Page 1 of 53
“PN NCLEX EVOLVE MEDICATION/IV
CALCULATIONS EXAM 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
PN NCLEX Evolve Medication/IV calculations
The nurse would provide instructions concerning which side effect to a client
prescribed chlorpromazine?
Dry mouth
Lip smacking
Hand tremors
Increased urinary output
Dry mouth
To determine whether the client is experiencing akathisia as an adverse effect
of the medication haloperidol, what would the nurse observe the client for?
Lip smacking
Puffing of the cheeks
Rapid tongue movements
Restlessness or constant generalized movement
Restlessness or constant generalized movement
The nurse would assess for which toxic effect when managing the care of a
client prescribed haloperidol?
Nausea
Hypotension
, Page 2 of 53
Blurred vision
Excessive salivation
Excessive salivation
When a client develops neuroleptic malignant syndrome, the nurse ensures
that which medication is available on the unit to address this complication?
Phytonadione
Bromocriptine
Protamine sulfate
Enalapril maleate
Bromocriptine
The nurse assesses for a therapeutic effect of ziprasidone by asking the client
which question?
"Have you had more restful sleep during daytime naps?"
"Have you experienced relief of heartburn and indigestion with meals?"
"Have you experienced an increase in concentration during daily activities?"
"Have you had a decrease in heart palpitations with outside physical
activities?"
"Have you experienced an increase in concentration during daily activities?"
Which assessment findings suggest to the nurse that the client is
experiencing tardive dyskinesia?
Severe headache, flushing, tremors, and ataxia
Abnormal breathing through the nostrils, accompanied by a thrill
Severe hypertension, migraine headache, and "marbles in the mouth"
syndrome
Movements of the mouth, tongue, and face that are both abnormal and
involuntary
Movements of the mouth, tongue, and face that are both abnormal and involuntary
Which assessment finding would the nurse anticipate when monitoring a client
who is at risk for developing neuroleptic malignant syndrome?
Dysphagia
Bradycardia
Hypotension
Hyperpyrexia
Hyperpyrexia
, Page 3 of 53
A client is prescribed fluphenazine daily. The nurse teaches the client to take
which measure to minimize a common side/adverse effect of this medication?
Monitor the temperature daily.
Use hard sour candy or sugarless gum.
Eat snacks at midmorning and at bedtime.
Have the blood pressure checked once a week.
Use hard sour candy or sugarless gum.
A client prescribed chlorpromazine hydrochloride calls the mental health clinic
to report urine that is much darker than usual. The client currently has no
other urinary symptoms. What instructions would the nurse provide the client
based on this information?
That this is an expected side effect of the medication
To seek treatment for a possible urinary tract infection
To increase the daily intake of acid-ash foods and liquids
That this symptom indicates mild chlorpromazine hydrochloride toxicity
That this is an expected side effect of the medication
A client begins to experience extrapyramidal side effects from an
antipsychotic medication. The nurse anticipates that the primary health care
provider will prescribe which medication to treat this condition?
Haloperidol
Benztropine
Chlorpromazine
Prochlorperazine
Benztropine
A client with a history of mental illness and taking an antipsychotic medication
is visiting the primary health care provider (PHCP) office. The client complains
to the nurse of constant xerostomia. The nurse knows that which factor is the
most likely cause?
The client's diet
The client's dehydration
The client's medications
The client's history of substance abuse
The client's medications4
, Page 4 of 53
The nurse notes that a client with schizophrenia who is receiving an
antipsychotic medication is moving the mouth, protruding the tongue, and
grimacing while watching television. The nurse determines that the client is
experiencing which medication complication?
Parkinsonism
Tardive dyskinesia
Hypertensive crisis
Neuroleptic malignant syndrome
Tardive dyskinesia
The nurse knows that which drug acts by decreasing axonal conduction?
Lidocaine [Xylocaine], a local anesthetic
Citalopram [Celexa], an antidepressant
Morphine [Duramorph], a pain reliever
Halothane [Fluothane], a general anesthetic
Lidocaine [Xylocaine], a local anesthetic
Local anesthetics are neuropharmacologic agents that act by decreasing axonal
conduction. Most neuropharmacologic agents act by altering synaptic transmission.
Only a few alter axonal conduction. Drugs that alter synaptic transmission can
produce effects that are much more selective than those produced by drugs that
alter axonal conduction.
The nurse is administering diphenhydramine [Benadryl], a
neuropharmacologic agent that works by doing what?
a) Preventing mast cells from releasing histamine
b) Preventing axonal conduction
c) Binding to histamine receptors, preventing receptor activation
d) Acting as an agonist to H1 histamine receptors
c) Binding to histamine receptors, preventing receptor activation
Drugs that bind to receptors and prevent their activation include naloxone (used to
treat overdose with morphine-like drugs), antihistamines (used to treat allergic
“PN NCLEX EVOLVE MEDICATION/IV
CALCULATIONS EXAM 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
PN NCLEX Evolve Medication/IV calculations
The nurse would provide instructions concerning which side effect to a client
prescribed chlorpromazine?
