Welcome to your ultimate set of nursing pharmacology questions for the NCLEX! In this nursing test bank, test your competence in nursing pharmacology with these 500+ practice NCLEX questions. This quiz aims to help nursing students review concepts of nursing pharmacology and provide an alternative to Quizlet or ATI.
Nursing Pharmacology Questions and Test Banks
In this section are the practice problems and questions for nursing pharmacology. There are 530+ nursing pharmacology practice questions in this nursing test bank partitioned into 11 parts. Nursing topics include medication administration, dosage calculations, general concepts about nursing pharmacology, cardiovascular drugs, antibiotics and anti-infectives, neurological medications, psychiatric medications, drugs for the respiratory system, gastrointestinal system, and endocrine system.
All questions on this set are updated to give you the most challenging questions, along with insightful rationales to reinforce learning.
Quizzes included in this guide are:
- Comprehensive Nursing Pharmacology Practice | Quiz #1: 50 Questions
- Comprehensive Nursing Pharmacology Practice | Quiz #2: 50 Questions
- Comprehensive Nursing Pharmacology Practice | Quiz #3: 50 Questions
- Comprehensive Nursing Pharmacology Practice | Quiz #4: 50 Questions
- Comprehensive Nursing Pharmacology Practice | Quiz #5: 50 Questions
- Comprehensive Nursing Pharmacology Practice | Quiz #6: 50 Questions
- Cardiovascular Drugs and Medications | Quiz #7: 80 Questions
- Psychiatric Drugs and Medications | Quiz #8: 50 Questions
- Respiratory Drugs and Medications | Quiz #9: 30 Questions
- Gastrointestinal Drugs and Medications | Quiz #10: 30 Questions
- Endocrine Drugs and Medications | Quiz #11: 40 Questions
- See also: Drug Dosage Calculations Nursing Test Bank
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Comprehensive Nursing Pharmacology NCLEX Practice | Quiz #4: 50 Questions
In this fourth set of comprehensive nursing pharmacology questions, practice questions include nursing considerations for patients taking antineoplastic and chemotherapeutic medications.
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Question 1 of 50
Walter, a teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?CorrectIncorrect
Question 2 of 50
A contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema) is:CorrectIncorrect
Question 3 of 50
In infants and children, the side effects of first-generation over-the-counter (OTC) antihistamines, such as diphenhydramine (Benadryl) and hydroxyzine (Atarax) include:CorrectIncorrect
Question 4 of 50
Reye’s syndrome, a potentially fatal illness associated with liver failure and encephalopathy is associated with the administration of which over-the-counter (OTC) medication?CorrectIncorrect
Question 5 of 50
The nurse is aware that the patients who are allergic to intravenous contrast media are usually also allergic to which of the following products?CorrectIncorrect
Question 6 of 50
A 13-month-old child recently arrived in the United States from a foreign country with his parents and needs childhood immunizations. His mother reports that he is allergic to eggs. Upon further questioning, you determine that the allergy to eggs is anaphylaxis. Which of the following vaccines should he not receive?CorrectIncorrect
Question 7 of 50
The cell and Coombs classification system categorizes allergic reactions and is useful in describing and classifying patient reactions to drugs. Type I reactions are immediate hypersensitivity reactions and are mediated by:CorrectIncorrect
Question 8 of 50
Drugs can cause adverse events in a patient. Bone marrow toxicity is one of the most frequent types of drug-induced toxicity. The most serious form of bone marrow toxicity is:CorrectIncorrect
Question 9 of 50
Serious adverse effects of oral contraceptives include:CorrectIncorrect
Question 10 of 50
The most serious adverse effect of Alprostadil (Prostin VR pediatric injection) administration in neonates is:CorrectIncorrect
Question 11 of 50
Mandy, a patient, calls the clinic today because he is taking atorvastatin (Lipitor) to treat his high cholesterol and is having pain in both of his legs. You instruct him to:CorrectIncorrect
Question 12 of 50
Which of the following adverse effects is associated with levothyroxine (Synthroid) therapy?CorrectIncorrect
Question 13 of 50
Which of the following adverse effects is specific to the biguanide diabetic drug metformin (Glucophage) therapy?CorrectIncorrect
