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

A client with myasthenia gravis frequently complains of weakness and fatigue. The physician plans to identify whether the client is responding to an overdose of the medication or a worsening of the disease. A tensilon test is performed. Which of the following would indicate that the client is experiencing an overdose of the medication?

A client with juvenile pilocytic astrocytoma who is receiving dexamethasone (Decadron) 4mg/IV every 6 hours to relieve symptoms of right arm weakness and headache. Which of the following assessments will concern the nurse most?

A client who is receiving edrophonium chloride suddenly is complaining of abdominal cramps and the nurse observes the client is experiencing increased perspiration and salivation. The nurse makes sure the availability of which of the following?

A nurse is instructing a client regarding carbidopa-levodopa (Sinemet) for the treatment of Parkinson’s disease. The nurse tells the client which of the following indicates an overdose of the medication?

A nurse is giving dietary instructions to a client receiving levodopa. Which of the following food items should be avoided by the client?

Biperiden hydrochloride (Akineton) is added to a list of antiparkinsonian medications that an elderly client is taking. Which of the following instructions made by the nurse that needs further learning?

The nurse is giving instructions to a client receiving phenytoin (Dilantin). The nurse concludes that the client has a sufficient knowledge if the client states that:

A 17-year-old client is taking phenytoin (Dilantin) for the treatment of seizures. Phenytoin blood level reveals to be 25 mcg/ml. Which of the following symptoms would be expected as a result of the laboratory result?

A client is prescribed with carbamazepine (Tegretol) for the treatment of bipolar disorder. Which of the following laboratory results indicates that the client is experiencing a side effect of this medication?

A female client who has a history of seizures went to a healthcare facility to ask the nurse regarding the use of birth control pills while on phenytoin therapy. The nurse correctly states to the client that:

Phenobarbital (luminal) is given to a client for a short treatment of anxiety. Which of the following results would indicate a therapeutic serum range of the medication?

A child was brought to the emergency room complaining of right upper quadrant abdominal pain, nausea, and vomiting. Upon the interview of the nurse to the mother, the client has been taking a long-term use of acetaminophen. Overdosage of the medication is suspected. Which of the following medications should be readily available?

A client with bell’s palsy tells the nurse that acetaminophen (Tylenol) is taken daily as prescribed by the physician. Which laboratory value would indicate a toxicity of the medication?

A nurse is caring for a client with a history of overdosage of aspirin. The nurse suspects which of the following can be an early sign of aspirin toxicity?

Meperidine hydrochloride (Demerol) is given to a client who is experiencing post-operative pain. Which of the following are the side effects of the medication, except?

Codeine sulfate is prescribed to a client with a severe back pain. Which of the following side effect is associated with this medication?

Mannitol (Osmitrol), an osmotic diuretic, is contraindicated to which conditions? Select all that apply.

A client with tonic-clonic seizure is receiving phenobarbital (Luminal) and valproic acid (Depakene). The nurse tells the client that:

A nurse is providing instructions to a client who is taking doxapram (Dopram). Which of the following statements made by the client needs further instructions?

Diazepam (Valium) is prescribed to a client with alcohol withdrawal. Which of the following statements made by the client indicates an understanding of the treatment regimen?

An HIV-positive client who has been started on highly active antiretroviral therapy (HAART) came back for a follow-up checkup. Which of the following will be the most helpful in determining the response to the therapy?

A client with acquired immunodeficiency syndrome is prescribed with zidovudine (Azidothymidine). Which of the following laboratory results should the nurse monitor while on this medication?

The client who is human immunodeficiency virus seropositive has been taking saquinavir (Invirase). The nurse provides medication instructions and advises the client to:

Stavudine (Zerit) is prescribed to a client with human immunodeficiency virus seropositive. The nurse observes which of the following most closely while the client is taking the medication?

A nurse is evaluating a client who is HIV positive who is prescribed with pentamidine (Pentam) IV for the treatment of Pneumocystis carinii pneumonia. Which of the following assessment after the administration is the most important to relay to the physician?

A client is prescribed with Pentamidine (Pentam) IV for the treatment of Pneumocystis carinii pneumonia. Suddenly, the client develops a temperature of 101.5°F. The nurse in charge knows that this sign would mostly indicate which of the following?

While on pentamidine (Pentam) infusion therapy. The nurse must anticipate doing which of the following?

The nurse is monitoring a post-renal transplantation client taking cyclosporine (Neoral). The nurse observes an elevation in one of the client’s vital signs and the client is complaining of sweating and headache. Which of the following vital signs is most likely increased?

A nurse is doing an assessment data while completing an admission for a patient with a history of liver transplant who is receiving cyclosporine (Sandimmune), prednisone (Orasone), and azathioprine (Imuran). Which of the following information will give the nurse the most attention?

A client is admitted to the emergency room complaining of difficulty of breathing and upon auscultation, the nurse noted that the patient has wheezes. An allergic reaction to penicillin was diagnosed. Which of the following medications should the nurse expect to administer first?

The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet (Foscavir). The nurse carefully monitors which of the following laboratory test during the treatment with this medication, except?

A client is recently diagnosed with HIV and highly antiretroviral therapy is started. After the first week of therapy, the patient complains of headaches, dizziness, and nightmares. Which one of the following antiretroviral drugs is most likely associated with these symptoms?

Sirolimus (Rapamune) is prescribed to a post-renal transplantation client. Upon the review of the chart, the nurse expects which of the following laboratory results?

A post-kidney transplant client went to the health care facility to ask the nurse regarding vaccinations while on tacrolimus (Prograf) a medication used to prevent organ rejection. Which of the following is an appropriate response of the nurse?

A nurse is giving instructions to a client who is receiving mycophenolate mofetil (CellCept) and mycophenolic acid (Myfortic) after undergoing a heart transplant. The nurse tells the client to anticipate the following side effects, except?

Amikacin (Amikin) is given to a client with E-coli infection. The nurse advises the client to report which of the following symptoms immediately?

A client went to the emergency room with complaints of abdominal pain, nausea, diarrhea, and mucoid stools. Upon the interview with the nurse, the client stated that he is taking cefixime (Suprax) for the treatment of urinary tract infection. The nurse determines that the client is most likely suffering from?

Amphotericin B (Fungizone) IV is given to a client with aspergillosis, a fungal infection. In order to prevent its side effects, the nurse anticipates administering which of the following prior, except?

A nurse is giving instructions to a client taking ciprofloxacin (Cipro) for the treatment of gonorrhea. The nurse tells the client to?

Tetracycline has been prescribed for a client with Chlamydia trachomatis infection. Select the side effect of the medication. Select all that apply.

A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be:

A nurse is assigned to a patient who is receiving oxytocin (Pitocin) to induce labor. The nurse terminates the oxycontin infusion if which of the following is noted on the assessment of the client?

A client in preterm labor (32 weeks) who is dilated to 5cm has been given magnesium sulfate and the contractions have stopped. If the labor can be delayed for the next 2 days, which of the following medication does the nurse expect that will be prescribed?

Which of the following laboratory tests must be monitored for pregnant patients receiving dexamethasone?

Patellar reflex is being monitored for patients receiving magnesium sulfate therapy. When assessing the deep tendon reflex, which of the following grades pertains to diminished response?

Prior giving of methylergonovine (Methergine), what is the priority assessment for the nurse to check which of the following?

A nurse is preparing to give a lung surfactant to a 36 weeks old baby with respiratory distress syndrome. Which of the following is the correct route of administration?

A nurse is preparing to administer a Rubella vaccine to a client prior to home discharge. Which of the following is not true regarding this vaccine?

A nurse is preparing dinoprostone (Cervidil) for a client to induce labor. Which of the following nursing intervention must be questioned?

A nurse caring for a patient receiving oxytocin therapy suddenly is experiencing hypertonic contractions. Which of the following priority nursing actions should the nurse do? Select all that apply.