NCLEX RN pharmacology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Pharmacology M/C NCLEX RN review questions 2026 A zm zm zm zm zm zm zm




+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFI
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ED ANSWERS (40093) zm zm




QUESTION 1 zm




Before administering drugs by the enteral route, the nurse should evaluate which of t
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he following? 1. Ability of the patient to lie supine 2. Compatibility of the drug with IV
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fluid 3. Ability of the patient to swallow 4. Patency of the injection port
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ANSWER

3



QUESTION 2 zm




The order reads, "Lasix 40 mg IV STAT." Which of the following actions should the nu
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rse take? 1. Administer the medication within 30 minutes of the order. 2. Administer t
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he medication within 5 minutes of the order. 3. Administer the medication as require
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d by the patient's condition. 4. Assess the patient's ability to tolerate the medication b
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efore giving. zm




ANSWER

2



QUESTION 3 zm




Which of the following medications would not be administered through a nasogastric
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tube? (Select all that apply). 1. Liquids 2. Enteric-coated tablets 3. Sustainted-
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release tablets 4. Finely crushed tablets 5. IV medications
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ANSWER

2, 3, 5
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,QUESTION 4 zm




A patient has a malignant brain tumor. What pharmacokinetic phase may be affected
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by the presence of the tumor? 1. Absorption 2. Distribution 3. Metabolism 4. Excretion
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ANSWER

2



QUESTION 5 zm




A patient with cirrhosis of the liver exhibits decreased metabolic activity. This will re
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quire what possible changes? (Select all that apply.) 1. A reduction in the dosage of th
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e drugs. 2. A change in the timing of medication administration. 3. An increased dose
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of prescribed drug. 4. Giving all prescribed drugs by intramuscular injection. 5. More f
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requent monitoring for adverse drug effects.
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ANSWER

1, 5zm




QUESTION 6 zm




The patient requires a drug that is known to be completely metabolized by the first-
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pass effect. What change will be needed when this drug is administered? 1. The drug
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must be given more frequently. 2. The drug must be given in higher doses. 3. The dru
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g must be given in a lipid-soluble form. 4. The drug must be given by a non-
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oral route such as parenterally.
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ANSWER

4



QUESTION 7 zm




A patient who is in renal failure may have a diminished capacity to excrete medicatio
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ns. The nurse must assess the patient more frequently for what development? 1. Incre
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ased risk of allergy. 2. Decreased therapeutic drug effects. 3. Increased risk for drug t
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oxicity. 4. Increased absorption of the drug from the intestines.
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ANSWER

3



QUESTION 8 zm




What is the rationale for the administration of a loading dose of a drug? 1. It decreas
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es the number of doses that must be given. 2. It results in lower dosages being requir
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, ed to achieve therapeutic effects. 3. It decreases the risk of drug toxicity. 4. It more ra
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pidly builds plasma drug levels to a plateau level.
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ANSWER

4



QUESTION 9 zm




A nurse asks a client to discuss the way medications will be taken at home. Which ph
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ase of the nursing process is the nurse using?
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a. Assessment
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b. Planning
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c. Implementation
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d. Evaluation
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ANSWER

b



QUESTION 10 zm




A client is known to be allergic to several medications. After a nurse administers a m
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edication, an adult client's vital signs are 99.2F - 148 -
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56 and BP 76/40. Which of these assessments should the nurse make?
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a. Allergic reaction
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b. Anaphylactic reaction
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c. Side effect
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d. Anticipated reaction
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ANSWER

c



QUESTION 11 zm




A nurse is assessing a client who is febrile. The nurse knows that the client needs an
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antipyretic medication. The nurse should check in which area of the MAR for this ord
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er?
a. Routine orders
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b. STAT orders
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c. HS orders
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d. PRN orders
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ANSWER

d