Question 14 of 50
The most serious adverse effect of tricyclic antidepressant (TCA) overdose is:CorrectIncorrect
Question 15 of 50
The nurse is aware that the following solutions are routinely used to flush an IV device before and after the administration of blood to a patient is:CorrectIncorrect
Question 16 of 50
Chris asks the nurse whether all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always require cross-matching?CorrectIncorrect
Question 17 of 50
A month after receiving a blood transfusion an immunocompromised male patient develops a fever, liver abnormalities, a rash, and diarrhea. The nurse would suspect this patient has:CorrectIncorrect
Question 18 of 50
Jonas comes into the local blood donation center. He says he is here to donate platelets only today. The nurse knows this process is called:CorrectIncorrect
Question 19 of 50
Nurse Bryan knows that the age group that uses the most units of blood and blood products is:CorrectIncorrect
Question 20 of 50
A child is admitted with a serious infection. After two days of antibiotics, he is severely neutropenic. The physician orders granulocyte transfusions for the next four days. The mother asks the nurse why? The nurse responds:CorrectIncorrect
Question 21 of 50
A neighbor tells nurse Maureen he has to have surgery and is reluctant to have any blood product transfusions because of a fear of contracting an infection. He asks the nurse what are his options. The nurse teaches the person that the safest blood product is:CorrectIncorrect
Question 22 of 50
A severely immunocompromised female patient requires a blood transfusion. To prevent GVHD, the physician will order:CorrectIncorrect
Question 23 of 50
Louie, who is to receive a blood transfusion asks the nurse what is the most common type of infection he could receive from the transfusion. The nurse teaches him that approximately 1 in 250,000 patients contract:CorrectIncorrect
Question 24 of 50
A male patient with blood type AB, Rh factor positive needs a blood transfusion. The Transfusion Service (blood bank) sends type O, Rh factor negative blood to the unit for the nurse to infuse into this patient. The nurse knows that:CorrectIncorrect
Question 25 of 50
Dr. Rodriguez orders 250 milliliters of packed red blood cells (RBC) for a patient. This therapy is administered for the treatment of:CorrectIncorrect
Question 26 of 50
A female patient needs a whole blood transfusion. In order for transfusion services (the blood bank) to prepare the correct product a sample of the patient’s blood must be obtained for:CorrectIncorrect
Question 27 of 50
A male patient needs to receive a unit of whole blood. What type of intravenous (IV) device should the nurse consider starting?CorrectIncorrect
Question 28 of 50
Dr. Smith orders a gram of human salt poor albumin product for a patient. The product is available in a 50-milliliter vial with a concentration of 25 percent. What dosage will the nurse administer?CorrectIncorrect
Question 29 of 50
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is a distinct advantage of using the CVAD for chemotherapeutic agent administration?CorrectIncorrect
Question 30 of 50
A female patient’s central venous access device (CVAD) becomes infected. Why would the physician order antibiotics be given through the line rather than through a peripheral IV line?CorrectIncorrect
Question 31 of 50
Chemotherapy dosing is usually based on the total body surface. What should the nurse do before administering chemotherapy?CorrectIncorrect
Question 32 of 50
The nurse is caring for a client who is receiving a chemotherapy. Which of the following would be expected as a result of the massive cell destruction that occurred from the chemotherapy?CorrectIncorrect
Question 33 of 50
Mitomycin (Mutamycin) is prescribed to a client with colorectal cancer. All of which are the routes of administration, except?CorrectIncorrect
Question 34 of 50
The client with a testicular cancer is being treated with Etoposide (Etopophos). Which of the following side effect is specifically associated with this medication?CorrectIncorrect
Question 35 of 50
The clinic nurse provides instructions to a client receiving an antineoplastic medication. When implementing the plan, the nurse tells the client to?CorrectIncorrect
Question 36 of 50
The client with non-Hodgkin’s lymphoma is being managed with vincristine (Vincasar). Which of the following indicates a side effect specific to this medication?CorrectIncorrect
