NCLEX CRUSADE ACADEMY TEST - 5 PHARMACOLOGY

1. A patient taking linezolid and paroxetine is at highest risk for which condition?. Hypoglycemia. Serotonin Syndrome. Bradycardia. Renal failure.

2. Patients taking linezolid should avoid which dietary item?. Bananas. Milk. Aged cheeses. Rice.

3. For acute post-operative severe pain (within 48 hours), the most appropriate route is: Transdermal patch. Oral tramadol. IV hydromorphone. Topical lidocaine.

4. A fentanyl patch is most appropriate for: Immediate post-op pain. Chronic pain over months. Acute trauma. Rapid analgesia.

5. Sodium polystyrene sulfonate (Kayexalate) treats: Hyponatremia. Hyperkalemia. Hypocalcemia. Hyperglycemia.

6. Kayexalate administration requires: Rapid evacuation. Retention enema. Fleet enema. Immediate ambulation.

7. A patient on nitrates should avoid concurrent use of: Beta blockers. Aspirin. Sildenafil. ACE inhibitors.

8. Phenytoin therapeutic range is approximately: 05 mcg/mL. 510 mcg/mL. 1020 mcg/mL. 2535 mcg/mL.

9. A phenytoin level of 27 mcg/mL indicates: Subtherapeutic. Therapeutic. Toxicity. Lab error.

10. Which symptom suggests phenytoin toxicity?. Gingival hyperplasia. Metallic taste. Ataxia. Dry mouth.

11. IV phenytoin should be administered: Rapid push. With dextrose. Slowly with normal saline. Mixed with lactated Ringer's.

12. Phenytoin decreases effectiveness of: Insulin. Oral contraceptives. Beta blockers. Warfarin.

13. Kawasaki disease treatment includes: No aspirin. IVIG and high-dose aspirin. Antibiotics only. Corticosteroids only.

14. Terazosin should be administered: In the morning. With grapefruit juice. At bedtime. On empty stomach only.

15. A child with viral illness should avoid salicylates due to risk of: Stevens-Johnson syndrome. Reyes syndrome. Nephrotic syndrome. Kawasaki disease.

16. Safe alternatives for pediatric viral fever include: Aspirin. Bismuth subsalicylate. Acetaminophen or ibuprofen. Warfarin.

17. Muscle aches in a patient taking rosuvastatin may indicate: Mild side effect. Rhabdomyolysis. Hypotension. Allergy.

18. When facing a negative NCLEX question (e.g., further teaching needed), the strategy is to: Choose best teaching. Choose safest answer. Identify the wrong action. Skip question.

19. According to safety hierarchy, which is highest priority?. Cosmetic gum changes. Mild rash. Unsteady gait. Metallic taste.

20. When encountering an unknown drug, prioritize answers involving: Local discomfort. Systemic organ damage. Cosmetic changes. Mild headache.