NCLEX PHARMACOLOGY 350
ACTUAL
EXAM QUESTIONS AND ANSWERS
GRADED A+ 2023/2024
One of the most common side effects of Enalapril (Vasotec) is:
1.Dry hacking cough.
2.Hypertension.
3. Constipation.
- ANSWER- 1. Dry hacking
4. cough. Irritability.
A cough is commonly associated with angiotensin-
converting enzyme inhibitors, resulting from increased
sensitivity of cough reflex.
A student nurse questions the nurse about why the patient has
20mEq of Potassium Chloride (KCl) in his IV. The nurse explains
the purpose and then refers the student to which laboratory
tests?
1.Electrolytes.
NCLEX
,2.Glucose.
3.Hemoglobin.
4.Arterial blood - ANSWER- 1.gases.
Electrolytes.
It measures potassium, among
other things.
A patient asks the nurse why he is receiving patches of
Nitroglycerin instead of just taking it under the tongue when he
needs it. The nurse explains that:
1."Given in this manner, the medication is absorbed at a slow,
steady rate."
2."This manner is effective in acute situations."
3."This manner allows for more accurate dosage."
4."Patches administer a day's to a week's worth of medications." -
ANSWER-
1. "Given in this manner, the medication is absorbed at a slow,
steady rate."
After application to the skin, the medication is absorbed
at a slow, constant rate, allowing for the maintenance of a
therapeutic level.
A patient with cancer has been receiving high doses of Morphine
for several days.
During an assessment, the side effect that the nurse would be
likely to see is:
NCLEX
,1.Constipation.
2.Respiratory Depression.
3.Pain Relief.
ANSWER- 1.
4. Constipation. Diarrhea. -
These patients need to be on a bowel program.
Constipation is the only side effect for which patients do
not develop a tolerance.
The physician has ordered Mycostatin 5ml, swish and swallow
twice daily. The nurse should instruct the patient to:
1."Swallow the medication quickly, and follow with 8oz of water."
2."Shake the bottle before administering to help mix the
suspension."
3."Brush your teeth carefully before each dose."
4."Maintain contact with the mucosa as long as possible before
swallowing. - ANSWER- 4. "Maintain contact with the mucosa as
long as possible before
swallowing."
This allows for maximal contact with impaired oral
mucosa.
The nurse will know that the patient understands teaching about
self- administration of Oral Corticosteroids when the patient
states that she will take the medications:
NCLEX
, 1.Before meals.
2.With or after meals.
3.At bedtime.
ANSWER- 2. With or after
4.With orange meals. juice. -
the medication is considered ulcerogenic.
A nurse is making a home visit to care for a patient with COPD.
When she arrives at the home, she finds that the couple has a big
box of medications all mixed together, and some of them are
outdated. The first priority should be to:
1.Examine all the labels to determine which ones are still viable.
2.Question the couple to see what medications they are taking.
3.Report the situation to her supervisor so that she can contact
the physician.
4.Contact the social worker to begin placement proceedings for
the couple. -
ANSWER- 3. Report the situation to her supervisor so that she can
contact the
physician.
The physician needs to know to verify any needed
prescription.
Prioritize the following concerns from highest to lowest priority for
a nurse visiting a childless couple:
1.Household cleaners stored under the sink.
NCLEX
ACTUAL
EXAM QUESTIONS AND ANSWERS
GRADED A+ 2023/2024
One of the most common side effects of Enalapril (Vasotec) is:
1.Dry hacking cough.
2.Hypertension.
3. Constipation.
- ANSWER- 1. Dry hacking
4. cough. Irritability.
A cough is commonly associated with angiotensin-
converting enzyme inhibitors, resulting from increased
sensitivity of cough reflex.
A student nurse questions the nurse about why the patient has
20mEq of Potassium Chloride (KCl) in his IV. The nurse explains
the purpose and then refers the student to which laboratory
tests?
1.Electrolytes.
NCLEX
,2.Glucose.
3.Hemoglobin.
4.Arterial blood - ANSWER- 1.gases.
Electrolytes.
It measures potassium, among
other things.
A patient asks the nurse why he is receiving patches of
Nitroglycerin instead of just taking it under the tongue when he
needs it. The nurse explains that:
1."Given in this manner, the medication is absorbed at a slow,
steady rate."
2."This manner is effective in acute situations."
3."This manner allows for more accurate dosage."
4."Patches administer a day's to a week's worth of medications." -
ANSWER-
1. "Given in this manner, the medication is absorbed at a slow,
steady rate."
After application to the skin, the medication is absorbed
at a slow, constant rate, allowing for the maintenance of a
therapeutic level.
A patient with cancer has been receiving high doses of Morphine
for several days.
During an assessment, the side effect that the nurse would be
likely to see is:
NCLEX
,1.Constipation.
2.Respiratory Depression.
3.Pain Relief.
ANSWER- 1.
4. Constipation. Diarrhea. -
These patients need to be on a bowel program.
Constipation is the only side effect for which patients do
not develop a tolerance.
The physician has ordered Mycostatin 5ml, swish and swallow
twice daily. The nurse should instruct the patient to:
1."Swallow the medication quickly, and follow with 8oz of water."
2."Shake the bottle before administering to help mix the
suspension."
3."Brush your teeth carefully before each dose."
4."Maintain contact with the mucosa as long as possible before
swallowing. - ANSWER- 4. "Maintain contact with the mucosa as
long as possible before
swallowing."
This allows for maximal contact with impaired oral
mucosa.
The nurse will know that the patient understands teaching about
self- administration of Oral Corticosteroids when the patient
states that she will take the medications:
NCLEX
, 1.Before meals.
2.With or after meals.
3.At bedtime.
ANSWER- 2. With or after
4.With orange meals. juice. -
the medication is considered ulcerogenic.
A nurse is making a home visit to care for a patient with COPD.
When she arrives at the home, she finds that the couple has a big
box of medications all mixed together, and some of them are
outdated. The first priority should be to:
1.Examine all the labels to determine which ones are still viable.
2.Question the couple to see what medications they are taking.
3.Report the situation to her supervisor so that she can contact
the physician.
4.Contact the social worker to begin placement proceedings for
the couple. -
ANSWER- 3. Report the situation to her supervisor so that she can
contact the
physician.
The physician needs to know to verify any needed
prescription.
Prioritize the following concerns from highest to lowest priority for
a nurse visiting a childless couple:
1.Household cleaners stored under the sink.
NCLEX
