Download Latest 2024 RN Pharmacology Practice Exam – Full Question Bank of 242 Verified NCLEX Qs and more Exams Nursing in PDF only on Docsity!
Latest 2024 RN Pharmacology Practice Exam –
Full Question Bank of 242 Verified NCLEX
Questions with Detailed Rationales and High-
Yield Answers
Question 1: Terbutaline and Preterm Labor Q1: A nurse is reviewing a new prescription for terbutaline with a client who has a history of preterm labor. Which of the following client statements indicates understanding of the teaching? A. "I can increase my activity now that I've started on this medication." B. "I will increase my daily fluid intake to 3 quarts." C. "I will report increasing intensity of contractions to my doctor." D. "I am glad this will prevent preterm labor." Correct Answer: C Rationale: The client should report any increase in contraction intensity, frequency, or duration , as these are signs of preterm labor despite treatment.
- A: Activity should still be monitored; terbutaline is not a license for unrestricted movement.
- B: While hydration is important, this is not the key safety teaching here.
- D: Terbutaline may delay preterm labor, but does not guarantee prevention. Question 2: Adverse Effects of Allopurinol Q2: A nurse is providing teaching for a client who has gout and a new prescription for allopurinol. Which of the following adverse effects should the client be taught to monitor? (Select all that apply.) A. Stomatitis B. Insomnia C. Nausea
D. Rash E. Increased gout pain Correct Answers: C, D, E Rationale:
- C: Nausea is a common GI side effect.
- D: Rash may indicate a serious hypersensitivity reaction.
- E: Gout flare-ups may paradoxically increase initially after starting allopurinol.
- A and B are not common adverse effects of allopurinol. Question 3: Route of Adalimumab Administration Q3: A nurse is caring for a client with rheumatoid arthritis who has a new prescription for adalimumab. Based on the route of administration, which action should the nurse take? A. Monitor the vein for thrombophlebitis B. Monitor the subcutaneous site for redness C. Check the oral mucosa for ulceration D. Inspect the skin after removing the transdermal patch Correct Answer: B Rationale: Adalimumab is given via subcutaneous injection , and local site reactions like redness or swelling are common.
- A: It’s not an IV drug.
- C: It is not administered orally.
- D: There is no transdermal form. Question 4: Belimumab Administration Q4: A nurse is preparing to administer belimumab to a client with systemic lupus erythematosus (SLE). Which of the following should the nurse plan to do?
A. "I will be sure to return to the clinic at least once a year to have my blood drawn while I'm taking methotrexate." B. "I will take this medication on an empty stomach." C. "I'll let the doctor know if I develop sores in my mouth while taking this medication." D. "I should stop taking oral contraceptives while I'm taking methotrexate." Correct Answer: C Rationale: Oral sores are an early sign of methotrexate toxicity and should be reported immediately.
- A: Blood tests must be done more frequently than annually.
- B: It can be taken with or without food , depending on tolerance.
- D: Methotrexate is teratogenic , so contraceptives should not be stopped —they are essential. A nurse is providing teaching to a client who is taking raloxifene to prevent postmenopausal osteoporosis. The nurse should advise the client that which of the following are adverse effects of this medication? (Select all that apply.) A. hot flashes B.Lump in breast C.Swelling or redness in calf D.Shortness of breath E.Difficulty swallowing - - correct ans- - A. Raloxifene can cause hot flashes
or increase existing hot flashes. C. Raloxifene increases the risk for thrombophlebitis, which can cause swelling or redness in the calf. D. Raloxifene increases the risk for pulmonary embolism, which can cause shortness of breath. A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following instructions should the nurse provide? (Select all that apply.) A.Take medication in the morning before eating. B.Chew tablets to increase bioavailability. C.Drink an 8 oz glass of water with each tablet. D.Take medication with an antacid if heartburn occurs. E.Avoid lying down after taking this medication - - correct ans- - A. Take alendronate first thing in the morning before eating to increase absorption
B.Calcium carbonate C.Zoledronic acid D.Ibandronate - - correct ans- - B. The client's serum calcium level is below the expected reference range. Calcium carbonate is an oral form of calcium used to increase serum calcium to the expected reference range. A nurse is providing instruction to a client who has a new prescription for calcitonin-salmon for postmenopausal osteoporosis. Which of the following instructions should the nurse include in the teaching? A.Swallow tablets on an empty stomach with plenty of water. B.Watch for skin rash and redness when applying calcitonin-salmon topically. C. mix the liquid medication with juice and take it after meals. D.Alternate nostrils each time calcitonin-salmon is inhale - - correct ans- - D.Calcitonin-salmon can be administered Im or subcutaneously, but is commonly administered intranasally for postmenopausal osteoporosis. The client should alternate nostrils daily. A nurse is assessing a client who has salicylism. Which of the following findings should the nurse expect? (Select all that apply.)
