NCLEX Pharmacology Practice Questions (91-95)

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91. A client with myasthenia gravis is admitted to the hospital, and the nursing history reveals that the client is taking pyridostigmine (Mestinon). The nurse assesses the client for side effects of the medication and asks the client about the presence of:

a) mouth ulcers
b) muscle cramps
c) feelings of depression
d) unexplained weight gain

92. A nurse is performing an assessment on a client with a diagnosis of chronic angina pectoris who is receiving sotalol (Betapace) 80 mg orally daily. Which assessment finding indicates that the client is experiencing a side effect of the medication?

a) dry mouth
b) palpitations
c) diaphoresis
d) difficulty swallowing

93. A nurse is caring for a client who had an allogenic liver transplant and is receiving tacrolimus (Prograf) daily. Which finding indicates to the nurse that the client is experiencing an adverse reaction to the medication?

a) photophobia
b) hypotension
c) profuse sweating
d) decrease in urine output

94. A nurse is caring for a client who is receiving cyclosporine (Gengraf). Which of the following indicates to the nurse that the client is experiencing an adverse reaction to the medication?

a) acne
b) sweating
c) joint pain
d) hyperkalemia

95. A nurse is caring for a client with hypertension receiving torsemide (Demadex) 5 mg orally daily. Which of the following would indicate to the nurse that the client might be experiencing an adverse reaction related to the medication?

a) a chloride level of 98 mEq/L
b) a sodium level of 135 mEq?L
c) a potassium level of 3.1 mEq/L
d) a blood urea nitrogen (BUN) of 15 mg/dL

NCLEX Pharmacology Practice Questions
Answers and Rationale

91) B
- Mestinon is an acetylcholinesterase inhibitor. Muscle cramps and small muscle contractions are side effects and occur as a result of overstimulation of neuromuscular receptors. Options A, C, and D are not associated with this medication.

92) B
-  Sotalol is a beta-adrenergic blocking agent. Side effects include bradycardia, palpitations, an irregular heartbeat, difficulty breathing, signs of congestive heart failure, and cold hands and feet. Gastrointestinal disturbances, anxiety and nervousness, and unusual tiredness and weakness can also occur. Options A, C, and D are not side effects of this medication.

93) D
- Tacrolimus is an immunosuppressant medication used in the prophylaxis of organ rejection in clients receiving allogenic liver transplants. Frequent side effects include headache, tremor, insomnia, paresthesia, diarrhea, nausea, constipation, vomiting, abdominal pain, and hypertension. Adverse reactions and toxic effects include nephrotoxicity and pleural effusion. Nephrotoxicity is characterized by an increasing serum creatinine level and a decrease in urine output.

94) D
- Cyclosporine is an immunosuppressant medication used in the prophylaxis of organ rejection. Adverse effects include nephrotoxicity, infection, hypertension, tremor, and hirsutism. Additionally, neurotoxicity, gastrointestinal effects, hyperkalemia, and hyperglycemia can occur. Options A, B, and C are not associated with this medication.

95) C
- Torsemide (Demadex) is a loop diuretic. The medication can produce acute, profound water loss, volume and electrolyte depletion, dehydration, decreased blood volume, and circulatory collapse. Option C is the only option that indicates an electrolyte depletion because the normal potassium level is 3.5 to 5.1 mEq/L. The normal sodium level is 135 to 145 mEq/L. The normal chloride level is 98 to 107 mEq/L. The normal blood BUN is 5 to 20 mg/dL.

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NCLEX Pharmacology Practice Questions (1-5)

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NCLEX Pharmacology Practice Questions (96-100)