NCLEX Practice Exam for Pharmacology 3

Practice Mode

Welcome to your NCLEX Practice Exam for Pharmacology 3! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 20 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 safety and integrity of the medication when it appears compromised.

1 / 20

1. Nurse Kelly is preparing the morning NPH insulin dose for her patient and observes a clumpy precipitate inside the insulin vial. What action should Nurse Kelly take?

💡 Hint

Think about the most reliable method to confirm a patient’s identity in a clinical setting.

2 / 20

2. Nurse Laura is about to administer Augmentin to Mr. Stevens, who is being treated for a sinus infection. To ensure she gives the medication to the correct patient, what is the best practice for Nurse Laura to follow?

💡 Hint

Think about which beverages contain caffeine or similar substances that could interact with a xanthine bronchodilator.

3 / 20

3. Nurse Johnson has instructed a patient taking a xanthine bronchodilator on which beverages to avoid. Which beverage choice from the dietary menu indicates that the patient understands the instructions?

💡 Hint

Consider the patient's current vital signs and the risks associated with administering another dose of morphine under these conditions.

4 / 20

4. Nurse Lily is caring for Mrs. Wilson, who has been dealing with uterine cancer and is admitted for pain management. Mrs. Wilson's admission vitals are BP 110/64, pulse 78, respirations 18, and temperature 99.2°F. She has an order for Morphine sulfate 6 mg IV, every 4 hours as needed. After lunch, Nurse Lily notes the following vitals: BP 92/60, pulse 66, respirations 10, and temperature 98.8°F. Mrs. Wilson is crying and reports severe pain. What should Nurse Lily do?

💡 Hint

Think about which product is specifically designed to moisturize and soothe dry skin.

5 / 20

5. A female client reports to Nurse Thompson that her skin is extremely dry and irritated. Which product should Nurse Thompson recommend for the client's dry skin?

💡 Hint

Think about the area of the eye that provides the safest and most effective application of ointment in newborns.

6 / 20

6. Nurse Jenny is administering erythromycin ointment to a newborn's eyes to prevent potential infections. She carefully considers where to apply the ointment for optimal effectiveness. In which area should Nurse Jenny place the ointment?

💡 Hint

Consider which pain reliever is least likely to cause gastrointestinal irritation, especially in a client taking a medication for stomach issues.

7 / 20

7. A client taking famotidine (Pepcid) asks Nurse Taylor, their home care nurse, about the best medication to take for a headache. What should Nurse Taylor recommend?

 

💡 Hint

Consider the medication that helps reduce ammonia levels, which is beneficial for patients with liver cirrhosis.

8 / 20

8. Nurse Anderson is caring for a client with advanced cirrhosis of the liver who is having difficulty tolerating protein, as indicated by abnormal lab results. Which medication does Nurse Anderson expect the healthcare provider to prescribe?

💡 Hint

Consider the roles of all healthcare professionals involved in the medication administration process and their responsibility to ensure patient safety.

9 / 20

9. Nurse Emily administers penicillin to a patient diagnosed with streptococcal pharyngitis, as per the physician's order. Shortly after, the patient develops an allergic reaction. Upon reviewing the medication order sheet, Nurse Emily discovers that the patient has a documented penicillin allergy. Who is legally responsible for this error?

💡 Hint

Consider the importance of ensuring the full effectiveness of an antibiotic treatment to prevent recurrence or resistance.

10 / 20

10. Nurse Sarah is instructing Ms. Carter on how to properly take her prescribed antibiotic, Ampicillin, for a bacterial infection. What is the most crucial advice Nurse Sarah should provide?

💡 Hint

Think about foods that undergo aging or fermentation processes, which can increase tyramine content.

11 / 20

11. Nurse Megan is counseling Mr. Brown, who is beginning treatment with the MAO inhibitor Nardil for his depression. It is crucial that Mr. Brown is informed about avoiding foods containing tyramine. Which foods should Mr. Brown be warned against?

💡 Hint

Think about common precautions needed to prevent adverse reactions when taking antifungal medications.

12 / 20

12. Nurse Harper is caring for a patient diagnosed with histoplasmosis who has been prescribed ketoconazole (Nizoral). What should Nurse Harper instruct the patient to do while taking this medication?

💡 Hint

Think about the primary purpose of benzonatate, which is related to respiratory symptoms.

13 / 20

13. Nurse Reynolds is discussing the effects of benzonatate (Tessalon) with a client who has been taking the medication as prescribed. What should Nurse Reynolds inform the client that this medication will do?

💡 Hint

Consider how the aging process affects the body’s ability to process and eliminate medications.

14 / 20

14. Nurse Alex is administering a dose of digoxin to Mrs. Thompson, a geriatric patient. She inquires why her medication looks different from her niece’s, who also takes medication for heart issues. Nurse Alex explains that with aging, liver and kidney function diminish, and if her dose were as high as her niece's, the medication would:

💡 Hint

Think about which foods have lower potassium content, as triamterene can affect potassium levels.

15 / 20

15. Nurse Patel is planning dietary counseling for a client prescribed triamterene (Dyrenium). What should she include in the list of foods that are acceptable?

💡 Hint

Focus on the adverse effect that is related to kidney function, which is a serious concern with this medication.

16 / 20

16. Nurse Smith is monitoring a client with rheumatoid arthritis who has been prescribed auranofin (Ridaura). Which of the following symptoms should Nurse Smith recognize as an adverse effect of the medication?

💡 Hint

Think about the core principles that ensure safe and accurate medication administration.

