Download NCLEX PN PHARMACOLOGY EXAM REVIEW|QUESTIONS AND 100% CORRECT ANSWERS|LATEST UPDATE!!!!!! and more Exams Nursing in PDF only on Docsity!
ANSWERS|LATEST !!!!2026|GRADED A+| (EXAM
Nifedipine - ANSWER causes vasodilation, resulting in decreased BP Signs of Allergic reaction - ANSWER hypotension, pruritus, flushing, wheezing Eplerenone - ANSWER treat HTN, adverse effects; diarrhea, decreased sodium levels, vaginal bleeding, increased potassium levels cause of potassium retention effect Hydrochlorothiazide - ANSWER can cause hypokalemia from excessive potassium excretion, other adverse effects are hyperchloremia, hypernatremia, hypercalcemia. Pioglitazone - ANSWER oral antidiabetic agent, works by increasing the body's sensitivity to insulin Acarbose - ANSWER oral antidiabetic agent that postpones the absorption of glucose Glipizide - ANSWER oral antidiabetic agent that stimulates insulin secretion Timolol eyedrops - ANSWER treat glaucoma, press the nasolacrimal duct to prevent the medication from absorbing into systemic circulation
Magnesium sulfate - ANSWER depresses neuromuscular activity, leading to muscle weakness and paralysis Magnesium toxicity - ANSWER bradycardia, hyporeflexia, urine output 30ml or less, respirations less than 12/min, Human papillomavirus vaccine (HPV2) - ANSWER 3 doses of immunization over 6mths, Baclofen - ANSWER antispasmodic, decreased muscle spasticity in client w/ MS, can cause urinary retention, drowsiness in early phase of therapy, hypotension CD4 T-cell count - ANSWER indicates the status of the pts immune system, a rise indicates return of immune function for HIV pt Bethanechol - ANSWER muscarinic agonist that increases GI motility leading to abdominal cramps and diarrhea Varicella (chickenpox vaccine) - ANSWER hypersensitivity to neomycin is contraindicated for receiving vaccine Risperidone - ANSWER treat schizophrenia, put client at risk for developing diabetes due to metabolic effects of medication, obtain fasting glucose baseline prior to administration of first dose, and again, 12wks later, then annually Benzodiazepine (Lorazepam) - ANSWER withdrawal causes tremors and dizziness making ADL's difficult to perform
Regular Insulin - ANSWER clear in appearance, discard if appear cloudy Phenylephrine (Neo-Synephrine) - ANSWER may cause tachycardia and other cardiac arrhythmias Administer regular and NPH insulin steps - ANSWER swab top of both insulin bottles with alcohol wipe, insert air into NPH insulin equal to dose, remove and insert air in regular insulin equal to dose, then withdraw dose from regular insulin and administer then withdraw correct dose from NPH insulin and admin subcutaneously Alendronate (Fosamax) - ANSWER admin on empty stomach with 8oz water, may cause esophageal ulcerations if lodged in esophagus, remain upright for 30min after admin Gentamicin (Garamycin) - ANSWER is nephrotoxic, monitor BUN and serum creatinine levels Celecoxib (Celebrex) - ANSWER cyclo-oxygenase (COX-2) inhibitors act by suppressing inflammation and relieving pain, will allow pt to move more easily Isoniazid (INH) - ANSWER can cause liver damage, important for nurse to determing the clients daily alcohol intake because alcohol use increase risk, pt should reduce or avoid all use of alcohol Scopolamine patch - ANSWER treat motion sickness, should be placed behind the ear Prednisone (glucocorticoids) - ANSWER suppress the body's immune response increasing risk of infections, pt should notify provider
Anaphylaxis Behavioral signs - ANSWER apprehension, uneasiness, restlessness and anxiety Albuterol (Proventil) - ANSWER activates beta2-adrenergic receptors in the heart, increase in heart rate is a side effect Cocaine intoxication - ANSWER tachycardia, elevated BP, dilated pupils, display grandiosity and euphoria Tetracycline hydrochloride (Sumycin) - ANSWER causes photosensitivity and increased severity of sunburn Ferrous sulfate - ANSWER treat iron deficiency anemia, improvement in hemoglobin levels increases oxygen transport to the tissues and increases activity tolerance Spironolactone (aldactone) - ANSWER potassium sparing diuretic, salt substitutes are high in potassium can place pt at risk for hyperkalemia Digoxin toxicity - ANSWER nausea, vomiting, anorexia, and fatigue Ciprofloxacin (Cipro) - ANSWER pt should avoid products with cations such as antacids, iron salts, milk and other dairy products because they reduce the absorption of ciprofloxacin Doxycycline (Vibramycin) - ANSWER should be taken with a full glass of water to ensure it passes into the stomach which will prevent esophageal ulcerations Cefotetan (Cefotan) - ANSWER a cephalosporin, group of antibiotics hat are similar to penicillins (PCN), should be avoided in pt who is allergic to PCN
Propylthiouracil (Propyl-Thyracil) - ANSWER desired effect HR WNL, reduction in serum T4 level, improved sleep patterns, increased attention span Nitrates - ANSWER cause relaxation of vascular smooth muscle, resulting in pooling of blood in veins and decreased venous return to heart, decreases cardiac output which causes blood pressure to fall and orthostatic hypotension to occur with change in position Phenytoin (Dilantin) - ANSWER stimulates synthesis of hepatic drug metabolizing enzymes, can decrease effects of warfarin Propranolol (Inderal) - ANSWER beta blocker, bradycardia is a common adverse effect, advise pt to withhold med if pulse rate less than 60bpm Nitroglycerin (Transderm-Nitro) - ANSWER advise pt to place patch on different site for each application to prevent skin irritation Maslow's Hierarchy of Needs - ANSWER Physiological (hunger, thirst, bodily comforts, etc.), Safety/security (out of danger), Belongingness and Love (affiliate with others, be accepted, loved), Esteem (to achieve, be competent, gain approval and recognition), Self-Actualization (morality, creativity, problem solving)
