NCLEX-RN PHARMACOLOGY VERSION 3
/NCLEX -RN PHARMACOLOGY TEST BANK 3
EXAM 2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
1. It is important for the nurse teaching the client regarding secobarbital (Seconal) to include
which information about secobarbital?
a. It is a short-acting drug that may cause one to awaken early in the morning.
b. It is an intermediate-acting drug that frequently causes REM rebound.
c. It is an intermediate-acting drug that frequently causes a hangover effect.
d. It is a long-acting drug that is frequently associated with dependence.
a. It is a short-acting drug that may cause one to awaken early in the morning.
2. A client taking lorazepam (Ativan) asks the nurse how this drug works. The nurse should
respond by stating that it is a benzodiazepine that acts by which mechanism?
a. Depressing the central nervous system (CNS), leading to a loss of consciousness
b. Depressing the CNS, including the motor and sensory activities
c. Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to
GABA receptors
d. Creating an epidural block by placement of the local anesthetic in the outer covering of the
spinal cord
c. Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to
GABA receptors
1|Page
,3. A client is taking zolpidem (Ambien) for insomnia. The nurse prepares a care plan that
includes monitoring of the client for side effects/adverse reactions of this drug. Which is a side
effect of zolpidem?
a. Insomnia
b. Headache
c. Laryngospasm
d. Blood dyscrasias
b. Headache
4. A client received spinal anesthesia. Which is most important for the nurse to monitor?
a. Loss of consciousness
b. Hangover effects and dependence
c. Hypotension and headaches
d. Excitement or delirium
c. Hypotension and headaches
5. A nurse is teaching a client about zolpidem. Which is important for the nurse to include in the
teaching of this drug?
a. Maximum dose is 20 mg/d
b. May lead to psychological dependence
c. For older adults, dose is 15 mg at bedtime
d. Should only be used for 21 days or less
b. May lead to psychological dependence
6. A client is taking triazolam (Halcion). Which instructions about this drug are important for the
nurse to include?
a. It may be used as a barbiturate for only 4 weeks.
b. Use as a nonbenzodiazepine to reduce anxiety.
c. This drug does not lead to vivid dreams or nightmares.
d. Avoid alcohol and smoking to prevent rebound insomnia.
2|Page
,d. Avoid alcohol and smoking to prevent rebound insomnia.
7. A client is to receive conscious sedation for a minor surgical procedure. Which drug
administration should the nurse expect? (Select all that apply.)
a. Propofol (Diprivan) to sustain natural sleep
b. Lidocaine (Xylocaine) to provide local anesthesia
c. Midazolam (Versed) to promote sedation and following of commands
d. Ketamine (Ketalar) for rapid inductionand prolonged duration of action
a. Propofol (Diprivan) to sustain natural sleep
c. Midazolam (Versed) to promote sedation and following of commands
8. The nurse witnesses a client's seizure involving generalized contraction of the body followed
by jerkiness of arms and legs. The nurse reports that this is which type of seizure?
a. Myoclonic
b. Petit mal
c. Tonic clonic
d. Psychomotor
c. Tonic clonic
9. Phenytoin (Dilantin) has been prescribed for a client with seizures. The nurse should include
which appropriate nursing intervention in the plan of care?
a. Reporting an abnormal phenytoin level of 18 mcg/mL
b. Monitoring CBC levels for early detection of blood dyscrasias
c. Encouraging the client to brush teeth vigorously to prevent plaque buildup
d. Teaching the client to stop the drug immediately when passing pinkish-red or reddish-brown
urine
b. Monitoring CBC levels for early detection of blood dyscrasias
3|Page
, 10. When administering phenytoin (Dilantin), the nurse realizes more teaching is needed if the
client makes which statement?
a. "I must shake the oral suspension very well before pouring in the dose cup."
b. "I cannot drink alcoholic beverages when taking phenytoin."
c. "I should take phenytoin 1 hour before meals."
d. "I will need to get periodic dental checkups."
c. "I should take phenytoin 1 hour before meals."
11. A client is taking clonazepam (Klonopin) for absence (petit mal) seizures. Which value(s)
should the nurse report as outside the therapeutic range for clonazepam? (Select all that apply.)
a. 5 mcg/mL
b. 15 mcg/mL
c. 60 ng/mL
d. 120 ng/mL
a. 5 mcg/mL
b. 15 mcg/mL
d. 120 ng/mL
12. A client is admitted to the emergency department with status epilepticus. Which drug
should the nurse most likely prepare to administer to this client? (Select all that apply.)
a. diazepam (Valium)
b. midazolam (Versed)
c. gabapentin (Neurontin)
d. levetiracetam (Keppra)
a. diazepam (Valium)
b. midazolam (Versed)
13. The nurse should monitor the client receiving phenytoin (Dilantin) for which adverse effect?
a. Psychosis
b. Nosebleeds
4|Page
/NCLEX -RN PHARMACOLOGY TEST BANK 3
EXAM 2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
1. It is important for the nurse teaching the client regarding secobarbital (Seconal) to include
which information about secobarbital?
a. It is a short-acting drug that may cause one to awaken early in the morning.
b. It is an intermediate-acting drug that frequently causes REM rebound.
c. It is an intermediate-acting drug that frequently causes a hangover effect.
d. It is a long-acting drug that is frequently associated with dependence.
a. It is a short-acting drug that may cause one to awaken early in the morning.
