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WorksheetsExam-Aligned NCLEX-Style Practice Questions (Format A)
Total questions: 50
Worksheet time: 4hrs 10mins
A nurse is teaching a client prescribed loratadine. This medication is classified as:
Antihistamine
Bronchodilator
Anti-inflammatory
Antitussive
A nurse administers diphenhydramine to an older adult. Which adverse effects should be anticipated? (Select all that apply.)
Drowsiness
Constipation
Dry mouth
Polyuria
Excessive tearing
Which substance increases CNS depression when taken with diphenhydramine?
Shellfish
Alcohol
Caffeine
Acetaminophen
Why should loratadine be stopped before allergy testing?
Infection risk
Increased sensitivity
Masks allergen response
Causes hypertension
Antihistamines are NOT appropriate for which client?
Acute asthma attack
Seasonal allergies
Urticaria
Allergic rhinitis
A client with glaucoma should use antihistamines with caution due to risk of:
Urinary retention
Increased intraocular pressure
Hypoglycemia
Hypertension
Which finding indicates a therapeutic effect of diphenhydramine?
Decreased tearing
Nasal congestion
Dry mouth
Urinary retention
A nurse should hold diphenhydramine in which client?
Drinks alcohol daily
Seasonal allergies
Bug bite reaction
Mild pruritus
Which antihistamine is least sedating?
Diphenhydramine
Loratadine
Hydroxyzine
Promethazine
Which is an anticholinergic adverse effect of first-generation antihistamines?
Diarrhea
Dry mouth
Weight gain
Bradycardia
A client with acute asthma exacerbation should receive which medication first?
Fluticasone
Montelukast
Albuterol
Salmeterol
Which finding is expected with overuse of albuterol?
Lethargy
Tachycardia
Weight gain
Bradycardia
Which medication is an oral, non-bronchodilator used for long-term asthma control?
Montelukast
Albuterol
Salmeterol
Ipratropium
What is the black box warning for montelukast?
Bleeding
Behavioral changes
Dysrhythmias
Hypotension
Which statement indicates a need for teaching about montelukast?
Take daily even if well
Report mood changes
Helps allergies
Treats acute asthma attack
When using albuterol and fluticasone inhalers, which is used first?
Fluticasone
Albuterol
Either
Montelukast
Which adverse effect is most concerning with theophylline?
Dysrhythmias
Constipation
Sedation
Edema
Which beverage should be avoided with theophylline?
Coffee
Milk
Water
Apple juice
Which client should be seen first?
Theophylline + energy drinks
Mild nausea
Headache
Fatigue
Which respiratory drug requires serum level monitoring?
Theophylline
Albuterol
Ipratropium
Montelukast
Which finding indicates effective antianginal therapy?
Increased activity tolerance
More chest pain
Increased BP
Increased workload
Which finding indicates nitroglycerin effectiveness?
Decreased chest pain
Headache
Weight loss
Edema reduction
Which medication should cause isosorbide to be held?
Sildenafil
Albuterol
Insulin
Levothyroxine
Which is a common nitroglycerin side effect?
Lightheadedness
Hearing loss
Dry cough
Increased appetite
Which BP requires holding amlodipine?
88/64
140/92
130/88
150/96
Which adverse effect is common with calcium channel blockers?
Peripheral edema
Dry cough
Hyperkalemia
Bradycardia
Priority teaching for terazosin includes:
Rise slowly
Increase sodium
Take PRN
Stop when BP normal
Which medication is a beta blocker?
Ramipril
Atenolol
Terazosin
Valsartan
Which condition contraindicates propranolol?
Hypertension
Angina
Asthma
Dysrhythmia
Abrupt discontinuation of clonidine can cause:
Rebound hypertension
Hypotension
Bradycardia
Edema
Which adverse effect requires immediate reporting for ACE inhibitors?
Angioedema
Mild nausea
Dry cough
Fatigue
Which lab should be monitored with ACE inhibitors?
Potassium
Sodium
Calcium
Glucose
Dobutamine is administered by which route?
IV
Oral
Sublingual
Topical
Milrinone is indicated for which condition?
Heart failure
Stroke
Hypertension
Pulmonary embolism
Which finding suggests milrinone adverse effect?
Dysrhythmia
Hyperkalemia
Dry mouth
Confusion
Before giving digoxin, the nurse should:
Check apical pulse
Check BP
Check glucose
Draw INR
Which electrolyte abnormality increases digoxin toxicity risk?
Hypokalemia
Hypernatremia
Hypocalcemia
Hypermagnesemia
Digoxin toxicity is most associated with which finding?
Bradycardia
Hypertension
Dry cough
Polyuria
A client on digoxin with HR 54 should:
Hold medication
Give medication
Double dose
Give with food
Digoxin therapeutic effect is evidenced by:
Improved cardiac output
Increased HR
Increased BP
Weight gain
Anticoagulants work by:
Preventing clot formation
Dissolving clots
Increasing platelets
Thinning blood
Heparin therapy is monitored with:
aPTT
INR
PT
Platelets only
A sudden platelet drop on heparin suggests:
HIT
Vitamin K deficiency
Liver disease
Hemophilia
The antidote for heparin is:
Protamine sulfate
Vitamin K
Naloxone
Atropine
Warfarin effectiveness is monitored with:
PT/INR
aPTT
Platelets
Hemoglobin
A priority adverse effect of warfarin is:
Bleeding
Hypertension
Hyperglycemia
Constipation
Dabigatran should be used cautiously in clients with:
Renal impairment
Seasonal allergies
Hypertension
GERD
A common adverse effect of apixaban is:
Bleeding
Tinnitus
Hyperglycemia
Hypertension
Statin therapy requires reporting of:
Muscle pain
Increased appetite
Headache
Insomnia
Gemfibrozil should NOT be combined with statins due to risk of:
Rhabdomyolysis
Hypoglycemia
Hypertension
Renal stones
