Remar Nurse Pharmacology Review: Brought To You by Regina M. Callion MSN, RN Creator of The NCLEX Virtual Trainer

REMAR NURSE PHARMACOLOGY REVIEW
Brought to you by Regina M. Callion MSN, RN creator of the NCLEX Virtual Trainer
ReMar Nurse University #RNU - 0 - www.ReMarNurse.com

Mark your Calendar!
EVERY MONDAY NIGHT

Premieres Live at 8:00 PM EST
Note to adjust for your time zone:
May 18th – June 15th
PREMIERING LIVE on the @ReMarReview

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REMAR NURSE UNIVERSITY TABLE OF CONTENTS & SCHEDULE
RNU CALENDAR / TIME ZONE CHECK / FAQ’S ………...……..………………………...1-3

REMAR NURSE SUCCESS STORIES…………….……….……….……....…......................4-5
ALL ABOUT THE NCLEX VIRTUAL TRAINER SALE……………..….………….…..……6-9
MONDAY, MAY 18TH – 8:00 P.M. EST
NERVOUS SYSTEM MEDICATIONS……………………………………………………….10

ALTERNATIVE & HERBAL MEDICATIONS………………………………..……………….
EXPECTED CHANGES IN AGING-VIRTUAL TRAINER PREVIEW………………………….
MONDAY, MAY 25TH – 8:00 P.M. EST

PAIN MANAGEMENT…………………………………………………..….……..……..19
PSYCHIATRIC MEDICATIONS…………………………………………………….........
SUBSTANCE ABUSE-VIRTUAL TRAINER PREVIEW…………………………….............
MONDAY, JUNE 01ST – 8:00 P.M. EST
INSULIN & ORAL ANTIDIABETICS ………………………………………………….........30

TPN…………………………….…………………………………………………..….......
DIETS-VIRTUAL TRAINER PREVIEW……………………………………………..……..….
MONDAY, JUNE 08TH – 8:00 P.M. EST
ANTIBIOTICS ………………………………………………………….............................42
BLOOD/BLOOD PRODUCTS ……………………………………………….………………
MEDICATION ADMINISTRATION- VIRTUAL TRAINER PREVIEW ……………………. ......
MONDAY, JUNE 15TH – 8:00 P.M. EST
BONUS SESSION …………………………………………………………........................49

NCLEX PRACTICE EXAM ALL QUESTIONS FINAL! ……………………………………

FREQUENTLY ASKED QUESTIONS
+ Will Regina MSN, RN actually be teaching ?

- Absolutely! Regina MSN, RN will personally be teaching each course with the ReMar Nurses and share the
class as a live premire via Facebook & YouTube. Please be sure to subscribe to both pages and turn on your
notifications.
+ How long will each Pharmacology class be available?

- ReMar Nurse University is a live NCLEX event and is not guaranteed to remain posted. Please try to watch
and share each class nightly at 8PM EST and confirm your time zone.
+ Is ReMar Nurse University all that I need to pass NCLEX ?

- During ReMar Nurse University our goal is to show you exactly how master pharmacology and show you
exactly how our ReMar Nurses pass NCLEX with the NCLEX Virutal Trainer, our complete resource for passing
NCLEX, it has the content, questions, and accountabiliy that you need!
+ How long will the Virtual Trainer be 75% off ?

- The 75% off Discount will be available until the end of ReMar Nurse University while supplies last. If you are
reading this before the start of RNU take advantage now of the free shipping which ends after the first class.
+ What does the Virtual Trainer come with?

- The NCLEX Virutal Trainer has 3-months online access and two physical workbooks; the VT workbook which
is much like this same workbook and Quick Facts for NCLEX.
+ How long does it take to finsh the Virtual Trainer review?

- Many of our ReMar Nurses have finished their Virtual Trainer review and passed NCLEX in just three-weeks.
You’ll have 3-months in the VT and our recommendend study time is six-weeks.
+ Do I have to begin my Virtual Trainer Account Immediately ?

- Yes – Your access to the VT begins immediately upon order and your book is shipped via USPS Priroty mail in
3-4 days. You will have a full three-months to study with the Virutal Trainer with monthly renwal of $69/mo
at the end of your initial three-months of access. Student may cancel the monthly subscription at any time!
+ Is ReMar Nurse University all that I need to pass NCLEX ?

