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NCLEX RN PHARMACOLOGY TEST BANK 3 EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
1.) A nurse is caring for a client with gout who is taking Colcrys
(colchicine). The client has been instructed to restrict the diet to
low-purine foods. Which of the following foods should the nurse
instruct the client to avoid while taking this medication?
1. Spinach
2. Scallops
3. Potatoes
4. Ice cream - ANSWER-2. Scallops
Rationale:
Colchicine is a medication used for clients with gout to
inhibit the reabsorption of uric acid by the kidney and
promote excretion of uric acid in the urine. Uric acid is
produced when purine is catabolized. Clients are instructed
to modify their diet and limit excessive purine intake. High-
purine foods to avoid or limit include organ meats, roe,
sardines, scallops, anchovies, broth, mincemeat, herring,
shrimp, mackerel, gravy, and yeast.
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2.) A health care provider prescribes auranofin (Ridaura) for a
client with rheumatoid arthritis. Which of the following would
indicate to the nurse that the client is experiencing toxicity related
to the medication?
1. Joint pain
2. Constipation
3. Ringing in the ears
4. Complaints of a metallic taste in the mouth - ANSWER-4.
Complaints of a metallic taste in the mouth
Rationale:
Ridaura is the one gold preparation that is given orally rather
than by injection. Gastrointestinal reactions including
diarrhea, abdominal pain, nausea, and loss of appetite are
common early in therapy, but these usually subside in the
first 3 months of therapy. Early symptoms of toxicity include
a rash, purple blotches, pruritus, mouth lesions, and a
metallic taste in the mouth.
3.) A film-coated form of diflunisal has been prescribed for a client
for the treatment of chronic rheumatoid arthritis. The client calls
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the clinic nurse because of difficulty swallowing the tablets. Which
initial instruction should the nurse provide to the client?
1. "Crush the tablets and mix them with food."
2. "Notify the health care provider for a medication change."
3. "Open the tablet and mix the contents with food."
4. "Swallow the tablets with large amounts of water or milk." -
ANSWER-4. "Swallow the tablets with large amounts of water or
milk."
Rationale:
Diflunisal may be given with water, milk, or meals. The
tablets should not be crushed or broken open. Taking the
medication with a large amount of water or milk should be
tried before contacting the health care provider.
4.) A health care provider instructs a client with rheumatoid
arthritis to take ibuprofen (Motrin). The nurse reinforces the
instructions, knowing that the normal adult dose for this client is
which of the following?
1. 100 mg orally twice a day
2. 200 mg orally twice a day
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3. 400 mg orally three times a day
4. 1000 mg orally four times a day - ANSWER-3. 400 mg orally
three times a day
Rationale:
For acute or chronic rheumatoid arthritis or osteoarthritis,
the normal oral adult dose is 400 to 800 mg three or four
times daily.
5.) A adult client with muscle spasms is taking an oral
maintenance dose of baclofen (Lioresal). The nurse reviews the
medication record, expecting that which dose should be
prescribed?
1. 15 mg four times a day
2. 25 mg four times a day
3. 30 mg four times a day
4. 40 mg four times a day - ANSWER-1. 15 mg four times a day
Rationale:
Baclofen is dispensed in 10- and 20-mg tablets for oral use.
Dosages are low initially and then gradually increased.
NCLEX RN PHARMACOLOGY TEST BANK 3 EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
1.) A nurse is caring for a client with gout who is taking Colcrys
(colchicine). The client has been instructed to restrict the diet to
low-purine foods. Which of the following foods should the nurse
instruct the client to avoid while taking this medication?
1. Spinach
2. Scallops
3. Potatoes
4. Ice cream - ANSWER-2. Scallops
Rationale:
Colchicine is a medication used for clients with gout to
inhibit the reabsorption of uric acid by the kidney and
promote excretion of uric acid in the urine. Uric acid is
produced when purine is catabolized. Clients are instructed
to modify their diet and limit excessive purine intake. High-
purine foods to avoid or limit include organ meats, roe,
sardines, scallops, anchovies, broth, mincemeat, herring,
shrimp, mackerel, gravy, and yeast.
,2|Page
2.) A health care provider prescribes auranofin (Ridaura) for a
client with rheumatoid arthritis. Which of the following would
indicate to the nurse that the client is experiencing toxicity related
to the medication?
1. Joint pain
2. Constipation
3. Ringing in the ears
4. Complaints of a metallic taste in the mouth - ANSWER-4.
Complaints of a metallic taste in the mouth
Rationale:
Ridaura is the one gold preparation that is given orally rather
than by injection. Gastrointestinal reactions including
diarrhea, abdominal pain, nausea, and loss of appetite are
common early in therapy, but these usually subside in the
first 3 months of therapy. Early symptoms of toxicity include
a rash, purple blotches, pruritus, mouth lesions, and a
metallic taste in the mouth.
3.) A film-coated form of diflunisal has been prescribed for a client
for the treatment of chronic rheumatoid arthritis. The client calls
,3|Page
the clinic nurse because of difficulty swallowing the tablets. Which
initial instruction should the nurse provide to the client?
1. "Crush the tablets and mix them with food."
2. "Notify the health care provider for a medication change."
3. "Open the tablet and mix the contents with food."
4. "Swallow the tablets with large amounts of water or milk." -
ANSWER-4. "Swallow the tablets with large amounts of water or
milk."
Rationale:
Diflunisal may be given with water, milk, or meals. The
tablets should not be crushed or broken open. Taking the
medication with a large amount of water or milk should be
tried before contacting the health care provider.
4.) A health care provider instructs a client with rheumatoid
arthritis to take ibuprofen (Motrin). The nurse reinforces the
instructions, knowing that the normal adult dose for this client is
which of the following?
1. 100 mg orally twice a day
2. 200 mg orally twice a day
, 4|Page
3. 400 mg orally three times a day
4. 1000 mg orally four times a day - ANSWER-3. 400 mg orally
three times a day
Rationale:
For acute or chronic rheumatoid arthritis or osteoarthritis,
the normal oral adult dose is 400 to 800 mg three or four
times daily.
5.) A adult client with muscle spasms is taking an oral
maintenance dose of baclofen (Lioresal). The nurse reviews the
medication record, expecting that which dose should be
prescribed?
1. 15 mg four times a day
2. 25 mg four times a day
3. 30 mg four times a day
4. 40 mg four times a day - ANSWER-1. 15 mg four times a day
Rationale:
Baclofen is dispensed in 10- and 20-mg tablets for oral use.
Dosages are low initially and then gradually increased.
