NCLEX EXAM @x
Exam Solution @x
Pharmacology NCLEX PN 2026 A+ GRADE ASSURED CO @x @x @x @x @x @x @x
MPLETE SOLUTIONS AND VERIFIED ANSWERS (568E5) @x @x @x @x @x
QUESTION 1 @x
A nurse is caring for a client with liver disease. Laboratory studies are performed, an
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
d the client's serum calcium level is 13 mg/dL. The nurse checks to see that which m
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
edication is available in the stock medication supply area on the clinical nursing unit
@x @x @x @x @x @x @x @x @x @x @x @x @x @
that may be needed to treat this calcium imbalance? 1. Vitamin D 2. Calcium chloride
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
3. Calcium gluconate 4. Calcitonin (Cibacalcin)
@x @x @x @x @x @x
ANSWER
4. Calcitonin (Cibacalcin)
@x @x
QUESTION 2 @x
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if n
@x @x @x @x @x @x @x @x @x @x @x @x @x
oted on the client's record, indicates that the medication needs to be administered w
@x @x @x @x @x @x @x @x @x @x @x @x @x
ith caution? 1. Ulcerative colitis 2. Diabetes insipidus 3. Renal insufficiency 4. Coronar
@x @x @x @x @x @x @x @x @x @x @x @x
y artery disease
@x @x
ANSWER
3. Renal insufficiency
@x @x
QUESTION 3 @x
A nurse employed in the emergency department is preparing to administer syrup of i
@x @x @x @x @x @x @x @x @x @x @x @x @x
pecac to a 7-month- @x @x @x
old child. The nurse prepares 5 mL of the syrup and administers one half glass of wa
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ter following administration of the ipecac syrup. Which response would the nurse ex
@x @x @x @x @x @x @x @x @x @x @x @x
pect? 1. Vomiting 2. Diarrhea 3. Increased level of consciousness 4. Elevated blood pr
@x @x @x @x @x @x @x @x @x @x @x @x @x
essure
ANSWER
1. Vomiting
@x
,QUESTION 4 @x
A nurse is reinforcing dietary instructions to a client who has been prescribed cyclos
@x @x @x @x @x @x @x @x @x @x @x @x @x
porine (Sandimmune). Which food item would the nurse instruct the client to avoid?
@x @x @x @x @x @x @x @x @x @x @x @x @x
1. Red meats 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables
@x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
3. Grapefruit juice
@x @x
QUESTION 5 @x
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which
@x @x @x @x @x @x @x @x @x @x @x
of the following should be included in the list of instructions? 1. Restrict fluid intake
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
. 2. Maintain a high fluid intake. 3. If the urine turns dark brown, call the health care
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
provider (HCP) immediately. 4. Decrease the dosage when symptoms are improving
@x @x @x @x @x @x @x @x @x @x @x @x
to prevent an allergic response.
@x @x @x @x
ANSWER
2. Maintain a high fluid intake.
@x @x @x @x @x
QUESTION 6 @x
Streptokinase (Streptase) is being administered to a client following an acute inferior
@x @x @x @x @x @x @x @x @x @x @x
myocardial infarction. The nurse plans care, knowing that the primary purpose of st
@x @x @x @x @x @x @x @x @x @x @x @x @x
reptokinase is to: 1. Reduce myocardial oxygen demand. 2. Inhibit further clot format
@x @x @x @x @x @x @x @x @x @x @x @x
ion. 3. Prevent platelet aggregation. 4. Dissolve the thrombus.
