PHARM KAPLAN INTEGRATED TEST – NCLEX-STYLE PHARMACOLOGY QUESTIONS AND
RATIONALES COMPLETE NURSING EXAM REVIEW MATERIAL A+ VERIFIED LATEST VERSION
1. Which instruction by the nurse is best to include when teaching a client
about amlodipine?
1. Report any swelling of the face or extremities to the health care provider.
2. You need to refrigerate this medication.
3. Report any weight loss to the health care provider.
4. Photophobia is a common adverse effect that will diminish with repeated
use.: 1. Report any swelling of the face or extremities to the health care provider.
2. The nurse provides medication education for a client receiving lovastatin.
Which information is most important for the nurse to include?
1. Notify the health care provider if you experience muscle pain.
2. This medication may damage your kidneys.
3. Take the medication with a large glass of grapefruit juice.
4. If you miss a dose, double the medication the following day.: 1. Notify the health
care provider if you experience muscle pain.
3. A client asks the nurse, "How does the lovastatin work?" which is the nurse's
best response?
1. Lovastatin prevents the reabsorption of bile acids into the small intestine.
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
3. Lovastatin is a vitamin that increases the activity of lipoprotein lipase.
4. Lovastatin is a fibric acid agent that activates lipoprotein lipase.: 2. Lovastatin
prevents an enzyme in the liver from making more cholesterol.
4. The nurse provides care for a client diagnosed with schizophrenia who is
taking chlorpromazine. When providing medication education to the client,
the nurse includes information about which common adverse effects?
1. Insomnia and restlessness
2. Abnormal motor movements and dry mouth
3. Weight loss and increased libido
4. Hypertension and dyspnea: 2. Abnormal motor movements and dry mouth
, PHARM KAPLAN INTEGRATED TEST – NCLEX-STYLE PHARMACOLOGY QUESTIONS AND
RATIONALES COMPLETE NURSING EXAM REVIEW MATERIAL A+ VERIFIED LATEST VERSION
5. Which nursing measure is included in the teaching plan for the client regard-
ing the use of beclomethasone?
1. Instruct the client to drink copious amounts of water before taking be-
clomethasone.
2. Instruct the client on the proper use of the inhaler.
3. Instruct the client to discontinue beclomethasone if there is no therapeutic
response in 2 weeks.
4. Instruct the client to take beclomethasone during an acute asthma attack.-
: 2. Instruct the client on the proper use of the inhaler.
6. Which factors increase the risk of medication error occurring?
1. The nurse is hurrying to pass a medication before breakfast.
2. The behavioral health nurse is unfamiliar with the units and clients.
3. The nurse verifies each medication dosage with the medication record.
4. The nurse fails to use two client identifiers.
5. The client speaks to the nurse when giving medication.
6. The client's armband is not attached to the client.
7. The two clients in the nurse's care have the same last name.
8. The nurse does not acknowledge the client's concerns about the medica-
tion.: 1, 2, 4, 6, 7, 8
7. Which 3 assessment findings indicate complications during fluid administra-
tion?
1. Client is confused
2. Blood return is present during IV assessment
3. IV site is edematous and cool to the touch
4. Dyspnea
5. Blood pressure increases from 85/54 to 110/60
6. Apical heart rate of 74, regular: 1, 3, 4
8. The nurse learns a client has been taking simvastatin for 7 months. Which
statement by a colleague does the nurse correct?
, PHARM KAPLAN INTEGRATED TEST – NCLEX-STYLE PHARMACOLOGY QUESTIONS AND
RATIONALES COMPLETE NURSING EXAM REVIEW MATERIAL A+ VERIFIED LATEST VERSION
1. I should take the client's blood pressure in supine, sitting, and standing
positions.
2. I will check the laboratory blood values for both HDL and LDL and their
ratio.
3. I will check the laboratory blood values for liver function tests.
4. I will ask the client if an eye exam has been completed since beginning the
medication.: 1. I should take the client's blood pressure in supine, sitting, and standing positions.
9. A client is prescribed morphine sulfate 4 mg IV every 4 hours PRN for
pain after surgery. The nurse assesses the client 30 minutes after giving the
medication for a report of pain of 8 on the 1-10 numeric pain scale. The client's
vital signs are: BP 172/88 mm Hg, pulse 92/min, and respirations 22/min. The
client reports a pain level of 8. Which action by the nurse is most appropriate.
1. Notify the health care provider to increase the dose.
2. Tell the client to cough and deep breathe.
3. Suggest the client listen to music.
4. Assess the client's IV site.: 4. Assess the client's IV site
10. The nurse provides care for a client admitted with a diagnosis of diabetic ke-
toacidosis. The nurse anticipates that which type of insulin will be prescribed?
1. Rapid acting insulin
2. Long action insulin
3. Short acting insulin
4. Intermediate acting insulin: 3. Short acting insulin
11. A client with a diagnosis of metastatic lung cancer is prescribed a transder-
mal fentanyl patch. Which information must the nurse understand to ensure
the client achieves effective pain relief?
1. The transdermal patch is fully effective immediately after application.
2. There is little risk of respiratory depression when using a transdermal
fentanyl patch.
RATIONALES COMPLETE NURSING EXAM REVIEW MATERIAL A+ VERIFIED LATEST VERSION
1. Which instruction by the nurse is best to include when teaching a client
about amlodipine?
1. Report any swelling of the face or extremities to the health care provider.
2. You need to refrigerate this medication.
3. Report any weight loss to the health care provider.
4. Photophobia is a common adverse effect that will diminish with repeated
use.: 1. Report any swelling of the face or extremities to the health care provider.
2. The nurse provides medication education for a client receiving lovastatin.
Which information is most important for the nurse to include?
1. Notify the health care provider if you experience muscle pain.
2. This medication may damage your kidneys.
3. Take the medication with a large glass of grapefruit juice.
4. If you miss a dose, double the medication the following day.: 1. Notify the health
care provider if you experience muscle pain.
3. A client asks the nurse, "How does the lovastatin work?" which is the nurse's
best response?
1. Lovastatin prevents the reabsorption of bile acids into the small intestine.
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
3. Lovastatin is a vitamin that increases the activity of lipoprotein lipase.
4. Lovastatin is a fibric acid agent that activates lipoprotein lipase.: 2. Lovastatin
prevents an enzyme in the liver from making more cholesterol.
4. The nurse provides care for a client diagnosed with schizophrenia who is
taking chlorpromazine. When providing medication education to the client,
the nurse includes information about which common adverse effects?
1. Insomnia and restlessness
2. Abnormal motor movements and dry mouth
3. Weight loss and increased libido
4. Hypertension and dyspnea: 2. Abnormal motor movements and dry mouth
, PHARM KAPLAN INTEGRATED TEST – NCLEX-STYLE PHARMACOLOGY QUESTIONS AND
RATIONALES COMPLETE NURSING EXAM REVIEW MATERIAL A+ VERIFIED LATEST VERSION
5. Which nursing measure is included in the teaching plan for the client regard-
ing the use of beclomethasone?
1. Instruct the client to drink copious amounts of water before taking be-
clomethasone.
2. Instruct the client on the proper use of the inhaler.
3. Instruct the client to discontinue beclomethasone if there is no therapeutic
response in 2 weeks.
4. Instruct the client to take beclomethasone during an acute asthma attack.-
: 2. Instruct the client on the proper use of the inhaler.
6. Which factors increase the risk of medication error occurring?
1. The nurse is hurrying to pass a medication before breakfast.
2. The behavioral health nurse is unfamiliar with the units and clients.
3. The nurse verifies each medication dosage with the medication record.
4. The nurse fails to use two client identifiers.
5. The client speaks to the nurse when giving medication.
6. The client's armband is not attached to the client.
7. The two clients in the nurse's care have the same last name.
8. The nurse does not acknowledge the client's concerns about the medica-
tion.: 1, 2, 4, 6, 7, 8
7. Which 3 assessment findings indicate complications during fluid administra-
tion?
1. Client is confused
2. Blood return is present during IV assessment
3. IV site is edematous and cool to the touch
4. Dyspnea
5. Blood pressure increases from 85/54 to 110/60
6. Apical heart rate of 74, regular: 1, 3, 4
8. The nurse learns a client has been taking simvastatin for 7 months. Which
statement by a colleague does the nurse correct?
, PHARM KAPLAN INTEGRATED TEST – NCLEX-STYLE PHARMACOLOGY QUESTIONS AND
RATIONALES COMPLETE NURSING EXAM REVIEW MATERIAL A+ VERIFIED LATEST VERSION
1. I should take the client's blood pressure in supine, sitting, and standing
positions.
2. I will check the laboratory blood values for both HDL and LDL and their
ratio.
3. I will check the laboratory blood values for liver function tests.
4. I will ask the client if an eye exam has been completed since beginning the
medication.: 1. I should take the client's blood pressure in supine, sitting, and standing positions.
9. A client is prescribed morphine sulfate 4 mg IV every 4 hours PRN for
pain after surgery. The nurse assesses the client 30 minutes after giving the
medication for a report of pain of 8 on the 1-10 numeric pain scale. The client's
vital signs are: BP 172/88 mm Hg, pulse 92/min, and respirations 22/min. The
client reports a pain level of 8. Which action by the nurse is most appropriate.
1. Notify the health care provider to increase the dose.
2. Tell the client to cough and deep breathe.
3. Suggest the client listen to music.
4. Assess the client's IV site.: 4. Assess the client's IV site
10. The nurse provides care for a client admitted with a diagnosis of diabetic ke-
toacidosis. The nurse anticipates that which type of insulin will be prescribed?
1. Rapid acting insulin
2. Long action insulin
3. Short acting insulin
4. Intermediate acting insulin: 3. Short acting insulin
11. A client with a diagnosis of metastatic lung cancer is prescribed a transder-
mal fentanyl patch. Which information must the nurse understand to ensure
the client achieves effective pain relief?
1. The transdermal patch is fully effective immediately after application.
2. There is little risk of respiratory depression when using a transdermal
fentanyl patch.
