Pharmacology NCLEX-PN
Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus) two puffs by
metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease.
The nurse caring for the client provides instructions regarding administration of the medication.
Which statement by the client indicates an understanding of how to take these medications?
1. "I will take the two puffs of the fluticasone propionate first and then the two puffs of the
albuterol."
2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone
propionate."
3."I will alternate a single puff of each, beginning with the fluticasone propionate."
4. "I will alternate a single puff of each, beginning with the albuterol." -
✅2. "I will take the two puffs of the albuterol first and then the two puffs of the
fluticasone propionate."
Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care clinic. The
nurse is collecting data on the client and is providing instructions regarding the use of this
medication. Which is most important for the nurse to determine before administration of this
medication? -
✅4. When the last alcoholic drink was consumed
A nurse is caring for a client with liver disease. Laboratory studies are performed, and the client's
serum calcium level is 13 mg/dL. The nurse checks to see that which medication is available in the
stock medication supply area on the clinical nursing unit that may be needed to treat this calcium
imbalance? -
✅4. Calcitonin (Cibacalcin)
A client with carcinoma is admitted to the hospital for a chemotherapy treatment with intravenous
bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of
care. Which assessment finding most closely correlates to symptoms of interstitial pneumonitis,
requiring reporting? -
✅4. Lung wheezing and shortness of breath
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if noted on the
client's record, indicates that the medication needs to be administered with caution? -
✅3. Renal insufficiency
A nurse employed in the emergency department is preparing to administer syrup of ipecac to a 7-
month-old child. The nurse prepares 5 mL of the syrup and administers one half glass of water
following administration of the ipecac syrup. Which response would the nurse expect? -
✅1. Vomiting
1
,A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine
(Sandimmune). Which food item would the nurse instruct the client to avoid? -
✅3. Grapefruit juice
A client is being treated for acute congestive heart failure with intravenously administered
bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and
respirations, 24 breaths/min. After the initial dose, which of the following is the priority
assessment? -
✅3. Monitoring blood pressure
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the
following should be included in the list of instructions? -
✅2. Maintain a high fluid intake.
Docetaxel (Taxotere) is prescribed for a client with metastatic breast cancer. In addition,
dexamethasone (Decadron) is prescribed to be administered before initiation of the docetaxel. The
nurse tells the client that the dexamethasone is prescribed to: -
✅2. Reduce the severity of fluid retention.
Streptokinase (Streptase) is being administered to a client following an acute inferior myocardial
infarction. The nurse plans care, knowing that the primary purpose of streptokinase is to: -
✅4. Dissolve the thrombus.
A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past
several weeks. Following data collection, it has been determined that the client has scabies. Lindane
is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the
medication. The nurse tells the client to: -
✅4. Leave the cream on for 8 to 12 hours and then remove by washing.
A nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate
for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On
the basis of this data, the nurse reports the finding and makes which determination? -
✅4. The client is experiencing magnesium toxicity.
A client who is human immunodeficiency virus (HIV) seropositive has been taking zalcitabine
(ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to
be monitored while taking this medication? -
✅4. Liver function studies
The nurse administering medications to a group of clients notes a prescription to give a
subcutaneous dose of heparin sodium. The nurse should do which of the following to give this
medication safely? -
✅3. Give the injection using a 25- to 27-gauge, ⅝-inch needle.
The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen
of chemotherapy. Which laboratory value would the nurse specifically note as a result of the
massive cell destruction that occurred from the chemotherapy? -
✅3. Increased uric acid level
2
,The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates
that the medication is having the optimal intended benefit if which effect is observed? -
✅3. Reduction of steatorrhea
Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound containing
purulent drainage. The nurse is assisting in developing a plan of care for the client and includes
which of the following in the plan? -
1. Ensure that the solution is freshly prepared before use.
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring this client
should look for which of the following to indicate a primary therapeutic response from the
medication? -
1. Decreased muscle spasms
A client with cancer is receiving cisplatin. Which finding indicates that the client is experiencing an
adverse effect of the medication? -
1. Tinnitus
The nurse provides medication instructions to an older hypertensive client who is taking 20 mg of
lisinopril (Prinivil, Zestril) orally daily. The nurse evaluates the need for further teaching when the
client states which of the following? -
1. "I can skip a dose once a week."
