until the
prescribed dose of
client is at level 2 sedation on POSS
hydromorphone 2 mg to a
(eg, slightly drowsy, easily
client who is 2 days
aroused).
postoperative from a
colostomy.
Incorrect Answers:
Which assessment finding is [A. Client has 1 emesis of green
most important for the nurse to fluid] Nausea or vomiting is a typical
follow-up? side-effect of narcotic
administration, especially when it is
A. Client has 1 emesis of green
given in a larger dose or to the
fluid
B. Client has had no bowel opioid-naïve client. It usually lessens
movement for 2 days with time and repeat administration.
C. Client falls asleep while Nausea or vomiting would not be a
concern unless it is excessive or
talking to the nurse
D. Client reports experiencing severe. The nurse should ensure
pruritus
that the client receives adequate
hydration (eg, intravenous fluids,
clear liquids, antiemetics).
[B. Client has had no bowel
/ 3/361
, 9/1/25, 9:54 PM NCLEX PN Prep: Pharmacology
movement for 2 days] Constipation is
a known side effect of opioid
administration and does not lessen
with long-term administration.
Proactive measures are needed as
long as the client is on narcotics.
However, large intestine peristalsis
does not usually start until 2-3 days
after surgery.
[D. Client reports experiencing
pruritus] Pruritus (itching) is a known
side effect of narcotic administration.
It is usually treated with
diphenhydramine (Benadryl) or some
other antihistamine.
Educational objective:Sedation
precedes respiratory depression in
narcotic administration. A client
(especially if on high doses) should
be assessed for sedation level.
Level 3 sedation on POSS requires
that no additional narcotics be
administered to the client.
/ 4/361
