Are NCLEX practice questions not your thing? Do the initials “NGN” make you feel stressed? If you answered yes to either question, this post is for you!

Before we jump in, remember the NCLEX is testing your ability to be a safe nurse, not a perfect nurse. That means you’ll get questions you’re not sure how to answer. The good news is you don’t need to get every question right, and you’ll have a better chance of answering them correctly if you do a few simple things.

We’ll review those tips and tricks for you in this post. Put them to good use while doing NCLEX practice questions, and you’ll be all set for exam day!

4 Tips for Breaking Down NCLEX Practice Questions 

1. Anatomy matters! 

The NCLEX likes to keep it simple. As a result, all of the questions have the same basic structure: a stem and a lead-in. 

Stem

The stem is the story of the client. It could include vital signs, laboratory values, the client’s symptoms—basically any background information you need in order to answer the question!

For a standard multiple choice question, the stem is usually only one to two sentences long.

Lead-In

The lead-in is the actual question. There are a number of different questions that could be given based on the stem.

For example, the lead-in could expect you to identify appropriate teaching points to a client based on a diagnosis provided in the stem. 

2. The KEY to Success

Pay attention to key words when doing NCLEX practice questions and of course during the exam itself. When approaching a question, ask yourself, “Is there anything emphasized in the stem or lead-in?”

Oftentimes, the NCLEX will even bold key words like “most,” “priority,” or “immediately.”

3. Absolutes have no place here!

Want an easy way to rule out an answer choice? Look for the absolutes! Very few things in nursing are black and white. As a result, if you see words like “always,” “never,” or “only” in NCLEX practice questions or on the exam itself, there’s a good chance it’s incorrect! 

4. REALism is REALly cool!

Lastly, if an answer seems unrealistic or out of the scope of practice for a nurse, don’t pick it!

For example, is it realistic for a nurse to order a diagnostic exam? No, and it’s not in our scope of practice either. Therefore, if an answer choice mentions something about ordering a diagnostic exam, throw it out!

Now let’s take a look at a real NCLEX practice question on the Blueprint Nursing TikTok!

How to Approach NGN Practice Questions

With the introduction of NGN NCLEX, we got new types of questions! Now, don’t let this scare you. Even though the questions may look different, the tips I just mentioned still apply! 

Here are some new question formats you’ll see for NCLEX practice questions and on the exam itself: 

Select All That Apply (SATA)

The select all that apply (SATA) format isn’t new to NCLEX practice questions or the NGN, but it still can cause a lot of anxiety. I know it did for me when I was taking the NCLEX!

The best way to tackle this kind of question is to treat each answer as a true/false statement. For this approach to work, you have to first look closely at your question stem (the story of the client) to see if you’re looking for true or false statements!

For example, if the stem includes words like “further education” or “clarification,” chances are you’re looking for false statements.

Case Study

Case studies can seem like “information overload,” but they don’t have to be! If you’re not sure where to begin with case studies, start by reading the lead-in to the question first. By doing so, you know exactly what you’re looking for when you read through the case! 

Highlight

Oftentimes, highlight questions are really just priority questions! Instead of picking the priority answer from a list, you highlight what stands out to you/requires immediate attention. Chances are you’re already doing this in your head!

Matrix and Multiple Response

These questions may seem intimidating, but they don’t have to be! Instead of looking at them as a whole, break each section down like it’s a separate question. This makes it much more manageable. 

Bowtie/Dropdown/Drag-and-Drop Questions 

These types of questions look different, but they’re not really much different from your standard multiple-choice questions. With each of these, you’re choosing answers from a list of options. As a result, I would approach them like they were your typical multiple-choice questions.

Final Thoughts

With these helpful tips, you’ll be on your way to becoming a real-deal RN in no time! If you’re looking for more resources, be sure to check out all we have to offer at Blueprint!

🤝 NCLEX Complete Self-Prep Package – 23 hours of video lessons & 17 quizzes—plus a built-in study planner and 2,000-question Qbank access (now free for 60 days)!

👩‍🏫 NCLEX Live Study Group (LSG) – 4 days of live instruction & 3 practice exams—plus access to Complete Self-Prep Package!

👩‍💻 Free NCLEX Webinars – Join our free sessions with experts to prep for the exam and life as a real-deal RN

📓 Free NCLEX Cheat Sheets – Grab these free downloads for help memorizing NCLEX terms, isolation and PPE, and more!

Studying for the NCLEX and feeling overwhelmed by medication questions? You’re not alone! Metronidazole (also known by its brand name Flagyl) is one of those medications that loves to show up on the NCLEX, and for good reason—it’s commonly prescribed and has some pretty important nursing considerations you absolutely need to know.

Let’s break down everything you need to understand about metronidazole nursing considerations so you can tackle those NCLEX questions with confidence. We’ll cover the must-know side effects, critical contraindications, and essential client teaching points that could make or break your exam performance.

Ready to master this antibiotic? Let’s dive in!

💊 Free Download: 50 Most Common Medications to Know for the NCLEX

Want to skip ahead a bit? Our team of experts put together a FREE cram sheet with the most common medications to know for the NCLEX! Just fill out the form below and get the cheat sheet directly in your inbox. 💡

What Is Metronidazole and How Does It Work?

Metronidazole is an antibiotic that specifically targets bacterial and parasitic infections. Think of it as your go-to medication for infections in the vagina (like bacterial vaginosis), stomach, liver, and trichomoniasis (a sexually transmitted infection caused by parasites).

Here’s the cool part about how it works: metronidazole actually enters the bacterial cell and binds directly to the bacteria’s DNA. This binding process leads to the death of the bacteria, effectively clearing up the infection.