17 / 20

17. Nurse Williams is preparing to administer an antibiotic to a pediatric patient. She carefully checks the patient's armband and ensures the correct medication by verifying the physician’s order, medication kardex, and the vial. Which of the following is not considered one of the five “rights” of medication administration?

💡 Hint

Focus on the generic name of Demerol.

18 / 20

18. Nurse Alex is preparing to administer an intramuscular injection of Demerol for postoperative pain management. To ensure accuracy, Nurse Alex carefully selects the correct vial from the narcotics cabinet. What should the label on the vial read?

💡 Hint

Consider the advice that helps prevent a common side effect related to blood pressure changes.

19 / 20

19. Nurse Davis is providing instructions to a client who has been prescribed quinapril hydrochloride (Accupril). What should Nurse Davis advise the client?

💡 Hint

Identify the medication that is not typically used to treat seizure disorders and may potentially interact with seizure medications.

20 / 20

20. Nurse Karen is reviewing medications for Mr. Thompson, a newly admitted patient with a seizure disorder. Which of the following prescriptions should Nurse Karen question?

Exam Mode

Welcome to your NCLEX Practice Exam for Pharmacology 3! 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: 20 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 30 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 30 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 / 20

1. Nurse Harper is caring for a patient diagnosed with histoplasmosis who has been prescribed ketoconazole (Nizoral). What should Nurse Harper instruct the patient to do while taking this medication?

2 / 20

2. A client taking famotidine (Pepcid) asks Nurse Taylor, their home care nurse, about the best medication to take for a headache. What should Nurse Taylor recommend?

 

3 / 20

3. Nurse Patel is planning dietary counseling for a client prescribed triamterene (Dyrenium). What should she include in the list of foods that are acceptable?

4 / 20

4. Nurse Alex is preparing to administer an intramuscular injection of Demerol for postoperative pain management. To ensure accuracy, Nurse Alex carefully selects the correct vial from the narcotics cabinet. What should the label on the vial read?

5 / 20

5. Nurse Davis is providing instructions to a client who has been prescribed quinapril hydrochloride (Accupril). What should Nurse Davis advise the client?

6 / 20

6. Nurse Laura is about to administer Augmentin to Mr. Stevens, who is being treated for a sinus infection. To ensure she gives the medication to the correct patient, what is the best practice for Nurse Laura to follow?

7 / 20

7. Nurse Sarah is instructing Ms. Carter on how to properly take her prescribed antibiotic, Ampicillin, for a bacterial infection. What is the most crucial advice Nurse Sarah should provide?

8 / 20

8. Nurse Megan is counseling Mr. Brown, who is beginning treatment with the MAO inhibitor Nardil for his depression. It is crucial that Mr. Brown is informed about avoiding foods containing tyramine. Which foods should Mr. Brown be warned against?

9 / 20

9. A female client reports to Nurse Thompson that her skin is extremely dry and irritated. Which product should Nurse Thompson recommend for the client's dry skin?

10 / 20

10. Nurse Kelly is preparing the morning NPH insulin dose for her patient and observes a clumpy precipitate inside the insulin vial. What action should Nurse Kelly take?

11 / 20

11. Nurse Johnson has instructed a patient taking a xanthine bronchodilator on which beverages to avoid. Which beverage choice from the dietary menu indicates that the patient understands the instructions?

12 / 20

12. Nurse Reynolds is discussing the effects of benzonatate (Tessalon) with a client who has been taking the medication as prescribed. What should Nurse Reynolds inform the client that this medication will do?

13 / 20

13. Nurse Smith is monitoring a client with rheumatoid arthritis who has been prescribed auranofin (Ridaura). Which of the following symptoms should Nurse Smith recognize as an adverse effect of the medication?

14 / 20

14. Nurse Jenny is administering erythromycin ointment to a newborn's eyes to prevent potential infections. She carefully considers where to apply the ointment for optimal effectiveness. In which area should Nurse Jenny place the ointment?

15 / 20

15. Nurse Lily is caring for Mrs. Wilson, who has been dealing with uterine cancer and is admitted for pain management. Mrs. Wilson's admission vitals are BP 110/64, pulse 78, respirations 18, and temperature 99.2°F. She has an order for Morphine sulfate 6 mg IV, every 4 hours as needed. After lunch, Nurse Lily notes the following vitals: BP 92/60, pulse 66, respirations 10, and temperature 98.8°F. Mrs. Wilson is crying and reports severe pain. What should Nurse Lily do?

16 / 20

16. Nurse Karen is reviewing medications for Mr. Thompson, a newly admitted patient with a seizure disorder. Which of the following prescriptions should Nurse Karen question?

17 / 20

17. Nurse Anderson is caring for a client with advanced cirrhosis of the liver who is having difficulty tolerating protein, as indicated by abnormal lab results. Which medication does Nurse Anderson expect the healthcare provider to prescribe?

18 / 20

18. Nurse Williams is preparing to administer an antibiotic to a pediatric patient. She carefully checks the patient's armband and ensures the correct medication by verifying the physician’s order, medication kardex, and the vial. Which of the following is not considered one of the five “rights” of medication administration?

19 / 20

19. Nurse Emily administers penicillin to a patient diagnosed with streptococcal pharyngitis, as per the physician's order. Shortly after, the patient develops an allergic reaction. Upon reviewing the medication order sheet, Nurse Emily discovers that the patient has a documented penicillin allergy. Who is legally responsible for this error?

20 / 20

20. Nurse Alex is administering a dose of digoxin to Mrs. Thompson, a geriatric patient. She inquires why her medication looks different from her niece’s, who also takes medication for heart issues. Nurse Alex explains that with aging, liver and kidney function diminish, and if her dose were as high as her niece's, the medication would: