Pharmacology NCLEX Questions and Answers: 100% Correct Solutions for 2024, Exams of Nursing

Download Pharmacology NCLEX Questions and Answers: 100% Correct Solutions for 2024 and more Exams Nursing in PDF only on Docsity! Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A newly admitted client takes digoxin 0.25 mg/day. The nurse knows which is the serum therapeutic range for digoxin. a. 0.1 to 1.5 ng/mL b. 0.5 to 2.0 ng/mL c. 1.0 to 2.5 ng/mL d. 2.0 to 4.0 ng/mL - correct answer ✅b. 0.5 to 2.0 ng/mL The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about this serum digoxin level? a. It is in the high (elevated) range. b. It is in the low (decreased) range. c. It is within the normal range. d. It is in the low average range. - correct answer ✅a. It is in the high (elevated) range. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges that which is included in the signs and symptoms for digitalis toxicity? a. Pulse (heart) rate of 100 beats/min b. Pulse of 72 with an irregular rate c. Pulse greater than 60 beats/min and irregular rate d. Pulse below 60 beats/min and irregular rate - correct answer ✅d. Pulse below 60 beats/min and irregular rate The client is also taking a diuretic that decreases her potassium level. The nurse expects that a low potassium level (hypokalemia) could have what effect on the digoxin? a. Increase the serum digoxin sensitivity level b. Decrease the serum digoxin sensitivity level c. Not have any effect on the serum digoxin sensitivity level d. Cause a low average serum digoxin sensitivity level - correct answer ✅a. Increase the serum digoxin sensitivity level Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client's teaching plan? a. "Apply the patch to a nonhairy area of the upper torso or arm." b. "Apply the patch to the same site each day." c. "If you have a headache, remove the patch for 4 hours and then reapply." d. "If you have chest pain, apply a second patch next to the first patch." - correct answer ✅a. "Apply the patch to a nonhairy area of the upper torso or arm." A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective? a. Blood pressure 120/80 mm Hg b. Heart rate 70 beats per minute c. ECG without evidence of ST changes d. Client stating that pain is 0 out of 10 - correct answer ✅d. Client stating that pain is 0 out of 10 Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action? a. Blood pressure 110/90 mm Hg b. Flushing c. Headache d. Chest pain - correct answer ✅d. Chest pain Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin? a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief." b. "I should keep my nitroglycerin in a cool, dry place." c. "I should change positions slowly to avoid getting dizzy." d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary." - correct answer ✅d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary." Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 Which client assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker? a. Client states that she has no chest pain. b. Client states that the swelling in her feet is reduced. c. Client states the she does not feel dizzy. d. Client states that she feels stronger. - correct answer ✅a. Client states that she has no chest pain. What statement is the most important for the nurse to include in the teaching plan for a client who has started on a transdermal nitroglycerin patch? a. "This medication works faster than sublingual nitroglycerin works." b. "This medication is the strongest of any nitroglycerin preparation available." c. "This medication should be used only when you are experiencing chest pain." d. "This medication will work for 24 hours and you will need to change the patch daily." - correct answer ✅d. "This medication will work for 24 hours and you will need to change the patch daily." Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 What instruction should the nurse provide to the client who needs to apply nitroglycerin ointment? a. Use the fingers to spread the ointment evenly over a 3-inch area. b. Apply the ointment to a nonhairy part of the upper torso. c. Massage the ointment into the skin. d. Cover the application paper with ointment before use. - correct answer ✅b. Apply the ointment to a nonhairy part of the upper torso. A client receiving intravenous nitroglycerin at 20 mcg/min complains of dizziness. Nursing assessment reveals a blood pressure of 85/40 mm Hg, heart rate of 110 beats/min, and respiratory rate of 16 breaths/min. What is the nurse's priority action? a. Assess the client's lung sounds. b. Decrease the intravenous nitroglycerin by 10 mcg/min. c. Stop the nitroglycerin infusion for 1 hour, and then restart. d. Recheck the client's vital signs in 15 minutes but continue the infusion. - correct answer ✅b. Decrease the intravenous nitroglycerin by 10 mcg/min. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 The nurse is monitoring a client taking digoxin (Lanoxin) for treatment of heart failure. Which assessment finding indicates a therapeutic effect of the drug? a. Heart rate 110 beats per minute b. Heart rate 58 beats per minute c. Urinary output 40 mL/hr d. Blood pressure 90/50 mm Hg - correct answer ✅b. Heart rate 58 beats per minute A client's serum digoxin level is drawn, and it is 0.4 ng/mL. What is the nurse's priority action? a. Administer ordered dose of digoxin. b. Hold future digoxin doses. c. Administer potassium. d. Call the health care provider. - correct answer ✅a. Administer ordered dose of digoxin. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A client is taking digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg. When the nurse enters the room, the client states, "There are yellow halos around the lights." Which action will the nurse take? a. Evaluate digoxin levels. b. Withhold the furosemide c. Administer potassium. d. Document the findings and reassess in 1 hour. - correct answer ✅a. Evaluate digoxin levels. Which assessment finding will alert the nurse to suspect early digitalis toxicity? a. Loss of appetite with slight bradycardia b. Blood pressure 90/60 mm Hg c. Heart rate 110 beats per minute d. Confusion and diarrhea - correct answer ✅a. Loss of appetite with slight bradycardia Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 a. Blood pressure measurement b. BUN and creatinine c. ECG d. Lung sounds - correct answer ✅c. ECG Which assessment finding will alert the nurse to possible toxic effects of amiodarone? a. Heart rate 100 beats per minute b. Crackles in the lungs c. Elevated blood urea nitrogen d. Decreased hemoglobin - correct answer ✅b. Crackles in the lungs What must the nurse monitor when titrating intravenous nitroglycerin for a client? (Select all that apply.) a. Continuous oxygen saturation b. Continuous blood pressures Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 c. Hourly ECGs d. Presence of chest pain e. Serum nitroglycerin levels f. Visual acuity - correct answer ✅b. Continuous blood pressures d. Presence of chest pain A client is taking hydrochlorothiazide 50 mg/day and digoxin 0.25 mg/day. What type of electrolyte imbalance does the nurse expect to occur? a. Hypocalcemia b. Hypokalemia c. Hyperkalemia d. Hypermagnesemia - correct answer ✅b. Hypokalemia What would cause the same client's electrolyte imbalance? a. High dose of digoxin b. Digoxin taken daily Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 c. Hydrochlorothiazide d. Low dose of hydrochlorothiaizde - correct answer ✅c. Hydrochlorothiazide A nurse teaching a client who has diabetes mellitus and is taking hydrochlorothiazide 50 mg/day. The teaching should include the importance of monitoring which levels? a. Hemoglobin and hematocrit b. Blood urea nitrogen (BUN) c. Arterial blood gases d. Serum glucose (sugar) - correct answer ✅d. Serum glucose (sugar) A client has heart failure and is prescribed Lasix. The nurse is aware that furosemide (Lasix) is what kind of drug? a. Thiazide diuretic b. Osmotic diuretic c. High-ceiling (loop) diuretic d. Potassium-sparing diuretic - correct answer ✅c. High-ceiling (loop) diuretic Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 Which laboratory value will the nurse report to the health care provider as a potential adverse response to hydrochlorothiazide (HydroDIURIL)? a. Sodium level of 140 mEq/L b. Fasting blood glucose level of 140 mg/dL c. Calcium level of 9 mg/dL d. Chloride level of 100 mEq/L - correct answer ✅b. Fasting blood glucose level of 140 mg/dL What is the best information for the nurse to provide to the client who is receiving spironolactone (Aldactone) and furosemide (Lasix) therapy? a. "Moderate doses of two different diuretics are more effective than a large dose of one." b. "This combination promotes diuresis but decreases the risk of hypokalemia." c. "This combination prevents dehydration and hypovolemia." d. "Using two drugs increases the osmolality of plasma and the glomerular filtration rate." - correct answer ✅b. "This combination promotes diuresis but decreases the risk of hypokalemia." Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 The nurse is assessing a client who is taking furosemide (Lasix). The client's potassium level is 3.4 mEq/L, chloride is 90 mmol/L, and sodium is 140 mEq/L. What is the nurse's primary intervention? a. Mix 40 mEq of potassium in 250 mL D5W and infuse rapidly. b. Administer Kayexalate. c. Administer 2 mEq potassium chloride per kilogram per day IV. d. Administer PhosLo, two tablets three times per day. - correct answer ✅c. Administer 2 mEq potassium chloride per kilogram per day IV. A nurse admits a client diagnosed with pneumonia. The client has a history of chronic renal insufficiency, and the health care provider orders furosemide (Lasix) 40 mg twice a day. What is most important to include in the teaching plan for this client? a. That the medication will have to be monitored very carefully owing to the client's diagnosis of pneumonia. b. The fact that Lasix has been proven to decrease symptoms with pneumonia. