NCLEX EXAM vc
Exam Solution vc
Pharmacology NCLEX PN 2026 A+ GRADE ASSURED CO vc vc vc vc vc vc vc
MPLETE SOLUTIONS AND VERIFIED ANSWERS (04D42) vc vc vc vc vc
QUESTION 1 vc
A nurse is caring for a client with liver disease. Laboratory studies are performed, and th
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e client's serum calcium level is 13 mg/dL. The nurse checks to see that which medicatio
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n is available in the stock medication supply area on the clinical nursing unit that may b
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e needed to treat this calcium imbalance? 1. Vitamin D 2. Calcium chloride 3. Calcium glu
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conate 4. Calcitonin (Cibacalcin) vc vc vc
ANSWER
4. Calcitonin (Cibacalcin)
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QUESTION 2 vc
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if noted
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on the client's record, indicates that the medication needs to be administered with cauti
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on? 1. Ulcerative colitis 2. Diabetes insipidus 3. Renal insufficiency 4. Coronary artery dis
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ease
ANSWER
3. Renal insufficiency
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QUESTION 3 vc
A nurse employed in the emergency department is preparing to administer syrup of ipec
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ac to a 7-month-
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old child. The nurse prepares 5 mL of the syrup and administers one half glass of water f
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ollowing administration of the ipecac syrup. Which response would the nurse expect? 1.
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Vomiting 2. Diarrhea 3. Increased level of consciousness 4. Elevated blood pressure
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ANSWER
1. Vomiting
vc
,QUESTION 4 vc
A nurse is reinforcing dietary instructions to a client who has been prescribed cyclospori
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ne (Sandimmune). Which food item would the nurse instruct the client to avoid? 1. Red
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meats 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables
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ANSWER
3. Grapefruit juice
vc vc
QUESTION 5 vc
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of
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the following should be included in the list of instructions? 1. Restrict fluid intake. 2. Mai
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ntain a high fluid intake. 3. If the urine turns dark brown, call the health care provider (
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HCP) immediately. 4. Decrease the dosage when symptoms are improving to prevent an
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allergic response. vc
ANSWER
2. Maintain a high fluid intake.
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QUESTION 6 vc
Streptokinase (Streptase) is being administered to a client following an acute inferior m
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yocardial infarction. The nurse plans care, knowing that the primary purpose of streptok
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inase is to: 1. Reduce myocardial oxygen demand. 2. Inhibit further clot formation. 3. Pre
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vent platelet aggregation. 4. Dissolve the thrombus.
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ANSWER
4. Dissolve the thrombus.
vc vc vc
QUESTION 7 vc
A client who is human immunodeficiency virus (HIV) seropositive has been taking zalcita
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bine (ddC) as a component of treatment. The nurse tells the client that which laboratory
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test will need to be monitored while taking this medication? 1. Glucose level 2. Platelet c
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ount 3. Red blood cell count 4. Liver function studies
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ANSWER
4. Liver function studies
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QUESTION 8 vc
,The nurse is analyzing the laboratory results of a client with leukemia who has received
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a regimen of chemotherapy. Which laboratory value would the nurse specifically note as
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a result of the massive cell destruction that occurred from the chemotherapy? 1. Anemia
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2. Decreased platelets 3. Increased uric acid level 4. Decreased leukocyte count
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ANSWER
3. Increased uric acid level
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QUESTION 9 vc
The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse e
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valuates that the medication is having the optimal intended benefit if which effect is obs
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erved? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Absence of abd
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ominal pain vc
ANSWER
3. Reduction of steatorrhea
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QUESTION 10 vc
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring thi
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s client should look for which of the following to indicate a primary therapeutic response
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from the medication? 1. Decreased muscle spasms 2. Increased range of motion of all ex
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tremities 3. Increased muscle tone and strength 4. Decreased nausea
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ANSWER
1. Decreased muscle spasms
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QUESTION 11 vc
A client with cancer is receiving cisplatin. Which finding indicates that the client is exper
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iencing an adverse effect of the medication? 1. Tinnitus 2. Increased appetite 3. Excessive
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urination 4. Yellow halos in front of the eyes
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ANSWER
1. Tinnitus
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QUESTION 12 vc
A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic) ey
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e drops for the treatment of glaucoma. The nurse instructs the client regarding the admi
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nistration of the medication and about the importance of returning to the clinic for moni
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toring of the: 1. Temperature 2. Blood pressure and apical pulse 3. Pupil dilation 4. Prese
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nce of Trousseau's sign
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, ANSWER
2. Blood pressure and apical pulse
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QUESTION 13 vc
A nurse is reviewing medications with the client receiving colchicine for the treatment of
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gout. The nurse determines that the medication is effective if the client reports a decrea
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se in: 1. Blood glucose 2. Blood pressure 3. Joint inflammation 4. Headaches
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ANSWER
3. Joint inflammation
vc vc
QUESTION 14 vc
A nurse is providing instructions to the parents of a child with iron deficiency anemia re
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garding the administration of a liquid oral iron supplement. The nurse tells the mother t
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o: 1. Administer the iron through a straw. 2. Administer the iron at mealtimes. 3. Add the
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iron to food for easy administration. 4. Mix the iron with cereal to administer.
