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

Which of the following clients is at greatest risk for digitalis toxicity?

Which of the following is a contraindication for digoxin administration?

The action of medication is inotropic when it:

Which is the most appropriate action for the nurse to take before administering digoxin?

The therapeutic drug level for digoxin is:

Blurred vision or halos are signs of:

Amrinone (Inocor) is used for short term therapy for CHF and acts by which of the following mechanisms?

Before giving milrinone (Primacor) by an IV infusion to a client with symptoms of CHF, which of the following nursing actions is necessary?

Johanna has ventricular ectopy, which of the following drugs is the first line used to treat her condition?

Class IA antiarrhythmic agents have little effect on:

Which of the following drugs can cause severe hematologic disorders?

Which of the following ECG findings alerts the nurse that the client needs an antiarrhythmic?

When administering an antiarrhythmic agent, which of the following assessment parameters is the most important for the nurse to evaluate?

Which of the following blood tests will tell the nurse that an adequate amount of drug is present in the blood to prevent arrhythmias?

Which of the following drugs should be used only in situations in which the client can be very closely monitored, such as a critical care unit?

The A. digoxin (Lanoxin). toxic antiarrhythmic agent is:

Epinephrine is used to treat cardiac arrest and status asthmaticus because of which of the following actions?

Following A. Electrolyte status.norepinephrine (Levophed) administration, it is essential to the nurse to assess:

Norepinephrine (Levophed) is contraindicated in which of the following conditions?

When administering dopamine (Intropin), it is most important for the nurse to know that:

Dobutamine (Dobutrex) improves cardiac output and is indicated for use in all of the following conditions except:

Conduction defects will most likely be an adverse associated with the use of:

Which of the following calcium channel blockers has the most potent peripheral smooth muscle dilator effect?

Which of the following adverse reactions is found more often in volume-depleted elderly clients?

Which of the following calcium channel blockers is used to counteract or prevent cerebral vasospasm?

Which of the following effects of calcium channel blockers causes a reduction in blood pressure?

Jason James is taking ß blockers, all of the following should be included in his assessment except:

Routine laboratory monitoring in clients taking ß blockers should include:

Competitive antagonism of which of the following occurs at ß receptor sites?

ß blockers should be avoided in which of the following conditions?

As a knowledgeable nurse, you know that the action of nitrates is:

A 50-year-old client is prescribed to take nitrate each day for his condition. As a competent nurse, you know the result of nitrate administration is:

A student nurse is asked to give an example of a long-acting nitrate. He is correct by saying:

When nitrates are administered early to the acute MI client, the effect is:

When teaching about nitrate administration, the nurse should instruct the client to:

ACEs participate in the renin-angiotensin-aldosterone system to have which of the following physiologic effects?

Nurse Margie just administered an ACE inhibitor to her client. Before ambulating the client for the first time after administration, the nurse should monitor for:

Mira is managing her hypertension with an ACE inhibitor. Which of the following statements stated by her indicates a need for further instruction?

Pepito is a hypertensive client who has been placed on captopril (Capoten). He states, “Dr. del Mundo keeps changing my pills and none are working. I feel like a guinea pig.” Which of the following responses by the nurse would be most appropriate?

The action of an ACE inhibitor interrupts the renin-angiotensin-aldosterone mechanism, thereby producing which of the following?

Raymund is reviewing cardiovascular drugs for his upcoming exam. For a well-prepared student, he should know that vasodilators are agents that:

As a competent nurse, you are aware that vasodilators are used mainly to treat:

The drug/drugs used most commonly to treat peripheral or cerebral vascular obstructive disease is/are:

In a 50-year-old widower who had a transient ischemic attack, what is the most common vasodilator used for his treatment?

For a client taking drugs to treat peripheral vascular disease, it is important to provide health education about:

A clinical instructor asks a nursing student about an aldosterone antagonist. The student is correct by saying that aldosterone antagonists:

Which of the following is a potential side effect of IV furosemide (Lasix)?