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 c. The fact that Lasix has shown efficacy in treating persons with renal insufficiency. d. That the medication will need to be given at a higher than normal dose owing to the client's medical problems. - correct answer ✅c. The fact that Lasix has shown efficacy in treating persons with renal insufficiency. A client taking spironolactone (Aldactone) has been taught about the therapy. Which menu selection indicates that the client understands teaching related to this medication? a. Apricots b. Bananas c. Fish d. Strawberries - correct answer ✅c. Fish Which client would the nurse need to assess first if the client is receiving mannitol (Osmitrol)? a. A 67-year-old client with type 1 diabetes mellitus b. A 21-year-old client with a head injury Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 b. Decreased crackles in the lung bases c. Decreased aldosterone d. Decreased ankle edema - correct answer ✅c. Decreased aldosterone A client with acute pulmonary edema receives furosemide (Lasix). What assessment finding indicates that the intervention is working? a. Potassium level decreased from 4.5 to 3.5 mEq/L. b. Crackles auscultated in the bases. c. Lungs clear. d. Output 30 mL/hr. - correct answer ✅c. Lungs clear. Which assessment indicates a therapeutic effect of mannitol (Osmitrol)? a. Decreased intracranial pressure b. Decreased potassium c. Increased urine osmolality d. Decreased serum osmolality - correct answer ✅a. Decreased intracranial pressure Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 Which intervention will the nurse perform when monitoring a client receiving triamterene (Dyrenium)? a. Assess urinary output hourly. b. Monitor for side effect of hypoglycemia. c. Assess potassium levels. d. Monitor for Hypernatremia. - correct answer ✅c. Assess potassium levels. The client asks the nurse why the health care provider prescribed acetazolamide (Diamox), a diuretic, to treat gout. What is the nurse's best response? a. It causes an alkaline urine, which facilitates the elimination of uric acid. b. It increases alkalinity of urine, thus decreasing the formation of uric acid. c. It causes an acid urine, which facilitates the elimination of uric acid. d. It decreases alkalinity of urine, thus decreasing the formation of uric acid. - correct answer ✅a. It causes an alkaline urine, which facilitates the elimination of uric acid. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A client's blood pressure (BP) is 145/90. According to the guidelines for determining hypertension, the nurse realizes that the client's BP is at which stage? a. Normal b. Prehypertension c. Stage 1 hypertension d. Stage 2 hypertension - correct answer ✅c. Stage 1 hypertension The nurse acknowledges that the first-line drug for treating this client's blood pressure might be which drug? a. Diuretic b. Alpha blocker c. ACE inhibitor d. Alpha/beta blocker - correct answer ✅a. Diuretic The nurse is aware that which group(s) of antihypertensive drugs are less effective in African-American clients? Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 During an admission assessment, the client states that she takes amlodipine (Norvasc). The nurse wishes to determine whether or not the client has any common side effects of a calcium channel blocker. The nurse asks the client if she has which signs and symptoms? (Select all that apply.) a. Insomnia b. Dizziness c. Headache d. Angioedema e. Ankle edema f. Hacking cough - correct answer ✅b. Dizziness c. Headache e. Ankle edema Which statement indicates that the client needs additional instruction about antihypertensive treatment? a. "I will check my blood pressure daily and take my medication when it is over 140/90." Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 b. "I will include rest periods during the day to help me tolerate the fatigue my medicine may cause." c. "I will change my position slowly to prevent feeling dizzy." d. "I will not mow my lawn until I see how this medication makes me feel." - correct answer ✅a. "I will check my blood pressure daily and take my medication when it is over 140/90." A nurse is caring for a client who is taking an angiotensin-converting enzyme inhibitor and develops a dry, nonproductive cough. What is the nurse's priority action? a. Call the health care provider to switch the medication. b. Assess the client for other symptoms of upper respiratory infection. c. Instruct the client to take antitussive medication until the symptoms subside. d. Tell the client that the cough will subside in a few days. - correct answer ✅a. Call the health care provider to switch the medication. The nurse is reviewing a medication history on a client taking an ACE inhibitor. The nurse plans to contact the health care provider if the client is also taking which medication? Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 a. docusate sodium (Colace) b. furosemide (Lasix) c. morphine sulfate d. spironolactone (Aldactone) - correct answer ✅d. spironolactone (Aldactone) A client is prescribed a noncardioselective beta1 blocker. What nursing intervention is a priority for this client? a. Assessment of blood glucose levels b. Respiratory assessment c. Orthostatic blood pressure assessment d. Teaching about potential tachycardia - correct answer ✅b. Respiratory assessment Which client will the nurse assess first? a. The client who has been on beta blockers for 1 day. b. The client who is on a beta blocker and a thiazide diuretic. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A client who takes clonidine (Catapres) is to be discharged to home. Which instruction will the nurse include when teaching this client? a. "Your blood pressure should be checked by a health care provider at least once a year." b. "Increasing fluid and fiber in your diet can help prevent the side effect of constipation." c. "Intense exercise or prolonged standing is not a problem with clonidine as it can be with other antihypertensive agents." d. "If you are having difficulty with the common side effect of drooling, notify your health care provider so your dosage can be adjusted." - correct answer ✅b. "Increasing fluid and fiber in your diet can help prevent the side effect of constipation." During assessment of a client diagnosed with pheochromocytoma, the nurse auscultates a blood pressure of 210/110 mm Hg. What is the nurse's best action? a. To ask the client to lie down and rest b. To assess the client?s dietary intake of sodium and fluid c. To administer phentolamine (Regitine) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 d. To administer nitroprusside (Nipride) - correct answer ✅c. To administer phentolamine (Regitine) Which is a priority nursing diagnosis for a client taking an antihypertensive medication? a. Alteration in cardiac output related to effects on the sympathetic nervous system b. Knowledge deficit related to medication regimen c. Fatigue related to side effects of medication d. Alteration in comfort related to nonproductive cough - correct answer ✅a. Alteration in cardiac output related to effects on the sympathetic nervous system When a newly admitted client is placed on heparin, the nurse acknowledges that heparin is effective for preventing new clot formation in clients who have which disorder(s)? (Select all that apply.) a. Coronary thrombosis b. Acute myocardial infarction c. Deep vein thrombosis (DVT) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 d. Cerebrovascular accident (CVA) (stroke) e. Venous disorders - correct answer ✅a. Coronary thrombosis b. Acute myocardial infarction c. Deep vein thrombosis (DVT) d. Cerebrovascular accident (CVA) (stroke) e. Venous disorders A client who received heparin begins to bleed, and the physician calls for the antidote. The nurse knows that which is the antidote for heparin? a. protamine sulfate b. vitamin K c. aminocaproic acid d. vitamin C - correct answer ✅a. protamine sulfate A client is prescribed enoxaparin (Lovenox). The nurse knows that low-molecular- weight heparin (LMWH) has what kind of half-life? a. A longer half-life than heparin Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 Cilostazol (Pletal) is being prescribed for a client with coronary artery disease. The nurse knows that which is the major purpose for antiplatelet drug therapy? a. To dissolve the blood clot b. To decrease tissue necrosis c. To inhibit hepatic synthesis of vitamin K d. To suppress platelet aggregation - correct answer ✅d. To suppress platelet aggregation A client is to undergo a coronary angioplasty. The nurse acknowledges that which drug is used primarily for preventing reocclusion of coronary arteries following a coronary angioplasty? a. clopidogrel (Plavix) b. abciximab (ReoPro) c. warfarin (Coumadin) d. streptokinase - correct answer ✅b. abciximab (ReoPro) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A client is admitted to the emergency department with an acute myocardial infarction. Which drug category does the nurse expect to be given to the client early for the prevention of tissue necrosis following blood clot blockage in a coronary or cerebral artery? a. Anticoagulant