This medication is particularly effective against anaerobic bacteria (bacteria that don’t need oxygen to survive) and certain parasites, which is why it’s such a valuable tool in treating specific types of infections.

Common Side Effects Every Nurse Should Know

When it comes to metronidazole nursing considerations, understanding side effects is crucial for both client safety and NCLEX success. The most common side effects revolve around gastrointestinal issues, so let’s talk about what your clients might experience.

Gastrointestinal Upset

GI upset is hands-down the most frequent complaint with metronidazole. Your clients might experience:

• Nausea and vomiting
• Diarrhea
• Decreased appetite
• General stomach discomfort

This is exactly why client teaching about taking metronidazole with food is so important—it can significantly reduce these uncomfortable GI side effects.

The Infamous Metallic Taste

Here’s a side effect that clients often find particularly bothersome: a metallic taste in their mouth. This isn’t dangerous, but it can be really unpleasant and may affect their appetite or enjoyment of food. Let your clients know this is normal and temporary—it’ll resolve once they finish their course of medication.

Severe Side Effects That Require Immediate Attention

While most clients tolerate metronidazole well, there are some serious side effects that require immediate nursing intervention and client education.

Peripheral Neuropathy

Though rare, peripheral neuropathy can occur with metronidazole use, especially with prolonged treatment. Watch for signs like:

• Tingling or numbness in hands and feet
• Muscle weakness
• Pain or burning sensations in extremities

If clients report any of these symptoms, they need to contact their healthcare provider immediately.

Seizures

Seizures are another rare but serious side effect. Clients with a history of seizures or CNS disorders may be at higher risk. This is why taking a thorough medical history is so important before administering metronidazole.

Critical Contraindications: The Big No-Nos

This is where metronidazole nursing considerations get really important for client safety. There are several substances and situations where metronidazole should absolutely be avoided.

Alcohol and Disulfiram Interaction

Here’s the big one that NCLEX loves to test: clients must avoid alcohol completely while taking metronidazole and for at least 24-48 hours after their last dose. This includes:

• Alcoholic beverages
• Medications containing alcohol
• Mouthwash with alcohol
• Cooking wines or extracts

The combination can cause a disulfiram-like reaction with symptoms including severe nausea, vomiting, flushing, headache, and rapid heart rate. Clients should also avoid disulfiram (Antabuse) itself.

Propylene Glycol Warning

Foods and medications containing propylene glycol should also be avoided, as they can cause similar adverse reactions when combined with metronidazole.

Breastfeeding Considerations

If a breastfeeding parent needs metronidazole, they should avoid breastfeeding for 24 hours after taking each dose. The medication passes into breast milk and could potentially harm the nursing infant.

Essential Administration Instructions

Getting the administration right is crucial for both medication effectiveness and client comfort.

Extended-Release Tablets: Handle with Care

If your client is prescribed extended-release metronidazole tablets, they must swallow them whole. No crushing, chewing, or breaking these tablets! This could lead to too much medication being released at once, increasing the risk of side effects.

Food Timing Matters

Always instruct clients to take metronidazole with food. This simple step can significantly reduce those uncomfortable GI side effects we talked about earlier. It’s such a straightforward intervention that can make a huge difference in client comfort and medication adherence.

Key Metronidazole Nursing Considerations

As a nurse, your role extends far beyond just administering the medication. Here are the essential nursing considerations that will serve you well on the NCLEX and in clinical practice.

Client Education Is Everything

Your teaching should cover:

• The importance of completing the full course of antibiotics, even if symptoms improve
• Alcohol avoidance (cannot stress this enough!)
• Taking medication with food to reduce GI upset
• Reporting any signs of neurological changes immediately
• Breastfeeding precautions if applicable

Monitoring and Assessment

Keep an eye out for:

• GI side effects and client tolerance
• Signs of peripheral neuropathy (tingling, numbness, weakness)
• Any neurological changes, including seizure activity
• Client adherence to alcohol restrictions

Documentation Points

Document:

• Client’s understanding of medication instructions
• Any side effects experienced
• Compliance with alcohol restrictions
• Response to treatment

Test Your Knowledge with a Practice Question!

Ready to put all this knowledge into action? Check out this NCLEX practice question on metronidazole:

Your Path to NCLEX Success

Understanding metronidazole nursing considerations isn’t just about memorizing facts—it’s about putting client safety first and demonstrating critical thinking skills that the NCLEX is designed to test.

Remember these key takeaways: metronidazole is an effective antibiotic for bacterial and parasitic infections, but it requires careful client education about alcohol avoidance, proper administration with food, and monitoring for serious side effects like peripheral neuropathy.

The most important thing? Always prioritize client safety by ensuring they understand the critical importance of avoiding alcohol while taking this medication. This knowledge will serve you well on exam day and throughout your nursing career.

Ready to tackle more NCLEX questions? Get 60 days of FREE access to Blueprint’s Complete Self-Prep Package, including 23 hours of video lessons, 17 quizzes, 2,000+ practice questions, a predictor exam, and more!

And for more (free!) NCLEX content, check out these other posts on the blog:

• Can You Answer this Cardiac NCLEX Practice Question?
• Types of Restraints in Nursing: What to Know for the NCLEX
• Breaking Down Meningitis NCLEX Questions

Is there anything more satisfying than diving into a fresh Qbank with all-new questions? Introducing the Blueprint NCLEX Qbank to take your study game to the next level! Designed by nurses for nurses, this tool is packed with features that cater directly to your study needs. 🤩

In this post, we’ll explore everything you need to know about the Qbank, including its features, availability, and future developments. Whether you’re a student just starting your NCLEX prep or already ahead of the game and looking to refine your strategy, this is your new go-to resource!

