NCLEX-PN
Pharmacology Questions NCLEX Questions
Extract:
Question 1 of 5
A 13-month-old child is admitted to the emergency room with salicylate poisoning. Her mother found her beside the empty bottle of adult aspirin. She says there were 'about 10' aspirin left in the bottle. What manifestations would the nurse most expect to see in the child?
Correct Answer: B
Rationale: Salicylate poisoning causes metabolic acidosis, leading to hyperventilation, and stimulates the CNS, causing fever (hyperpyrexia).
Question 2 of 5
You are caring for a hypertensive client with a new order for captopril (Capoten). Which information should the nurse include in client teaching?
Correct Answer: C
Rationale: Avoid the use of salt substitutes. Captopril can cause an accumulation of potassium or hyperkalemia. Clients should avoid the use of salt substitutes, which are generally potassium-based.
Question 3 of 5
The nurse is to administer a subcutaneous (SC) injection. Which technique is correct?
Correct Answer: B
Rationale: The skin should be pinched, and a 25-gauge needle should be inserted at a 45-degree angle. Answer 1 describes an IM injection. Answer 3 describes an intradermal injection.
Question 4 of 5
A client is receiving digitalis. The nurse should instruct the client to report which of the following side effects?
Correct Answer: A
Rationale: Nausea, vomiting, fatigue. Side effects of digitalis toxicity include fatigue, nausea, vomiting, anorexia, and bradycardia. Digitalis inhibits the sodium potassium ATPase, which makes more calcium available for contractile proteins, resulting in increased cardiac output.
Question 5 of 5
The client complains of leg cramps at night. Which medication should the nurse anticipate the HCP ordering to help relieve the leg cramps?
Correct Answer: A
Rationale: Quinine is historically used for nocturnal leg cramps, though off-label due to risks. Muscle relaxants, sedatives, or opioids are less specific.