Preparing for the NCLEX-PN (National Council Licensure Examination for Practical Nurses) exam? Pharmacology is one of the areas our deck drills hardest: 109 of its 1019 flashcards focus on pharmacology, covering topics like PCA, Controlled Analgesia. Try the sample questions below — every card is a real question-and-answer pair from the full deck.
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Which statement by a family member of a patient using a Patient-Controlled Analgesia (PCA) pump requires immediate intervention by the LPN?
Show answer →I press the button for my husband when I see him grimacing in his sleep so he stays comfortable.
A client newly prescribed lisinopril reports a dry, persistent cough that keeps them awake at night. What is the LPN's best response?
Show answer →Inform the client that this is a common side effect of ACE inhibitors due to increased bradykinin levels. The cough is not harmful but often requires switching to an Angiotensin II Receptor Blocker (ARB) like losartan if it becomes intolerable. NCLEX Strategy: Differentiate between a bothersome side effect (cough) and a life-threatening one (angioedema).
A patient receiving a continuous IV Heparin infusion has a platelet count that dropped from 210,000/mm³ to 95,000/mm³ within 48 hours. What is the priority nursing action?
Show answer →Stop the Heparin infusion immediately and notify the healthcare provider. This indicates Heparin-Induced Thrombocytopenia (HIT), a life-threatening immune response causing low platelets and high risk for new clots (thrombi). Strategy: NCSBN emphasizes recognizing a >50%% drop in platelets as a medical emergency requiring immediate cessation of the offending agent.
A client taking theophylline for chronic bronchitis reports nausea, insomnia, and a racing heart. What is the LPN's priority action?
Show answer →Hold the next dose and prepare to check the serum theophylline level. Rationale: Theophylline has a narrow therapeutic range (10-20 mcg/mL). Early signs of toxicity include GI upset (nausea/vomiting), CNS stimulation (insomnia/irritability), and tachycardia. Severe toxicity can cause seizures and arrhythmias. NCLEX Tip: Avoid caffeine while taking theophylline as it worsens side effects.
The LPN/LVN is reinforcing teaching for a client on lithium. Which statement by the client indicates a need for further instruction? I will drink 2 liters of water daily. I will use a sauna to detoxify. I will keep my salt intake steady.
Show answer →The sauna statement requires intervention. Excessive sweating (diaphoresis) leads to sodium loss and dehydration, which causes the kidneys to reabsorb lithium, leading to toxicity. NCLEX-PN Tip: Lithium is a salt; it follows sodium. If sodium goes DOWN (due to sweating, diuretics, or low-salt diets), lithium levels go UP. Clients should avoid extreme exercise in heat and maintain a fluid intake of 2-3 liters/day.
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Try 30 free NCLEX-PN cards firstThe full NCLEX-PN deck contains 1019 flashcards, and 109 of them focus on pharmacology. This page shows 5 free samples.
Our NCLEX-PN deck dedicates 109 of 1019 cards (11%) to pharmacology — always cross-check the official NCSBN exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the NCLEX-PN preview page has 30 more free cards. Full access to all 1019 cards is a one-time $7.
Assessment
50 cards
Basics
90 cards
Diagnostics
40 cards
Management
170 cards
Pathology
420 cards
Procedures
110 cards
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