A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic) eye drops for
the treatment of glaucoma. The nurse instructs the client regarding the administration of the
medication and about the importance of returning to the clinic for monitoring of the: -
2. Blood pressure and apical pulse
A nurse is reviewing medications with the client receiving colchicine for the treatment of gout. The
nurse determines that the medication is effective if the client reports a decrease in: -
3. Joint inflammation
A nurse is providing instructions to the parents of a child with iron deficiency anemia regarding the
administration of a liquid oral iron supplement. The nurse tells the mother to: -
1. Administer the iron through a straw.
A nurse is caring for a client with chronic congestive heart failure who is taking digoxin (Lanoxin)
0.125 mg daily. Before administering the medication, the nurse reviews the serum digoxin level that
was drawn earlier in the day. The result is 1 ng/mL. Which of the following actions should the nurse
take based on this laboratory result? -
2. Administer the dose of the medication as scheduled.
A client has a prescription to receive albuterol (Proventil HFA) two puffs and beclomethasone
dipropionate (Qvar) two puffs by metered-dose inhaler. The nurse plans to give these medications
most effectively by: -
4. Administering the albuterol before the beclomethasone dipropionate
A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse tells the client
that it is best to take the medication: -
3
, 1. With meals
A nurse tells a client with leukemia that allopurinol (Zyloprim) has been added to the medication
list. The client is currently receiving busulfan (Myleran). When the client asks the purpose of the
new medication, the nurse responds that the allopurinol is intended to prevent: -
4. Hyperuricemia
Clients who are given a prescription for sildenafil (Viagra) should be taught that a potentially fatal
medication interaction can occur with which medication? -
2. Nitroglycerin (Nitrostat)
A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. The nurse
determines that the client understands the most effective use of this medication if the client states
that he or she will: -
2. Take the tablet with a full glass of water.
A nursing student is assigned to care for a 30-week gestational woman who is admitted to the
maternity unit in preterm labor. Betamethasone is prescribed to be administered to the mother. The
nursing instructor asks the student about the purpose of the medication. Which statement by the
student indicates an understanding of the purpose of this medication? -
3. "This medication will promote fetal lung maturity."
A child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals
documentation that the child was bitten by a tick 2 weeks ago. The child presents with complaints
of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of
the feet. The nurse reviews the health care provider's prescriptions and anticipates that which of the
following will be prescribed? -
1. Doxycycline (Vibramycin)
Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse evaluates that the
medication is having the intended effect if which of the following is noted in the client? -
3. Decreased muscle spasms
The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for
the potential for increased systemic absorption of the medication if the medication were being
applied to which of the following body areas? -
2. Axilla
A client who has developed atrial fibrillation that is not responding to medication therapy has begun
taking warfarin (Coumadin). The nurse is performing dietary discharge teaching with the client. The
nurse would plan to teach the client to avoid which of the following foods while taking this
medication? -
4. Broccoli
When discussing the rationale for levothyroxine (Synthroid) with a client with hypothyroidism, the
nurse should emphasize that the client can anticipate what primary expected outcome? -
4. Achieving normal thyroid hormone levels
4
Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus) two puffs by
metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease.
The nurse caring for the client provides instructions regarding administration of the medication.
Which statement by the client indicates an understanding of how to take these medications?
1. "I will take the two puffs of the fluticasone propionate first and then the two puffs of the
albuterol."
2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone
propionate."
3."I will alternate a single puff of each, beginning with the fluticasone propionate."
4. "I will alternate a single puff of each, beginning with the albuterol." -
✅2. "I will take the two puffs of the albuterol first and then the two puffs of the
fluticasone propionate."
Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care clinic. The
nurse is collecting data on the client and is providing instructions regarding the use of this
medication. Which is most important for the nurse to determine before administration of this
medication? -
✅4. When the last alcoholic drink was consumed
A nurse is caring for a client with liver disease. Laboratory studies are performed, and the client's
serum calcium level is 13 mg/dL. The nurse checks to see that which medication is available in the
stock medication supply area on the clinical nursing unit that may be needed to treat this calcium
imbalance? -
✅4. Calcitonin (Cibacalcin)
A client with carcinoma is admitted to the hospital for a chemotherapy treatment with intravenous
bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of
care. Which assessment finding most closely correlates to symptoms of interstitial pneumonitis,
requiring reporting? -
✅4. Lung wheezing and shortness of breath
Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if noted on the
client's record, indicates that the medication needs to be administered with caution? -
✅3. Renal insufficiency
A nurse employed in the emergency department is preparing to administer syrup of ipecac to a 7-
month-old child. The nurse prepares 5 mL of the syrup and administers one half glass of water
following administration of the ipecac syrup. Which response would the nurse expect? -
✅1. Vomiting
1
,A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine
(Sandimmune). Which food item would the nurse instruct the client to avoid? -
✅3. Grapefruit juice
A client is being treated for acute congestive heart failure with intravenously administered
bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and
respirations, 24 breaths/min. After the initial dose, which of the following is the priority
assessment? -
✅3. Monitoring blood pressure
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the
following should be included in the list of instructions? -
✅2. Maintain a high fluid intake.
Docetaxel (Taxotere) is prescribed for a client with metastatic breast cancer. In addition,
dexamethasone (Decadron) is prescribed to be administered before initiation of the docetaxel. The
nurse tells the client that the dexamethasone is prescribed to: -
✅2. Reduce the severity of fluid retention.
