NCLEX Sample Questions For Pharmacology 1(Exam Mode) By Rnpedia.Com

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NCLEX Sample Questions For Pharmacology 1(Exam Mode) By Rnpedia.Com

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Questions and Answers
  • 1. 
    Walter, teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
    • A. 

      Lungs

    • B. 

      Liver

    • C. 

      Kidney

    • D. 

      Adrenal Glands

  • 2. 
    • A. 

      Parasite infection.

    • B. 

      Viral infection.

    • C. 

      Bacterial infection.

    • D. 

      Spirochete infection

  • 3. 
    In infants and children, the side effects of first generation over-the-counter (OTC) antihistamines, such as diphenhydramine (Benadryl) and hydroxyzine (Atarax) include:
    • A. 

      Reye’s syndrome.

    • B. 

      Cholinergic effects

    • C. 

      Paradoxical CNS stimulation.

    • D. 

      Nausea and diarrhea

  • 4. 
    Reye’s syndrome, a potentially fatal illness associated with liver failure and encephalopathy is associated with the administration of which over-the-counter (OTC) medication?
    • A. 

      Acetaminophen (Tylenol)

    • B. 

      Ibuprofen (Motrin)

    • C. 

      Aspirin

    • D. 

      Brompheniramine/psudoephedrine (Dimetapp)

  • 5. 
    • A. 

      Eggs

    • B. 

      Shellfish

    • C. 

      Soy

    • D. 

      Acidic fruits

  • 6. 
    A 13-month-old child recently arrived in the United States from a foreign country with his parents and needs childhood immunizations. His mother reports that he is allergic to eggs. Upon further questioning, you determine that the allergy to eggs is anaphylaxis. Which of the following vaccines should he not receive?
    • A. 

      Hepatitis B

    • B. 

      Inactivated polio

    • C. 

      Diphtheria, acellular pertussis, tetanus (DTaP)

    • D. 

      Mumps, measles, rubella (MMR)

  • 7. 
    • A. 

      Immunoglobulin E (IgE).

    • B. 

      Immunoglobulin G (IgG).

    • C. 

      Immunoglobulin A (IgA).

    • D. 

      Immunoglobulin M (IgM).

  • 8. 
    • A. 

      Aplastic anemia.

    • B. 

      Thrombocytosis.

    • C. 

      Leukocytosis

    • D. 

      Granulocytosis

  • 9. 
    Serious adverse effects of oral contraceptives include:
    • A. 

      Crease in skin oil followed by acne.

    • B. 

      Headache and dizziness.

    • C. 

      Early or mid-cycle bleeding.

    • D. 

      Thromboembolic complications.

  • 10. 
    The most serious adverse effect of Alprostadil (Prostin VR pediatric injection) administration in neonates is:
    • A. 

      Apnea

    • B. 

      Bleeding tendencies.

    • C. 

      Hypotension

    • D. 

      Pyrexia

  • 11. 
    Mandy, a patient calls the clinic today because he is taking atrovastatin (Lipitor) to treat his high cholesterol and is having pain in both of his legs. You instruct him to:
    • A. 

      Stop taking the drug and make an appointment to be seen next week.

    • B. 

      Continue taking the drug and make an appointment to be seen next week.

    • C. 

      Stop taking the drug and come to the clinic to be seen today.

    • D. 

      Walk for at least 30 minutes and call if symptoms continue.

  • 12. 
    Which of the following adverse effects is associated with levothyroxine (Synthroid) therapy?
    • A. 

      Tachycardia

    • B. 

      Bradycardia

    • C. 

      Hypotension

    • D. 

      Constipation

  • 13. 
    • A. 

      Hypoglycemia

    • B. 

      GI distress

    • C. 

      Lactic acidosis

    • D. 

      Somulence

  • 14. 
    • A. 

      Seizures

    • B. 

      Hyperpyrexia

    • C. 

      Metabolic acidosis.

    • D. 