@x @x @x @x @x @x @x @x
ANSWER
4. Dissolve the thrombus.
@x @x @x
QUESTION 7 @x
A client who is human immunodeficiency virus (HIV) seropositive has been taking zal
@x @x @x @x @x @x @x @x @x @x @x @x
citabine (ddC) as a component of treatment. The nurse tells the client that which lab
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
oratory test will need to be monitored while taking this medication? 1. Glucose level
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
2. Platelet count 3. Red blood cell count 4. Liver function studies
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ANSWER
4. Liver function studies
@x @x @x
QUESTION 8 @x
,The nurse is analyzing the laboratory results of a client with leukemia who has recei
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
ved a regimen of chemotherapy. Which laboratory value would the nurse specifically
@x @x @x @x @x @x @x @x @x @x @x @x
note as a result of the massive cell destruction that occurred from the chemotherapy
@x @x @x @x @x @x @x @x @x @x @x @x @x
? 1. Anemia 2. Decreased platelets 3. Increased uric acid level 4. Decreased leukocyte
@x @x @x @x @x @x @x @x @x @x @x @x @x @
count
x
ANSWER
3. Increased uric acid level
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QUESTION 9 @x
The client has begun medication therapy with pancrelipase (Pancrease MT). The nurs
@x @x @x @x @x @x @x @x @x @x @x
e evaluates that the medication is having the optimal intended benefit if which effect
@x @x @x @x @x @x @x @x @x @x @x @x @x @
is observed? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Abse
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
nce of abdominal pain
@x @x @x
ANSWER
3. Reduction of steatorrhea
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QUESTION 10 @x
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring
@x @x @x @x @x @x @x @x @x @x @x @
this client should look for which of the following to indicate a primary therapeutic r
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
esponse from the medication? 1. Decreased muscle spasms 2. Increased range of moti
@x @x @x @x @x @x @x @x @x @x @x @x
on of all extremities 3. Increased muscle tone and strength 4. Decreased nausea
@x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
1. Decreased muscle spasms
@x @x @x
QUESTION 11 @x
A client with cancer is receiving cisplatin. Which finding indicates that the client is e
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
xperiencing an adverse effect of the medication? 1. Tinnitus 2. Increased appetite 3. E
@x @x @x @x @x @x @x @x @x @x @x @x @x
xcessive urination 4. Yellow halos in front of the eyes
@x @x @x @x @x @x @x @x @x
ANSWER
1. Tinnitus
@x
QUESTION 12 @x
A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic
@x @x @x @x @x @x @x @x @x @x @x @x
) eye drops for the treatment of glaucoma. The nurse instructs the client regarding t
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
he administration of the medication and about the importance of returning to the cli
@x @x @x @x @x @x @x @x @x @x @x @x @x
, nic for monitoring of the: 1. Temperature 2. Blood pressure and apical pulse 3. Pupil
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @
dilation 4. Presence of Trousseau's sign
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ANSWER
2. Blood pressure and apical pulse
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QUESTION 13 @x
A nurse is reviewing medications with the client receiving colchicine for the treatmen
@x @x @x @x @x @x @x @x @x @x @x @x
t of gout. The nurse determines that the medication is effective if the client reports a
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
decrease in: 1. Blood glucose 2. Blood pressure 3. Joint inflammation 4. Headaches
@x @x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
3. Joint inflammation
@x @x
QUESTION 14 @x
A nurse is providing instructions to the parents of a child with iron deficiency anemi
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
a regarding the administration of a liquid oral iron supplement. The nurse tells the
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
mother to: 1. Administer the iron through a straw. 2. Administer the iron at mealtim
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
es. 3. Add the iron to food for easy administration. 4. Mix the iron with cereal to ad
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
minister.
ANSWER
1. Administer the iron through a straw.
@x @x @x @x @x @x
QUESTION 15 @x
A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
tells the client that it is best to take the medication: 1. With meals 2. At bedtime 3.
