Pharmacology NCLEX ?s

Ok, did we have fun with pediatric nursing questions yesterday?

Today I'm focusing on Pharmacology NCLEX questions. Try your hand at it!

1) Which instruction should be given to the client taking alendronate sodium (Fosamax)?
a. Remain upright for 30 minutes after taking this medication.
b. Force fluids while taking this medication.
c. Take the medication before arising.
d. Take the medication in conjunction with estrogen.

2) An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should the nurse give to the client.
a. Take the medication as ordered prior to the exam.
b. Limit the amount of protein in the diet prior to the exam.
c. Discontinue the metformin prior to the exam.
d. Take the medication with water only prior to the exam.

3) A client with leukemia is receiving oral prednisolone (Prednisone). An expected side effect of this medication is:
a. Weight loss
b. Decreased appetite
c. Hirsutism
d. Integumentary bronzing

4) During the rehabilitation phase of a burn injury, the client's burns become infected with pseudomonas. The topical dressing most likely to be ordered for the client is:
a. Silver sulfadiazine (Silvadene)
b. Poviodine (Betadine)
c. Silver nitrate
d. Mafenide acetate (Sulfamylon)

5) A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse would anticipate an order for:
a. Potassium
b. Magnesium
c. Calcium
d. Iron

6) A client with a seizure disorder is to receive phenytoin and Phenobarbital. The nurse knows that when she administers Phenobarbital and phenytoin:
a. A larger dose of Phenobarbital might be required because of an increase in metabolism.
b. A smaller dose of Phenobarbital might be required because of a decrease in metabolism.
c. There will be no need to alter the amount of Phenobarbital given.
d. The two drugs cannot be given together.

7) A client in labor has an order for Demerol to be administered 10 minutes prior to delivery. The nurse should:
a. Wait until the client is placed on the delivery table and administer the medication IV push.
b. Question the order.
c. Give the medication IM during the delivery to prevent pain from the episiotomy.
d. Give the medication as ordered.

Questions from Exam Cram NCLEX RN
Answers: 1) a 2) c 3) c 4) d 5) c 6) a 7) b