NCLEX-RN PHARMACOLOGY VERSION
1/NCLEX -RN PHARMACOLOGY TEST BANK
1 EXAM 2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
A client with heart failure has an order for lisinopril (Prinivil, Zestril). Which of the following
conditions in the client's history would lead the nurse to confirm the order with the provider?
1. A history of hypertension previously treated with diuretic therapy
2. A history of seasonal allergies currently treated with antihistamines
3. A history of angioedema after taking enalapril (Vasotec)
4. A history of alcoholism, currently abstaining
3
The teaching plan for a client receiving hydralazine (Apresoline) should include which of the
following points?
1. Returning for monthly urinalysis testing
2. Including citrus fruits, melons, and vegetables, in the diet
3, Decreasing potassium rich food in the diet
4. Rising slowly to standing from a sitting or lying position
4
Lisinopril (Prinivil) is part of the treatment regimen for a client with HF. The nurse monitors the
client for the development of which of the following adverse effects of this drug? (Select all that
apply.)
1|Page
,1. Hyperkalemia
2. Hypocalcemia
3. Cough
4. Dizziness
5. Heartburn
1, 3, 4
The client who has not responded to other therapies has been prescribed milrinone (Primacor)
for treatment of his heart failure. What essential assessment must the nurse make before
starting this drug?
1. Weight and presence of edema
2. Dietary intake of sodium
3. Electrolytes, especially potassium
4. History of sleep patterns and presence of sleep apnea
3
The client is being discharged with nitroglycerin (Nitrostat) for sublingual use. While planning
client education, what instruction will the nurse include?
1. "Swallow three tablets immediately for pain and call 911."
2. "Put one tablet under your tongue for chest pain. If pain does not subside, you may repeat in
5 minutes, taking no more than 3 tablets."
3. "Call your health care provider when you have chest pain. He will tell you how many tablets
to take."
4. "Place 3 tablets under your tongue and call 911."
2
Nitroglycerin patches have been ordered for a client with a history of angina. What teaching will
the nurse give to this client?
1. Keep the patches in the refrigerator.
2. Use the patches only if the chest pain is severe.
2|Page
,3. Remove the old patch before applying a new one.
4. Apply the patch only to the upper arm or thigh areas.
3
Which of the following assessment findings in a client who is receiving atenolol (Tenormin) for
angina would be cause for the nurse to hold the drug and contact the provider? (Select all that
apply.)
1. Heart rate of 50 beats/minute
2. Heart rate of 124 beats/minute
3. Blood pressure of 86/56
4. Blood pressure of 156/88
5. Tinnitus and vertigo
1,3
The nurse is caring for a client with chronic stable angina who is receiving isosorbide dinitrate
(Isordil). Which of the following are common adverse effects of isosorbide?
1. Flushing and headache
2. Tremors and anxiety
3. Sleepiness and lethargy
4. Light-headedness and dizziness
4
Place the following nursing interventions in order for a client who is experiencing chest pain.
1. Administer nitroglycerin sublingually
2. Assess heart rate and BP
3. Assess the location, quality, and intensity of pain
4. Document interventions and outcomes
5. Evaluate the location, quality, and intensity of pain
3, 2, 1, 5, 4
3|Page
, Erectile dysfunction drugs such as sildenafil (Viagara) are contraindicated in patients taking
nitrates for angina. What is the primary concern with concurrent administration of these drugs?
1. They contain nitrates, resulting in an overdose
2. They decrease BP and may result in prolonged and severe hypotension when combined with
nitrates.
3. They will adequately treat the patient's angina as well as erectile dysfunction.
4. They will increase the possibility of nitrate tolerance developing and should be avoided unless
other drugs can be used.
2
A client with type 1 diabetes on insulin therapy reports that he takes propranolol (Inderal) for
his hypertension. The nurse will teach the client to check glucose levels more frequently
because of what concern?
1. The propranolol can produce insulin resistance.
2. The two drugs used together will increase the risk of ketoacidosis.
3. Propranolol will increase insulin requirements by antagonizing the effects at the receptors.
4. The propranolol may mask symptoms of hypoglycemia
4
When monitoring for therapeutic effect of any antidysrhythmic drug, the nurse would be sure to
assess which essential parameter?
1. Pulse
2. BP
3. Drug level
4. Hourly urine output
1
Verpamil (Calan, Covera-HS, Verelan) should be used with extra caution or is contraindicated in
clients with which cardiovascular condition?