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ANSWER
1. Administer the iron through a straw.
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QUESTION 15 vc
A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse tell
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s the client that it is best to take the medication: 1. With meals 2. At bedtime 3. One hour
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before meals 4. In the morning before breakfast
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ANSWER
1. With meals
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QUESTION 16 vc
A nurse tells a client with leukemia that allopurinol (Zyloprim) has been added to the m
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edication list. The client is currently receiving busulfan (Myleran). When the client asks t
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he purpose of the new medication, the nurse responds that the allopurinol is intended to
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prevent: 1. Alopecia 2. Diabetes 3. Arthritis 4. Hyperuricemia
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ANSWER
4. Hyperuricemia
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QUESTION 17 vc
Exam Solution vc
Pharmacology NCLEX PN 2026 A+ GRADE ASSURED CO vc vc vc vc vc vc vc
MPLETE SOLUTIONS AND VERIFIED ANSWERS (04D42) vc vc vc vc vc
QUESTION 1 vc
A nurse is caring for a client with liver disease. Laboratory studies are performed, and th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e client's serum calcium level is 13 mg/dL. The nurse checks to see that which medicatio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n is available in the stock medication supply area on the clinical nursing unit that may b
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e needed to treat this calcium imbalance? 1. Vitamin D 2. Calcium chloride 3. Calcium glu
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
conate 4. Calcitonin (Cibacalcin) vc vc vc
ANSWER
4. Calcitonin (Cibacalcin)
vc vc
QUESTION 2 vc
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if noted
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on the client's record, indicates that the medication needs to be administered with cauti
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on? 1. Ulcerative colitis 2. Diabetes insipidus 3. Renal insufficiency 4. Coronary artery dis
vc vc vc vc vc vc vc vc vc vc vc vc vc
ease
ANSWER
3. Renal insufficiency
vc vc
QUESTION 3 vc
A nurse employed in the emergency department is preparing to administer syrup of ipec
vc vc vc vc vc vc vc vc vc vc vc vc vc
ac to a 7-month-
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old child. The nurse prepares 5 mL of the syrup and administers one half glass of water f
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ollowing administration of the ipecac syrup. Which response would the nurse expect? 1.
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Vomiting 2. Diarrhea 3. Increased level of consciousness 4. Elevated blood pressure
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
1. Vomiting
vc
,QUESTION 4 vc
A nurse is reinforcing dietary instructions to a client who has been prescribed cyclospori
vc vc vc vc vc vc vc vc vc vc vc vc vc
ne (Sandimmune). Which food item would the nurse instruct the client to avoid? 1. Red
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
meats 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables
vc vc vc vc vc vc vc vc vc vc
ANSWER
3. Grapefruit juice
vc vc
QUESTION 5 vc
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of
vc vc vc vc vc vc vc vc vc vc vc vc vc
the following should be included in the list of instructions? 1. Restrict fluid intake. 2. Mai
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ntain a high fluid intake. 3. If the urine turns dark brown, call the health care provider (
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
HCP) immediately. 4. Decrease the dosage when symptoms are improving to prevent an
vc vc vc vc vc vc vc vc vc vc vc vc vc
allergic response. vc
ANSWER
2. Maintain a high fluid intake.
vc vc vc vc vc
QUESTION 6 vc
Streptokinase (Streptase) is being administered to a client following an acute inferior m
vc vc vc vc vc vc vc vc vc vc vc vc
yocardial infarction. The nurse plans care, knowing that the primary purpose of streptok
vc vc vc vc vc vc vc vc vc vc vc vc
inase is to: 1. Reduce myocardial oxygen demand. 2. Inhibit further clot formation. 3. Pre
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
vent platelet aggregation. 4. Dissolve the thrombus.
