PHARMACOLOGY NCLEX-PN QUESTIONS AND 100% CORRECT
ANSWERS!!
Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus)
two puffs by metered-dose inhaler have been prescribed for a client with chronic
obstructive pulmonary disease. The nurse caring for the client provides instructions
regarding administration of the medication. Which statement by the client indicates
an understanding of how to take these medications?
1. "I will take the two puffs of the fluticasone propionate first and then the two
puffs of the albuterol."
2. "I will take the two puffs of the albuterol first and then the two puffs of the
fluticasone propionate."
3."I will alternate a single puff of each, beginning with the fluticasone propionate."
4. "I will alternate a single puff of each, beginning with the albuterol."
Answers :2. "I will take the two puffs of the albuterol first and then the two puffs
of the fluticasone propionate."
Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric
health care clinic. The nurse is collecting data on the client and is providing
instructions regarding the use of this medication. Which is most important for the
nurse to determine before administration of this medication?
1. A history of hyperthyroidism
2. A history of diabetes insipidus
,3. When the last full meal was consumed
4. When the last alcoholic drink was consumed
Answers :4. When the last alcoholic drink was consumed
A nurse is caring for a client with liver disease. Laboratory studies are performed,
and the client's serum calcium level is 13 mg/dL. The nurse checks to see that
which medication is available in the stock medication supply area on the clinical
nursing unit that may be needed to treat this calcium imbalance?
1. Vitamin D
2. Calcium chloride
3. Calcium gluconate
4. Calcitonin (Cibacalcin)
Answers :4. Calcitonin (Cibacalcin)
A client with carcinoma is admitted to the hospital for a chemotherapy treatment
with intravenous bleomycin sulfate. The plan of care mentions observing for
interstitial pneumonitis as the priority of care. Which assessment finding most
closely correlates to symptoms of interstitial pneumonitis, requiring reporting?
1. Productive cough with thick, yellow sputum
2. Distended neck veins with pink, frothy sputum
,3. Barking cough upon exertion
4. Lung wheezing and shortness of breath
Answers :4. Lung wheezing and shortness of breath
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if
noted on the client's record, indicates that the medication needs to be administered
with caution?
1. Ulcerative colitis
2. Diabetes insipidus
3. Renal insufficiency
4. Coronary artery disease
Answers :3. Renal insufficiency
A nurse employed in the emergency department is preparing to administer syrup of
ipecac to a 7-month-old child. The nurse prepares 5 mL of the syrup and
administers one half glass of water following administration of the ipecac syrup.
Which response would the nurse expect?
1. Vomiting
2. Diarrhea
, 3. Increased level of consciousness
4. Elevated blood pressure
Answers :1. Vomiting
A nurse is reinforcing dietary instructions to a client who has been prescribed
cyclosporine (Sandimmune). Which food item would the nurse instruct the client to
avoid?
1. Red meats
2. Orange juice
3. Grapefruit juice
4. Green, leafy vegetables
Answers :3. Grapefruit juice
A client is being treated for acute congestive heart failure with intravenously
administered bumetanide. The vital signs are as follows: blood pressure, 100/60
mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial
dose, which of the following is the priority assessment?
1. Monitoring weight loss
2. Monitoring temperature
ANSWERS!!
Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus)
two puffs by metered-dose inhaler have been prescribed for a client with chronic
obstructive pulmonary disease. The nurse caring for the client provides instructions
regarding administration of the medication. Which statement by the client indicates
an understanding of how to take these medications?
1. "I will take the two puffs of the fluticasone propionate first and then the two
puffs of the albuterol."
2. "I will take the two puffs of the albuterol first and then the two puffs of the
fluticasone propionate."
3."I will alternate a single puff of each, beginning with the fluticasone propionate."
4. "I will alternate a single puff of each, beginning with the albuterol."
Answers :2. "I will take the two puffs of the albuterol first and then the two puffs
of the fluticasone propionate."
Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric
health care clinic. The nurse is collecting data on the client and is providing
instructions regarding the use of this medication. Which is most important for the
nurse to determine before administration of this medication?
1. A history of hyperthyroidism
2. A history of diabetes insipidus
,3. When the last full meal was consumed
4. When the last alcoholic drink was consumed
Answers :4. When the last alcoholic drink was consumed
A nurse is caring for a client with liver disease. Laboratory studies are performed,
and the client's serum calcium level is 13 mg/dL. The nurse checks to see that
which medication is available in the stock medication supply area on the clinical
nursing unit that may be needed to treat this calcium imbalance?
1. Vitamin D
2. Calcium chloride
3. Calcium gluconate
4. Calcitonin (Cibacalcin)
Answers :4. Calcitonin (Cibacalcin)
A client with carcinoma is admitted to the hospital for a chemotherapy treatment
with intravenous bleomycin sulfate. The plan of care mentions observing for
interstitial pneumonitis as the priority of care. Which assessment finding most
closely correlates to symptoms of interstitial pneumonitis, requiring reporting?
1. Productive cough with thick, yellow sputum
2. Distended neck veins with pink, frothy sputum
,3. Barking cough upon exertion
4. Lung wheezing and shortness of breath
Answers :4. Lung wheezing and shortness of breath
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if
noted on the client's record, indicates that the medication needs to be administered
with caution?
1. Ulcerative colitis
2. Diabetes insipidus
3. Renal insufficiency
4. Coronary artery disease
Answers :3. Renal insufficiency
A nurse employed in the emergency department is preparing to administer syrup of
ipecac to a 7-month-old child. The nurse prepares 5 mL of the syrup and
administers one half glass of water following administration of the ipecac syrup.
Which response would the nurse expect?
1. Vomiting
2. Diarrhea
, 3. Increased level of consciousness
4. Elevated blood pressure
Answers :1. Vomiting
A nurse is reinforcing dietary instructions to a client who has been prescribed
cyclosporine (Sandimmune). Which food item would the nurse instruct the client to
avoid?
1. Red meats
2. Orange juice
3. Grapefruit juice
4. Green, leafy vegetables
Answers :3. Grapefruit juice
A client is being treated for acute congestive heart failure with intravenously
administered bumetanide. The vital signs are as follows: blood pressure, 100/60
mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial
dose, which of the following is the priority assessment?
1. Monitoring weight loss
2. Monitoring temperature