What is the NCLEX Qbank?

The new NCLEX Qbank from Blueprint features 2,000+ multiple-choice and select-all-that-apply questions based on the NCSBN NCLEX Test plan, so you can feel confident that the content you see in the Qbank is aligned to what you’ll see on your exam. 

When setting up your practice set, you have numerous options! You have the option to select the question type, category, mode, time, and number of questions! 

Plus, each question includes detailed rationales, memory tools, and images to review after answering to help solidify your knowledge!

The Qbank also lets you highlight, underline, and strike out words, which can help you pinpoint the most crucial info. If you’re unsure about certain questions, you have the option to “flag” them in the upper left hand corner and revisit them later.

Remember, you can also cross out incorrect answer choices to help you narrow down to the right answer!

After completing your practice questions, head over to your analytics dashboard to check out how you did! You can view your performance by question category and identify any knowledge gaps that you’ll want to go back and review during your next practice exam. You also have the option to see which questions you changed!

Additionally, when in Review Mode, the Qbank includes “One Step Further” questions which are designed to deepen your understanding and assess the depth of your knowledge. These questions, combined with detailed teaching images, enhance your learning experience and help solidify your grasp on complex concepts.

Who Gets Access to the Qbank?

If you’re part of our NCLEX Live Study Groups or signed up for our NCLEX Complete Self-Prep Package, you’re already in! All learners in these groups automatically gain access to over 2,000+ questions during their study period.

What’s Next for You?

Ready to get started? Head over to Blueprint Nursing and see the difference for yourself. And remember, we’re here every step of the way to guide and support you through this crucial phase of your nursing career! 💙

Looking for FREE resources to help you prep for the NCLEX? Check out these other posts on the Blueprint Nursing blog!

• Can You Answer this Cardiac NCLEX Practice Question?
• How to Answer NCLEX Practice Questions in 2025
• How to Make an NCLEX Cram Sheet

Are you looking to test your knowledge by trying some cardiac NCLEX questions? Check out this video by Nicole Basirico (MSN-ED, RN) to review a practice question and a detailed explanation of the correct answer!

This is great exam prep if cardiac NCLEX questions have been on your study to-do list:

So you can get a better sense of what cardiac topics the NCLEX may cover, let’s have a quick look at the sample question Nicole reviews in the video.

Practice Cardiac NCLEX Question

Take a stab at the the following cardiac NCLEX question: 

Q: The nurse is caring for a client suspected of having left-sided heart failure. The nurse would expect the client to have which of the following symptoms? 

Select all that apply:

Ascites 

This is the collection of fluid in the abdominal cavity that’s caused by portal hypertension, severe liver damage, or low albumen. 

Cyanosis 

This is a blueish discoloration to the skin, nails, or mucus membranes that’s due to insufficient oxygen in the blood.  

Dependent edema 

A swelling that occurs in the lower potions of the body such as the feet, the ankles, and the legs.  

Exertional dyspnea 

This is difficulty breathing during physical activity because there isn’t enough oxygen in the blood.  

Jugular vein distention 

The swelling of the jugular vein that runs along the carotid artery. 

Tachycradia 

This is a condition in which the heart beats faster than normal (over 100 beats per minute). 

So what do you think? Do you know which of these symptoms will occur with left-sided heart failure? 

Let’s have a look at the answer.

And the Answer Is…

Nicole provides a detailed explanation of why a patient with left-sided heart failure would be likely to have three of the symptoms listed above: cyanosis, exertional dyspnea, and tachycardia. 

She uses a flowchart to explain why these symptoms are expected to occur in these cases due to poor oxygenation and perfusion:

This is great because when studying for the boards, it’s important to understand the reasons behind correct and incorrect responses.

So, there’s a cardiac NCLEX question that can help you prepare for the exam. But we seriously only scratched the surface in this summary! Be sure to watch the video to get a great review of cardiac topics in preparation for the NCLEX.

And subscribe to the Blueprint Nursing YouTube channel, where you’ll find lots of great tips on how to get through nursing school, crush the NCLEX, and kickstart your career as a real deal RN!

Want more nursing content that’s actually fun to learn? Meet Blueprint’s new Complete Self-Prep Package with 23 hours of video lessons, 2,000 Qbank questions, personalized study planner, and more.🤩 Get it for FREE for 60 days!

Or, check out these other (free!) resources on the Blueprint Nursing blog:

• Breaking Down Meningitis NCLEX Questions
• Types of Restraints in Nursing: What to Know for the NCLEX
• NCLEX Bowtie Questions: A Step-by-Step Breakdown

Does the word “pharmacology” or “medications” give you anxiety? If so, you are in good company! To help reduce some of the stress you may be feeling about the exam, let’s talk about the 50 most common medications for the NCLEX and how to tweak your exam prep to feel confident answering any pharmacology question.

Let’s get started!

📘 FREE Download: 50 Most Common Medications for NCLEX Prep

Too long, didn’t read? Fill out the form and get the cheat sheet sent right to your inbox for FREE!
(And before you ask…yes, it’s color coded 🤩)

What are the 50 most common medications for the NCLEX?