Dry mouth
Lip smacking
Hand tremors
Increased urinary output
Dry mouth
To determine whether the client is experiencing akathisia as an adverse effect
of the medication haloperidol, what would the nurse observe the client for?
Lip smacking
Puffing of the cheeks
Rapid tongue movements
Restlessness or constant generalized movement
Restlessness or constant generalized movement
The nurse would assess for which toxic effect when managing the care of a
client prescribed haloperidol?
Nausea
Hypotension
, Page 2 of 53
Blurred vision
Excessive salivation
Excessive salivation
When a client develops neuroleptic malignant syndrome, the nurse ensures
that which medication is available on the unit to address this complication?
Phytonadione
Bromocriptine
Protamine sulfate
Enalapril maleate
Bromocriptine
The nurse assesses for a therapeutic effect of ziprasidone by asking the client
which question?
"Have you had more restful sleep during daytime naps?"
"Have you experienced relief of heartburn and indigestion with meals?"
"Have you experienced an increase in concentration during daily activities?"
"Have you had a decrease in heart palpitations with outside physical
activities?"
"Have you experienced an increase in concentration during daily activities?"
Which assessment findings suggest to the nurse that the client is
experiencing tardive dyskinesia?
Severe headache, flushing, tremors, and ataxia
Abnormal breathing through the nostrils, accompanied by a thrill
Severe hypertension, migraine headache, and "marbles in the mouth"
syndrome
Movements of the mouth, tongue, and face that are both abnormal and
involuntary
Movements of the mouth, tongue, and face that are both abnormal and involuntary
Which assessment finding would the nurse anticipate when monitoring a client
who is at risk for developing neuroleptic malignant syndrome?
Dysphagia
Bradycardia
Hypotension
Hyperpyrexia
Hyperpyrexia
, Page 3 of 53
A client is prescribed fluphenazine daily. The nurse teaches the client to take
which measure to minimize a common side/adverse effect of this medication?
Monitor the temperature daily.
Use hard sour candy or sugarless gum.
Eat snacks at midmorning and at bedtime.
Have the blood pressure checked once a week.
Use hard sour candy or sugarless gum.
A client prescribed chlorpromazine hydrochloride calls the mental health clinic
to report urine that is much darker than usual. The client currently has no
other urinary symptoms. What instructions would the nurse provide the client
based on this information?
That this is an expected side effect of the medication
To seek treatment for a possible urinary tract infection
To increase the daily intake of acid-ash foods and liquids
That this symptom indicates mild chlorpromazine hydrochloride toxicity
That this is an expected side effect of the medication
A client begins to experience extrapyramidal side effects from an
antipsychotic medication. The nurse anticipates that the primary health care
provider will prescribe which medication to treat this condition?
Haloperidol
Benztropine
Chlorpromazine
Prochlorperazine
Benztropine
A client with a history of mental illness and taking an antipsychotic medication
is visiting the primary health care provider (PHCP) office. The client complains
to the nurse of constant xerostomia. The nurse knows that which factor is the
most likely cause?
The client's diet
The client's dehydration
The client's medications
The client's history of substance abuse
The client's medications4
, Page 4 of 53
The nurse notes that a client with schizophrenia who is receiving an
antipsychotic medication is moving the mouth, protruding the tongue, and
grimacing while watching television. The nurse determines that the client is
experiencing which medication complication?
Parkinsonism
Tardive dyskinesia
Hypertensive crisis
Neuroleptic malignant syndrome
Tardive dyskinesia
The nurse knows that which drug acts by decreasing axonal conduction?
Lidocaine [Xylocaine], a local anesthetic
Citalopram [Celexa], an antidepressant
Morphine [Duramorph], a pain reliever
Halothane [Fluothane], a general anesthetic
Lidocaine [Xylocaine], a local anesthetic
Local anesthetics are neuropharmacologic agents that act by decreasing axonal
conduction. Most neuropharmacologic agents act by altering synaptic transmission.
Only a few alter axonal conduction. Drugs that alter synaptic transmission can
produce effects that are much more selective than those produced by drugs that
alter axonal conduction.
The nurse is administering diphenhydramine [Benadryl], a
neuropharmacologic agent that works by doing what?
a) Preventing mast cells from releasing histamine
b) Preventing axonal conduction
c) Binding to histamine receptors, preventing receptor activation
d) Acting as an agonist to H1 histamine receptors
c) Binding to histamine receptors, preventing receptor activation
Drugs that bind to receptors and prevent their activation include naloxone (used to
treat overdose with morphine-like drugs), antihistamines (used to treat allergic
