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WorksheetsNCLEX-Style Pharmacology Questions
Total questions: 41
Worksheet time: 21mins
A client with asthma presents to the ED with audible wheezing and dyspnea. Which medication should the nurse anticipate giving first?
Fluticasone (Flovent)
Albuterol (Ventolin)
Salmeterol (Serevent)
Prednisone
The nurse is teaching a client prescribed fluticasone (Flovent) for asthma. Which statement indicates further teaching is needed?
I will rinse my mouth after each use to prevent thrush.
This medication will help prevent asthma attacks.
I should not stop this medication suddenly.
I can use this medication to stop an asthma attack.
A client with COPD is prescribed tiotropium (Spiriva). Which instruction should the nurse include?
This medication is for immediate relief during shortness of breath.
You should not take this medication if you have glaucoma.
You should use this medication only if your rescue inhaler does not work.
You can stop taking this medication when you feel better.
A client with tuberculosis is prescribed rifampin. Which teaching point is correct?
I will report any vision changes immediately.
I should expect my urine and tears to turn orange.
This medication will cure my TB in 2 weeks.
I can drink alcohol while on this medication.
A client with systemic anaphylaxis is receiving epinephrine. The nurse recognizes the desired effect of this drug as:
Lowering blood pressure
Reducing airway inflammation
Bronchodilation and improved oxygenation
Increased immune response
The nurse reviews labs for a client receiving isoniazid (INH) for TB. Which finding is most concerning?
Hemoglobin 13 g/dL
AST/ALT elevated 3× normal
WBC 7,000 /μL
Sodium 138 mEq/L
A client taking prednisone for COPD exacerbation is at risk for which complication?
Hypoglycemia
Infection
Hypotension
Bradycardia
A patient receiving IV immunoglobulin (IVIG) infusion reports chest pain and shortness of breath. Which complication is the priority concern?
Allergic rhinitis
Thrombosis or renal failure
Headache
Mild nausea
The nurse is preparing to administer oseltamivir (Tamiflu) to a client with influenza. Which teaching is most appropriate?
This medication kills the flu virus.
You should start this medication within 48 hours of symptom onset.
You will only need one dose to be cured.
A client is prescribed amoxicillin for pneumonia. Which nursing action is priority before administration?
Monitor bowel sounds
Check for history of penicillin allergy
Assess skin turgor
Evaluate hemoglobin level
The nurse is providing oxygen therapy to a client with COPD. What is the target SpO₂?
95–100%
90–94%
88–92%
80–85%
Which finding suggests oxygen toxicity?
Decreased heart rate
Productive cough with yellow sputum
Chest pain and dyspnea
Clubbing of nails
A client on long-term prednisone is at greatest risk for which complication?
Hypertension
Infection
Hyperkalemia
Weight loss
The nurse is teaching a client about fluticasone (Flovent). Which statement indicates correct understanding?
I will use this to stop an asthma attack.
I should rinse my mouth after each use.
I can stop it once I feel better.
It works right away for wheezing.
A patient receiving IV methylprednisolone should be monitored closely for:
Hypoglycemia
Hyperglycemia
Bradycardia
Dehydration
Which medication is first-line for an acute asthma attack?
Salmeterol
Albuterol
Tiotropium
Fluticasone
The nurse should question a prescription for albuterol in which client?
Asthma
COPD
Cardiac arrhythmias
Pneumonia
A COPD client on salmeterol states: “This will help me during sudden shortness of breath.” Which response is best?
Yes, it works quickly.
No, this is for long-term control, not attacks.
Yes, take it with albuterol.
No, it only treats infections.
Which is an example of a short-acting muscarinic antagonist (SAMA)?
Salmeterol
Tiotropium
Ipratropium
Albuterol
A client prescribed tiotropium (Spiriva) should avoid use if they have:
Glaucoma
Asthma
Hypertension
Which combination drug contains both an ICS and a LABA?
Spiriva
Advair (Fluticasone + Salmeterol)
Ventolin
Atrovent
What teaching is most important for a client using Symbicort (Budesonide + Formoterol)?
Use it only during attacks
Rinse your mouth after each use
Stop it if you have a sore throat
Take with food
Which nursing action is priority before giving amoxicillin?
Obtain sputum culture
Check potassium
Administer with grapefruit juice
Assess bowel sounds
A client with pneumonia develops diarrhea after antibiotics. What complication should the nurse suspect?
Candida infection
C. difficile infection
Viral pneumonia
Iron deficiency
A client taking isoniazid (INH) should avoid:
(a)
Which TB drug causes orange urine and body fluids?
Isoniazid
Rifampin
Pyrazinamide
Ethambutol
Which TB medication can cause optic neuritis?
Ethambutol
Rifampin
INH
Pyrazinamide
A nurse caring for a client on TB treatment recognizes which adverse effect of pyrazinamide?
Hepatotoxicity
Orange urine
Optic neuritis
Seizures
The nurse is teaching about oseltamivir (Tamiflu). Which statement is correct?
It kills the flu virus.
It must be started within 48 hours of symptoms.
It cures the flu in one dose.
It prevents all future flu infections.
Which drug is part of antiretroviral therapy (ART) for HIV?
Fluconazole
Truvada
Tamiflu
Cephalexin
Desired outcomes of ART include:
Decreased viral load, increased CD4 count
Cure of HIV
Increased viral load, decreased CD4 count
Which statement by a client taking fluconazole (Diflucan) requires follow-up?
I take this medication for a yeast infection.
I will monitor my liver function.
I will stop using condoms because I’m on treatment.
I may feel nauseated.
The nurse should monitor which lab most closely for a client on ketoconazole?
Liver function tests
Hemoglobin
Calcium
Thyroid levels
A patient receiving IVIG suddenly develops flank pain and decreased urine output. What is the priority action?
Stop the infusion
Increase infusion rate
Give diphenhydramine
Reassure the patient
The black box warning for IVIG includes risk for:
Anemia
Thrombosis and renal failure
Hyperkalemia
Hypertension
The nurse is caring for a client in anaphylaxis. The first-line drug is:
Diphenhydramine
Epinephrine
The expected action of epinephrine includes:
Bronchodilation and vasoconstriction
Lowering heart rate
Reducing immune response
Increasing urination
The nurse should question an order for ibuprofen in which client?
Asthma
Hypertension
Kidney disease
Diabetes
A client taking NSAIDs long-term is most at risk for which complication?
GI bleeding
Constipation
Pulmonary embolism
Hypoglycemia
A client with a history of Guillain-Barré syndrome should not receive which vaccine?
Influenza
Pneumococcal
Tdap
Hepatitis B
The nurse is teaching about live vaccines. Which client should NOT receive one?
A 10-year-old with asthma
A healthy 18-year-old
A client who is immunocompromised
A client with seasonal allergies