Streptokinase (Streptase) is being administered to a client following an acute inferior myocardial
infarction. The nurse plans care, knowing that the primary purpose of streptokinase is to: -
✅4. Dissolve the thrombus.
A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past
several weeks. Following data collection, it has been determined that the client has scabies. Lindane
is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the
medication. The nurse tells the client to: -
✅4. Leave the cream on for 8 to 12 hours and then remove by washing.
A nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate
for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On
the basis of this data, the nurse reports the finding and makes which determination? -
✅4. The client is experiencing magnesium toxicity.
A client who is human immunodeficiency virus (HIV) seropositive has been taking zalcitabine
(ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to
be monitored while taking this medication? -
✅4. Liver function studies
The nurse administering medications to a group of clients notes a prescription to give a
subcutaneous dose of heparin sodium. The nurse should do which of the following to give this
medication safely? -
✅3. Give the injection using a 25- to 27-gauge, ⅝-inch needle.
The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen
of chemotherapy. Which laboratory value would the nurse specifically note as a result of the
massive cell destruction that occurred from the chemotherapy? -
✅3. Increased uric acid level
2
,The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates
that the medication is having the optimal intended benefit if which effect is observed? -
✅3. Reduction of steatorrhea
Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound containing
purulent drainage. The nurse is assisting in developing a plan of care for the client and includes
which of the following in the plan? -
1. Ensure that the solution is freshly prepared before use.
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring this client
should look for which of the following to indicate a primary therapeutic response from the
medication? -
1. Decreased muscle spasms
A client with cancer is receiving cisplatin. Which finding indicates that the client is experiencing an
adverse effect of the medication? -
1. Tinnitus
The nurse provides medication instructions to an older hypertensive client who is taking 20 mg of
lisinopril (Prinivil, Zestril) orally daily. The nurse evaluates the need for further teaching when the
client states which of the following? -
1. "I can skip a dose once a week."
A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic) eye drops for
the treatment of glaucoma. The nurse instructs the client regarding the administration of the
medication and about the importance of returning to the clinic for monitoring of the: -
2. Blood pressure and apical pulse
A nurse is reviewing medications with the client receiving colchicine for the treatment of gout. The
nurse determines that the medication is effective if the client reports a decrease in: -
3. Joint inflammation
A nurse is providing instructions to the parents of a child with iron deficiency anemia regarding the
administration of a liquid oral iron supplement. The nurse tells the mother to: -
1. Administer the iron through a straw.
A nurse is caring for a client with chronic congestive heart failure who is taking digoxin (Lanoxin)
0.125 mg daily. Before administering the medication, the nurse reviews the serum digoxin level that
was drawn earlier in the day. The result is 1 ng/mL. Which of the following actions should the nurse
take based on this laboratory result? -
2. Administer the dose of the medication as scheduled.
A client has a prescription to receive albuterol (Proventil HFA) two puffs and beclomethasone
dipropionate (Qvar) two puffs by metered-dose inhaler. The nurse plans to give these medications
most effectively by: -
4. Administering the albuterol before the beclomethasone dipropionate
A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse tells the client
that it is best to take the medication: -
3
, 1. With meals
A nurse tells a client with leukemia that allopurinol (Zyloprim) has been added to the medication
list. The client is currently receiving busulfan (Myleran). When the client asks the purpose of the
new medication, the nurse responds that the allopurinol is intended to prevent: -
4. Hyperuricemia
Clients who are given a prescription for sildenafil (Viagra) should be taught that a potentially fatal
medication interaction can occur with which medication? -
2. Nitroglycerin (Nitrostat)
A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. The nurse
determines that the client understands the most effective use of this medication if the client states
that he or she will: -
2. Take the tablet with a full glass of water.
A nursing student is assigned to care for a 30-week gestational woman who is admitted to the
maternity unit in preterm labor. Betamethasone is prescribed to be administered to the mother. The
nursing instructor asks the student about the purpose of the medication. Which statement by the
student indicates an understanding of the purpose of this medication? -
3. "This medication will promote fetal lung maturity."
A child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals
documentation that the child was bitten by a tick 2 weeks ago. The child presents with complaints
of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of
the feet. The nurse reviews the health care provider's prescriptions and anticipates that which of the
following will be prescribed? -
1. Doxycycline (Vibramycin)
Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse evaluates that the
medication is having the intended effect if which of the following is noted in the client? -
3. Decreased muscle spasms
The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for
the potential for increased systemic absorption of the medication if the medication were being
applied to which of the following body areas? -
2. Axilla
A client who has developed atrial fibrillation that is not responding to medication therapy has begun
taking warfarin (Coumadin). The nurse is performing dietary discharge teaching with the client. The
nurse would plan to teach the client to avoid which of the following foods while taking this
medication? -
4. Broccoli
When discussing the rationale for levothyroxine (Synthroid) with a client with hypothyroidism, the
nurse should emphasize that the client can anticipate what primary expected outcome? -
4. Achieving normal thyroid hormone levels
4
