wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Exam-Aligned NCLEX-Style Practice Questions (Format A)

Total questions: 50

Worksheet time: 4hrs 10mins

Name
Class
Date
1.

A nurse is teaching a client prescribed loratadine. This medication is classified as:

a)

Antihistamine

b)

Bronchodilator

c)

Anti-inflammatory

d)

Antitussive

2.

A nurse administers diphenhydramine to an older adult. Which adverse effects should be anticipated? (Select all that apply.)

a)

Drowsiness

b)

Constipation

c)

Dry mouth

d)

Polyuria

e)

Excessive tearing

3.

Which substance increases CNS depression when taken with diphenhydramine?

a)

Shellfish

b)

Alcohol

c)

Caffeine

d)

Acetaminophen

4.

Why should loratadine be stopped before allergy testing?

a)

Infection risk

b)

Increased sensitivity

c)

Masks allergen response

d)

Causes hypertension

5.

Antihistamines are NOT appropriate for which client?

a)

Acute asthma attack

b)

Seasonal allergies

c)

Urticaria

d)

Allergic rhinitis

6.

A client with glaucoma should use antihistamines with caution due to risk of:

a)

Urinary retention

b)

Increased intraocular pressure

c)

Hypoglycemia

d)

Hypertension

7.

Which finding indicates a therapeutic effect of diphenhydramine?

a)

Decreased tearing

b)

Nasal congestion

c)

Dry mouth

d)

Urinary retention

8.

A nurse should hold diphenhydramine in which client?

a)

Drinks alcohol daily

b)

Seasonal allergies

c)

Bug bite reaction

d)

Mild pruritus

9.

Which antihistamine is least sedating?

a)

Diphenhydramine

b)

Loratadine

c)

Hydroxyzine

d)

Promethazine

10.

Which is an anticholinergic adverse effect of first-generation antihistamines?

a)

Diarrhea

b)

Dry mouth

c)

Weight gain

d)

Bradycardia

11.

A client with acute asthma exacerbation should receive which medication first?

a)

Fluticasone

b)

Montelukast

c)

Albuterol

d)

Salmeterol

12.

Which finding is expected with overuse of albuterol?

a)

Lethargy

b)

Tachycardia

c)

Weight gain

d)

Bradycardia

13.

Which medication is an oral, non-bronchodilator used for long-term asthma control?

a)

Montelukast

b)

Albuterol

c)

Salmeterol

d)

Ipratropium

14.

What is the black box warning for montelukast?

a)

Bleeding

b)

Behavioral changes

c)

Dysrhythmias

d)

Hypotension

15.

Which statement indicates a need for teaching about montelukast?

a)

Take daily even if well

b)

Report mood changes

c)

Helps allergies

d)

Treats acute asthma attack

16.

When using albuterol and fluticasone inhalers, which is used first?

a)

Fluticasone

b)

Albuterol

c)

Either

d)

Montelukast

17.

Which adverse effect is most concerning with theophylline?

a)

Dysrhythmias

b)

Constipation

c)

Sedation

d)

Edema

18.

Which beverage should be avoided with theophylline?

a)

Coffee

b)

Milk

c)

Water

d)

Apple juice

19.

Which client should be seen first?

a)

Theophylline + energy drinks

b)

Mild nausea

c)

Headache

d)

Fatigue

20.

Which respiratory drug requires serum level monitoring?

a)

Theophylline

b)

Albuterol

c)

Ipratropium

d)

Montelukast

21.

Which finding indicates effective antianginal therapy?

a)

Increased activity tolerance

b)

More chest pain

c)

Increased BP

d)

Increased workload

22.

Which finding indicates nitroglycerin effectiveness?

a)

Decreased chest pain

b)

Headache

c)

Weight loss

d)

Edema reduction

23.

Which medication should cause isosorbide to be held?

a)

Sildenafil

b)

Albuterol

c)

Insulin

d)

Levothyroxine

24.