Organized by medication type, these are the ones you really need to know:

Antihypertensives

1. Amlodipine

Use: Hypertension (HTN)

Class: Calcium channel blocker

Key fact: Watch for peripheral edema

2. Furosemide

Use: Edema, HTN

Class: Loop diuretic

Key fact: Monitor potassium, risk of ototoxicity at high doses

3. Lisinopril

Use: HTN, heart failure (HF)

Class: Angiotensin-converting enzyme (ACE) inhibitor (-pril)

Key fact: Watch for cough, angioedema, hyperkalemia

4. Losartan

Use: HTN, HF

Class: Angiotensin II receptor blocker (ARB) (-sartan)

Key fact: Similar to ACE inhibitors but no dry cough

5. Metoprolol

Use: HTN, HF, angina

Class: Beta-blocker (-olol/-ilol)

Key fact: Hold if heart rate (HR) < 60 bpm

Cardiovascular Medications

6. Adenosine

Use: Treat supraventricular tachycardia (SVT)

Class: Antiarrhythmic

Key fact: Causes brief asystole to reset rhythm – MONITOR WITH TELEMETRY!

7. Amiodarone

Use: for ventricular dysrhythmias

Class: Antiarrhythmic

Key fact: Watch for pulmonary/liver toxicity

8. Atorvastatin

Use: High cholesterol

Class: Statin

Key fact: Monitor liver function tests; watch for muscle pain (rhabdomyolysis)

9. Digoxin

Use: HF, atrial fibrillation (Afib), HF

Class: Cardiac glycoside

Key fact: Monitor for toxicity (nausea, vomiting, vision changes); check apical pulse before giving (hold if HR < 60 bpm)

10. Nitroglycerin

Use: Angina

Class: Nitrate

Key fact: Causes headache, hypotension

Anticoagulants

11. Clopidogrel

Use: Prevent clots

Class: Antiplatelet

Key fact: Increases bleeding risk

12. Enoxaparin

Use: Deep vein thrombosis (DVT), pulmonary embolism (PE)

Class: Low molecular weight heparin

Key fact: No partial thromboplastin time (PTT) monitoring

13. Heparin

Use: DVT, PE

Class: Anticoagulant

Key fact: Monitor PTT, antidote is protamine sulfate

14. Warfarin

Use: DVT, PE

Class: Anticoagulant

Key fact: Monitor international normalized ratio (INR), avoid vitamin K-rich foods

Antidiabetic Medications

15. Insulin

Use: Diabetes mellitus (DM) 1 & 2

Key fact: Lispro (rapid), regular (IV for DKA), NPH (intermediate), glargine (no peak); watch for hypoglycemia

16. Glipizide

Use: DM II

Class: Sulfonylurea

Key fact: Risk of hypoglycemia, take with food, assess allergy to sulfa drugs

17. Metformin

Use: DM II

Class: Biguanide

Key fact: Does not cause hypoglycemia; risk of lactic acidosis

Respiratory Medications

18. Albuterol

Use: Acute asthma or COPD exacerbation

Class: Short-acting beta agonist (SABA)

Key fact: Watch for tachycardia 

19. Fluticasone

Use: Manage allergies or asthma

Class: Corticosteroid

Key fact: Rinse mouth after inhaler use

20. Ipratropium

Use: COPD or asthma

Class: Anticholinergic

Key fact: Commonly causes dry mouth

21. Montelukast

Use: Asthma or allergy prevention

Class: Leukotriene receptor antagonist

Key fact: Take at night

22. Salmeterol

Use: Long-term asthma or COPD management

Class: Long-acting beta agonist (LABA)

Key fact: Not for acute respiratory exacerbations

Pain Management

23. Acetaminophen

Use: Mild to severe pain, fever

Class: Analgesic, Antipyretic

Key fact: Max 4g/day; antidote is acetylcysteine; caution with liver/kidney impairment

24. Ibuprofen

Use: Mild to severe pain

Class: Nonsteroidal antiinflammatory (NSAID)

Key fact: Take with food to prevent GI upset; caution with bleed risk

25. Morphine

Use: Severe pain

Class: Opioid

Key fact: Monitor level of consciousness (LOC), watch for respiratory depression, antidote is naloxone

26. Oxycodone

Use: Moderate to severe pain

Class: Opioid

Key fact: Monitor LOC, watch for respiratory depression, not intended for long-term use

GI Medications

27. Docusate sodium

Use: Constipation

Class: Stool softener

Key fact: Promotes bowel movements

28. Pantoprazole

Use: GERD

Class: Proton pump inhibitor (PPI) (-azole)

Key fact: Take before first meal of day; long-term use increases risk for fractures

Neuro/Mental Health Medications

29. Alprazolam

Use: Anxiety and panic disorders

Class: Benzodiazepine

Key fact: Risk of dependence, do not stop taking suddenly

30. Donepezil

Use: Mild to moderate dementia (Alzheimer disease)

Class: Acetylcholinesterase inhibitor

Key fact: Take at bedtime, may cause GI upset

31. Fluoxetine

Use: Depression, anxiety disorder

Class: Selective serotonin reuptake inhibitor (SSRI)

Key fact: Monitor for serotonin syndrome (fever, confusion); 4-6 weeks to take effect

32. Gabapentin

Use: Seizure prophylaxis or neuropathic pain

Class: Anticonvulsant 

Key fact: Taper off slowly; avoid alcohol

33. Haloperidol

Use: Acute psychosis, schizophrenia

Class: Neuroleptic (nonphenothiazine) 

Key fact: Watch for extrapyramidal symptoms (EPS), QT prolongation, neuroleptic malignant syndrome (NMS)

34. Lithium

Use: Bipolar disorder (mania), schizophrenia

Class: Mood stabilizer

Key fact: Narrow therapeutic range (0.6–1.2), avoid dehydration

35. Olanzapine

Use: Schizophrenia, bipolar disorder, depression

Class: Atypical antipsychotic

Key fact: Watch for weight gain, metabolic syndrome

36. Memantine

Use: Moderate to severe dementia (Alzheimer disease)

Class: NMDA receptor antagonist

Key fact: May cause dizziness or rash

37. Phenytoin

Use: Seizures

Class: Anticonvulsant (hydantoin)

Key fact: Monitor therapeutic range (10-20 mcg/mL); watch for gingival hyperplasia

38. Zolpidem

Use: Insomnia

Class: Sedative-hypnotic (nonbenzodiazepine)

Key fact: Meant for short-term use; avoid other CNS depressants

Antibiotics/Antivirals

39. Amoxicillin

Use: Respiratory infections, urinary tract infections, etc.