vc vc vc vc vc vc
ANSWER
4. Dissolve the thrombus.
vc vc vc
QUESTION 7 vc
A client who is human immunodeficiency virus (HIV) seropositive has been taking zalcita
vc vc vc vc vc vc vc vc vc vc vc vc
bine (ddC) as a component of treatment. The nurse tells the client that which laboratory
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
test will need to be monitored while taking this medication? 1. Glucose level 2. Platelet c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ount 3. Red blood cell count 4. Liver function studies
vc vc vc vc vc vc vc vc vc
ANSWER
4. Liver function studies
vc vc vc
QUESTION 8 vc
,The nurse is analyzing the laboratory results of a client with leukemia who has received
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
a regimen of chemotherapy. Which laboratory value would the nurse specifically note as
vc vc vc vc vc vc vc vc vc vc vc vc vc
a result of the massive cell destruction that occurred from the chemotherapy? 1. Anemia
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2. Decreased platelets 3. Increased uric acid level 4. Decreased leukocyte count
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
3. Increased uric acid level
vc vc vc vc
QUESTION 9 vc
The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse e
vc vc vc vc vc vc vc vc vc vc vc vc
valuates that the medication is having the optimal intended benefit if which effect is obs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
erved? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Absence of abd
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ominal pain vc
ANSWER
3. Reduction of steatorrhea
vc vc vc
QUESTION 10 vc
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring thi
vc vc vc vc vc vc vc vc vc vc vc vc
s client should look for which of the following to indicate a primary therapeutic response
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
from the medication? 1. Decreased muscle spasms 2. Increased range of motion of all ex
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tremities 3. Increased muscle tone and strength 4. Decreased nausea
vc vc vc vc vc vc vc vc vc
ANSWER
1. Decreased muscle spasms
vc vc vc
QUESTION 11 vc
A client with cancer is receiving cisplatin. Which finding indicates that the client is exper
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iencing an adverse effect of the medication? 1. Tinnitus 2. Increased appetite 3. Excessive
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urination 4. Yellow halos in front of the eyes
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ANSWER
1. Tinnitus
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QUESTION 12 vc
A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic) ey
vc vc vc vc vc vc vc vc vc vc vc vc vc
e drops for the treatment of glaucoma. The nurse instructs the client regarding the admi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nistration of the medication and about the importance of returning to the clinic for moni
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
toring of the: 1. Temperature 2. Blood pressure and apical pulse 3. Pupil dilation 4. Prese
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nce of Trousseau's sign
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, ANSWER
2. Blood pressure and apical pulse
vc vc vc vc vc
QUESTION 13 vc
A nurse is reviewing medications with the client receiving colchicine for the treatment of
vc vc vc vc vc vc vc vc vc vc vc vc vc
gout. The nurse determines that the medication is effective if the client reports a decrea
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
se in: 1. Blood glucose 2. Blood pressure 3. Joint inflammation 4. Headaches
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
3. Joint inflammation
vc vc
QUESTION 14 vc
A nurse is providing instructions to the parents of a child with iron deficiency anemia re
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
garding the administration of a liquid oral iron supplement. The nurse tells the mother t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
o: 1. Administer the iron through a straw. 2. Administer the iron at mealtimes. 3. Add the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
iron to food for easy administration. 4. Mix the iron with cereal to administer.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
1. Administer the iron through a straw.
vc vc vc vc vc vc
QUESTION 15 vc
A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse tell
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
s the client that it is best to take the medication: 1. With meals 2. At bedtime 3. One hour
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
before meals 4. In the morning before breakfast
vc vc vc vc vc vc vc
ANSWER
1. With meals
vc vc
QUESTION 16 vc
A nurse tells a client with leukemia that allopurinol (Zyloprim) has been added to the m
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
edication list. The client is currently receiving busulfan (Myleran). When the client asks t
vc vc vc vc vc vc vc vc vc vc vc vc vc
he purpose of the new medication, the nurse responds that the allopurinol is intended to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
prevent: 1. Alopecia 2. Diabetes 3. Arthritis 4. Hyperuricemia
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ANSWER
4. Hyperuricemia
vc
QUESTION 17 vc