A.Dizziness B.Diarrhea C.Jaundice D.Tinnitus E. headache - - correct ans- - A. The client who has salicylism can have dizziness, which is an expected finding. D. The client who has salicylism can have tinnitus, which is an expected finding. E. The client who has salicylism can have a headache, which is an expected finding A nurse is admitting a toddler to the hospital after an acetaminophen overdose. Which of the following medications should the nurse anticipate administering to this client? A.Acetylcysteine B.Pegfilgrastim C. misoprostol D.Naltrexone - - correct ans- - A. The nurse should administer acetylcysteine,
increased by aspirin, which inhibits platelet aggregation. This client would have an increased risk for bleeding. Use of aspirin generally is contraindicated for clients who take warfarin. A nurse in an emergency department is performing an admission assessment for a client who has severe aspirin toxicity. Which of the following findings should the nurse expect? A.Body temperature 35° C (95° F) B.Lung crackles C.Cool, dry skin D.Respiratory depression - - correct ans- - D. Respiratory depression due to increasing respiratory acidosis is an expected manifestation of severe aspirin toxicity. A nurse is preparing to administer an opioid agonist to a client who has acute pain. Which of the following complications should the nurse monitor? A.Urinary retention B.Tachypnea C. hypertension
D.Irritating cough - - correct ans- - A. The nurse should monitor for urinary retention because morphine can suppress awareness that the bladder is full. A nurse is caring for a client who has end-stage cancer and is receiving morphine. The client's daughter asks why the provider prescribed methylnaltrexone. Which of the following responses should the nurse make? A."The medication will increase your mother's respirations." B."The medication will prevent dependence on the morphine." C."The medication will relieve your mother's constipation." D."The medication works with the morphine to increase pain relief. - - correct ans- - C.methylnaltrexone is an opioid antagonist used for treating severe constipation that is unrelieved by laxatives in clients who are opioid-dependent. The medication blocks the mu opioid receptors in the GI tract. A nurse is preparing to administer butorphanol to a client who has a history of substance use disorder. The nurse should identify which of the following information as true regarding butorphanol? A.Butorphanol has a gr
respiratory rate is 12/min or less, and notify the provider. A nurse is reviewing the medication administration record for a client who is receiving transdermal fentanyl for severe pain. Which of the following medications should the nurse expect to cause an adverse effect when administered concurrently with fentanyl? A.Ampicillin B.Diazepam C.Furosemide D.Prednisone - - correct ans- - B. Diazepam, a benzodiazepine, is a CNS depressant, which can interact by causing the client to become severely sedated when administered concurrently with an opioid agonist or agonist/antagonist. A nurse is caring for a client who has cancer and is taking morphine and carbamazepine or pain. Which of the following effects should the nurse monitor for when giving the medications together? (Select all that apply.) A.Need for reduced dosage of the opioid B.Reduced adverse effects of the opioid
C.Increased analgesic effects D.Enhanced CNS stimulation E.Increased opioid tolerance - - correct ans- - A. Dosage of the opioid can be reduced when adjuvant medications are added for pain. B. Adverse effects of the opioid can be reduced when adjuvant medications are added for pain. C. Analgesic effects are increased when adjuvant medications are added for pain A nurse is planning care for a client who has brain cancer and is experiencing headaches. Which of the following adjuvant medications are indicated for this client? A.Dexamethasone B. methylphenidate C. hydroxyzine D.Amitriptyline - - correct ans- - A.Dexamethasone, a glucocorticoid, decreases inflammation and swelling. It is used to reduce cerebral edema and relieve pressure from the tumor. A nurse is preparing to administer
C. monitor serum potassium level. D. monitor for gastric bleeding. E. monitor for respiratory depression - - correct ans- - B.monitoring serum glucose is important because glucocorticoids raise the glucose level, especially in clients who have diabetes mellitus. C.monitoring serum potassium level is important because glucocorticoids can cause hypokalemia. D.monitoring for gastric bleeding is important because glucocorticoids irritate the gastric mucosa and put the client at risk for a peptic ulcer. A nurse is administering amitriptyline to a client who is experiencing cancer pain. For which of the following adverse effects should the nurse monitor? A.Decreased appetite B.Explosive diarrhea C.Decreased pulse rate D.Orthostatic hypotension - - correct ans- - D. Amitriptyline can cause orthostatic hypotension. The nurse should assess for this effect and instruct the client to move
slowly from lying down or sitting after taking this medication. A nurse is providing teaching to a client who is experiencing migraine headaches. Which of the following instructions should the nurse provide? (Select all that apply.) A.Take ergotamine as a prophylaxis to prevent a migraine headache. B.Identify and avoid trigger factors. C.Lie down in a dark quiet room at the onset of a migraine. D.Avoid foods that contain tyramine. E.Avoid exercise that can increase heart rate - - correct ans- - B. Identifying and avoiding trigger factors is an important action that can help to prevent some migraines. C. Lying down in a dark, quiet room at the onset of a migraine can prevent the onset of more severe manifestations. D. Foods that contain tyramine can be a trigger for some migraines and should be avoided.
A nurse is reviewing the health history of a client who has migraine headaches and is to begin prophylaxis therapy with propranolol. Which of the following findings in the client history should the nurse report to the provider? A.The client had a prior myocardial infarction. B.The client takes warfarin for atrial fibrillation. C.The client takes an SSRI for depression. D.An ECG indicates a first-degree heart block - - correct ans- - D. Propranolol is contraindicated in clients who have a first-degree heart block. The nurse should report this finding to the provider. A nurse is providing teaching to a client who has migraine headaches and a new prescription for ergotamine. For which of the following adverse effects should the nurse instruct the client to stop taking the medication and notify the provider? (Select all that apply.) A.Nausea B.Visual disturbances
C.Positive home pregnancy test D.Numbness and tingling in fingers E. muscle pain - - correct ans- - C. A client who has a positive home pregnancy test should stop taking ergotamine and notify the provider. Ergotamine is classified as Pregnancy Risk Category X and can cause fetal abortion. D. Numbness and tingling in fingers or toes can be a finding in ergotamine overdose. The medication should be stopped and the provider notified. E. Unexplained muscle pain can be a finding in ergotamine overdose. The medication should be stopped and the provider notified A nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hr after administration? A.Insulin glargine B.NPH insulin C.Regular insulin D.Insulin lispro - - correct ans- - C. Regular insulin has a peak effect around 1 to 5 hr following administration