Class: Broad-spectrum penicillin

Key fact: Watch for allergy, take full antibiotic course

40. Azithromycin

Use: Upper and lower respiratory, sexually transmitted, and skin infections

Class: Macrolide

Key fact: QT prolongation, take on an empty stomach

41. Ciprofloxacin

Use: Respiratory, urinary, skin, eye, and ear infections

Class: Fluoroquinolone

Key fact: Risk of tendon rupture; avoid in pediatrics

42. Gentamicin

Use: Serious infections including sepsis, MRSA, and endocarditis 

Class: Aminoglycoside

Key fact: Watch for ototoxicity and nephrotoxicity

43. Metronidazole

Use: Anaerobic bacterial infections, Clostridioides difficile infection, acne rosacea 

Class: Nitroimidizole

Key fact: NO alcohol; causes disulfiram-like reaction

44. Vancomycin

Use: Serious infections like endocarditis, MRSA, Clostridioides difficile, and respiratory/skin/bone infections

Class: Glycopeptide

Key fact: Monitor for vancomycin flushing syndrome (red man syndrome); monitor trough levels

OB

45. Methylergonovine

Use: Prevention and treatment of postpartum hemorrhage

Class: Uterotonic

Key fact: Avoid with hypertension

46. Oxytocin

Use: Labor induction or prevention and treatment of postpartum bleeding

Class: Uterotonic (oxytocic agent)

Key fact: Monitor for uterine hyperstimulation, fetal intolerance

Other Need-to-know Medications

47. Levothyroxine

Use: Hypothyroidism

Class: Thyroid hormone

Key fact: Take on an empty stomach in the morning

48. Epoetin alfa

Use: Anemia

Class: Biologic response modifier

Key fact: Stimulates RBCs; monitor Hgb; risk of hypertension

49. Potassium chloride

Use: Hypokalemia

Class: Electrolyte replacement

Key fact: NEVER push IV; dilute to avoid phlebitis; monitor potassium levels and cardiac rhythm

50. Methotrexate

Use: RA, cancer

Class: Folic acid antagonist 

Key fact: Avoid in pregnancy; monitor bone marrow suppression, liver function

How do you memorize the most common NCLEX medications to study?

1. Break down the material into digestible chunks.

It can be overwhelming to think about reviewing everything you learned in pharmacology, right? If you’re feeling this way, try breaking these 50 most common medications for NCLEX prep into manageable chunks. Group and prioritize the material in a way that makes sense to you. 

Here are some examples:

Focus on medication classes. 

Learn your mechanisms of action, common side effects, and any pertinent safety information.

Don’t dive into every individual medication in a drug class. Instead, focus on key examples within the drug class. 

Example: Use metoprolol for beta blockers.

Group medications by system.

Study medications and medication classes by the body system that they’re intended to be used for.

Example: The cardiovascular system involves beta blockers, ACE inhibitors, calcium channel blockers, etc.

Prioritize “must know” medications.

The NCLEX will test your knowledge and understanding of drugs that are common in practice or present possible safety issues.

If you need help figuring that list out, go back up to our list of the 50 most common medications and take a screenshot (or even print it out) for easy reference!

2. Use memory tools. 

Use memory tools, mnemonics, songs, acronyms—whatever works for you! Memory tools can help solidify key concepts of pharmacology in your mind (I always found the sillier the memory tool, the better!). 

For example, use “SPironoloactone – Spares Potassium” to remember that spironolactone is a potassium sparing diuretic! The goal is to make learning the 50 most common medications for the NCLEX, or any nursing subject, fun and memorable!

3. Use active recall!

Active recall is a study method where you actively retrieve information from memory, rather than passively reviewing it. A great tool for this is the Feynman technique:

Here’s how it works: Take what you’re studying and put complex ideas into simple terms. For example, pretend you’re teaching a patient about a new medication. Finding a way to talk about the medication in your own words forces you to truly understand the material, not just memorize it. 

Engaging with the material this way helps strengthen your knowledge and makes it easier to recall at another time…like during the NCLEX!

4. Find a Qbank to practice answering NCLEX-style questions.

This is a tip that we cannot stress enough! Personally, I split my study time between active recall study sessions and using a Qbank for NCLEX practice questions. Including NCLEX practice question sessions in your studying will help you practice recalling information and get you into the real deal RN mindset! 

Speaking of Qbanks, check out Blueprint’s NCLEX Qbank with 1,000+ practice questions based on the NCSBN NCLEX Test plan!

Want a sneak peek of the Qbank? Here’s one of our pharmacology questions straight from the Qbank:

Practice Question

The nurse in the labor and delivery unit is monitoring a client who is receiving intravenous (IV) oxytocin. The client demonstrates an adequate contraction pattern with contractions every 2–3 minutes, lasting 50–60 seconds. Which of the following actions should the nurse take? 

A) Decrease the infusion rate per the provider’s order.

B) Discontinue the infusion per the provider’s order.

C) Document and continue to monitor.

D) Increase the infusion rate per the provider’s order.

