NCLEX Questions on Drug Classifications

NCLEX Questions on Drug Classifications Related

Review NCLEX Questions on Drug Classifications related questions and content

The patient asks the nurse why generic drugs would be used and voices concerns that only the brand name product will be safe. What is the nurses best response?

  • A. Generic drugs are often less expensive.
  • B. Some quality control problems have been found with generic drugs.
  • C. Most generic drugs are very safe and can be cost effective as well.
  • D. Although initial cost is higher for a brand name it may cost less in the long run.
Correct Answer: C

Rationale: Most generic medications are completely safe and may be identical to the brand name drug except generic medications are often less expensive, but this does not address the patients concern about safety. Although some quality control issues have occurred in the past, this does not address the patients concerns regarding safety or explain why generic drugs are prescribed and used. Although some doctors believe initial cost is higher but will cost less over time, this response also does not address the patients concerns.

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Common side effect of isoniazide:

  • A. Hepatitis
  • B. Ototoxicity
  • C. Visual toxicity
  • D. Hepatitis
Correct Answer: A

Rationale: Isoniazid (likely misspelled as Isoniazide) commonly causes hepatitis as a side effect due to its hepatotoxic potential, requiring liver function monitoring. Note: Option D repeats 'Hepatitis,' but A is intended.

The nurse admits a patient to the unit and learns the patient has recently been diagnosed with chronic renal failure but has not informed the primary care provider of this diagnosis. What is the nurse's first priority?

  • A. Administer medications ordered immediately.
  • B. Maintain the patient's confidentiality.
  • C. Call the admitting physician immediately.
  • D. Provide teaching about chronic renal failure
Correct Answer: C

Rationale: Renal failure affects drug clearance; informing the physician ensures safe therapy adjustments.

Discharge planning for patients leaving the hospital should include instructions on the use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good understanding of OTC drugs?

  • A. OTC drugs are always safe and will not cause bad effects.'
  • B. OTC drugs have been around for years and have not been tested by the Food and Drug Administration (FDA).'
  • C. OTC drugs are different from any drugs available by prescription and cost less.'
  • D. OTC drugs are thought to be safe when taken as directed.'
Correct Answer: D

Rationale: OTC drugs are drugs that have been determined to be safe when taken as directed. They may have originally been prescription drugs that were tested by the FDA or they may have been grandfathered in when the FDA laws changed. OTC education should always be included as a part of the hospital discharge instructions.

Drugs which increase GABA levels in brain

  • A. Diazepam
  • B. Phenobarbitone
  • C. Sodium valproate
  • D. Carbamazepine
Correct Answer: C

Rationale: Sodium valproate increases GABA levels.

A nurse is providing teaching for a client who has a new prescription for Metformin. Which of the following adverse effects of Metformin should be correct the client to report to the provider?

  • A. Somnolence
  • B. Constipation
  • C. Fluid retention
  • D. Weight gain
Correct Answer: A

Rationale: Somnolence could indicate lactic acidosis, a rare but serious metformin side effect to report.

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