Question 37 of 50
A client with sarcoma is receiving Bleomycin (Blenoxane). The nurse in charge of the client expects the physician to order which diagnostic procedure?CorrectIncorrect
Question 38 of 50
A male client with breast cancer is receiving Tamoxifen (Nolvadex). The nurse specifically monitors which laboratory value?CorrectIncorrect
Question 39 of 50
The client with ovarian cancer is receiving Tamoxifen (Nolvadex). Which of the following indicates a side effect specific to this medication?CorrectIncorrect
Question 40 of 50
The client with acute myelocytic leukemia is being treated with busulfan (Myleran). The nurse specifically monitors which laboratory value while the client is taking this medication?CorrectIncorrect
Question 41 of 50
The nurse is evaluating the medical history of a client who will be receiving Asparaginase (Elspar). The nurse contacts the health care provider if which of the following is noted in the history?CorrectIncorrect
Question 42 of 50
Megestrol acetate (Megace) is prescribed for a client with advanced breast cancer. The nurse reviews the client’s history and contacts the physician if which of the following is documented in the client’s history?CorrectIncorrect
Question 43 of 50
The client with non-Hodgkin’s lymphoma is receiving Idarubicin (Idamycin). Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the medication?CorrectIncorrect
Question 44 of 50
The client is receiving cisplatin (Platinol-AQ). Which of the following side effect is related to the medication?CorrectIncorrect
Question 45 of 50
The nurse is monitoring the laboratory results of a male client receiving antineoplastic medications. The nurse plans to initiate bleeding precautions if which laboratory is value is noted?CorrectIncorrect
Question 46 of 50
A client is receiving methotrexate (Rheumatrex) for a series of chemotherapy. Which of the following medication should be readily available to avoid toxicity?CorrectIncorrect
Question 47 of 50
The nurse is providing teachings to a client receiving cyclophosphamide (Cytoxan). The nurse tells the client to which of the following?CorrectIncorrect
Question 48 of 50
The nurse is monitoring a patient receiving an Iv infusion of an antineoplastic medication. During the infusion, the patient complains of pain and redness at the insertion site. The nurse should take which actions? Select all that apply.CorrectIncorrect
Question 49 of 50
The nurse is caring for a client receiving chemotherapy when an anaphylactic reaction occurs from the medication. The nurse should take which actions? Select all that apply.CorrectIncorrect
Question 50 of 50
The nurse is caring for a client who is receiving fluorouracil (Adrucil). Which of the following symptoms would necessitate the nurse to immediate discontinuation of the medication?CorrectIncorrect
Recommended books and resources for your NCLEX success:
Saunders Comprehensive Review for the NCLEX-RN
Saunders Comprehensive Review for the NCLEX-RN Examination is often referred to as the best nursing exam review book ever. More than 5,700 practice questions are available in the text. Detailed test-taking strategies are provided for each question, with hints for analyzing and uncovering the correct answer option.
Strategies for Student Success on the Next Generation NCLEX® (NGN) Test Items
Next Generation NCLEX®-style practice questions of all types are illustrated through stand-alone case studies and unfolding case studies. NCSBN Clinical Judgment Measurement Model (NCJMM) is included throughout with case scenarios that integrate the six clinical judgment cognitive skills.
Saunders Q & A Review for the NCLEX-RN® Examination
This edition contains over 6,000 practice questions with each question containing a test-taking strategy and justifications for correct and incorrect answers to enhance review. Questions are organized according to the most recent NCLEX-RN test blueprint Client Needs and Integrated Processes. Questions are written at higher cognitive levels (applying, analyzing, synthesizing, evaluating, and creating) than those on the test itself.
NCLEX-RN Prep Plus by Kaplan
The NCLEX-RN Prep Plus from Kaplan employs expert critical thinking techniques and targeted sample questions. This edition identifies seven types of NGN questions and explains in detail how to approach and answer each type. In addition, it provides 10 critical thinking pathways for analyzing exam questions.