- During ReMar Nurse University our goal is to show you exactly how master pharmacology and show you
exactly how our ReMar Nurses pass NCLEX with the NCLEX Virutal Trainer, our complete resource for passing
NCLEX, it has the content, questions, and accountabiliy that you need!
+ I Already have the NCLEX Virtual Trainer do I need this too ?

- ReMar Nurse University is considered an advance study session. This means I take the topics from the NCLEX
VT and develop them to the next level of critical thinking and NCLEX Confidence to help students learn about
the VT and help you to prepare to test as your date may be coming up soon!

STUDYING FOR THE REGISTERED NURSE EXAM?
Right from the start I want to help you answer this one question…
Can this Help Me Pass NCLEX-RN?

The answer is absolutely yes! Every day the test is offered ReMar Nurses are pass NCLEX! It doesn’t
matter if it’s your 10th time testing. It doesn’t matter if you trained outside of the United States,
or if this is your 1st time testing! ReMar Nurses pass NCLEX, because – With God It’s Possible.
We’re going to begin by studying PHARMACOLOGY and then I’m going to take you into the Virtual
Trainer to show you exactly how our ReMar Nurses are passing NCLEX!
My goal is that SOON - YOUR STORY will also be used to encourage future RNs in the next 3 – 6
weeks once you pass NCLEX-RN just like our official ReMar Nurses below! I have a very special 75%
off discount available during ReMar Nurse University that I hope you take full advantage of.
WE PASSED NCLEX-RN WITHIN THE PAST 30-DAYS

STUDYING FOR THE PRACTICAL NURSE EXAM?
During this course we’ll be studying Pharmacology but every test is different. The challenge isn’t about one
topic. It’s about mastering the exam well enough that you can pass at ALL LEVELS especially because the
LPN Exam just became harder, and we’re still passing even with the changing standards #ReMarNurse
“Can this Help Me Pass NCLEX-PN?

#1 - YES ABSOLUTELY! Always remember even if you are a repeat-tester, with God it’s possible!
#2 - WE HAVE PROOF! The NCLEX Virtual Trainer is amazing but I can show you better than I can tell you!
#3 - By the end of RNU another 100 - 200 ReMar Nurses will have passed and shared their story!
You will not find a better review or better cost for a comprehensive NCLEX for Licensed Practical Nurses
than you’ll find in the ReMar NCLEX Virtual Trainer! I literally can’t wait to see your passing testimonial!
During ReMar Nurse University you’ll have a special 75% off discount to start your NCLEX Virtual Trainer!
WE PASSED NCLEX-LPN WITHIN THE PAST 30-DAYS!

REMAR NURSE UNIVERSITY VIRTUAL TRAINER REVIEW WEEK #1
NERVOUS SYSTEM MEDICATIONS
Regina Callion MSN, RN
1. ANATOMY REVIEW
2 MAJOR DIVISIONS:

2. _____________________________ Nervous System
Controls body functions such as:
S_____________ P_____________
Pharmacology Classes 1. 1.
2. 2.
3. 3.
Changes after CARDIAC: CARDIAC:

medication EYES: EYES:
administration
GASTRO: GASTRO:
GLUCOSE: GLUCOSE:
RESPIRATORY: RESPIRATORY:
PHARMACOLOGY NOTE:

NCLEX PRACTICE QUESTIONS
1. A 36-years-old client is admitted to the critical care unit for an overdose of a cholinergic drug. The client reports
bradycardia, bronchospasms, bladder spasms, and pupil constriction. Which of the following is the most appropriate
treatment? Select all that apply.
1. Meperidine
2. Digoxin
3. Atropine
4. Norepinephrine
5. Anticholinesterase medications
2. A nurse is reconciling the medications in an emergency cart, the norepinephrine is most appropriately given for:
1. treatment of severe hypotension

2. management of chronic neurogenic pain
3. treatment of severe upper airway constriction
4. management of urinary incontinence
3. A nurse is preparing to administer a non-selective beta adrenergic agent. Which of the following conditions in the
client’s history indicate a possible contraindication?
1. hypersensitivity reactions
2. pulmonary hypertension
3. hearing loss
4. routine garlic tablet consumption
5. fever and clear nasal drainage
4. A nurse is preparing to administer an adrenergic (sympathomimetic) drug which medication could cause a
potential hypertensive crisis?
1. aspirin
2. monoamine oxidase inhibitor
3. insulin aspart
4. amlodipine
ALTERNATIVE & HERBAL MEDICATIONS

____________________________any plant with ___________________,

____________________, or ___________________________
Examples: teas, oils, syrups ____________________________________________________
_______________________________________________________________________
NCLEX Safety Point: Herbal remedies are never to be injected into a client.

