1|Page
NCLEX-RN Pharmacology version 2||Verified
Exam!!||NCLEX RN Pharmacology Test Bank 2 Actual
Exam Newest With Complete Questions And Correct
Detailed Answers|| Newest Exam!!!
A nurse is reviewing guidelines for prophylactic antibiotic
therapy. The nurse should identify that prophylactic
antibiotic therapy is not recommended for which of the
following clients? - Answer-A client who has a fever of
unknown origin
Rationale: A fever of unknown origin is not an indication for
prophylactic antibiotic therapy.
A nurse is preparing to administer an IM dose of
meperidine to a client. Monitoring which of the following is
the nurse's priority data-collection activity? - Answer-
Respiratory rate
Rationale: When using the airway, breathing, circulation
approach to client care, the nurse determines that the
priority finding is respiratory rate. Meperidine, an opioid
analgesic, can cause respiratory depression; therefore,
the nurse should determine the client's baseline
respiratory rate and then monitor for changes after
administration of the medication.
,2|Page
A nurse in a provider's office is collecting data from a client
who has systemic lupus erythematosus (SLE) and takes
hydroxychloroquine to reduce skin inflammation. The
nurse should identify that which of the following is an
adverse effect of this medication? - Answer-Blurred vision
Rationale: An adverse effect of hydroxychloroquine is
retinopathy.
A nurse is caring for a client who is taking levothyroxine for
hypothyroidism. Which of the following indicates the
client's dose is too high? - Answer-Tachypnea
Rationale: A client who has thyrotoxicosis from excessive
amounts of thyroid hormone will have increased metabolic
processes, which will increase cardiac output and oxygen
demand. The client's respiratory and cardiac rate increase
dramatically and the client can have weakness, insomnia,
tremulousness and agitation.
A nurse is collecting data from a client who has an
intravenous (IV) catheter in her left forearm. The nurse
should identify that which of the following findings
indicates the client has phlebitis? - Answer-The vein is
hard and the skin around the insertion site is red.
, 3|Page
Rationale: An insertion site that is red, swollen, and tender
with a vein that is hard and palpable indicates phlebitis.
A nurse is preparing to administer prednisone to a client
for treatment of rheumatoid arthritis. Which of the following
findings indicates to the nurse the treatment is effective? -
Answer-Improved range of motion
Rationale: Prednisone is a glucocorticoid that produces
anti-inflammatory and immunosuppressive effects. The
client should experience a reduction in pain and
inflammation and improved range of motion in joints.
Clients who have arthritis in only a few joints can receive
intra-articular injections but should refrain from overusing
these joints to prevent injury.
A nurse is reinforcing teaching to a school-age child who
has asthma. Which of the following medications should the
nurse instruct the child to use to abort an ongoing attack?
- Answer-Albuterol
Rationale: Albuterol is a short acting beta-2 agonist that
relieves bronchospasm rapidly for clients to use during an
acute attack.
NCLEX-RN Pharmacology version 2||Verified
Exam!!||NCLEX RN Pharmacology Test Bank 2 Actual
Exam Newest With Complete Questions And Correct
Detailed Answers|| Newest Exam!!!
A nurse is reviewing guidelines for prophylactic antibiotic
therapy. The nurse should identify that prophylactic
antibiotic therapy is not recommended for which of the
following clients? - Answer-A client who has a fever of
unknown origin
Rationale: A fever of unknown origin is not an indication for
prophylactic antibiotic therapy.
A nurse is preparing to administer an IM dose of
meperidine to a client. Monitoring which of the following is
the nurse's priority data-collection activity? - Answer-
Respiratory rate
Rationale: When using the airway, breathing, circulation
approach to client care, the nurse determines that the
priority finding is respiratory rate. Meperidine, an opioid
analgesic, can cause respiratory depression; therefore,
the nurse should determine the client's baseline
respiratory rate and then monitor for changes after
administration of the medication.
,2|Page
A nurse in a provider's office is collecting data from a client
who has systemic lupus erythematosus (SLE) and takes
hydroxychloroquine to reduce skin inflammation. The
nurse should identify that which of the following is an
adverse effect of this medication? - Answer-Blurred vision
Rationale: An adverse effect of hydroxychloroquine is
retinopathy.
A nurse is caring for a client who is taking levothyroxine for
hypothyroidism. Which of the following indicates the
client's dose is too high? - Answer-Tachypnea
Rationale: A client who has thyrotoxicosis from excessive
amounts of thyroid hormone will have increased metabolic
processes, which will increase cardiac output and oxygen
demand. The client's respiratory and cardiac rate increase
dramatically and the client can have weakness, insomnia,
tremulousness and agitation.
A nurse is collecting data from a client who has an
intravenous (IV) catheter in her left forearm. The nurse
should identify that which of the following findings
indicates the client has phlebitis? - Answer-The vein is
hard and the skin around the insertion site is red.
, 3|Page
Rationale: An insertion site that is red, swollen, and tender
with a vein that is hard and palpable indicates phlebitis.
A nurse is preparing to administer prednisone to a client
for treatment of rheumatoid arthritis. Which of the following
findings indicates to the nurse the treatment is effective? -
Answer-Improved range of motion
Rationale: Prednisone is a glucocorticoid that produces
anti-inflammatory and immunosuppressive effects. The
client should experience a reduction in pain and
inflammation and improved range of motion in joints.
Clients who have arthritis in only a few joints can receive
intra-articular injections but should refrain from overusing
these joints to prevent injury.
A nurse is reinforcing teaching to a school-age child who
has asthma. Which of the following medications should the
nurse instruct the child to use to abort an ongoing attack?
- Answer-Albuterol
Rationale: Albuterol is a short acting beta-2 agonist that
relieves bronchospasm rapidly for clients to use during an
acute attack.