2. A client taking lorazepam (Ativan) asks the nurse how this drug works. The nurse should
respond by stating that it is a benzodiazepine that acts by which mechanism?
a. Depressing the central nervous system (CNS), leading to a loss of consciousness
b. Depressing the CNS, including the motor and sensory activities
c. Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to
GABA receptors
d. Creating an epidural block by placement of the local anesthetic in the outer covering of the
spinal cord
c. Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to
GABA receptors
1|Page
,3. A client is taking zolpidem (Ambien) for insomnia. The nurse prepares a care plan that
includes monitoring of the client for side effects/adverse reactions of this drug. Which is a side
effect of zolpidem?
a. Insomnia
b. Headache
c. Laryngospasm
d. Blood dyscrasias
b. Headache
4. A client received spinal anesthesia. Which is most important for the nurse to monitor?
a. Loss of consciousness
b. Hangover effects and dependence
c. Hypotension and headaches
d. Excitement or delirium
c. Hypotension and headaches
5. A nurse is teaching a client about zolpidem. Which is important for the nurse to include in the
teaching of this drug?
a. Maximum dose is 20 mg/d
b. May lead to psychological dependence
c. For older adults, dose is 15 mg at bedtime
d. Should only be used for 21 days or less
b. May lead to psychological dependence
6. A client is taking triazolam (Halcion). Which instructions about this drug are important for the
nurse to include?
a. It may be used as a barbiturate for only 4 weeks.
b. Use as a nonbenzodiazepine to reduce anxiety.
c. This drug does not lead to vivid dreams or nightmares.
d. Avoid alcohol and smoking to prevent rebound insomnia.
2|Page
,d. Avoid alcohol and smoking to prevent rebound insomnia.
7. A client is to receive conscious sedation for a minor surgical procedure. Which drug
administration should the nurse expect? (Select all that apply.)
a. Propofol (Diprivan) to sustain natural sleep
b. Lidocaine (Xylocaine) to provide local anesthesia
c. Midazolam (Versed) to promote sedation and following of commands
d. Ketamine (Ketalar) for rapid inductionand prolonged duration of action
a. Propofol (Diprivan) to sustain natural sleep
c. Midazolam (Versed) to promote sedation and following of commands
8. The nurse witnesses a client's seizure involving generalized contraction of the body followed
by jerkiness of arms and legs. The nurse reports that this is which type of seizure?
a. Myoclonic
b. Petit mal
c. Tonic clonic
d. Psychomotor
c. Tonic clonic
9. Phenytoin (Dilantin) has been prescribed for a client with seizures. The nurse should include
which appropriate nursing intervention in the plan of care?
a. Reporting an abnormal phenytoin level of 18 mcg/mL
b. Monitoring CBC levels for early detection of blood dyscrasias
c. Encouraging the client to brush teeth vigorously to prevent plaque buildup
d. Teaching the client to stop the drug immediately when passing pinkish-red or reddish-brown
urine
b. Monitoring CBC levels for early detection of blood dyscrasias
3|Page
, 10. When administering phenytoin (Dilantin), the nurse realizes more teaching is needed if the
client makes which statement?
a. "I must shake the oral suspension very well before pouring in the dose cup."
b. "I cannot drink alcoholic beverages when taking phenytoin."
c. "I should take phenytoin 1 hour before meals."
d. "I will need to get periodic dental checkups."
c. "I should take phenytoin 1 hour before meals."
11. A client is taking clonazepam (Klonopin) for absence (petit mal) seizures. Which value(s)
should the nurse report as outside the therapeutic range for clonazepam? (Select all that apply.)
a. 5 mcg/mL
b. 15 mcg/mL
c. 60 ng/mL
d. 120 ng/mL
a. 5 mcg/mL
b. 15 mcg/mL
d. 120 ng/mL
12. A client is admitted to the emergency department with status epilepticus. Which drug
should the nurse most likely prepare to administer to this client? (Select all that apply.)
a. diazepam (Valium)
b. midazolam (Versed)
c. gabapentin (Neurontin)
d. levetiracetam (Keppra)
a. diazepam (Valium)
b. midazolam (Versed)
13. The nurse should monitor the client receiving phenytoin (Dilantin) for which adverse effect?
a. Psychosis
b. Nosebleeds
4|Page