1. Hypertension
4|Page
1/NCLEX -RN PHARMACOLOGY TEST BANK
1 EXAM 2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
A client with heart failure has an order for lisinopril (Prinivil, Zestril). Which of the following
conditions in the client's history would lead the nurse to confirm the order with the provider?
1. A history of hypertension previously treated with diuretic therapy
2. A history of seasonal allergies currently treated with antihistamines
3. A history of angioedema after taking enalapril (Vasotec)
4. A history of alcoholism, currently abstaining
3
The teaching plan for a client receiving hydralazine (Apresoline) should include which of the
following points?
1. Returning for monthly urinalysis testing
2. Including citrus fruits, melons, and vegetables, in the diet
3, Decreasing potassium rich food in the diet
4. Rising slowly to standing from a sitting or lying position
4
Lisinopril (Prinivil) is part of the treatment regimen for a client with HF. The nurse monitors the
client for the development of which of the following adverse effects of this drug? (Select all that
apply.)
1|Page
,1. Hyperkalemia
2. Hypocalcemia
3. Cough
4. Dizziness
5. Heartburn
1, 3, 4
The client who has not responded to other therapies has been prescribed milrinone (Primacor)
for treatment of his heart failure. What essential assessment must the nurse make before
starting this drug?
1. Weight and presence of edema
2. Dietary intake of sodium
3. Electrolytes, especially potassium
4. History of sleep patterns and presence of sleep apnea
3
The client is being discharged with nitroglycerin (Nitrostat) for sublingual use. While planning
client education, what instruction will the nurse include?
1. "Swallow three tablets immediately for pain and call 911."
2. "Put one tablet under your tongue for chest pain. If pain does not subside, you may repeat in
5 minutes, taking no more than 3 tablets."
3. "Call your health care provider when you have chest pain. He will tell you how many tablets
to take."
4. "Place 3 tablets under your tongue and call 911."
2
Nitroglycerin patches have been ordered for a client with a history of angina. What teaching will
the nurse give to this client?
1. Keep the patches in the refrigerator.
2. Use the patches only if the chest pain is severe.
2|Page
,3. Remove the old patch before applying a new one.
4. Apply the patch only to the upper arm or thigh areas.
3
Which of the following assessment findings in a client who is receiving atenolol (Tenormin) for
angina would be cause for the nurse to hold the drug and contact the provider? (Select all that
apply.)
1. Heart rate of 50 beats/minute
2. Heart rate of 124 beats/minute
3. Blood pressure of 86/56
4. Blood pressure of 156/88
5. Tinnitus and vertigo
1,3
The nurse is caring for a client with chronic stable angina who is receiving isosorbide dinitrate
(Isordil). Which of the following are common adverse effects of isosorbide?
1. Flushing and headache
2. Tremors and anxiety
3. Sleepiness and lethargy
4. Light-headedness and dizziness
4
Place the following nursing interventions in order for a client who is experiencing chest pain.
1. Administer nitroglycerin sublingually
2. Assess heart rate and BP
3. Assess the location, quality, and intensity of pain
4. Document interventions and outcomes
5. Evaluate the location, quality, and intensity of pain
3, 2, 1, 5, 4
3|Page
, Erectile dysfunction drugs such as sildenafil (Viagara) are contraindicated in patients taking
nitrates for angina. What is the primary concern with concurrent administration of these drugs?
1. They contain nitrates, resulting in an overdose
2. They decrease BP and may result in prolonged and severe hypotension when combined with
nitrates.
3. They will adequately treat the patient's angina as well as erectile dysfunction.
4. They will increase the possibility of nitrate tolerance developing and should be avoided unless
other drugs can be used.
2
A client with type 1 diabetes on insulin therapy reports that he takes propranolol (Inderal) for
his hypertension. The nurse will teach the client to check glucose levels more frequently
because of what concern?
1. The propranolol can produce insulin resistance.
2. The two drugs used together will increase the risk of ketoacidosis.
3. Propranolol will increase insulin requirements by antagonizing the effects at the receptors.
4. The propranolol may mask symptoms of hypoglycemia
4
When monitoring for therapeutic effect of any antidysrhythmic drug, the nurse would be sure to
assess which essential parameter?
1. Pulse
2. BP
3. Drug level
4. Hourly urine output
1
Verpamil (Calan, Covera-HS, Verelan) should be used with extra caution or is contraindicated in
clients with which cardiovascular condition?
1. Hypertension
4|Page
