NCLEX Practice Exam for Pharmacology 1

Practice Mode

Welcome to your NCLEX Practice Exam for Pharmacology 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider the standard solution used to ensure compatibility and prevent hemolysis during blood transfusions.

1 / 30

1. Nurse Lopez is preparing to administer blood to a patient and needs to flush the IV device before and after the transfusion. Which of the following solutions should she use?

💡 Hint

Consider which type of infection could worsen with immunosuppressive treatments like corticosteroids.

2 / 30

2. Nurse Lee is preparing to administer treatment for Mr. Robinson, a male patient with atopic dermatitis (eczema). She must be aware of contraindications for using topical corticosteroids. Which of the following conditions would contraindicate their use?

💡 Hint

Think about the common OTC medication often warned against in children recovering from viral infections due to its association with Reye's syndrome.

3 / 30

3. Nurse Kim is educating parents about the risks of certain over-the-counter (OTC) medications in children. She emphasizes the importance of avoiding specific medications to prevent Reye's syndrome, a potentially fatal illness associated with liver failure and encephalopathy. Which OTC medication is linked to this condition?

💡 Hint

Think about the type of blood product that comes directly from the patient himself, eliminating the risk of transfusion-transmitted infections.

4 / 30

4. Nurse Ava's neighbor, Mr. Roberts, shares that he needs surgery but is hesitant about receiving blood product transfusions due to concerns about infection. He asks Nurse Ava about his safest options. How should Nurse Ava educate him?

💡 Hint

Consider the serious but rare condition involving the accumulation of lactate, specifically associated with biguanide medications like metformin.

5 / 30

5. Nurse Smith is reviewing potential adverse effects with a patient starting metformin (Glucophage) for diabetes management. Which of the following adverse effects is specific to this medication?

💡 Hint

Think about which organ is primarily responsible for metabolizing acetaminophen.

6 / 30

6. Nurse Green is caring for Jake, a teenage patient admitted to the hospital due to an acetaminophen (Tylenol) overdose. Nurse Green knows that such an overdose can cause life-threatening issues in which of the following organs?

💡 Hint

Calculate the amount based on the given concentration and the required dosage.

7 / 30

7. Dr. Williams has ordered 1 gram of human salt-poor albumin for a patient. The nurse finds that the albumin is available in a 50 mL vial with a 25% concentration. How much of the albumin should the nurse administer to deliver the correct dosage?

💡 Hint

Focus on the process that ensures compatibility between donor blood and the recipient’s blood to prevent transfusion reactions.

8 / 30

8. Nurse Sarah is preparing a female patient for a whole blood transfusion. To ensure the blood bank can provide the correct product, a sample of the patient's blood needs to be collected for which test?

💡 Hint

Think about the adverse effect that involves a sudden cessation of breathing, which is particularly dangerous in neonates.

9 / 30

9. Nurse Jackson is administering Alprostadil (Prostin VR pediatric injection) to a neonate and is aware of the potential serious adverse effects. What is the most critical adverse effect she should monitor for?

💡 Hint

Consider the condition where donated immune cells attack the recipient's body, commonly seen in immunocompromised patients after transfusions.

10 / 30

10. Nurse Thompson is evaluating an immunocompromised male patient who, a month after receiving a blood transfusion, presents with fever, liver abnormalities, a rash, and diarrhea. What condition should Nurse Thompson suspect?

💡 Hint

Consider the blood product that contains the highest concentration of antigens and is most likely to cause an immune response.

11 / 30

11. Nurse Parker is explaining the process of blood transfusions to a patient who is concerned about transfusion reactions. The patient asks which donor blood products always require cross-matching with the recipient. What should Nurse Parker tell them?

💡 Hint

Think about the type of IV device that allows for the rapid infusion of blood products.

12 / 30

12. Nurse Karen is preparing to administer a unit of whole blood to a male patient. Which type of intravenous (IV) device should she consider using?

