Nursing Pharmacology Practice Questions & Test Bank for NCLEX (500+ Questions)

A 2-year-old child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time?

Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse’s immediate attention?

Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. The parent asks why this medication is being given. What is the nurse’s best response?

When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse?

The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse’s immediate action?

Nurse Celine is caring for a client with clinical depression who is receiving an MAO inhibitor. When providing instructions about precautions with this medication, the nurse should instruct the client to:

While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. The best response to this client should be:

George, age 8, is admitted with rheumatic fever. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home?

An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. What gauge of catheter would best meet the needs of this client?

A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect?

Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?

A male patient is to receive a percutaneously inserted central catheter (PICC). He asks the nurse whether the insertion will hurt. How will the nurse reply?

The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is hospitalized for evaluation. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. What is the primary reason for this action?

A 25-year-old woman is in her fifth month of pregnancy. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Her diabetes has been well controlled with this dosage. She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy?

Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. What is the most appropriate initial nursing intervention?

An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:

An adult is hospitalized for treatment of deep electrical burns. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered BID. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include:

Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has ordered Lugol’s solution for the client. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to:

A two-year-old child with congestive heart failure has been receiving digoxin for one week. The nurse needs to recognize that an early sign of digitalis toxicity is:

Mr. Bates is admitted to the surgical ICU following left adrenalectomy. He is sleepy but easily aroused. An IV containing hydrocortisone is running. The nurse planning care for Mr. Bates knows it is essential to include which of the following nursing interventions at this time?

Corinne is experiencing diarrhea after consuming her prescribed antibiotics for the whole week. This is because:

When a client with chronic obstructive pulmonary disease is taking theophylline also receives ciprofloxacin (Cipro), which of the following interactions would occur?

The client at highest risk for nephrotoxicity with aminoglycoside use is a:

When assessing clients for evidence of a penicillin allergy, which of the following symptoms may not be considered to be a true hypersensitivity reaction?

All of the following symptoms are evidence of a superinfection except:

Which of the following statements is true when educating clients about penicillin therapy?

Antonietta is taking antitubercular, the most common adverse effect she may be experiencing is:

In treatment of tuberculosis, the therapeutic rationale for combination drug therapy is to:

Changes in visual acuity and color perception are associated with treatment by which of the following agents?

Which of the following groups of antitubercular agents includes first-line agents?

Antitubercular therapy may be determined ineffective when:

Fluconazole (Diflucan) can be administered to a client with:

When administering amphotericin B, which of the following must be used?

Which of the following nursing diagnoses might occur when administering large parenteral doses of amphotericin B with vancomycin (Vancocin)?

Arvic, a 16-year-old student, has acquired systemic fungal infection, he should be treated with:

Which of the following must always be present before beginning antifungal therapy?

Which choice describes the action of nucleoside analogs?

Which of the following is true about protease inhibitors?

The human cells specifically affected by HIV are:

Which of the following statements is true about monotherapy for treatment of HIV disease?

Which of the following statements is true about combination therapy for the treatment of HIV disease?

When administering topical ophthalmic preparations, the nurse must assess:

Which of the following drugs might be given to relieve pain from corneal abrasions?

Drugs that lower intraocular pressure work by increasing:

When administering otic preparations, the nurse should observe the tympanic membrane for:

Mara Francesca has been diagnosed with scabies. His physician has ordered crotamiton (Eurax). After 1 week of treatment, the client reports that the pruritus has not stopped. You would advise the client to:

Jake has psoriasis of the scalp. The physician has ordered Zetar shampoo. You would advise the client to:

Topical antibiotics work by:

Pediculicides are used to treat which of the following disorders?

Alice is using antiviral creams for her genital herpes. Which of the following is a potential side effect of the medication?