2/NCLEX -RN PHARMACOLOGY TEST BANK
2 EXAM 2026 WITH ACTUAL CORRECT
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Your patient was started on Warfarin (Coumadin) a week ago for the treatment of a DVT. Which
findings below would indicate an adverse reaction to this medication? Select all that apply:
A. Patient reports a severe and sudden headache
B. Melena
D. Hematuria
E. Coffee ground emesis
F. Bleeding gums
The answers are A, B, D, E, and F
What is considered a normal INR level in a person who is NOT taking Warfarin (Coumadin)?
B. 0.75-1.25
A patient is prescribed Warfarin (Coumadin) for the treatment of a blood clot. What is the
therapeutic INR range for this medication?
A. 2-3
A patient is scheduled to take a dose of Warfarin (Coumadin) at 1800. The patient's INR level is
6. As the nurse you will?
B. Hold the dose and notify the physician
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,What is the antidote for Warfarin (Coumadin)?
D. Vitamin K
A patient is taking Warfarin (Coumadin). What order received from the physician requires that
you ask for an order clarification?
B. Administer Prednisone IM daily
You're providing discharge teaching to a patient who will be going home on Warfarin
(Coumadin). Which statements by the patient demonstrate they understood the educational
material provided? Select all that apply:
B. "When I shave I will be sure to use an electric razor."
D. "I will avoid drinking any alcoholic beverages."
A patient, who is taking Warfarin (Coumadin), asks what he should do if he misses a dose. Your
response would be:
B. Take the dose when remembered, if on the same day. However, if not remembered on the
same day but the next day, skip the missed dose and take the next dose at the regular
scheduled time.
A patient is scheduled to take a dose of Lithium at 1000. The patient is also prescribed a thiazide
diuretic. What lab result below requires the nurse to hold the dose of Lithium and notify the
physician for further orders?
B. Sodium 115 mEq/L
Which patient below is at MOST risk for developing Digoxin toxicity?
B. A 82-year-old male patient with atrial fibrillation and magnesium level of 1 mg/dL.
An infant is ordered a scheduled dose of Digoxin. The patient's apical pulse rate is 78 bpm. The
nurse would:
D. Hold the dose and notify the physician
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, What EARLY signs and symptoms should the nurse assess for in a patient taking Digoxin that
could indicate toxicity of this drug? Select all that apply:
B. Anorexia
D. Nausea
E. Vomiting
An adult patient is being discharged home on Digoxin. Which statements below verbalized by
the patient demonstrates they understand how to properly take this medication? Select all that
apply:
C. "I will measure my pulse rate before every dose I take."
D. "It is important that I immediately report any vision changes I may experience while taking
this medication."
What is the therapeutic range of the drug Digoxin?
Digoxin level should be 0.5 - 2 ng/mL. Any levels greater than 2 ng/mL is considered toxic.
Your patient, who is 55-years-old, is prescribed to take Digoxin. What patient finding requires
that the nurse hold the dose of Digoxin and notify the physician?
D. The patient's potassium level is low (<3.5 mEq/L). Remember hypokalemia increases the
chances of Digoxin toxicity developing. The nurse should notify the MD and hold the ordered
dose until further instructions are given by the doctor.
Digoxin helps the heart pump more efficiently by altering the inotropic, chronotropic, and
dromotropic actions of the heart. Select all the options below that accurately describe these
actions created by Digoxin:
b. Positive Inotropic
d. Negative Dromotropic
e. Negative Chrontropic
Digoxin is part of what family of drugs?
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