💡 Hint

Think about the condition that involves the failure of bone marrow to produce adequate amounts of blood cells across all cell lines.

13 / 30

13. Nurse Ramirez is monitoring a patient for potential adverse drug reactions and understands that bone marrow toxicity is a significant concern. Among the various forms of bone marrow toxicity, which is considered the most serious?

💡 Hint

Focus on the adverse effect that involves the formation of blood clots, which can have life-threatening consequences.

14 / 30

14. Nurse Adams is educating a patient about the potential serious adverse effects of oral contraceptives. Which of the following should she highlight as a significant concern?

💡 Hint

Consider the procedure that directly modifies the donor blood to prevent immune reactions in highly vulnerable patients.

15 / 30

15. Nurse Elena is preparing a blood transfusion for a severely immunocompromised female patient. To prevent graft-versus-host disease (GVHD), the physician issues specific orders. What measure will the physician likely include?

💡 Hint

Consider the universal donor blood type and its compatibility with different recipient blood types.

16 / 30

16. Nurse Alex is preparing to administer a blood transfusion to a male patient with blood type AB, Rh factor positive. The blood bank has provided type O, Rh factor negative blood for this transfusion. What should Nurse Alex understand about this blood type compatibility?

💡 Hint

Focus on the antibody type that is most commonly associated with allergic reactions and immediate hypersensitivity.

17 / 30

17. Nurse Morgan is reviewing the cell and Coombs classification system to understand different types of allergic reactions, particularly in the context of drug reactions. She recalls that Type I reactions are immediate hypersensitivity reactions. These reactions are mediated by which of the following?

💡 Hint

Consider an unexpected reaction in the central nervous system that can occur in children, opposite to the usual sedative effect.

18 / 30

18. Nurse Tran is educating the parents of a young child about the potential side effects of first-generation over-the-counter (OTC) antihistamines, such as diphenhydramine (Benadryl) and hydroxyzine (Atarax). What side effect should Nurse Tran highlight as a possibility in infants and children?

💡 Hint

This reaction is usually mild and occurs more frequently than other types, often presenting with fever and chills without causing red blood cell destruction.

19 / 30

19. Mr. Johnson, about to receive a blood transfusion, asks Nurse Laura about the most common type of adverse reaction associated with blood transfusions. Nurse Laura informs him that it is:

💡 Hint

Consider the primary purpose of granulocyte transfusions in the context of severe neutropenia.

20 / 30

20. Nurse Jamie is caring for a young boy admitted with a severe infection. After two days on antibiotics, he develops severe neutropenia, prompting the physician to order granulocyte transfusions for the next four days. The boy's mother inquires about the reason for this treatment. How should Nurse Jamie respond?

💡 Hint

Consider the type of allergy often associated with iodine, which is a component of many contrast media.

21 / 30

21. Nurse Davis is preparing to administer intravenous contrast media to a patient and reviews the patient's allergy history. She knows that patients allergic to IV contrast media often have a related allergy to which of the following?

💡 Hint

Think of the term used for a procedure where specific blood components are collected while the remaining blood is returned to the donor.

22 / 30

22. Nurse Kelly welcomes Mr. Thompson to the local blood donation center, where he mentions his intention to donate only platelets today. Nurse Kelly understands that this specific donation process has a particular name. What is this process called?

💡 Hint

Think about the effect that involves an increase in heart rate, which is a common side effect of thyroid hormone replacement therapy.

23 / 30

23. Nurse Roberts is monitoring a patient on levothyroxine (Synthroid) therapy for potential adverse effects. Which of the following is commonly associated with this medication?

💡 Hint

Consider why the physician might want to address the infection without removing the CVAD.

24 / 30

24. Nurse Lee is treating a female patient whose central venous access device (CVAD) has developed an infection. The physician has decided to administer antibiotics directly through the CVAD. What is the primary reason for this choice?

💡 Hint

Focus on the life-threatening effect that involves disruptions in the heart's normal rhythm, which is a critical concern in TCA overdose.