NAME INDICATION CLIENT EDUCATION
*STUDY ALL THE HERBAL MEDICATIONS FOUND IN QUICK FACTS FOR NCLEX
When only _________________ medicines are used, it is called

_______________________ ____________________________.
When ______________________ are used with ____________________

_____________________ medicine it is called __________________
_________________________.
Relying on the body to heal itself is called:

ALTERNATIVE MEDICATION
PURPOSE NAME OF MEDICINE
Additional NCLEX Education Points:
1. The FDA does regulate claims made on over the counter supplements. (health claims, diet
claims, or weight loss claims)
2. Alternative medicine is used more by______________________________________________
3.

ALTERNATIVE & HERBAL MEDICATIONS
1. Which of the following herbal medications increase the risk of bleeding? Select all that apply.
1. Ginseng
2. Ginger
3. Ginkgo biloba
4. Glucosamine
5. Garlic
2. A client is diagnosed with seasonal depression. St. John’s wort is the requested treatment based on the client’s
care plan. Which of the following medications would contraindicate the use of this medication?
1. Aspirin
2. Heparin
3. Warfarin
4. Acetaminophen
3. A nurse is caring for a client recently diagnosed with the human immunodeficiency virus. The client states that
they have no sexual risk factors. Which of the following alternative medical treatments can be related to this
diagnosis? Select all that apply.
1. Chiropractic medicine
2. Royal jelly
3. Ayurvedic medicine
4. Homeopathic medicine
5. Acupuncture medicine
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Expected Changes During Aging
System Changes Tested on NCLEX
1. Decreased ____________ output
Increase:
Peripheral circulation:
2. Increased
Decreased
Is it normal to wear oxygen?
3.
Decline in the ability to:
4. Reproductive System Women decrease:
Men decrease:
Sexual Changes
Women:
Men:

5. Decreased range
Decreased _________ _________.
Decreased in overall
Bone loss
6.
Kidneys-
Bladder-
Dehydration is a common issue
Is urinary incontinence normal?
Kegel exercises-
Gastrointestinal _______________mouth
System
Constipation
Delayed gastric emptying
___________ability decreases
Is tooth loss a normal part of aging?

Nervous System Decreased activity in CNS & PNS
Decrease in _______________ time

and reflex times.
Mental function should

_____________ _____________.
If intelligence decreases a disease

process is present.
Immune System ____________________ in the

_______________of immune system.
Encourage:
Endocrine System Decrease secretion of:
Decrease in:
Will a decreased insulin production

make the blood sugar increased or
decreased?
Sensory System
Loss of:

PAIN MANAGEMENT
1. There are ____________types of _______________________.
Onset
Characteristics
Duration
NCLEX Critical thinking:
Which type of pain increases autonomic nervous system activity?

Which type of pain serves as a protective function?
Which type of pain can cause depression?
2. Categories:
A. _______________________________________________________________
These medications are considered safe and effective for the general public without a doctor’s
prescription.
1. ________________________________________________
Maximum dose
NCLEX Notes
Adverse effects
Can hemodialysis be used as a treatment in acetaminophen toxicity?
Acetaminophen toxicity treatment?
In a client who dies due to acetaminophen overdose what is the major cause of death?
2. Nonsteroidal Anti-inflammatory drugs (NSAIDs) & Aspirin Review

Maximum dose
NCLEX Notes
Adverse effects
Is there a risk of physical dependence or abuse with long term NSAIDs use?
NCLEX drug interactions for __________________________________
Drugs Result

PAIN MANAGEMENT
All non-opioids have a:
B. ___________________________________________
1.
Weak
Strong
Which strong opioid is considered the “gold standard”?

