NCLEX-RN
NCLEX RN Pharmacology and Parenteral Therapies Quiz Questions
Question 1 of 5
The nurse is caring for a client who is taking bethanechol chloride (Urecholine) for neurogenic bladder. Which of the following does the nurse understand is correct concerning this medication?
Correct Answer: D
Rationale: Bethanechol, a cholinergic, stimulates bladder contraction but can cause cholinergic crisis; atropine (
D) reverses this. It's not for obstruction (
A), only given PO (
B), and taken on an empty stomach (
C).
Question 2 of 5
The nurse has an order to administer enoxaparin (Lovenox) 40 mg subcutaneously. When the automatic medication dispenser opens, however, the nurse finds enoxaparin 80 mg in the pocket. Which is the correct action by the nurse?
Correct Answer: A
Rationale: Notifying the pharmacy (
A) corrects the dispensing error safely. Skipping the dose (
B) risks treatment failure, calling the provider (
C) is unnecessary, and wasting half (
D) is unsafe without proper dose verification.
Question 3 of 5
The mental health unit nurse is precepting a student nurse. Together they are caring for a client with schizophrenia. The nurse asks the student nurse to select the atypical antipsychotic from the client's medication list. The nurse anticipates the student nurse to select which medication?
Correct Answer: C
Rationale: Risperidone is an atypical antipsychotic, effective for schizophrenia with fewer extrapyramidal side effects than typical antipsychotics like loxapine, thioridazine, and haloperidol.
Question 4 of 5
The charge nurse is working with a student nurse who reports that her assigned client has severe flushing of the upper body following an IV antibiotic infusion. The charge nurse understands that the antibiotic likely responsible for this 'red man syndrome' is which medication?
Correct Answer: D
Rationale: Vancomycin, when infused too rapidly, causes red man syndrome, characterized by flushing and erythema of the upper body.
Question 5 of 5
The nurse is caring for a client with multiple IV medications. Which of the following drugs are compatible?
Correct Answer: D
Rationale: Furosemide and ondansetron are compatible for IV administration. Vancomycin/heparin, nitroglycerin/dopamine, and sodium bicarbonate/dobutamine have known incompatibilities due to pH or precipitation risks.