25 / 30

25. Nurse Johnson is assessing a patient suspected of tricyclic antidepressant (TCA) overdose. She is aware that the most serious adverse effect in such cases is:

💡 Hint

Think about the condition characterized by a deficiency in the component of blood that packed RBCs specifically replenish.

26 / 30

26. Dr. Smith orders 250 milliliters of packed red blood cells (RBCs) for a patient. This treatment is typically given to address which condition?

💡 Hint

Consider the age group that typically has more surgeries and medical conditions requiring blood transfusions.

27 / 30

27. Nurse Lisa is reviewing blood usage statistics in preparation for a seminar. She needs to identify the age group that requires the highest amount of blood and blood products. Which age group uses the most units?

💡 Hint

Think about how CVADs protect veins compared to peripheral IVs.

28 / 30

28. Nurse Carter is preparing to administer chemotherapy to Mr. Thompson using a central venous access device (CVAD). What is a significant advantage of using a CVAD for the administration of chemotherapeutic agents?

💡 Hint

Consider the urgency of the symptoms and the potential serious side effect of muscle pain associated with statin medications.

29 / 30

29. Nurse Kelly receives a call from a patient who is currently taking atorvastatin (Lipitor) for high cholesterol and reports experiencing pain in both legs. How should Nurse Kelly advise the patient?

💡 Hint

Think about which vaccine contains components that are cultured in egg-based mediums.

30 / 30

30. Nurse Taylor is assessing a 13-month-old child who recently arrived in the United States and needs childhood immunizations. The child's mother mentions that he has a severe anaphylactic allergy to eggs. Based on this information, which vaccine should the child avoid?

Exam Mode

Welcome to your NCLEX Practice Exam for Pharmacology 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 45 minutes in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Johnson is assessing a patient suspected of tricyclic antidepressant (TCA) overdose. She is aware that the most serious adverse effect in such cases is:

2 / 30

2. Nurse Davis is preparing to administer intravenous contrast media to a patient and reviews the patient's allergy history. She knows that patients allergic to IV contrast media often have a related allergy to which of the following?

3 / 30

3. Nurse Morgan is reviewing the cell and Coombs classification system to understand different types of allergic reactions, particularly in the context of drug reactions. She recalls that Type I reactions are immediate hypersensitivity reactions. These reactions are mediated by which of the following?

4 / 30

4. Nurse Ava's neighbor, Mr. Roberts, shares that he needs surgery but is hesitant about receiving blood product transfusions due to concerns about infection. He asks Nurse Ava about his safest options. How should Nurse Ava educate him?

5 / 30

5. Nurse Kim is educating parents about the risks of certain over-the-counter (OTC) medications in children. She emphasizes the importance of avoiding specific medications to prevent Reye's syndrome, a potentially fatal illness associated with liver failure and encephalopathy. Which OTC medication is linked to this condition?

6 / 30

6. Nurse Lee is preparing to administer treatment for Mr. Robinson, a male patient with atopic dermatitis (eczema). She must be aware of contraindications for using topical corticosteroids. Which of the following conditions would contraindicate their use?

7 / 30

7. Nurse Adams is educating a patient about the potential serious adverse effects of oral contraceptives. Which of the following should she highlight as a significant concern?

8 / 30

8. Nurse Lee is treating a female patient whose central venous access device (CVAD) has developed an infection. The physician has decided to administer antibiotics directly through the CVAD. What is the primary reason for this choice?

9 / 30

9. Nurse Sarah is preparing a female patient for a whole blood transfusion. To ensure the blood bank can provide the correct product, a sample of the patient's blood needs to be collected for which test?

10 / 30

10. Nurse Jackson is administering Alprostadil (Prostin VR pediatric injection) to a neonate and is aware of the potential serious adverse effects. What is the most critical adverse effect she should monitor for?

11 / 30

11. Dr. Williams has ordered 1 gram of human salt-poor albumin for a patient. The nurse finds that the albumin is available in a 50 mL vial with a 25% concentration. How much of the albumin should the nurse administer to deliver the correct dosage?

