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

An infection in a central venous access device is not eliminated by giving antibiotics through the catheter. How would bacterial glycocalyx contribute to this?

Central venous access devices are beneficial in pediatric therapy because:

How can central venous access devices (CVADs) be of value in a patient receiving chemotherapy who has stomatitis and severe diarrhea?

Some central venous access devices (CVAD) have more than one lumen. These multi-lumen catheters:

Some institutions will not infuse a fat emulsion, such as Intralipid, into central venous access devices (CVAD) because:

A male patient needs a percutaneously inserted central catheter (PICC) for prolonged IV therapy. He knows it can be inserted without going to the operating room. He mentions that, “at least the doctor won’t be wearing surgical garb, will he?” How will the nurse answer the patient?

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?

What volume of air can safely be infused into a patient with a central venous access device (CVAD)?

Kent, a new staff nurse asks her preceptor nurse how to obtain a blood sample from a patient with a portacath device. The preceptor nurse teaches the new staff nurse:

What is the purpose of “Tunneling” (inserting the catheter 2-4 inches under the skin) when the surgeon inserts a Hickman central catheter device?

The primary complication of a central venous access device (CVAD) is:

Nurse Blessy is doing some patient education related to a patient’s central venous access device. Which of the following statements will the nurse make to the patient?

The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:

Hormonal agents are used to treat some cancers. An example would be:

Chemotherapeutic agents often produce a certain degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days to weeks because:

Currently, there is no way to prevent myelosuppression. However, there are medications available to elicit a more rapid bone marrow recovery. An example is:

Estrogen antagonists are used to treat estrogen hormone-dependent cancer, such as breast carcinoma. Androgen antagonists block testosterone stimulation of androgen-dependent cancers. An example of an androgen-dependent cancer would be:

Serotonin release stimulates vomiting following chemotherapy. Therefore, serotonin antagonists are effective in preventing and treating nausea and vomiting related to chemotherapy. An example of an effective serotonin antagonist antiemetic is:

Methotrexate, the most widely used antimetabolite in cancer chemotherapy does not penetrate the central nervous system (CNS). To treat CNS disease this drug must be administered:

Methotrexate is a folate antagonist. It inhibits enzymes required for DNA base synthesis. To prevent harm to normal cells, a fully activated form of folic acid known as leucovorin (folinic acid; citrovorum factor) can be administered. Administration of leucovorin is known as:

A male patient is undergoing chemotherapy may also be given the drug allopurinol (Zyloprim, Aloprim). Allopurinol inhibits the synthesis of uric acid. Concomitant administration of allopurinol prevents:

Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:

The most common dose-limiting toxicity of chemotherapy is:

Chemotherapy induces vomiting by:

Myeloablation using chemotherapeutic agents is useful in cancer treatment because:

Anticipatory nausea and vomiting associated with chemotherapy occurs:

Medications bound to protein have the following effect:

Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug may be absorbed. This process is known as:

An adult patient has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this patient for:

Epinephrine is administered to a female patient. The nurse should expect this agent to rapidly affect:

A nurse is providing instructions to a client receiving baclofen (Lioresal). Which of the following would be included in the teaching plan?

A nurse is analyzing the laboratory studies on a client receiving dantrolene sodium (Dantrium). Which of the following laboratory tests would identify an adverse effect associated with the use of the medication?

A nurse is caring for a client who is receiving cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasm. Which of the following medical conditions is contraindicated with the use of the medication?

A client is receiving methocarbamol (Robaxin) as an adjunct to physical therapy for the relief of painful muscle discomfort. Which of the following is not true regarding the use of the medication?

Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is providing medication instructions. The nurse tells the client to?

A client is prescribed Colchicine. After taking three doses, the client complains of nausea, vomiting, and loose bowel stools. Which of the following should the client do?

Colchicine is prescribed for a client with gout. The nurse reviews the client’s record, knowing that this medication would be used in caution in which of the following medical conditions?

A client taking probenecid is complaining of gout pain. Which of the following medication should the nurse expect to be administered?

Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdose of the medication?

Gold salt toxicity can be reversed using which medication?

Adalimumab (Humira) is given to a client for the treatment of rheumatoid arthritis. Which of the following side effect is associated with the medication?

A client receiving azathioprine (Imuran) complains of hair loss. The nurse tells the client that?

The client is about to start the treatment for juvenile rheumatoid arthritis. Before the administration of etanercept (Enbrel), it is important for the nurse to:

A nurse is giving medicinal instructions to a female client receiving leflunomide (Arava). Which of the following is an appropriate instruction with the use of the medication?

A client with rheumatoid arthritis has been receiving hydroxychloroquine (Plaquenil) in recent months. The nurse tells the client to visit which of the following while on the treatment?

A client has just been prescribed with methotrexate (Trexall) for the treatment of rheumatoid arthritis who did not respond to any other treatment. An important reminder for the client is to?

A client who is taking Methotrexate (Trexall) asks the nurse on what is the appropriate activity while taking the medication. The nurse advised the client to play which activity?

The nurse is reviewing the client’s history who is about to take Methotrexate. Which of the following drugs can be safely administered together with methotrexate?

Alendronate (Fosamax) is given to a client with osteoporosis. The nurse advises the client to?

A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin) nasal spray. The nurse tells the client to do the following, except?