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Exam Solution zm
Pharmacology PN NCLEX Review Qs 2026 A+ GRADE AS zm zm zm zm zm zm zm zm
SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER
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S (EE3FA)
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QUESTION 1 zm
Dopamine (Intropin) is administered to a client who is hypotensive. Which finding sho
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uld the nurse identify as a therapeutic response?
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A. Gain in weight
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B. Increase in urine output
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C. Improved gastric motility
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D. Decrease in blood pressure
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ANSWER
B. Increase in urine output Rationale: Intropin activates dopamine receptors in the kidney and dilate
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s blood vessels to improve renal perfusion, so an increase in urine output (
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B) indicates an increase in glomerular filtration caused by increased arterial blood pressure. (
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A) is related to fluid retention but is not an indicator of a therapeutic response to dopamine therap
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y. (
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C) is not related to the vasopressor effect of dopamine therapy. Dopamine increases cardiac output,
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which increases a client's blood pressure, not (D).
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QUESTION 2 zm
A client with diabetes mellitus takes insulin daily and is prescribed propranolol (Inde
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ral). Which information should the nurse provide this client?
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ANSWER
Propranolol suppresses a rapid heart rate as a sign of hypoglycemia.
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QUESTION 3 zm
A client who arrives in the PACU after surgery is not awake from general anesthesia.
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What action should the nurse implement first?
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, ANSWER
Review the medication administration record (MAR).
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QUESTION 4 zm
During therapy with isoniazid (INH), it is most important for the nurse to monitor wh
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ich laboratory value closely?
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A. Liver enzyme levels
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B. Blood urea nitrogen (BUN) level
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C. Serum electrolyte levels
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D. Complete blood count (CBC)
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ANSWER
A. Liver enzyme levels Rationale: The client receiving isoniazid (INH) is at risk for the development
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of hepatitis; therefore, liver function test results should be monitored carefully during drug therapy
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(A). (B, C, and
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D) are not specific indicators of liver function, so they are not monitored closely during isoniazid (I
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NH) therapy.zm
QUESTION 5 zm
A client who arrives in the postanesthesia care unit (PACU) after surgery is not awake
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from general anesthesia. Which action should the nurse implement first?
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A. Assess for deep tendon reflexes.
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B. Observe urinary output.
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C. Review the medication administration record (MAR).
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D. Administer naloxone (Narcan).
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ANSWER
C. Review the medication administration record (MAR). Rationale: Most general anesthetics produce
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cardiovascular and respiratory depression, so a review of the client's MAR identifies all the medicati
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ons ( zm
C) received during surgery and helps the nurse anticipate the client's response and emergence from
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anesthesia. (A and zm zm
B) are ongoing postoperative assessments. Based on the medications that the client has received, (
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D) may need to be administered if indicated by the client's vital signs and delayed spontaneous reac
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tivity
QUESTION 6 zm
In addition to nitrate therapy, a client is receiving nifedipine (Procardia), 10 mg PO e
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very 6 hours. The nurse should plan to observe for which common side effect of this t
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reatment regimen? zm
A. Hypotension
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B. Hyperkalemia
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Exam Solution zm
Pharmacology PN NCLEX Review Qs 2026 A+ GRADE AS zm zm zm zm zm zm zm zm
SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER
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S (EE3FA)
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QUESTION 1 zm
Dopamine (Intropin) is administered to a client who is hypotensive. Which finding sho
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uld the nurse identify as a therapeutic response?
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A. Gain in weight
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B. Increase in urine output
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C. Improved gastric motility
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D. Decrease in blood pressure
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ANSWER
B. Increase in urine output Rationale: Intropin activates dopamine receptors in the kidney and dilate
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s blood vessels to improve renal perfusion, so an increase in urine output (
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B) indicates an increase in glomerular filtration caused by increased arterial blood pressure. (
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A) is related to fluid retention but is not an indicator of a therapeutic response to dopamine therap
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y. (
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C) is not related to the vasopressor effect of dopamine therapy. Dopamine increases cardiac output,
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which increases a client's blood pressure, not (D).
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QUESTION 2 zm
A client with diabetes mellitus takes insulin daily and is prescribed propranolol (Inde
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ral). Which information should the nurse provide this client?
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ANSWER
Propranolol suppresses a rapid heart rate as a sign of hypoglycemia.
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QUESTION 3 zm
A client who arrives in the PACU after surgery is not awake from general anesthesia.
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What action should the nurse implement first?
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, ANSWER
Review the medication administration record (MAR).
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QUESTION 4 zm
During therapy with isoniazid (INH), it is most important for the nurse to monitor wh
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ich laboratory value closely?
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A. Liver enzyme levels
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B. Blood urea nitrogen (BUN) level
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C. Serum electrolyte levels
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D. Complete blood count (CBC)
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ANSWER
A. Liver enzyme levels Rationale: The client receiving isoniazid (INH) is at risk for the development
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of hepatitis; therefore, liver function test results should be monitored carefully during drug therapy
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(A). (B, C, and
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D) are not specific indicators of liver function, so they are not monitored closely during isoniazid (I
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NH) therapy.zm
QUESTION 5 zm
A client who arrives in the postanesthesia care unit (PACU) after surgery is not awake
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from general anesthesia. Which action should the nurse implement first?
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A. Assess for deep tendon reflexes.
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B. Observe urinary output.
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C. Review the medication administration record (MAR).
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D. Administer naloxone (Narcan).
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ANSWER
C. Review the medication administration record (MAR). Rationale: Most general anesthetics produce
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cardiovascular and respiratory depression, so a review of the client's MAR identifies all the medicati
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ons ( zm
C) received during surgery and helps the nurse anticipate the client's response and emergence from
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anesthesia. (A and zm zm
B) are ongoing postoperative assessments. Based on the medications that the client has received, (
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D) may need to be administered if indicated by the client's vital signs and delayed spontaneous reac
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tivity
QUESTION 6 zm
In addition to nitrate therapy, a client is receiving nifedipine (Procardia), 10 mg PO e
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very 6 hours. The nurse should plan to observe for which common side effect of this t
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reatment regimen? zm
A. Hypotension
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B. Hyperkalemia
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