Routes:
Adverse Effect
Antidote
Clients are at risk for:
NCLEX point:
Addiction
Physical dependence
Tolerance

PAIN MANAGEMENT
1. A 33-year-old client presents to the emergency department after ingesting 31 tablets of acetaminophen in a failed
suicide attempt. The client has no apparent symptoms and states “I feel fine.” Which of the following statements if
made by the client would require follow-up education?
1. I may begin to feel dizzy and have diarrhea.

2. I will be given the medication acetylcysteine.
3. My blood will be drawn to evaluate prolonged bleeding time.
4. My liver and kidney function will be monitored.
2. A client is being followed by a multi-disciplinary team. Which of the following is the most appropriate action of
the client? Select all that apply.
1. Inform the occupational therapist of low dose aspirin to avoid the session.
2. Inform the dentist of low dose aspirin therapy before any dental procedure.
3. Inform the dietician of low dose aspirin therapy before starting a low carbohydrate diet.
4. Inform the surgeon of low dose aspirin therapy before any elective surgery.
5. Inform the art therapist of low dose aspirin therapy before working with acrylic paints.
3. A nurse is caring for a child that is opioid naïve. The child has just had a below the knee amputation. Which of the
following should be included in the plan of care? Select all that apply.
1. Start the child’s pain medication on an as needed basis.

2. If the child develops a rash after morphine administration hold all opioids.
3. Administer morphine intravenously and acetaminophen orally for pain immediately after surgery.
4. Monitor the child for respiratory depression after administration of an opioid.
5. Administering the lowest possible dose for pain relief.

PSYCHIATRIC MEDICATION
1. There are ________________classes of psychiatric medications we will review:
A. _________________________________
1.
Fast or slow acting:
Electrolyte to watch?
NCLEX Teaching point:
___________________________ has a treatment partner:
2. _________________________________________________
________________________acid is a ________________________stabilizer,
__________________________, and can also treat ___________________ _______________.
Fast or slow acting?
Administration:
NCLEX Teaching point:

B. _________________________________________
Drugs to know:
Safety point:
Drugs to know:
Safety point:
Drugs to know:
Safety point: Suicide risk in clients under 25.
C. __________________________________________
____________________________ medications also called _______________________are used
for the treatment of schizophrenia and other types of ________________________________.
Remember:
First ___________________________:
Monitor for:
Treatment for tardive dyskinesia:
Second ________________________________:
Clozapine
Olanzapine
Monitor for:
Treatment:
Antidote for reversal:

1. The nurse is caring for a client who is scheduled to have valproic acid initiated at noon. Which question is the
most important for the nurse to ask?
1. When is the last time you had a seizure?

2. When was your last meal?
3. Have you ever taken this medication in the past?
4. Are you on birth control pills?
2. A client is taking a monoamine oxidase inhibitor (MAOI). The client has a blood pressure of 184/122 mm Hg.
The client is otherwise asymptomatic. Which action does the nurse take first?
1. Assess the client for organ damage.

2. Assess the client for tardive dyskinesia.
3. Prepare to administer an injectable antihypertensive drug.
4. Request the health care provider to order a full body diagnostic scan.
3. A client is prescribed duloxetine. Which client statement is most concerning to the nurse?
1. I feel constipated after taking a dose.

2. I can stop taking this when I feel better.
3. I will continue to take my insulin for type 1 diabetes mellitus.
4. I had a glass of beer with dinner.

Substance Abuse
ReMar Review
Substance Abuse Continued use of a substance
Substance abuse can be ___________________ An __________________is

considered a ______________ _______________.
Substances that are abused are:
1.
2.
3.
4.
5.
6.
Clients are at risk for: Suicide and Overdose
A. Alcoholism-
Signs:
Most alcoholics are in:

Substance Abuse
ReMar Review
Withdrawal symptoms:
Medical Emergency
Delirium tremors:
1. Physical shaking
2.
3.
4.
5.
2 Other Symptoms to Know
1.
2.

Substance Abuse
ReMar Review
Medical Emergency
Delirium tremors Treatment:
Medicate with anti-anxiety medication such as:
1.
2.
or
Alcohol deterrent medications such as:
1.
Teaching point: Clients must avoid:
NCLEX Pro Tip:
Medications that contain alcohol:
Other therapy options: Non-judgmental attitude, Support groups Alcoholics

anonymous
There is no ______________________________________________.
Clients can be placed in a _________________ _________________.