12 / 30

12. Nurse Taylor is assessing a 13-month-old child who recently arrived in the United States and needs childhood immunizations. The child's mother mentions that he has a severe anaphylactic allergy to eggs. Based on this information, which vaccine should the child avoid?

13 / 30

13. Nurse Elena is preparing a blood transfusion for a severely immunocompromised female patient. To prevent graft-versus-host disease (GVHD), the physician issues specific orders. What measure will the physician likely include?

14 / 30

14. Nurse Lisa is reviewing blood usage statistics in preparation for a seminar. She needs to identify the age group that requires the highest amount of blood and blood products. Which age group uses the most units?

15 / 30

15. Nurse Parker is explaining the process of blood transfusions to a patient who is concerned about transfusion reactions. The patient asks which donor blood products always require cross-matching with the recipient. What should Nurse Parker tell them?

16 / 30

16. Nurse Alex is preparing to administer a blood transfusion to a male patient with blood type AB, Rh factor positive. The blood bank has provided type O, Rh factor negative blood for this transfusion. What should Nurse Alex understand about this blood type compatibility?

17 / 30

17. Nurse Kelly welcomes Mr. Thompson to the local blood donation center, where he mentions his intention to donate only platelets today. Nurse Kelly understands that this specific donation process has a particular name. What is this process called?

18 / 30

18. Mr. Johnson, about to receive a blood transfusion, asks Nurse Laura about the most common type of adverse reaction associated with blood transfusions. Nurse Laura informs him that it is:

19 / 30

19. Dr. Smith orders 250 milliliters of packed red blood cells (RBCs) for a patient. This treatment is typically given to address which condition?

20 / 30

20. Nurse Smith is reviewing potential adverse effects with a patient starting metformin (Glucophage) for diabetes management. Which of the following adverse effects is specific to this medication?

21 / 30

21. Nurse Green is caring for Jake, a teenage patient admitted to the hospital due to an acetaminophen (Tylenol) overdose. Nurse Green knows that such an overdose can cause life-threatening issues in which of the following organs?

22 / 30

22. Nurse Carter is preparing to administer chemotherapy to Mr. Thompson using a central venous access device (CVAD). What is a significant advantage of using a CVAD for the administration of chemotherapeutic agents?

23 / 30

23. Nurse Lopez is preparing to administer blood to a patient and needs to flush the IV device before and after the transfusion. Which of the following solutions should she use?

24 / 30

24. Nurse Thompson is evaluating an immunocompromised male patient who, a month after receiving a blood transfusion, presents with fever, liver abnormalities, a rash, and diarrhea. What condition should Nurse Thompson suspect?

25 / 30

25. Nurse Tran is educating the parents of a young child about the potential side effects of first-generation over-the-counter (OTC) antihistamines, such as diphenhydramine (Benadryl) and hydroxyzine (Atarax). What side effect should Nurse Tran highlight as a possibility in infants and children?

26 / 30

26. Nurse Karen is preparing to administer a unit of whole blood to a male patient. Which type of intravenous (IV) device should she consider using?

27 / 30

27. Nurse Kelly receives a call from a patient who is currently taking atorvastatin (Lipitor) for high cholesterol and reports experiencing pain in both legs. How should Nurse Kelly advise the patient?

28 / 30

28. Nurse Ramirez is monitoring a patient for potential adverse drug reactions and understands that bone marrow toxicity is a significant concern. Among the various forms of bone marrow toxicity, which is considered the most serious?

29 / 30

29. Nurse Jamie is caring for a young boy admitted with a severe infection. After two days on antibiotics, he develops severe neutropenia, prompting the physician to order granulocyte transfusions for the next four days. The boy's mother inquires about the reason for this treatment. How should Nurse Jamie respond?

30 / 30

30. Nurse Roberts is monitoring a patient on levothyroxine (Synthroid) therapy for potential adverse effects. Which of the following is commonly associated with this medication?