NCLEX-like Pharmacology Questions

The nurse instructs the client with gastric ulcers to avoid which of the following medications? Select all that apply.

The client is prescribed oral contraceptives.  Which of the following statements by the client demonstrates understanding of this medication?

The nurse is developing a teaching plan for a diabetic client who will be discharged on Metformin 1000 mg.  Which of the following teaching points should the nurse include? Select all that apply.

The physician orders a saline enema for a client with constipation.  Which of the following interventions should the nurse implement? Select all that apply.

The charge nurse is observing a new nurse administer IV KCL.  Which of the following actions by the new nurse requires immediate intervention by the charge nurse?

The nurse needs to evaluate the effectiveness of docusate in a client chronic constipation.  Which of the following questions should the nurse ask to the client?

The client is having an acute episode of gout.  Which of the following medications should the nurse question if ordered by the physician?

A client on theophylline should limit the intake of all of the following except:

The nurse educates the mother of a child to avoid using which of the following over-the-counter medications to prevent Reye’s syndrome, a disease that causes liver failure and encephalopathy. 

A 23 year-old female client with a history of severe depression comes to the emergency room with acetaminophen overdose.  1) Which of the following medications does the nurse expect to administer and 2) Which lab results should the nurse monitor?

The client is admitted with an Amitriptyline overdose (a tricyclic antidepressant or TCA).  Which of the following is the priority nursing action?

The nurse is caring for a diabetic client with osteoarthritis of the right knee.  The client takes an over-the-counter pain medications, which are effective for the pain.  The client’s current labs are as follow:

• Creatinine 1.9  Elevated
• BUN 35  Elevated 
• potassium 4.0  normal

Which of the following statements by the client requires follow up?

The client has been prescribed Naltrexone for alcohol abuse disorder.  Which of the following data should the nurse gather prior to administering this medication?

The new nurse asks the experienced nurse why do clients need to be instructed to notify their PCP if they experience muscle aches while on cholesterol-reducing drugs.  What is the best response by the experienced nurse?

A 46-year-old female client with a history of hypothyroidism comes to the emergency room with a heart rate of 126 bpm.  The nurse recognizes that the client is likely experiencing which of the following conditions?

The nurse recognizes that clients with chronic kidney disease should not take Metformin due to which of the following adverse effects? 

The nurse provides education to a client with Addison’s Disease who will be discharged on corticosteroids.  Which of the following statements by the client requires further teaching?

The client is having a CT scan with contrast today.  The nurse must ask the client is he is allergic to contrast and which of the following?

The client with bipolar disorder is on lithium.  The client’s lithium level is 2 mEq/L (HIGH).  Which of the following symptoms should the nurse anticipate?

The client has chronic pancreatitis and he is prescribed Pancrelipase.  Which of the following is an expected outcome?

The nurse is developing a teaching plan for a client with gastric ulcers who will be discharged on Sucralfate  (Carafate).  Which of the following teaching points should the nurse include in the teaching plan?  Select all that apply.

The nurse is providing education to a client with iron deficiency anemia who will be started on oral iron.  Which of the following teaching points should the nurse EXCLUDE in the teaching plan?

The nurse is providing education to a client with migraines about the medication sumatriptan.  Which of the following statements by the clients would require follow-up?

The nurse is caring for a client with liver cirrhosis who is on lactulose.  Which of the following laboratory values indicates that the medication has been effective?

The experienced nurse is observing a new nurse administer a glycerin suppository to a client with constipation.  Which of the following actions requires intervention by the nurse?

The physician orders Celecoxib for a 55-year-old male client with osteoarthritis who has right knee pain rated 7 on a scale of 0-10 and a grating sensation over the knee joint.  The client has a history of high blood pressure and a stroke 5 years ago.  The client had an angiogram last year which showed 30% occlusion of his left anterior descending coronary artery.  Which of the following actions should the nurse take?

The client is a 39-year-old femal client who has chronic atrial fibrillation and will be discharged home on Warfarin.  Which of the following statements by the client requires follow up?

The nurse is caring for a client who is receiving Gentamycin IV.  The client develops severe wheezing and shortness of breath.  The nurse stops the infusion.  Which of the following actions should the nurse do next?

The nurse is caring for a client with Hashimoto thyroiditis.  

Current symptoms: weight gain, irregular periods, hair loss, fatigue, and sensitivity to cold temperatures.

