NCLEX-RN
Pharmacological and Parenteral Therapies NCLEX RN Questions Questions
Question 1 of 5
The nurse is teaching a group of student nurses about drug safety. Keeping in mind Joint Commission guidelines, which of the following does the nurse teach the students? Select all that apply.
Correct Answer: A,B
Rationale: Joint Commission guidelines prohibit abbreviating drug names (
A) and QD (
B) to prevent errors. PR is acceptable (C is incorrect), OD is unsafe for eyes (
D), and ‘u' for units (E) risks confusion with zero.
Question 2 of 5
A client diagnosed with bipolar disease is receiving a maintenance dosage of lithium carbonate. His wife calls the community mental health nurse to report that her husband is displaying mild aggression and poor judgment. Which intervention is appropriate?
Correct Answer: C
Rationale: Mild aggression and poor judgment may indicate lithium toxicity or subtherapeutic levels, requiring a blood level check to guide management.
Question 3 of 5
The nurse is providing discharge teaching to a client who has been prescribed prednisone. The nurse instructs the client to report which symptom to the health care provider?
Correct Answer: B
Rationale: Anxiety or confusion may indicate corticosteroid-induced psychosis or mood changes, which require prompt reporting. Increased appetite and minor weight gain are common, and bounding pulses are not typical.
Question 4 of 5
The nurse is reviewing a client's morning medication orders. Which of the following orders would prompt the nurse to call the health care provider for order clarification?
Correct Answer: B
Rationale: Haloperidol 15 mg IM q4h prn is a high dose, risking extrapyramidal side effects, and requires clarification. Famotidine (
A), lithium (
C), and amoxicillin (
D) doses are standard.
Question 5 of 5
The nurse is working in the mental health unit and is educating a group of student nurses about atypical antipsychotics. Which statement by one of the student nurses requires further teaching about this class of drugs?
Correct Answer: A
Rationale: Atypical antipsychotics are associated with tachycardia, not bradycardia, requiring further teaching. Diabetes, weight gain, and neuroleptic malignant syndrome are known risks.