EXAM
Exam Solution
zm
NCLEX UWorld Pharmacology 2026 A+ GRADE ASSURE
zm zm zm zm zm zm
D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (4F
zm zm zm zm zm zm
1D8)
QUESTION 1 zm
Nephrotoxic Meds zm
ANSWER
-mycin antibiotics (aminoglycides) -keterolac (Toradol) -NSAIDs -digoxin
zm zm zm zm zm zm
QUESTION 2 zm
Hepatotoxic Meds zm
ANSWER
-tylenol -NSAIDs zm
QUESTION 3 zm
Naloxone (Narcan) zm
ANSWER
-weans in 1-2 hours -IV or nasal spray -
zm zm zm zm zm zm zm zm
if unresponsive d/t anesthesia or opioids: administer oxygen, assess respiratory rate, notify HCP, pre
zm zm zm zm zm zm zm zm zm zm zm zm zm
pare second dose Narcan, no need to call rapid response/code team
zm zm zm zm zm zm zm zm zm zm
QUESTION 4 zm
NSAIDs
ANSWER
, NON-STEROIDAL ANTI-INFLAMMATORY DRUGS -ex: aspirin, ibuprofen, naproxen -
zm zm zm zm zm zm zm
use at lowest dose necessary for short amount of time -
zm zm zm zm zm zm zm zm zm zm
risks: GI toxicity, kidney injury, HTN, heart failure, bleeding risk -do not use if hx cardiac problems
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
Aspirin
ANSWER
-side effects: black tarry stools, ringing in ears (earliest sign), bruising, tachycardia, hypotension -
zm zm zm zm zm zm zm zm zm zm zm zm zm
ASA toxicity: treated with activated charcoal then IV sodium bicarbonate, sx disorientation/vomiting/
zm zm zm zm zm zm zm zm zm zm zm
diaphoresis/restlessness, tinnitus zm
QUESTION 6 zm
Opioids
ANSWER
-if taking extended release for chronic pain teach to take even if pain is not present -
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
monitor respiratory status when taking with short acting opioids -IV 2-
zm zm zm zm zm zm zm zm zm zm
3 minute push then check 15-30 minutes after admin -
zm zm zm zm zm zm zm zm zm
nausea/vomiting usually subsides after initial treatment -take with food EX -morphine -
zm zm zm zm zm zm zm zm zm zm zm
hydrocodone -codeine -fentanyl -heroin (illegal substance) SE -sedation -respiratory depression -
zm zm zm zm zm zm zm zm zm zm
hypotension -constipation -risk for addiction
zm zm zm zm
QUESTION 7 zm
Codeine
ANSWER
-narcotic used for acute pain or cough suppressant -
zm zm zm zm zm zm zm zm
can cause accumulation of secretions so do not prescribe to people with respiratory disorders
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
Topical Medications zm
ANSWER
-allow 30 minutes before washing off to ensure medication is absorbed -avoid heat -
zm zm zm zm zm zm zm zm zm zm zm zm zm
local irritation is common
zm zm zm
QUESTION 9 zm
Clozapine
Exam Solution
zm
NCLEX UWorld Pharmacology 2026 A+ GRADE ASSURE
zm zm zm zm zm zm
D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (4F
zm zm zm zm zm zm
1D8)
QUESTION 1 zm
Nephrotoxic Meds zm
ANSWER
-mycin antibiotics (aminoglycides) -keterolac (Toradol) -NSAIDs -digoxin
zm zm zm zm zm zm
QUESTION 2 zm
Hepatotoxic Meds zm
ANSWER
-tylenol -NSAIDs zm
QUESTION 3 zm
Naloxone (Narcan) zm
ANSWER
-weans in 1-2 hours -IV or nasal spray -
zm zm zm zm zm zm zm zm
if unresponsive d/t anesthesia or opioids: administer oxygen, assess respiratory rate, notify HCP, pre
zm zm zm zm zm zm zm zm zm zm zm zm zm
pare second dose Narcan, no need to call rapid response/code team
zm zm zm zm zm zm zm zm zm zm
QUESTION 4 zm
NSAIDs
ANSWER
, NON-STEROIDAL ANTI-INFLAMMATORY DRUGS -ex: aspirin, ibuprofen, naproxen -
zm zm zm zm zm zm zm
use at lowest dose necessary for short amount of time -
zm zm zm zm zm zm zm zm zm zm
risks: GI toxicity, kidney injury, HTN, heart failure, bleeding risk -do not use if hx cardiac problems
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
Aspirin
ANSWER
-side effects: black tarry stools, ringing in ears (earliest sign), bruising, tachycardia, hypotension -
zm zm zm zm zm zm zm zm zm zm zm zm zm
ASA toxicity: treated with activated charcoal then IV sodium bicarbonate, sx disorientation/vomiting/
zm zm zm zm zm zm zm zm zm zm zm
diaphoresis/restlessness, tinnitus zm
QUESTION 6 zm
Opioids
ANSWER
-if taking extended release for chronic pain teach to take even if pain is not present -
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
monitor respiratory status when taking with short acting opioids -IV 2-
zm zm zm zm zm zm zm zm zm zm
3 minute push then check 15-30 minutes after admin -
zm zm zm zm zm zm zm zm zm
nausea/vomiting usually subsides after initial treatment -take with food EX -morphine -
zm zm zm zm zm zm zm zm zm zm zm
hydrocodone -codeine -fentanyl -heroin (illegal substance) SE -sedation -respiratory depression -
zm zm zm zm zm zm zm zm zm zm
hypotension -constipation -risk for addiction
zm zm zm zm
QUESTION 7 zm
Codeine
ANSWER
-narcotic used for acute pain or cough suppressant -
zm zm zm zm zm zm zm zm
can cause accumulation of secretions so do not prescribe to people with respiratory disorders
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
Topical Medications zm
ANSWER
-allow 30 minutes before washing off to ensure medication is absorbed -avoid heat -
zm zm zm zm zm zm zm zm zm zm zm zm zm
local irritation is common
zm zm zm
QUESTION 9 zm
Clozapine