Correct Answer: C

Oxytocin is a synthetic hormone that stimulates the smooth muscle contraction of the uterus during labor induction. It can be used to strengthen uterine contractions during labor, control postpartum hemorrhage, and decrease uterine atony. The rate of infusion of oxytocin given during labor should be titrated based on uterine and fetal response. Once labor has begun, the goal of oxytocin administration is to promote an adequate contraction pattern that progresses labor with contractions every 2–3 minutes that last 50–60 seconds. Since the client has met this goal, the nurse should document the findings and continue to monitor them (3). Maternal vital signs, fetal heart rate, and contractions should be monitored closely to adjust the infusion as needed.

Why are the other choices incorrect?

The client is exhibiting an adequate contraction pattern, and it is not necessary to decrease the infusion rate (1). However, if the client develops tachysystole, more than five contractions within 10 minutes for two consecutive 10-minute periods, then it would be appropriate for the nurse to decrease the infusion rate per the provider’s order. As long as the client and the fetus are hemodynamically stable, there is no indication for the nurse to discontinue the infusion (2). If there is fetal distress or signs of intolerance, the infusion may be discontinued after notifying the provider. Increasing the infusion rate (4) could increase the risk of tachysystole and complications such as fetal distress or uterine rupture. Excessive and frequent contractions reduce blood flow to the uterus and placenta and can stretch the uterine muscle, making it prone to tearing. The nurse should monitor the client for increased pain, loss of contractions, and fetal heart rate decelerations. 

Where are some other places to get practice?

Need to find resources to help get you going? Check out some of our study essentials:

👩‍💻 NCLEX Live Study Group

📚 NCLEX Self-Paced Crash Course

📈 NCLEX Qbank (Sign up for a FREE sneak peek!)

🍎 FREE NCLEX Prep Classes

📱Our TikTok (Check out Abby’s medication Mondays!)

Final Thoughts

Alright, those are the 50 most common medications for NCLEX prep and how to study like a pharmacology pro! Remember, it’s not all about memorizing every detail for every medication! It’s about knowing how to focus on your med class basics, some specific key facts, and safety considerations that would impact your client on the NCLEX and in real life.

Just be consistent with your studying and let us be your study buddy along the way. Now, go crush it!

Looking for even more (free!) content to help you crush the NCLEX? Check out these other cheat sheets:

😷 Isolation & PPE

🪜 Prioritization

🔬 Lab Values

💊 Pharmacology

Pharmacology may not be the most fun topic, but trust us—it’s a big deal, especially when it comes to the NCLEX! From understanding how different medications work to knowing their side effects, a solid grasp of pharmacology is crucial for passing the exam and being a real-deal registered nurse. 

The NCLEX isn’t just about memorizing facts—it’s about applying your knowledge to real-life situations with patients. In this blog post, we’re diving into why NCLEX pharmacology should be at the top of your study list to help you rock your exam (and your nursing career)!

Here’s an NCLEX pharmacology cheat sheet you can use to prepare for exam day. 

📘 Grab the Essential NCLEX Cheat Sheet!

Looking for a comprehensive NCLEX cheat sheet for vitals, conversions, key conditions, and more?
Download yours for FREE today!

Top NCLEX Pharmacology Topics

Antibiotics

Examples:

• Penicillins
• Cephalosporins
• Macrolides
• Vancomycin

Cardiac Medications

Examples:

• ACE inhibitors
• Beta-blockers
• Calcium channel blockers

Diuretics

Examples:

• Loop diuretics
• Thiazides

Pain Management

Examples:

• Opioids
• NSAIDS

Diabetes Medications

Examples:

• Insulin
• Oral hypoglycemics

Psychiatric Medications

Examples:

• SSRI
• Benzodiazepine
• Antipsychotics

High Alert Medications

Insulin

You’ll want to understand types, timing, and hypoglycemia risks. Check out this video on insulin types and administration:

Anticoagulants

Examples:

• Heparin
• Warfarin

You’ll want to know how to monitor aPTT, PT/INR, drug interactions, and signs and symptoms of bleeding to watch out for.

Chemotherapeutic Agents

Know handling, administration, and side effects to watch for.

Opioids

Know dosing, high-risk for respiratory depression, and management of overdoses/toxicity.

Safety

Dosage Calculations

Check out this med math breakdown video:

Routes of Administration

6 Rights

• Right client
• Right route
• Right medication
• Right dose
• Right time
• Right documentation

Important Antidotes

• Naloxone for opioids
• Vitamin K for warfarin
• Protamine sulfate for heparin
• Acetylcysteine for acetaminophen

Want more helpful videos for NCLEX prep?

For great content that’ll help you prepare for NCLEX pharmacology questions, be sure to check out these videos on our YouTube channel!

• NSAIDs
• Lithium
• Immunosuppressants
• Albuterol
• Dobutamine
• Insulin
• Oxytocin
• Nitroglycerin
• Metronidazole
• Metoprolol
• Vaccine schedule
• Beta blockers vs calcium channel blockers

NCLEX Pharmacology Practice Question

Check out this sample question from our Qbank:

A health care provider orders omeprazole 20 mg oral daily for a client diagnosed with gastroesophageal reflux disease (GERD). Before administering this medication, the nurse reviews the client’s medical history. Which of the following considerations is a priority to evaluate to ensure the appropriateness of the order?

1. The client’s blood pressure, as omeprazole can cause significant hypertension.
2. The client’s current use of antacids, as concurrent use with omeprazole is contraindicated.
3. The client’s history of Helicobacter pylori infection, as omeprazole can increase the risk of gastric ulcers.
4. The client’s liver function tests, as caution should be used with hepatic impairment.

The correct answer is 4. 

Why is number 4 correct? 

