PHARMACOLOGY FINAL NCLEX QUESTIONS AND
CORRECT ANSWERS NEW MODIFIED GRADED A+
LATEST EXAM
Nadolol (Corgard) is prescribed for a patient. The nurse realizes that this drug is
a beta-adrenergic blocker and that this drug classification is contraindicated for
patients with which condition? A. Hypothyroidism
B. Angina pectoris
C. Bronchial asthma
D. Liver dysfunction
ANSWER: C
The nurse realizes that beta1 receptor stimulation is differentiated from beta2
stimulation in that stimulation of beta1 receptors leads to which condition? A.
Increased bronchodilation
B. Decreased uterine contractility
C. Increased myocardial contractility
D. Decreased blood flow to skeletal muscles
ANSWER: C
A patient is given epinephrine (Adrenalin), an adrenergic agonist
(sympathomimetic). The nurse should monitor the patient for which condition?
A. Decreased pulse
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,B. Pupil constriction
C. Bronchial constriction
D. Increased blood pressure
ANSWER: D
A patient who is taking epinephrine is also taking several other medications.
The nurse should realize that there is a possible drug interaction with which
drugs? (Select all that apply.) A. albuterol (Proventil)
B. metoprolol (Lopressor)
C. propranolol (Inderal)
D. digoxin (Lanoxin)
E. methyldopa (Aldomet)
ANSWERS: B C & D
Which components of pharmacokinetics does the nurse need to understand
before administering a drug? (select all that apply) A. Drugs with a smaller
volume of drug distribution have a longer half-life.
B. Oral drugs are dissolved through the process of pinocytosis.
C. Patients with kidney disease may have fewer protein-binding sites and are at
risk for drug toxicity.
D. Rapid absorption decreases the bioavailability of the drug.
E. When the drug metabolism rate is decreased, excess drug accumulation can
occur, which can cause toxicity.
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,ANSWERs: C & E
The nurse will question the health care provider if a drug with a half-life of
more than 24 hours is ordered to be given more than how often? A. Once daily
B. Every other day
C. Twice weekly
D. Once weekly
ANSWER: A ONCE DAILY
The nurse is explaining drug action to a nursing student. Which statement made
by the nurse is correct? A. "Water-soluble and ionized drugs are quickly
absorbed"
B. "A drug not bound to protein is an active drug"
C. "Most receptors are found under the cell membrane."
D. "Toxic effects can result if the trough level is low."
ANSWER: B
The nurse is caring for a patient with congestive heart failure who is receiving
digoxin (Digitek, Lanoxicaps, Lanolin). The nurse plans to take which action
when administering digoxin? A. Check the peak levels of digoxin.
B. Check the trough levels of digoxin.
C. Monitor for tachyphylaxis.
D. Monitor the therapeutic range of digoxin.
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, ANSWER: D
The nurse anticipates that the health care provider will order which laboratory
test for an older adult with renal dysfunction? A. Creatinine clearance
B. Glomerular filtration rate
C. Urine specific gravity
D. Urine pH
ANSWER: A
When reviewing the patient's medication regimen, the nurse understands that
the interval of drug dosage is related to what? A. Half-life
B. Stimulation of receptors
C. Therapeutic index
D. Trough level
ANSWER: A
Which nursing assessment(s) will the nurse include when developing a patient
medication plan? (Select all that apply) A. Check peak and trough levels of
drugs
B. Check the drug literature for the protein-binding percentage of a drug.
C. Identify side effects of drugs that are nonspecific.
D. Evaluate the patient's reaction to a drug.
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CORRECT ANSWERS NEW MODIFIED GRADED A+
LATEST EXAM
Nadolol (Corgard) is prescribed for a patient. The nurse realizes that this drug is
a beta-adrenergic blocker and that this drug classification is contraindicated for
patients with which condition? A. Hypothyroidism
B. Angina pectoris
C. Bronchial asthma
D. Liver dysfunction
ANSWER: C
The nurse realizes that beta1 receptor stimulation is differentiated from beta2
stimulation in that stimulation of beta1 receptors leads to which condition? A.
Increased bronchodilation
B. Decreased uterine contractility
C. Increased myocardial contractility
D. Decreased blood flow to skeletal muscles
ANSWER: C
A patient is given epinephrine (Adrenalin), an adrenergic agonist
(sympathomimetic). The nurse should monitor the patient for which condition?
A. Decreased pulse
Page 1 of 66
,B. Pupil constriction
C. Bronchial constriction
D. Increased blood pressure
ANSWER: D
A patient who is taking epinephrine is also taking several other medications.
The nurse should realize that there is a possible drug interaction with which
drugs? (Select all that apply.) A. albuterol (Proventil)
B. metoprolol (Lopressor)
C. propranolol (Inderal)
D. digoxin (Lanoxin)
E. methyldopa (Aldomet)
ANSWERS: B C & D
Which components of pharmacokinetics does the nurse need to understand
before administering a drug? (select all that apply) A. Drugs with a smaller
volume of drug distribution have a longer half-life.
B. Oral drugs are dissolved through the process of pinocytosis.
C. Patients with kidney disease may have fewer protein-binding sites and are at
risk for drug toxicity.
D. Rapid absorption decreases the bioavailability of the drug.
E. When the drug metabolism rate is decreased, excess drug accumulation can
occur, which can cause toxicity.
Page 2 of 66
,ANSWERs: C & E
The nurse will question the health care provider if a drug with a half-life of
more than 24 hours is ordered to be given more than how often? A. Once daily
B. Every other day
C. Twice weekly
D. Once weekly
ANSWER: A ONCE DAILY
The nurse is explaining drug action to a nursing student. Which statement made
by the nurse is correct? A. "Water-soluble and ionized drugs are quickly
absorbed"
B. "A drug not bound to protein is an active drug"
C. "Most receptors are found under the cell membrane."
D. "Toxic effects can result if the trough level is low."
ANSWER: B
The nurse is caring for a patient with congestive heart failure who is receiving
digoxin (Digitek, Lanoxicaps, Lanolin). The nurse plans to take which action
when administering digoxin? A. Check the peak levels of digoxin.
B. Check the trough levels of digoxin.
C. Monitor for tachyphylaxis.
D. Monitor the therapeutic range of digoxin.
Page 3 of 66
, ANSWER: D
The nurse anticipates that the health care provider will order which laboratory
test for an older adult with renal dysfunction? A. Creatinine clearance
B. Glomerular filtration rate
C. Urine specific gravity
D. Urine pH
ANSWER: A
When reviewing the patient's medication regimen, the nurse understands that
the interval of drug dosage is related to what? A. Half-life
B. Stimulation of receptors
C. Therapeutic index
D. Trough level
ANSWER: A
Which nursing assessment(s) will the nurse include when developing a patient
medication plan? (Select all that apply) A. Check peak and trough levels of
drugs
B. Check the drug literature for the protein-binding percentage of a drug.
C. Identify side effects of drugs that are nonspecific.
D. Evaluate the patient's reaction to a drug.
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