Substance Abuse
ReMar Review
B. Opioid Addiction
Examples:
Room Assignment:
Withdrawal Symptoms:
______________________: is a legal narcotic that can be used as a

substitute.

INSULIN & ORAL ANTIDIABETICS
Self-Study Diabetes Review
The goal of insulin therapy is to reduce____________ ___________. The normal value is 70 to 110.
A.
*The medications are used with diet modification
1.
Examples: Glipizide, Glimepiride, Glyburide

2.
Examples:
3.
Examples:

B.
*There are 2 groups:
1. _____________________________________________________
2 Goals
1.
2.
1.
How many times a day is this insulin administered?
2. Types
NCLEX activity:
How many units of insulin if any should be administered based on the client’s current blood glucose reading and
prescribed sliding scale of insulin? See chart above.
Blood Glucose Reading Bolus Insulin Administered (in units)

07:00- 225
11:45-500
17:45-122

2. ______________________________________
1. 2 Goals
1.
2.
How many times a day is this insulin

administered?
2. Types
3. _________________________________________
2 Goals
1.
2.
How many times a day is this insulin administered?

1.
2. Types
Combination of:
Numbers represent:
First number:
Second number:

4. ____________________________________________
Small computerized external device.
Critically think:
Which organ does the machine mimic?
Why is this best for those with poorly controlled

diabetes?
1. ______________________ Should the client take it off at night?
Administration: Does the machine take the client’s blood glucose

levels?
How many types of insulin are in the pump?
How often does the blood glucose levels need to be

checked?

1. The nurse is discharging a client newly diagnosed with diabetes mellitus type 2 which statement if made by the
client requires follow-up teaching?
1. I will use my sliding scale when administering my premixed 70/30 insulin.

2. I will check my blood glucose levels every night before going to bed.
3. If my casual blood glucose levels are decreasing over time my medication may be adjusted.
4. Insulin therapy will help reduce my risk of going blind.
2. A client is initiating insulin pump therapy. Which of the following statements if made by the client requires
follow-up education? Select all that apply.
1. I can keep my pump on during a shower but not a bath.

2. I no longer need to carry injectable insulin as my pump will deliver my insulin needs.
3. I will disconnect my pump during my daily 30-minute jogging routine to prevent hypoglycemia.
4. I will check my battery life often so that my pump continues to deliver insulin.
5. I can receive continuous and bolus doses of the same insulin from my pump.
3. Which of the following statements if made by the client requiring insulin therapy require follow-up education?
1. I will inject my insulin in the subcutaneous fat within one inch of my navel.
2. I should check insulin vial for contamination.
3. I will inject my insulin at a 90-degree angle.
4. Insulin aspart is my rapid acting insulin.

TOTAL PARENTERAL NUTRITION
A.
________________ or _______________ is the necessary nourishment to the body’s cells to support life.
1. _____________________________________________
1.
2.
3.
Nutritional Support Client education

1.
2.
Short term:
Long term:
3. Provides

2._______________________________________________
Supplying nutrients via the intravenous route.
Starting TPN
1. Remove from refrigerator _____________________________________________________.

2. Gradually initiate over ________________________________________________________.
3. Continuous:
4. No additional:
Critically think? Does the client need to sign an informed consent?
Critically think: If TPN has added calcium and lipids should the nurse expect particles in the
formula?
Stopping TPN
1. Gradually reduce _____________________________________________________________.

2. If
3. Client
Complications for TPN
•
•
•
•
•
Nursing Responsibilities
TPN _________________________________________________
Daily
Weekly
*Daily draws in the beginning of treatment

Monthly

TOTAL PARENTERAL NUTRITION
1. The nurse is caring for a client who requires supplemental nutrition. The client is only consuming 10%
of their daily requirements orally. Which of the following is the most appropriate form of nutrition at this
time?
1. A liquid diet with a smooth consistency

2. Tube feeding
3. Peripheral parenteral nutrition
4. Total parenteral nutrition
2. The healthcare provider informs the nurse that a client’s food must be pre-digested as a part of the
nutritional plan. Which of the following food options would be most appropriate? Select all that apply.
1. Mashed potatoes
2. Ensure® ready to drink nutritional shake
3. A mechanical soft blended meal plan
4. Jevity 1.2 CAL high protein enteral nutrition with fiber
5. Clinimix with electrolytes parenteral central line infusion
3. The nurse is caring for a client who started total parenteral nutrition 10-days ago. The client has
experienced a 1 kg per day weight gain. Which of the following should the nurse expect?
1. Liver failure
2. Fluid overload
3. Renal failure
4. Dehydration