Illustrated Study Guide for the NCLEX-RN® Exam
The 10th edition of the Illustrated Study Guide for the NCLEX-RN Exam, 10th Edition. This study guide gives you a robust, visual, less-intimidating way to remember key facts. 2,500 review questions are now included on the Evolve companion website. 25 additional illustrations and mnemonics make the book more appealing than ever.
NCLEX RN Examination Prep Flashcards (2023 Edition)
NCLEX RN Exam Review FlashCards Study Guide with Practice Test Questions [Full-Color Cards] from Test Prep Books. These flashcards are ready for use, allowing you to begin studying immediately. Each flash card is color-coded for easy subject identification.
Nursing Pharmacology Review
Here are some study guides to help you review concepts about nursing pharmacology:
Gastrointestinal System Drugs
Respiratory System Drugs
- Bronchodilators and Antiasthmatics
- Expectorants and Mucolytics
- Inhaled Steroids
- Lung Surfactants
Endocrine System Drugs
- Adrenocortical Agents
- Antidiabetic Agents
- Glucose-Elevating Agents
- Hypothalamic Agents
- Parathyroid Agents: Bisphosphonates, Calcitonins
- Pituitary Drugs
- Thyroid Agents
Autonomic Nervous System Drugs
- Adrenergic Agonists (Sympathomimetics)
- Adrenergic Antagonists (Sympatholytics)
- Anticholinergics (Parasympatholytics)
- Cholinergic Agonists (Parasympathomimetics)
Immune System Drugs
An investment in knowledge pays the best interest. Keep up the pace and continue learning with these practice quizzes:
- Nursing Test Bank: Free Practice Questions UPDATED!
Our most comprehenisve and updated nursing test bank that includes over 3,500 practice questions covering a wide range of nursing topics that are absolutely free!
- NCLEX Questions Nursing Test Bank and Review UPDATED!
Over 1,000+ comprehensive NCLEX practice questions covering different nursing topics. We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning.
18 thoughts on “Nursing Pharmacology Practice Questions & Test Bank for NCLEX (500+ Questions)”
Thank you Vera for your wonderful work. You are really helpful to the world. God bless you
Thanks very much. This’s very helpful
Thank you Vera. May god bless you for all.
God bless you Vera and all that made these possible and accessible. You are a great gift to humanity!
Bless you Joe, thanks for your kind words!
Thank you Matt! You are a blessing to us who are aspiring to be a RN.
This is very useful resources… Great job from everyone in the team, thank you…
I need a copy of this question in PDF form. Thanks
I need the full pdf of these questions
Which browser can l use to open above questions?
All modern browsers like Chrome, Safari, Firefox and Microsoft Edge.
Thank you so much for your wonderful work Matt! I am preparing for NCLEX-PN exam, I was wondering this pharmacology quiz is related to RN or is it general for NCLEX?? Thanks
This quiz has been helpful. Thank you very much
Thanks so much, Nurseslabs and staff. I passed the Prometric exam for Qatar!! Keep up the good work and share review questions for us, nurses. God bless and more power!
Congratulations Raymond! Good luck on your journey as a registered nurse! :) God bless!
Thank you so much. God bless you!
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I think you have a TYPO in Respiratory Question 7 of 30
7. Question: Montelukast (Singulair) is prescribed to a client with asthma. During the medication therapy, which of the following laboratories should be monitored?
Your answer: Correct Answer: D. Alanine transaminase (ALT) and aspartate transaminase (AST)
Montelukast (Singulair) is a leukotriene receptor and is used with caution in clients with impaired renal function. Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) should be monitored while taking this medication.
ALT and AST are LIVER ENZYMES and singular should be used with caution with HEPATIC patients? Or am I mistaken? Why would you want to monitor liver enzymes for renal function? Wouldn’t you want to monitor creatinine and BUN instead for RENAL patients?
I think you need to change RENAL to HEPATIC but I could be wrong.
Thanks for having these questions though! Very helpful. 😊