NCLEX EXAM @x
Exam Solution @x
NCLEX PN Pharmacology 2026 A+ GRADE ASSURED CO @x @x @x @x @x @x @x
MPLETE SOLUTIONS AND VERIFIED ANSWERS (2F9B6) @x @x @x @x @x
QUESTION 1 @x
A nurse is reinforcing teaching for a female client who has been prescribed lisinopril.
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Which of the following instructions should the nurse plan to include?
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ANSWER
-monitor your blood pressure on a regular basis -
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report the development of a persistent dry cough -
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notify your doctor immediately if you become pregnant
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QUESTION 2 @x
A nurse is planning to instill eardrums in a toddler and must straighten the ear cana
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l by pulling the auricle of the ear. The nurse should plan to pull the auricle in which
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @
direction?
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ANSWER
Down and backward. - @x @x @x
This is the correct technique used for infants and children under 3 years of age.
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QUESTION 3 @x
A nurse is preparing to administer cefriaxone 3mL intramuscularly to an adult client.
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Which of the following actions should the nurse plan to take: inject at 45 degree an
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
gle, or locate the ventrogluteal site?
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ANSWER
Locate the ventrogluteal site. -
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When administering ceftriaxone intramuscularly, it should be injected deeply into a large muscle. T
@x @x @x @x @x @x @x @x @x @x @x @x @x
he ventrogluteal site is preferred when more than 1 mL of medication is to be injected. This site c
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ontains no large nerves or blood vessels and has less subcutaneous fat than other parts of the butt
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ock area. @x
, QUESTION 4 @x
A nurse is caring for a client who is receiving warfarin therapy to prevent deep vein
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
thrombosis. Which medication should the nurse have available in the event of an ove
@x @x @x @x @x @x @x @x @x @x @x @x @x
rdose?
ANSWER
Vitamin K -antidote for warfarin
@x @x @x @x
QUESTION 5 @x
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH in
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
sulin to a client who has diabetes. Identify the steps the nurse should take when pre
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
paring two insulins. @x @x
ANSWER
1. First draw up 20 units of air into the syringe, 2. inject 20 units of air into the NPH insulin vial,
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @
then withdraw the needle, which will facilitate drawing up the insulin. 3. Next the nurse should dr
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
aw up 10 units of air into the syringe 4. then inject 10 units of air into the regular insulin vial. 5.
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
Next withdraw 10 units of regular insulin into the syringe and withdraw the needle. 6. Then reinse
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
rt the needle into the NPH insulin vial and withdraw 20 units of NPH, which will minimize mixing
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
any of the NPH insulin with the regular insulin.
@x @x @x @x @x @x @x @x
QUESTION 6 @x
A nurse is caring for an older adult client who has a new prescription for spironolact
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one. Which of the following laboratory values should the nurse monitor for this clien
@x @x @x @x @x @x @x @x @x @x @x @x @x
t: hemoglobin, potassium, total cholesterol, or thyroid stimulating hormone?
@x @x @x @x @x @x @x @x
ANSWER
Potassium -Spironolactone is a potassium-
@x @x @x @x
sparing diuretic that can cause hyperkalemia. The nurse should plan to monitor potassium levels w
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
hile the client takes this medication. Spironolactone may be discontinued if the serum potassium le
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
vel is above 5 mEq/L.
@x @x @x @x
QUESTION 7 @x
A nurse is caring for a client who has Parkinson's Disease and is taking selegiline 5m
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
g by mouth twice daily. Which of the following therapeutic outcomes should the nurs
@x @x @x @x @x @x @x @x @x @x @x @x @x
e monitor for with a client taking this medication: improved speech patterns, increas
@x @x @x @x @x @x @x @x @x @x @x @x
ed bladder function, decreased tremors, or diminished drooling?
@x @x @x @x @x @x @x
ANSWER
Exam Solution @x
NCLEX PN Pharmacology 2026 A+ GRADE ASSURED CO @x @x @x @x @x @x @x
MPLETE SOLUTIONS AND VERIFIED ANSWERS (2F9B6) @x @x @x @x @x
QUESTION 1 @x
A nurse is reinforcing teaching for a female client who has been prescribed lisinopril.