NCLEX ACTIVITY PAGE
Circle the appropriate nutritional support based on the listed requirement.
1. Reduced risk of infection or sepsis Enteral or TPN

2. Large variety of formula choices Enteral or TPN
3. Reduces GI tube obstruction Enteral or TPN
4. Provides complete nutritional Enteral or TPN
support
5. Best for short term use Enteral or TPN
6. Client has a facial trauma Enteral or TPN
7. Client has a lower spinal cord injury Enteral or TPN
8. Client with small bowel Enteral or TPN
transplantation
9. Client is terminally ill but is Enteral or TPN
requesting nutritional support because
of a belief of recovery
10. Client is expected to have liver Enteral or TPN
failure

Diets
ReMar Review
Diet Indication Food
1.
Or
2.
1. Water, juices, see

through- broth,
1.
1.
Pureed
How should the foods be

2. placed when feeding?

Mechanical Soft 1. Any food that can be
easily broken down
1. Cannot nave:
Avoid CAP
Protein 1. Avoid:
_______________
Why should renal clients

avoid protein?
1.
Restricted
82 grams or 1 gram
heart healthy

1.
1. Avoid Purine
High Protein 1.
2.
1.
Meal percentages
Celiac 1. Avoid BROW
Bread?
Spaghetti?
Pie?
Cookies?
Waffles?
Pancakes?

ANTIBIOTICS
Medications to take with Food
1.
2.
Take on an empty Stomach
1.
2.
3.
Monitor for
Not Given Orally (eye drops, ear drops, IV)
1.
2.
The most common side effect of antibiotics is:

Critically think: Is C-difficle considered an antibiotic-associated diarrhea?
Clients must take the prescribed course of antibiotics even if symptoms disappear.
The 4 most commonly prescribed antibiotics to hospital patients are:
1.
2.
3.
4.
ANTIBIOTICS

1. The nurse is caring for a client prescribed intravenous penicillin for a urinary tract infection. The nurse notices
coolness and swelling around the IV insertion site. Which assessment should the nurse make first?
1. Monitor the client for an allergic reaction.

2. Evaluate if the intravenous catheter is in place.
3. Notify the health care provider.
4. Discontinue the penicillin antibiotic.
2. A client is prescribed an antibiotic that has a side effect of renal crystal formation. Which of the following is most
important to encourage effective renal clearance?
1. Consuming a low protein diet during medication therapy.

2. Encouraging the client to void every 2 hours.
3. Drinking 8 to 10 glasses of water a day.
4. Monitoring renal function during medication therapy.
3. A client prescribed tetracycline states that taking a medication on an empty stomach is difficult and causes
heartburn. Which is the most appropriate statement for the nurse to make?
1. The medication can be taken with orange juice but not with food.
2. Dairy will decrease the absorption of the tetracycline.
3. The medication can be taken with a slice of bread to prevent heartburn.
4. Food or drink will decrease the absorption rate by 50%.

BLOOD & BLOOD PRODUCTS
1. Blood is a ________________________ __________________________.
The goal of a blood or blood product transfusion is to delivery oxygen to the tissues.
Clinical indications:
•
•
•
•
___________________ Verification Checks __________________Verification Checks

1. 1.
2. 2.
3. 3.
4.
______________________ Requirements
30
15
_______________________ Requirements

2. _____________________ Review
_____________________________________________________________________________
Blood is considered a _____________________________________ tissue.
There are ____________________________ divisions of blood.
A.
1.
2.
A.
B.
C. Lymphocytes
3.
B.
1.
A. Albumin
B. Immunoglobulin
C. Fibrinogen


1. Which of the following actions by the nurse require follow-up education? Select all that apply.
1. Verify a valid signed consent is placed in the client record.

2. If the client is an infant, verify the identity with a wristband and parent if available.
3. Examining the type and group number to identify the age of the blood.
4. Immediately stopping the transfusion and discarding the contaminated blood if an allergic reaction occurs.
5. Taking the client’s temperature and other vital signs before retrieving blood.
2. Which of the following is the highest nursing intervention when administering a blood transfusion?
1. Documenting the treatment in the client’s chart.