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One hour before meals 4. In the morning before breakfast
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ANSWER
1. With meals
@x @x
QUESTION 16 @x
A nurse tells a client with leukemia that allopurinol (Zyloprim) has been added to th
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
e medication list. The client is currently receiving busulfan (Myleran). When the clien
@x @x @x @x @x @x @x @x @x @x @x @x
t asks the purpose of the new medication, the nurse responds that the allopurinol is
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
intended to prevent: 1. Alopecia 2. Diabetes 3. Arthritis 4. Hyperuricemia
@x @x @x @x @x @x @x @x @x @x
ANSWER
4. Hyperuricemia
@x
Exam Solution @x
Pharmacology NCLEX PN 2026 A+ GRADE ASSURED CO @x @x @x @x @x @x @x
MPLETE SOLUTIONS AND VERIFIED ANSWERS (568E5) @x @x @x @x @x
QUESTION 1 @x
A nurse is caring for a client with liver disease. Laboratory studies are performed, an
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
d the client's serum calcium level is 13 mg/dL. The nurse checks to see that which m
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
edication is available in the stock medication supply area on the clinical nursing unit
@x @x @x @x @x @x @x @x @x @x @x @x @x @
that may be needed to treat this calcium imbalance? 1. Vitamin D 2. Calcium chloride
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
3. Calcium gluconate 4. Calcitonin (Cibacalcin)
@x @x @x @x @x @x
ANSWER
4. Calcitonin (Cibacalcin)
@x @x
QUESTION 2 @x
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if n
@x @x @x @x @x @x @x @x @x @x @x @x @x
oted on the client's record, indicates that the medication needs to be administered w
@x @x @x @x @x @x @x @x @x @x @x @x @x
ith caution? 1. Ulcerative colitis 2. Diabetes insipidus 3. Renal insufficiency 4. Coronar
@x @x @x @x @x @x @x @x @x @x @x @x
y artery disease
@x @x
ANSWER
3. Renal insufficiency
@x @x
QUESTION 3 @x
A nurse employed in the emergency department is preparing to administer syrup of i
@x @x @x @x @x @x @x @x @x @x @x @x @x
pecac to a 7-month- @x @x @x
old child. The nurse prepares 5 mL of the syrup and administers one half glass of wa
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ter following administration of the ipecac syrup. Which response would the nurse ex
@x @x @x @x @x @x @x @x @x @x @x @x
pect? 1. Vomiting 2. Diarrhea 3. Increased level of consciousness 4. Elevated blood pr
@x @x @x @x @x @x @x @x @x @x @x @x @x
essure
ANSWER
1. Vomiting
@x
,QUESTION 4 @x
A nurse is reinforcing dietary instructions to a client who has been prescribed cyclos
@x @x @x @x @x @x @x @x @x @x @x @x @x
porine (Sandimmune). Which food item would the nurse instruct the client to avoid?
@x @x @x @x @x @x @x @x @x @x @x @x @x
1. Red meats 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables
@x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
3. Grapefruit juice
@x @x
QUESTION 5 @x
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which
@x @x @x @x @x @x @x @x @x @x @x
of the following should be included in the list of instructions? 1. Restrict fluid intake
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
. 2. Maintain a high fluid intake. 3. If the urine turns dark brown, call the health care
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
provider (HCP) immediately. 4. Decrease the dosage when symptoms are improving
@x @x @x @x @x @x @x @x @x @x @x @x
to prevent an allergic response.
@x @x @x @x
ANSWER
2. Maintain a high fluid intake.
@x @x @x @x @x
QUESTION 6 @x
Streptokinase (Streptase) is being administered to a client following an acute inferior
@x @x @x @x @x @x @x @x @x @x @x
myocardial infarction. The nurse plans care, knowing that the primary purpose of st
@x @x @x @x @x @x @x @x @x @x @x @x @x
reptokinase is to: 1. Reduce myocardial oxygen demand. 2. Inhibit further clot format
@x @x @x @x @x @x @x @x @x @x @x @x
ion. 3. Prevent platelet aggregation. 4. Dissolve the thrombus.