agent b. Antiplatelet agent c. Thrombolytic agent d. Low-molecular-weight heparin (LMWH) - correct answer ✅c. Thrombolytic agent A client is receiving an intravenous heparin drip. Which laboratory value will require immediate action by the nurse? a. Platelet count of 150,000 b. Activated partial thromboplastin time (aPTT) of 120 seconds c. INR of 1.0 d. Blood urea nitrogen (BUN) level of 12 mg/dL - correct answer ✅b. Activated partial thromboplastin time (aPTT) of 120 seconds Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A client who has been taking warfarin (Coumadin) is admitted with coffee-ground emesis. What is the nurse's primary action? a. Administer vitamin E. b. Administer vitamin K. c. Administer protamine sulfate. d. Administer calcium gluconate. - correct answer ✅b. Administer vitamin K. The client has an international normalized ratio (INR) value of 1.5. What action will the nurse take? a. Administer an additional dose of warfarin (Coumadin). b. Hold the next dose of warfarin (Coumadin). c. Increase the heparin drip rate. d. Administer protamine sulfate. - correct answer ✅a. Administer an additional dose of warfarin (Coumadin). A client is receiving warfarin (Coumadin) for a chronic condition. Which client statement requires immediate action by the nurse? Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 b. "Dalteparin is a low-molecular-weight heparin that is more predictable in its effect and has a lower risk of bleeding." c. "I'm not sure why some health care providers choose dalteparin and some heparin. You should ask your doctor." d. "The only difference is that heparin dosing is based on the client's weight." - correct answer ✅b. "Dalteparin is a low-molecular-weight heparin that is more predictable in its effect and has a lower risk of bleeding." A client has been admitted through the emergency department and requires emergency surgery. The client has been receiving heparin. What nursing intervention is essential? a. Teach the client about the phenytoin. b. Administer protamine sulfate. c. Assess the INR before surgery. d. Administer vitamin K. - correct answer ✅b. Administer protamine sulfate. What nursing intervention is essential for the client receiving alteplase? a. Assess for reperfusion dysrhythmias. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 b. Monitor liver enzymes. c. Administer vitamin K if bruising is observed. d. Monitor blood pressure and stop the medication if blood pressure drops below 110 systolic. - correct answer ✅a. Assess for reperfusion dysrhythmias. A client who is taking warfarin (Coumadin) requests an aspirin for headache relief. What is the nurse's best response? a. Administer 650 mg of acetylsalicylic acid (ASA) and reassess pain in 30 minutes. b. Teach the client of potential drug interactions with anticoagulants. c. Explain to the client that ASA is contraindicated and administer ibuprofen as ordered. d. Explain that the headache is an expected side effect and will subside shortly. - correct answer ✅b. Teach the client of potential drug interactions with anticoagulants. A client is started on warfarin (Coumadin) therapy while still receiving intravenous heparin. The client questions the nurse about the risk for bleeding. How should the nurse respond? Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 a. "Your concern is valid. I will call the doctor to discontinue the heparin." b. "It usually takes about 3 days to achieve a therapeutic effect for warfarin, so the heparin is continued until the warfarin is therapeutic." c. "Because of your valve replacement, it is especially important for you to be anticoagulated. The heparin and warfarin together are more effective than one alone." d. "Because you are now up and walking, you have a higher risk of blood clots and therefore need to be on both medications." - correct answer ✅b. "It usually takes about 3 days to achieve a therapeutic effect for warfarin, so the heparin is continued until the warfarin is therapeutic." The nurse evaluates that the client understood discharge teaching regarding warfarin (Coumadin) based on which statement? a. "I will double my dose if I forget to take it the day before." b. "I should keep taking ibuprofen for my arthritis." c. "I should decrease the dose if I start bruising easily." d. "I should use a soft toothbrush for dental hygiene." - correct answer ✅d. "I should use a soft toothbrush for dental hygiene." Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 c. It is higher than the desired level of HDL. d. It is a much lower HDL level than desired. - correct answer ✅b. It is the desired level of HDL. The nurse realizes that which is the laboratory test ordered to determine the presence of the amino acid that can contribute to cardiovascular disease and stroke? a. antidiuretic hormone b. homocysteine c. ceruloplasmin d. cryoglobulin - correct answer ✅b. homocysteine A client is taking lovastatin (Mevacor). Which serum level is most important for the nurse to monitor? a. Blood urea nitrogen b. Complete blood count c. Cardiac enzymes Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 d. Liver enzymes - correct answer ✅d. Liver enzymes The client is taking rosuvastatin (Crestor). What severe skeletal muscle adverse reaction should the nurse observe for? a. Myasthenia gravis b. Rhabdomyolysis c. Dyskinesia d. Agranulocytosis - correct answer ✅b. Rhabdomyolysis When a client is taking ezetimibe (Zetia), she asks the nurse how it works. The nurse should explain that Zetia does what? a. Inhibits absorption of dietary cholesterol in the intestines. b. Binds with bile acids in the intestines to reduce LDL levels. c. Inhibits HMG-CoA reductase, which is necessary for cholesterol production in the liver. d. Forms insoluble complexes and reduces circulating cholesterol in blood. - correct answer ✅a. Inhibits absorption of dietary cholesterol in the intestines. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 A client is diagnosed with peripheral arterial disease (PAD). He is prescribed isoxsuprine (Vasodilan). The nurse acknowledges that isoxsuprine does what? (Select all that apply.) a. Relaxes the arterial walls within the skeletal muscles b. May cause hypotension, chest pain, and palpitations c. Increases the rigidity of arteriosclerotic blood vessels d. May increase intermittent claudication e. May lead to hypertension and bradycardia f. Commonly causes an adverse effect of rhabdomyolysis - correct answer ✅a. Relaxes the arterial walls within the skeletal muscles b. May cause hypotension, chest pain, and palpitations Which statement indicates the client understands discharge instructions regarding cholestyramine (Questran)? a. "I will take Questran 1 hour before my other medications." b. "I will increase fiber in my diet." Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 d. "I will continue my exercise program to help increase my high-density lipoprotein serum levels." - correct answer ✅d. "I will continue my exercise program to help increase my high-density lipoprotein serum levels." A client is prescribed ezetimibe (Zetia). Which assessment finding will require immediate action by the nurse? a. Headache. b. Slight nausea. c. Muscle pain. d. Fatigue. - correct answer ✅c. Muscle pain. A nurse is caring for a client taking cholestyramine (Questran). The client is complaining of constipation. What will the nurse do? a. Call the health care provider to change the medication. b. Tell the client to skip a dose of the medication. c. Have the client increase fluids and fiber in his diet. Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 d. Administer an enema to the client. - correct answer ✅c. Have the client increase fluids and fiber in his diet. Which statement indicates to the nurse that the client needs further medication instruction about colestipol (Colestid)? a. "The medication may cause constipation, so I will increase fluid and fiber in my diet." b. "I should take this medication 1 hour after or 4 hours before my other medications." c. "I might need to take fat-soluble vitamins to supplement my diet." d. "I should stir the powder in as small an amount of fluid as possible to maintain potency of the medication." - correct answer ✅d. "I should stir the powder in as small an amount of fluid as possible to maintain potency of the medication." Which assessment finding in a client taking an HMG-CoA reductase inhibitor will the nurse act on immediately? a. Decreased hemoglobin b. Elevated liver function tests Pharmacology NCLEX Questions and Answers (100%Correct Solutions) Pharmacology NCLEX Questions and Answers (100%Correct Solutions) latest update 2024 c. Elevated HDL d. Elevated LDL - correct answer ✅b. Elevated liver function tests A 70-year-old client who is taking several cardiac antidysrhythmic medications has been prescribed simvastatin (Zocor) 80 mg/day. What is essential information for the nurse to teach the client? a. "This dose may lower your cholesterol too much." b. "These factors may put you at higher risk for myopathy." c. "You should not take this drug with cardiac medications." d. "This combination will cause you to have nausea and vomiting." - correct answer ✅b. "These factors may put you at higher risk for myopathy." A client diagnosed with hypercholesterolemia is prescribed lovastatin (Mevacor). The nurse is reviewing the client's history and would contact the health care provider about which of these conditions in the client's history? a. Chronic pulmonary disease b. Hepatic disease Pharmacology NCLEX Questions and Answers (100%Correct Solutions)