2. Informing the client of abnormal laboratory values.
3. Warming the blood prior to transfusion.
4. Educating the client on signs of an allergic reaction.
3. The nurse has initiated a transfusion of packed red blood cells. After twelve minutes the client begins to report
shortness of breath, itching, and back pain. The nurse stops the blood transfusion. Which of the following is the
appropriate next step?
1. Stop all fluids from entering the client and take a urine and blood sample.
2. Run normal saline at half the rate of the blood transfusion.
3. Run the normal saline at a rate of 25 ml per hour.
4. Run the normal saline at double the rate of blood transfusion to flush the line.

NCLEX PRACTICE EXAM –ALL TOPICS
1. The charge nurse working on a medical unit night shift is concerned that the float nurse is smoking
marijuana on duty. On more than two occasions, the charge nurse has smelled marijuana when the float
nurse arrives for night shift. Which action should the charge nurse implement first?
1. Confront the float nurse with the suspicions.

2. Talk with the night supervisor about the concerns.
3. Ignore the situation unless the nurse cannot do her job.
4. Ask to speak to the hospital ethics committee about the problem.
2. A new nurse graduate observes three nurse’s aides yelling and arguing in the hallway. Which action
should the nurse implement first in this situation?
1. Tell the unit manager to check on the nurse’s aides.

2. Advise the aides to stop yelling in the hallway.
3. Mediate the situation to diffuse the tension.
4. Document the names of each person involved for accurate reporting.
5. Ask the nurse’s aides what is the issue?
3. A new graduate registered nurse is working with unlicensed assistive personnel (UAP) who has been
an employee of the hospital for 21 years. However, tasks delegated to the UAP by the registered nurse
are frequently not completed. Which action should the graduate nurse take first?
1. Tell the charge nurse the UAP is insubordinate.

2. Create a written list of assigned tasks to help emphasize their importance.
3. Complete the delegated tasks as the registered nurse maintains responsibility.
4. Discuss with the UAP why the delegated tasks are left incomplete.
4. The charge nurse informs the nursing house supervisor that one of the registered nurses is falsifying
vital signs. Which action should the nursing house supervision implement first?
1. Inform the unit manager of the nurse about the situation of falsifying vital signs.
2. Take the assigned client’s vital signs and compare with the RN documentation.
3. Bring both parties together and discuss the situation in a neutral environment.
4. Document the incident in the registered nurse’s employee file.
5. The nurse hung the wrong intravenous cardiac medication for the coronary bypass client. Which
intervention should the nurse implement first?
1. Assess the client for any adverse reactions.

2. Complete the incident or adverse occurrence report.
3. Administer the correct intravenous cardiac medication.
4. Notify the client’s health care provider.
6. The registered charge nurse (RN), a licensed practical nurse (LPN), and an unlicensed assistive
personnel (UAP) are caring for clients in a medical care unit. Which task would be most appropriate
for the RN nurse to assign or delegate?
1. Instruct the LPN to obtain the client’s serum glucose level.

2. Request the LPN to change the arterial line dressing.
3. Ask the LPN to bathe the client and change the bed linens.
4. Tell the UAP to obtain liquid intake for the 8-hour shift.

7. Which task should the intensive care nurse delegate to the unlicensed assistive personnel (UAP)?
1. Check the pulse oximeter reading for the client on a ventilator.

2. Take the client’s blood culture to the laboratory.
3. Obtain the vital signs for the client in an Addisonian crisis.
4. Assist the HCP with performing a paracentesis at the bedside.
8. Which of the following clients would need the assistance of a durable power of attorney to make all
healthcare decisions?
1. The client with a head injury who is unable to respond to external stimuli.
2. The client with a stroke who is unable to walk or talk.
3. The client in end stage renal disease who is being placed on kidney transplant list.
4. The client diagnosed with stage four cancer who is mentally retarded.
9. The nurse is caring for clients on a skilled assisted living facility. Which task should be delegated to the
unlicensed assistive personnel (UAP)? Select all that apply.
1. Instruct the UAP to apply compression stockings to the client on complete bed rest.
2. Ask the UAP to assist the occupational therapist in ambulating the client.
3. Request the UAP to prepare the client for a thoracentesis at the bedside.
4. Tell the UAP to obtain the outputs (I&Os) for all the clients on the unit.
5. Inform the UAP to administer the prescribed topical anti-itch lotion to selected
clients during the bath.
10. The nurse is caring for a 44-year-old male who is obese and currently has a temperature of 101.1
Fahrenheit. The client begins to complain of left side chest pain, diaphoresis, and dizziness. What is the
priority action?
1. Gather a STAT EKG.