@x @x @x @x @x @x @x @x
ANSWER
4. Dissolve the thrombus.
@x @x @x
QUESTION 7 @x
A client who is human immunodeficiency virus (HIV) seropositive has been taking zal
@x @x @x @x @x @x @x @x @x @x @x @x
citabine (ddC) as a component of treatment. The nurse tells the client that which lab
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
oratory test will need to be monitored while taking this medication? 1. Glucose level
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
2. Platelet count 3. Red blood cell count 4. Liver function studies
@x @x @x @x @x @x @x @x @x @x @x
ANSWER
4. Liver function studies
@x @x @x
QUESTION 8 @x
,The nurse is analyzing the laboratory results of a client with leukemia who has recei
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
ved a regimen of chemotherapy. Which laboratory value would the nurse specifically
@x @x @x @x @x @x @x @x @x @x @x @x
note as a result of the massive cell destruction that occurred from the chemotherapy
@x @x @x @x @x @x @x @x @x @x @x @x @x
? 1. Anemia 2. Decreased platelets 3. Increased uric acid level 4. Decreased leukocyte
@x @x @x @x @x @x @x @x @x @x @x @x @x @
count
x
ANSWER
3. Increased uric acid level
@x @x @x @x
QUESTION 9 @x
The client has begun medication therapy with pancrelipase (Pancrease MT). The nurs
@x @x @x @x @x @x @x @x @x @x @x
e evaluates that the medication is having the optimal intended benefit if which effect
@x @x @x @x @x @x @x @x @x @x @x @x @x @
is observed? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Abse
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
nce of abdominal pain
@x @x @x
ANSWER
3. Reduction of steatorrhea
@x @x @x
QUESTION 10 @x
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring
@x @x @x @x @x @x @x @x @x @x @x @
this client should look for which of the following to indicate a primary therapeutic r
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
esponse from the medication? 1. Decreased muscle spasms 2. Increased range of moti
@x @x @x @x @x @x @x @x @x @x @x @x
on of all extremities 3. Increased muscle tone and strength 4. Decreased nausea
@x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
1. Decreased muscle spasms
@x @x @x
QUESTION 11 @x
A client with cancer is receiving cisplatin. Which finding indicates that the client is e
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
xperiencing an adverse effect of the medication? 1. Tinnitus 2. Increased appetite 3. E
@x @x @x @x @x @x @x @x @x @x @x @x @x
xcessive urination 4. Yellow halos in front of the eyes
@x @x @x @x @x @x @x @x @x
ANSWER
1. Tinnitus
@x
QUESTION 12 @x
A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic
@x @x @x @x @x @x @x @x @x @x @x @x
) eye drops for the treatment of glaucoma. The nurse instructs the client regarding t
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
he administration of the medication and about the importance of returning to the cli
@x @x @x @x @x @x @x @x @x @x @x @x @x
, nic for monitoring of the: 1. Temperature 2. Blood pressure and apical pulse 3. Pupil
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @
dilation 4. Presence of Trousseau's sign
x @x @x @x @x @x
ANSWER
2. Blood pressure and apical pulse
@x @x @x @x @x
QUESTION 13 @x
A nurse is reviewing medications with the client receiving colchicine for the treatmen
@x @x @x @x @x @x @x @x @x @x @x @x
t of gout. The nurse determines that the medication is effective if the client reports a
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
decrease in: 1. Blood glucose 2. Blood pressure 3. Joint inflammation 4. Headaches
@x @x @x @x @x @x @x @x @x @x @x @x @x
ANSWER
3. Joint inflammation
@x @x
QUESTION 14 @x
A nurse is providing instructions to the parents of a child with iron deficiency anemi
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
a regarding the administration of a liquid oral iron supplement. The nurse tells the
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
mother to: 1. Administer the iron through a straw. 2. Administer the iron at mealtim
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
es. 3. Add the iron to food for easy administration. 4. Mix the iron with cereal to ad
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
minister.
ANSWER
1. Administer the iron through a straw.
@x @x @x @x @x @x
QUESTION 15 @x
A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
tells the client that it is best to take the medication: 1. With meals 2. At bedtime 3.
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
One hour before meals 4. In the morning before breakfast
@x @x @x @x @x @x @x @x @x
ANSWER
1. With meals
@x @x
QUESTION 16 @x
A nurse tells a client with leukemia that allopurinol (Zyloprim) has been added to th
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
e medication list. The client is currently receiving busulfan (Myleran). When the clien
@x @x @x @x @x @x @x @x @x @x @x @x
t asks the purpose of the new medication, the nurse responds that the allopurinol is
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
intended to prevent: 1. Alopecia 2. Diabetes 3. Arthritis 4. Hyperuricemia
@x @x @x @x @x @x @x @x @x @x
ANSWER
4. Hyperuricemia
@x