Questions 78

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NCLEX PN Pharmacology Practice Questions Questions

Question 1 of 5

Strategies prescribers can use to prevent misuse of controlled prescription drugs include:

Correct Answer: D

Rationale:
Choice D is correct because all listed strategies—screening for dependency, setting firm limits, and refusing inappropriate requests—help prevent misuse of controlled drugs by identifying risks and maintaining control.
Choice A is incorrect alone as screening is just one tool.
Choice B is wrong by itself because limits need broader support.
Choice C is incorrect solo since refusal must be part of a comprehensive approach.

Question 2 of 5

Which of the following statements is true about the prescribing practices of physicians?

Correct Answer: D

Rationale: The correct answer is D because studies show that despite physicians claiming reliance on academic sources, commercial drug information from pharmaceutical companies dominates their resources.
Choice A is incorrect as younger physicians prescribe more appropriately.
Choice B is wrong since antibiotics are no longer in the top five.
Choice C is inaccurate because the average therapeutic armamentarium is about 144 drugs, not less than 100.

Question 3 of 5

Management of withdrawal symptoms includes:

Correct Answer: D

Rationale:
Choice D is correct because tapering (reduces shock), supportive care (e.g., hydration), and medications (e.g., methadone for opioids) all manage withdrawal, per treatment protocols.
Choice A is incorrect alone as it's one method.
Choice B is wrong by itself because care is just part.
Choice C is incorrect solo since meds are only one option.

Question 4 of 5

A patient's nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to prescribing because:

Correct Answer: A

Rationale:
Choice A is correct because hypoalbuminemia lowers albumin levels, which bind drugs in plasma; this alters distribution to tissues, potentially increasing free drug concentrations and affecting efficacy or toxicity.
Choice B is incorrect as solubility relates to absorption, not albumin binding.
Choice C is wrong because less albumin means more free drug, not less, due to reduced binding.
Choice D is incorrect since albumin-bound drugs are less readily excreted; lower binding prolongs drug presence in circulation.

Question 5 of 5

A patient asks the primary care NP which medication to use for mild to moderate pain. The NP should recommend:

Correct Answer: C

Rationale: The correct answer is C because generic names like acetaminophen should be used to avoid confusion and overdose, as it has many trade names.
Choice A is incorrect as APAP is an abbreviation, not patient-friendly.
Choice B is wrong since Tylenol is a brand name.
Choice D is inaccurate as not all OTC products are equivalent.

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