2. Administer oxygen via nasal cannula.
3. Establish emergency intravenous access.
4. Notify the physician.

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What topics will be covered in the ReMar Nurse University sessions?

What topics will be covered in the ReMar Nurse University sessions?

What resources are included with the NCLEX Virtual Trainer?

What resources are included with the NCLEX Virtual Trainer?

REMAR NURSE PHARMACOLOGY REVIEW

ReMar Nurse University #RNU - 0 - www.ReMarNurse.com

EVERY MONDAY NIGHT

May 18th – June 15th

PREMIERING LIVE on the @ReMarReview

ReMar Nurse University #RNU - 1 - www.ReMarNurse.com

RNU CALENDAR / TIME ZONE CHECK / FAQ’S ………...……..………………………...1-3

MONDAY, MAY 18TH – 8:00 P.M. EST

NERVOUS SYSTEM MEDICATIONS……………………………………………………….10

MONDAY, MAY 25TH – 8:00 P.M. EST

MONDAY, JUNE 01ST – 8:00 P.M. EST

INSULIN & ORAL ANTIDIABETICS ………………………………………………….........30

MONDAY, JUNE 08TH – 8:00 P.M. EST

MONDAY, JUNE 15TH – 8:00 P.M. EST

BONUS SESSION …………………………………………………………........................49

ReMar Nurse University #RNU - 2 - www.ReMarNurse.com

+ Will Regina MSN, RN actually be teaching ?

+ How long will each Pharmacology class be available?

+ Is ReMar Nurse University all that I need to pass NCLEX ?

+ How long will the Virtual Trainer be 75% off ?

+ What does the Virtual Trainer come with?

+ How long does it take to finsh the Virtual Trainer review?

+ Do I have to begin my Virtual Trainer Account Immediately ?

+ Is ReMar Nurse University all that I need to pass NCLEX ?

+ I Already have the NCLEX Virtual Trainer do I need this too ?

ReMar Nurse University #RNU - 3 - www.ReMarNurse.com

Can this Help Me Pass NCLEX-RN?

WE PASSED NCLEX-RN WITHIN THE PAST 30-DAYS

ReMar Nurse University #RNU - 4 - www.ReMarNurse.com

“Can this Help Me Pass NCLEX-PN?

WE PASSED NCLEX-LPN WITHIN THE PAST 30-DAYS!

ReMar Nurse University #RNU - 5 - www.ReMarNurse.com

Regina Callion MSN, RN

ReMar Nurse University #RNU - 10 - www.ReMarNurse.com

2. _____________________________ Nervous System

Controls body functions such as:

Changes after CARDIAC: CARDIAC:

ReMar Nurse University #RNU - 11 - www.ReMarNurse.com

1. treatment of severe hypotension

ALTERNATIVE & HERBAL MEDICATIONS

____________________________any plant with ___________________,

Examples: teas, oils, syrups ____________________________________________________

ReMar Nurse University #RNU - 12 - www.ReMarNurse.com

When only _________________ medicines are used, it is called

When ______________________ are used with ____________________

Relying on the body to heal itself is called:

ReMar Nurse University #RNU - 13 - www.ReMarNurse.com

Additional NCLEX Education Points:

2. Alternative medicine is used more by______________________________________________

ReMar Nurse University #RNU - 14 - www.ReMarNurse.com

NCLEX PRACTICE QUESTIONS

ReMar Nurse University #RNU - 15 - www.ReMarNurse.com

System Changes Tested on NCLEX

1. Decreased ____________ output

Is it normal to wear oxygen?

__________any plant with _,

When __ are used with

Decreased _ _.

1. There are types of ___________.

________________, and can also treat _ _______.

______ medications also called _are used

Substance abuse can be _ An is

Clients can be placed in a _ _.