Pharmacology NCLEX Exam Newest 2026
Questions and Correct Detailed Answers
Already Graded A+
A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin.
Which assessment finding indicates that the nitroglycerin has been effective?
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10 - CORRECT ANSWER-d. Client stating
that pain is 0 out of 10
The nurse is monitoring a client during IV nitroglycerin infusion. Which
assessment finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain - CORRECT ANSWER-d. Chest pain
,Which statement made by the client demonstrates a need for further instruction
regarding the use of nitroglycerin?
a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain
relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting dizzy."
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary." -
CORRECT ANSWER-d. "I can take up to five tablets at 3-minute intervals for
chest pain if necessary."
Which client assessment would assist the nurse in evaluating therapeutic effects
of a calcium channel blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger. - CORRECT ANSWER-a. Client states
that she has no chest pain.
,What statement is the most important for the nurse to include in the teaching
plan for a client who has started on a transdermal nitroglycerin patch?
a. "This medication works faster than sublingual nitroglycerin works."
b. "This medication is the strongest of any nitroglycerin preparation available."
c. "This medication should be used only when you are experiencing chest pain."
d. "This medication will work for 24 hours and you will need to change the patch
daily." - CORRECT ANSWER-d. "This medication will work for 24 hours and you
will need to change the patch daily."
A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is
the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - CORRECT ANSWER-b. 0.5 to 2.0 ng/mL
The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about
this serum digoxin level?
, a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range. - CORRECT ANSWER-a. It is in the high
(elevated) range.
The nurse is assessing the client for possible evidence of digitalis toxicity. The
nurse acknowledges that which is included in the signs and symptoms for digitalis
toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate - CORRECT ANSWER-d. Pulse
below 60 beats/min and irregular rate
The client is also taking a diuretic that decreases her potassium level. The nurse
expects that a low potassium level (hypokalemia) could have what effect on the
digoxin?
Questions and Correct Detailed Answers
Already Graded A+
A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin.
Which assessment finding indicates that the nitroglycerin has been effective?
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10 - CORRECT ANSWER-d. Client stating
that pain is 0 out of 10
The nurse is monitoring a client during IV nitroglycerin infusion. Which
assessment finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain - CORRECT ANSWER-d. Chest pain
,Which statement made by the client demonstrates a need for further instruction
regarding the use of nitroglycerin?
a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain
relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting dizzy."
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary." -
CORRECT ANSWER-d. "I can take up to five tablets at 3-minute intervals for
chest pain if necessary."
Which client assessment would assist the nurse in evaluating therapeutic effects
of a calcium channel blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger. - CORRECT ANSWER-a. Client states
that she has no chest pain.
,What statement is the most important for the nurse to include in the teaching
plan for a client who has started on a transdermal nitroglycerin patch?
a. "This medication works faster than sublingual nitroglycerin works."
b. "This medication is the strongest of any nitroglycerin preparation available."
c. "This medication should be used only when you are experiencing chest pain."
d. "This medication will work for 24 hours and you will need to change the patch
daily." - CORRECT ANSWER-d. "This medication will work for 24 hours and you
will need to change the patch daily."
A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is
the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - CORRECT ANSWER-b. 0.5 to 2.0 ng/mL
The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about
this serum digoxin level?
, a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range. - CORRECT ANSWER-a. It is in the high
(elevated) range.
The nurse is assessing the client for possible evidence of digitalis toxicity. The
nurse acknowledges that which is included in the signs and symptoms for digitalis
toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate - CORRECT ANSWER-d. Pulse
below 60 beats/min and irregular rate
The client is also taking a diuretic that decreases her potassium level. The nurse
expects that a low potassium level (hypokalemia) could have what effect on the
digoxin?