Omeprazole is a proton pump inhibitor (PPI) used to treat GERD, peptic ulcer, dyspepsia, Zollinger-Ellison syndrome, and Helicobacter pylori (H. pylori) infection. It suppresses gastric acid secretion by inhibiting the hydrogen/potassium adenosine triphosphatase enzyme system in the gastric parietal cells, blocking the final step of acid production. Omeprazole relieves symptoms of gastrointestinal irritation (e.g., heartburn) and can heal or prevent stomach ulcers. The liver is responsible for the metabolism of omeprazole, and there is a possibility of hepatic injury. Therefore, the nurse should evaluate the client’s liver function tests (4) and notify the provider if hepatic impairment is indicated. 

Why are the other choices incorrect?

Omeprazole is not known to cause hypertension. Evaluating the client’s blood pressure (1) is not a priority to ensure the appropriateness and accuracy of the order. Antacids (2) are commonly used to treat symptoms of GERD and are considered safe to administer with omeprazole. However, antacids can delay the absorption of other drugs, so they should be administered separately. A combination of antibiotics and PPIs are used to treat H. pylori (3), and omeprazole is commonly prescribed to clients with the infection. By lowering acid levels in the stomach, omeprazole prevents, not increases, the formation of gastric ulcers and aids in healing existing ulcers. 

Tips for Answering NCLEX Pharmacology Questions

1. Focus on understanding the drug class.

Instead of memorizing individual drugs, focus on understanding the drug class. Many drugs in the same class have similar effects, side effects, and contraindications.

For example, if you know lisinopril (ACE inhibitor), you can apply similar knowledge to other ACE inhibitors.

2. Focus on common and severe side effects.

3. Memorize endings:

• Beta blockers end in “olol.” 
• Statins end in “statin.” 
• Proton pump inhibitors end in “prazole.” 
• ARBs end in “sartan.”

4. Pay attention to high alert/high risk meds (listed above).

5. Consider safety! 

The NCLEX is a test about safety, ensuring you can be a safe, competent, new nurse! Focus on patient safety and prioritizing what’s most urgent or potentially harmful.

6. PRACTICE, PRACTICE, PRACTICE!

If you don’t know where to start finding study materials, we have amazing resources over at Blueprint, specifically our NCLEX Complete Self-Prep Package! The package includes 23 hours of video lessons, 2,000 Qbank questions, personalized study planner, and more—plus, it’s completely free for 60 days. 🤩

Final Thoughts

This study tool can definitely help you prepare for NCLEX pharmacology questions. Be sure to take full advantage of it! Best of luck with your NCLEX pharmacology preparation, and remember, you will pass! 

Looking for more (free!) resources to help you ace the NCLEX? Check out these other posts on the blog:

• The Ultimate NCLEX Lab Values Cheat Sheet
• How Long Should You Study for the NCLEX?
• How To Pass the NCLEX (the First Time You Take It)!

If you’re gearing up to take your NCLEX, you’ve probably heard a lot about delegation in nursing practice! Mastering the art of delegation is like a secret superpower—you can’t do everything by yourself, so when do you share the responsibility with other team members? 🤝

In this guide, we’ll explore the ins and outs of delegation in nursing, covering everything from which tasks to delegate and who you can delegate to. By the end, you’ll have a solid grasp of how delegation works in a clinical setting and feel more confident when tackling those delegation questions on the NCLEX!

What is Delegation in Nursing?

Delegation in nursing is the assignment of specific tasks from an RN to other members of the health care team. This process is important for managing workloads and making sure that clients receive timely, quality care. While delegation can lighten the load on RNs, it still requires accountability and follow-up to make sure the task is completed!

When it comes to the NCLEX, delegation questions test your ability to assess and manage workloads efficiently. You’ll need to be able to identify which tasks can be delegated safely and appropriately, considering the skills and scope of practice of your other team members.

So, Who Can RNs Delegate To?

Good question! RNs can delegate tasks to a few different team members, including:

Unlicensed Assistive Personnel (UAPs):

These are team members without a nursing license who assist with basic patient care. They play a supportive role under the direct supervision of licensed staff.

Licensed Practical Nurses (LPNs)/Vocational Nurses (VNs):

LPNs and VNs have more training than UAPs and have a nursing license. They can perform more complex tasks, but still require oversight from a RN.

Other Registered Nurses:

RNs can delegate tasks to other RNs, especially in situations that require specialized skills or additional support!

Tasks Delegated to a UAP

UAPs provide essential support in patient care. Tasks typically delegated to UAPs include:

• Wellness Care: UAPs can assist clients with hygiene (bathing and toileting) as well as feeding.
• Assisting with Ambulation: Helping clients move safely prevents falls and encourages mobility, aiding in recovery and well-being.
• Vital Signs and Monitoring: While UAPs can take vital signs and obtain blood glucose levels, RNs must interpret these measurements and decide on care adjustments.

Tasks Delegated to an LPN/VN

Licensed Practical Nurses and Vocational Nurses handle more complex tasks than UAPs, such as:

• Medication Administration: LPNs can administer most medications, excluding high-risk medications that require precise titration or special monitoring.
• Basic Wound Care: LPNs can perform wound dressing changes or manage uncomplicated wounds.
• Patient Monitoring: LPNs can monitor clients post-surgery or during treatment, reporting changes to RNs for further assessment.

Tasks Delegated to an RN

Registered nurses have the skillset to perform a wide range of complex tasks, including:

• Initial Assessments: RNs conduct comprehensive assessments to establish baseline data and develop care plans.
• Patient Education: Educating clients and families about care plans, medications, and procedures.
• Complex Medication Administration: Administering intravenous (IV) push medications, high-risk, or those requiring titration is typically reserved for RNs due to potential risks.