Labs: Elevated TSH and low free T4

Which of the following medications should the nurse anticipate that the physician will prescribe?

The physician prescribes levothyroxine to a client with hypothyroidism. The nurse provides education about the medication to the client.  Which of the following statements by the client requires follow up?

The nurse is caring for a client with diabetes mellitus type 2 who is being treated with NPH insulin and Metformin.  The client asks the nurse, “I don’t understand why the doctor discontinued my metformin.”  What is the best response by the nurse?

Client labs: 

• Creatinine 1.8  (Elevated)
• BUN 45  (Elevated)
• Fasting blood sugar 180 mg/dl (Normal 70-110 mg/dl)

The nurse administers Zolpidem to a 67-year- old client.  Which of the following interventions by the nurse requires follow up after administering this medication?

The nurse is preparing a presentation for student nurses on SSRIs (Selective serotonin reuptake inhibitors).  Which of the following information should the nurse include? Select all that apply.

Calcium Channel Blockers Matching

The charge nurse is called to the room of a client with a benzodiazepine overdose.  Which of the following signs and symptoms does the nurse anticipate? Select all that apply.

The nurse is caring for a client with hyperlipidemia who has been started on Atorvastatin?  Which of the following is the expected outcome of therapy?

The charge nurse is quizzing the new graduate nurse about Beta Blockers?  Which of the following statements by the new graduate nurse demonstrates understanding? Select all that apply.

The nurse is caring for a diabetic client on an ACE inhibitor (e.g., Lisinopril and others that end in -pril). 

The client has the following vital signs:

Sitting BP  135/59        HR    78

Standing BP 89/56      HR     101

Assessment:  Alert and oriented x 4.  Reports dizziness while taking sitting and standing BP.  Client with frequent dry cough. Lungs clear to ausculatation.  S1 S2 heard. No extra sounds.  Oral mucous membranes moist with Lips and tongue with mild swelling.

Which of the following is the most concerning finding?

The nurse educates a client with Benign Prostatic Hypertrophy on the medication Tamsulosin.  Which of the following statements by the client requires follow up?

The nurse is caring for a client on total parenteral nutrition (TPN).  Which of the following interventions should the nurse implement.  Select all that apply.

The nurse is caring for a client admitted with a ischemic stroke who is receiving alteplase.  The client has a large bloody bowel movement.  What is the priority intervention?

The nurse is caring for a client on Haloperidol who develops neuroleptic malignant syndrome.  Which of the following signs and symptoms does the nurse anticipate? Select all that apply.

The nurse is caring for a diabetic client who was prescribed metoclopramide in the past 4 months for gastroparesis? Which of the following symptoms requires priority follow up?

The nurse is caring for a client who was in sinus rhythm and just now converted to this rhythm.  Which of the following orders should the nurse anticipate? Select all that apply.

The cardiac nurse admits a client with chest pain.  The client has a blood pressure of 110/55, heart rate 55, respiratory rate 14, and chest pain 8 out of 10.  Which of the following doctor’s orders require follow up?

The nurse is developing a teaching plan for an asthmatic client who will be discharged on a fluticasone inhaler.  Which of the following teaching points should the nurse include?

The client with rheumatoid arthritis has been prescribed hydroxychloroquine, a disease-modifying antirheumatic drug (DMARD).  Which of the following side effects requires priority follow up?

The nurse is administering Vancomycin to a client.  The client develops redness to the face and upper torso.  What is the priority action by the nurse?

After a pulmonary embolus, the client has been started with Apixaban (Eliquis).  Which of the following information in the medical record requires follow up?

A client with Congestive Heart Failure has 3+ pitting edema of both lower extremities.  The client’s current potassium level is 2.5 mEq/L (very low).  Which of the following is the best diuretic for this client?

Which of the following will increase the effects of Warfarin? Select all that apply.

Which of the following medications is most likely to cause a second or third degree AV block?

Which of the following classes of antihypertensives can treat both angina and hypertension?

Which of the following medications is the best medication for a client in asystole?

What is the best match?

The physician has discontinued lisinopril in a hypertensive client who developed cough and swollen lips as side effects.  Which of the following medications should the nurse anticipate that the physician will prescribe as a replacement?

The nurse is educating a client with oral candida.  The physician has prescribed nystatin.  Which of the following teaching points should the nurse include in the teaching plan? Select all that apply.