A 68-year-old client with a history of mild CHF and glaucoma is receiving IV mannitol (Osmitrol) to decrease intraocular pressure. The nurse would monitor the client for signs and symptoms of:

All potassium-sparing diuretics:

Which of the following clients is most likely to experience adverse effects from treatment with diuretics?

Kylie is reviewing drugs related to cardiovascular therapies. She should be aware that the desired action of lipid-lowering agents is to:

For lipid-lowering agents to be successful, drug therapy must lower:

As a competent nurse, you know that the most significant contraindication for therapy with lipid-lowering agent is:

Which of the following vitamins may not be absorbed properly when giving bile acid sequestrants?

Which of the following lipid-lowering agents has the common side effect of constipation?

Parenteral anticoagulants work by disrupting:

SC heparin should be administered in the:

The half-life of heparin is:

Which drug is used to stop bleeding associated with heparin overdose?

During the warfarin (Coumadin) administration, the nurse can expect that the initial extension of PT occurs within how many hours after therapy begins?

A nurse is providing instructions to a client who is receiving warfarin sodium (Coumadin). Which statement made by the client indicates the need for further instruction?

A nurse is caring for a client receiving a heparin intravenous (IV) infusion. The nurse expects that which of the following laboratory will be prescribed to monitor the therapeutic effect of heparin?

A client with atrial fibrillation is receiving a continuous heparin infusion at 1,000 units/hr. The nurse observes that the client is receiving the therapeutic effect based on which of the following results?

A client is receiving intravenous heparin therapy. The nurse ensures the availability of which of the following medication?

A client is receiving a continuous infusion of streptokinase (Streptase). The client suddenly complains of a difficulty of breathing, itchiness, and nausea. Which of the following should be the priority action of the nurse?

A client with deep vein thrombosis is receiving Streptokinase (Streptase). The nurse would notify the physician if which of the following assessments is noted?

A client who is receiving streptokinase therapy suddenly had a nosebleed. The nurse ensures the availability of which of the following medication?

A nurse is providing health teachings regarding antiplatelet medications. Which of the following is not true regarding the use of this medication?

A client is receiving procainamide (Procanbid) for the treatment of ventricular arrhythmia. The client suddenly complains of nausea and drowsiness. Which of the intervention should the nurse do first?

A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?

A nurse is caring for a client who is taking digoxin (Lanoxin) 0.25mcg tab once a day. The client suddenly complaints of anorexia, nausea, vomiting, and diarrhea. The physician is ruling a digoxin toxicity. As a nurse, you know the therapeutic digoxin rate is?

A nurse is monitoring a client who is taking carvedilol (Coreg CR). Which of the following assessment made by the nurse would warrant a possible complication with the use of this medication?

A nurse is interviewing a client who is about to receive metoprolol. Upon the history taking, the client is also taking insulin. Which of the following statements made by the nurse will correctly explain the possible interaction of these medications?

A client is about to receive metolazone (Zaroxolyn). The nurse in charge understands which of the following laboratory results are related to the administration of the medication?

A client with congestive heart failure is being treated with torsemide (Demadex). The nurse obtains the following vital signs: Blood pressure of 100/65 mm hg; pulse rate of 91 beats per minute; and respiration of 25 breaths per minute? Which of the following will be the priority assessment of the nurse after the initiation of the dose?

A nurse is giving instruction to a client who is receiving cholestyramine (Questran) for the treatment of hyperlipidemia. Which of the following statements made by the client indicates the need for further instructions?

A nurse is providing instructions to a client who is on nicotinic acid for the treatment of hyperlipidemia. Which statement made by the nurse indicates a comprehension of the instructions?

A nurse is monitoring a client who is taking digoxin (Lanoxin). All of which are the side effects associated with the medication, except?

A nurse is interviewing a patient who is about to receive bumetanide (Bumex). Which of the following is a concern related to the administration of the medication?

A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessments made by the nurse indicates a further immediate action?