NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions
Question 1 of 5
When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?
Correct Answer: C
Rationale: The cardinal signs of respiratory problems and hypoxia are restlessness, diaphoresis, tachycardia, and cool skin. Bradycardia might occur much later in the process when the condition is severe. Eupnea is normal respirations in rate and depth.
Question 2 of 5
Which of the following nursing diagnoses is most appropriate for the client experiencing acute pancreatitis?
Correct Answer: C
Rationale: Acute Pain is most appropriate for the client experiencing acute pancreatitis, as pancreatitis causes severe abdominal pain due to inflammation and autodigestion of the pancreas.
Question 3 of 5
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Correct Answer: B
Rationale: Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency.
Question 4 of 5
A nurse is working in a pediatric clinic and a 25 year-old mother comes in with a 4 week-old baby. The mother is stressed out about loss of sleep and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?
Correct Answer: D
Rationale: Neural warmth will help to lower the baby's agitation level, soothing the colic symptoms.
Question 5 of 5
When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:
Correct Answer: A
Rationale: HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge - even taking a dose late.
Choice B is incorrect because, when the virus is kept in check with anti-retrovirals, the client's own immune system is able to keep opportunistic infections at bay.
Choices C and D are incorrect because therapy should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be prescribed.