Which is a common nitroglycerin side effect?

a)

Lightheadedness

b)

Hearing loss

c)

Dry cough

d)

Increased appetite

25.

Which BP requires holding amlodipine?

a)

88/64

b)

140/92

c)

130/88

d)

150/96

26.

Which adverse effect is common with calcium channel blockers?

a)

Peripheral edema

b)

Dry cough

c)

Hyperkalemia

d)

Bradycardia

27.

Priority teaching for terazosin includes:

a)

Rise slowly

b)

Increase sodium

c)

Take PRN

d)

Stop when BP normal

28.

Which medication is a beta blocker?

a)

Ramipril

b)

Atenolol

c)

Terazosin

d)

Valsartan

29.

Which condition contraindicates propranolol?

a)

Hypertension

b)

Angina

c)

Asthma

d)

Dysrhythmia

30.

Abrupt discontinuation of clonidine can cause:

a)

Rebound hypertension

b)

Hypotension

c)

Bradycardia

d)

Edema

31.

Which adverse effect requires immediate reporting for ACE inhibitors?

a)

Angioedema

b)

Mild nausea

c)

Dry cough

d)

Fatigue

32.

Which lab should be monitored with ACE inhibitors?

a)

Potassium

b)

Sodium

c)

Calcium

d)

Glucose

33.

Dobutamine is administered by which route?

a)

IV

b)

Oral

c)

Sublingual

d)

Topical

34.

Milrinone is indicated for which condition?

a)

Heart failure

b)

Stroke

c)

Hypertension

d)

Pulmonary embolism

35.

Which finding suggests milrinone adverse effect?

a)

Dysrhythmia

b)

Hyperkalemia

c)

Dry mouth

d)

Confusion

36.

Before giving digoxin, the nurse should:

a)

Check apical pulse

b)

Check BP

c)

Check glucose

d)

Draw INR

37.

Which electrolyte abnormality increases digoxin toxicity risk?

a)

Hypokalemia

b)

Hypernatremia

c)

Hypocalcemia

d)

Hypermagnesemia

38.

Digoxin toxicity is most associated with which finding?

a)

Bradycardia

b)

Hypertension

c)

Dry cough

d)

Polyuria

39.

A client on digoxin with HR 54 should:

a)

Hold medication

b)

Give medication

c)

Double dose

d)

Give with food

40.

Digoxin therapeutic effect is evidenced by:

a)

Improved cardiac output

b)

Increased HR

c)

Increased BP

d)

Weight gain

41.

Anticoagulants work by:

a)

Preventing clot formation

b)

Dissolving clots

c)

Increasing platelets

d)

Thinning blood

42.

Heparin therapy is monitored with:

a)

aPTT

b)

INR

c)

PT

d)

Platelets only

43.

A sudden platelet drop on heparin suggests:

a)

HIT

b)

Vitamin K deficiency

c)

Liver disease

d)

Hemophilia

44.

The antidote for heparin is:

a)

Protamine sulfate

b)

Vitamin K

c)

Naloxone

d)

Atropine

45.

Warfarin effectiveness is monitored with:

a)

PT/INR

b)

aPTT

c)

Platelets

d)

Hemoglobin

46.

A priority adverse effect of warfarin is:

a)

Bleeding

b)

Hypertension

c)

Hyperglycemia

d)

Constipation

47.

Dabigatran should be used cautiously in clients with:

a)

Renal impairment

b)

Seasonal allergies

c)

Hypertension

d)

GERD

48.

A common adverse effect of apixaban is:

a)

Bleeding

b)

Tinnitus

c)

Hyperglycemia

d)

Hypertension

49.

Statin therapy requires reporting of:

a)

Muscle pain

b)

Increased appetite

c)

Headache

d)

Insomnia

50.

Gemfibrozil should NOT be combined with statins due to risk of:

a)

Rhabdomyolysis

b)

Hypoglycemia

c)

Hypertension

d)

Renal stones