Delegation in Nursing NCLEX Questions

For a hands-on look at how to approach delegation questions on your NCLEX, check out our video walkthrough below:

Conclusion

By understanding who you can delegate tasks to, you can make the most of your team’s strengths and give the highest-quality care. Remember, effective delegation isn’t just about assigning tasks—it’s also about working together to achieve the best outcomes for your clients. 💜

Teamwork makes the dream work, which goes for your NCLEX prep as well! If you’re looking for more support during your study period, consider joining our NCLEX Live Study Group and learn from real-deal nurses who can answer all of your NGN questions 🫶

For more (free!) NCLEX resources, check out these other posts on the Blueprint Nursing blog:

• Get a Head Start with These Free NCLEX Cheat Sheets!
• Top NCLEX Test Taking Strategies
• Types of NCLEX Questions: The Ultimate Guide

The NCLEX (National Council Licensure Examination) is a standardized exam that provides licensure to nurses. The NCLEX is a significant milestone and the final step before beginning a career in nursing. Preparation is crucial to success on this exam. One of the best ways to prepare for the NCLEX is to become familiar with the kinds of questions you’ll encounter. In this blog post, we’ll discuss the various types of NCLEX questions so you’ll be able to navigate through them confidently. 

Here’s what you can expect to see on the exam. 

The Ultimate Guide to NCLEX Question Types

Multiple-Choice

Multiple-choice questions are the most common type of question on the NCLEX. Multiple-choice questions typically present a clinical scenario followed by four multiple-choice options. There’s one correct answer for these questions, while the other choices are distractors. 

To excel at these kinds of questions, you must carefully read each question, identify keywords, and reduce the answer choices as you determine which are incorrect. Remember to think critically and take your time to identify the best answer. 

Select All That Apply (SATA)

Select all that apply, or multiple-response questions, require you to select all the correct answers from a list of choices. These questions require critical thinking and a comprehensive understanding of the topic. 

Previous versions of the NCLEX exam did not allow for partial credit, but that’s changed! You may now receive partial credit for the correct answers you selected, even if you didn’t select all the correct answers or one incorrect answer. When answering these questions, it’s essential to carefully evaluate each option and ensure it aligns with your topic or scenario. 

Next-Generation NCLEX Questions

Since the introduction of the NCLEX Next Generation (NGN), there have been a few updates to the types of questions that are on the exam. Let’s review the new kinds of questions you might see on the NCLEX. Here they are, in no particular order: 

Case Study

There’s approximately three case studies per exam. Each case study has six NGN-style questions within it. When completing a case study, you’ll work through client scenarios on a screen with several tabs that you’re able to click through. 

Tabs may include: 

• Assessments
• Nurses’ notes
• Lab or test results 

Highlight

You’ll be asked to highlight your answer from specific selectable text. You may see this in a:

• Paragraph 
• Table
  • Dissolving Fears of NextGEN NCLEX: Highlight Table Questions
  • Data is presented in a table format.
    • Assessment findings 
    • Lab results 
  • You’ll use your mouse to move over the highlight table areas (they’ll be obvious) and click your mouse to highlight the answer. 
• You may be asked to highlight critical actions or signs and symptoms. Think of this as a different version of SATA!

Matrix

A matrix question is a multiple-choice question! You’ll be given a client scenario and a grid. The grid will have 4-10 rows with 2-3 columns. 

You’ll have to go through each row and select the correct answer (there’s only one). 

For example, you may be given a client scenario. From there, you may have a matrix with a column titled “Symptoms,” with a list of symptoms in each row. From there, the remaining columns may say “Improved,” “Worsened,” or “No change noted,” and you’ll need to select the corresponding column to match the symptoms in each row.

Bowtie

Think of this as a more complex drag-and-drop question! You’ll be given client information on the left side of your screen, with a drag-and-drop question on the right side of the screen. 

This drag-and-drop format is in the shape of a bowtie! 

Drop-Down

Cloze

When you hear “cloze,” think “Fill in the blank.” It sounds way less scary, right? 

You’ll be provided a client scenario and asked to fill in segments of it with answer choices from a drop-down menu.

Table

You’ll be given a table with a few rows for this question type. In each row, you’ll have a question with a drop-down answer to select. Each drop-down question will have 3-5 choices to pick from. 

Don’t let this scare you! Just think of it as a multiple-choice question, with 3-5 answer choices, but in a drop-down menu format!

Rationale

In these questions, you’ll be providing rationales! Consider a client scenario where an urgent intervention by the nurse is necessary.

You’ll need to select, from a drop-down menu, what the intervention is, then select why the nurse must complete that intervention based on the client scenario provided to you.

Drag & Drop

Cloze

There’s that word again…cloze! Remember, it just means a fill-in-the-blank question. So this question type is precisely what it sounds like. You’ll need to drag and drop your answer into a sentence. 

Rationale

Similar to the rationale drop-down questions, you’ll need to provide rationales. This time, you’ll select from multiple answer choices and drag and drop them to fill in a sentence. 

For example, if a client’s heart rate reading is ______, the client is at the highest risk of ____ and ____. 

From there, you would drag and drop your answers into place!

Multiple Response

Select “N”

Grouping

(This question is just multiple SATA questions grouped together!)

Further Reading

And so, those are the questions you can expect to see on your NCLEX Next Generation exam. Check out our YouTube channel if you’re looking for more examples and visuals of these question types. You’ll find many great resources to help you get ready for your exam!

Or, if you prefer to read another article, check out these other posts on the Blueprint Nursing blog!

• Top NCLEX Test Taking Strategies
• How Many Times Can You Take the NCLEX?
• NCLEX Exam FAQs: When to Take It, What to Bring, & More!