@x @x @x @x @x @x @x @x @x @x @x @x @x
Which of the following instructions should the nurse plan to include?
@x @x @x @x @x @x @x @x @x @x @x
ANSWER
-monitor your blood pressure on a regular basis -
@x @x @x @x @x @x @x @x
report the development of a persistent dry cough -
@x @x @x @x @x @x @x @x
notify your doctor immediately if you become pregnant
@x @x @x @x @x @x @x
QUESTION 2 @x
A nurse is planning to instill eardrums in a toddler and must straighten the ear cana
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
l by pulling the auricle of the ear. The nurse should plan to pull the auricle in which
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @
direction?
x
ANSWER
Down and backward. - @x @x @x
This is the correct technique used for infants and children under 3 years of age.
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
QUESTION 3 @x
A nurse is preparing to administer cefriaxone 3mL intramuscularly to an adult client.
@x @x @x @x @x @x @x @x @x @x @x @x
Which of the following actions should the nurse plan to take: inject at 45 degree an
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
gle, or locate the ventrogluteal site?
@x @x @x @x @x
ANSWER
Locate the ventrogluteal site. -
@x @x @x @x
When administering ceftriaxone intramuscularly, it should be injected deeply into a large muscle. T
@x @x @x @x @x @x @x @x @x @x @x @x @x
he ventrogluteal site is preferred when more than 1 mL of medication is to be injected. This site c
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ontains no large nerves or blood vessels and has less subcutaneous fat than other parts of the butt
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
ock area. @x
, QUESTION 4 @x
A nurse is caring for a client who is receiving warfarin therapy to prevent deep vein
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
thrombosis. Which medication should the nurse have available in the event of an ove
@x @x @x @x @x @x @x @x @x @x @x @x @x
rdose?
ANSWER
Vitamin K -antidote for warfarin
@x @x @x @x
QUESTION 5 @x
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH in
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
sulin to a client who has diabetes. Identify the steps the nurse should take when pre
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
paring two insulins. @x @x
ANSWER
1. First draw up 20 units of air into the syringe, 2. inject 20 units of air into the NPH insulin vial,
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @
then withdraw the needle, which will facilitate drawing up the insulin. 3. Next the nurse should dr
x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
aw up 10 units of air into the syringe 4. then inject 10 units of air into the regular insulin vial. 5.
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
Next withdraw 10 units of regular insulin into the syringe and withdraw the needle. 6. Then reinse
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
rt the needle into the NPH insulin vial and withdraw 20 units of NPH, which will minimize mixing
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
any of the NPH insulin with the regular insulin.
@x @x @x @x @x @x @x @x
QUESTION 6 @x
A nurse is caring for an older adult client who has a new prescription for spironolact
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
one. Which of the following laboratory values should the nurse monitor for this clien
@x @x @x @x @x @x @x @x @x @x @x @x @x
t: hemoglobin, potassium, total cholesterol, or thyroid stimulating hormone?
@x @x @x @x @x @x @x @x
ANSWER
Potassium -Spironolactone is a potassium-
@x @x @x @x
sparing diuretic that can cause hyperkalemia. The nurse should plan to monitor potassium levels w
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
hile the client takes this medication. Spironolactone may be discontinued if the serum potassium le
@x @x @x @x @x @x @x @x @x @x @x @x @x @x
vel is above 5 mEq/L.
@x @x @x @x
QUESTION 7 @x
A nurse is caring for a client who has Parkinson's Disease and is taking selegiline 5m
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x
g by mouth twice daily. Which of the following therapeutic outcomes should the nurs
@x @x @x @x @x @x @x @x @x @x @x @x @x
e monitor for with a client taking this medication: improved speech patterns, increas
@x @x @x @x @x @x @x @x @x @x @x @x
ed bladder function, decreased tremors, or diminished drooling?
@x @x @x @x @x @x @x
ANSWER