      Cardiac arrhythmias.

  • 15. 
    The nurse is aware that the following solutions is routinely used to flush an IV device before and after the administration of blood to a patient is:
    • A. 

      0.9 percent sodium chloride

    • B. 

      5 percent dextrose in water solution

    • C. 

      Sterile water

    • D. 

      Heparin sodium

  • 16. 
    Cris asks the nurse whether all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always require cross-matching?
    • A. 

      Packed red blood cells

    • B. 

      Platelets

    • C. 

      Plasma

    • D. 

      Granulocytes

  • 17. 
    A month after receiving a blood transfusion an immunocompromised male patient develops fever, liver abnormalities, a rash, and diarrhea. The nurse would suspect this patient has:
    • A. 

      Nothing related to the blood transfusion.

    • B. 

      Graft-versus-host disease (GVHD).

    • C. 

      Myelosuppression

    • D. 

      An allergic response to a recent medication.

  • 18. 
    • A. 

      Directed donation.

    • B. 

      Autologous donation.

    • C. 

      Allogenic donation.

    • D. 

      Apheresis

  • 19. 
    Nurse Bryan knows that the age group that uses the most units of blood and blood products is:
    • A. 

      Premature infants.

    • B. 

      Children ages 1-20 years.

    • C. 

      Adults ages 21-64 years.

    • D. 

      The elderly above age 65 years.

  • 20. 
    A child is admitted with a serious infection. After two days of antibiotics, he is severely neutropenic. The physician orders granulocyte transfusions for the next four days. The mother asks the nurse why? The nurse responds:
    • A. 

      “This is the only treatment left to offer the child.”

    • B. 

      “This therapy is fast and reliable in treating infections in children.”

    • C. 

      “The physician will have to explain his rationale to you.”

    • D. 

      “Granulocyte transfusions replenish the low white blood cells until the body can produce its own.”

  • 21. 
    A neighbor tells nurse Maureen he has to have surgery and is reluctant to have any blood product transfusions because of a fear of contracting an infection. He asks the nurse what are his options. The nurse teaches the person that the safest blood product is:
    • A. 

      An allogenic product.

    • B. 

      A directed donation product.

    • C. 

      An autologous product.

    • D. 

      A cross-matched product.

  • 22. 
    A severely immuno compromised female patient requires a blood transfusion. To prevent GVHD, the physician will order:
    • A. 

      Diphenhydramine hydrochloride (Benadryl).

    • B. 

      The transfusion to be administered slowly over several hours.

    • C. 

      Irradiation of the donor blood.

    • D. 

      Acetaminophen (Tylenol).

  • 23. 
    Louie who is to receive a blood transfusion asks the nurse what is the most common type of infection he could receive from the transfusion. The nurse teaches him that approximately 1 in 250,000 patients contract:
    • A. 

      Human immunodeficiency disease (HIV).

    • B. 

      Hepatitis C infection.

    • C. 

      Hepatitis B infection.

    • D. 

      West Nile viral disease.

  • 24. 
    A male patient with blood type AB, Rh factor positive needs a blood transfusion. The Transfusion Service (blood bank) sends type O, Rh factor negative blood to the unit for the nurse to infuse into this patient. The nurse knows that:
    • A. 

      This donor blood is incompatible with the patient’s blood.

    • B. 

      Pre medicating the patient with diphenhydramine hydrochloride (Benadryl) and acetaminophen (Tylenol) will prevent any transfusion reactions or side effects.

    • C. 

      This is a compatible match.

    • D. 

      The patient is at minimal risk receiving this product since it is the first time he has been transfused with type O, Rh negative blood.

  • 25. 
    Dr. Rodriguez orders 250 milliliters of packed red blood cells (RBC) for a patient. This therapy is administered for treatment of:
    • A. 

      Thrombocytopenia

    • B. 

      Anemia

    • C. 

      Leukopenia

    • D. 

      Hypoalbuminemia