NCLEX-PN
Pharmacology on NCLEX Questions
Extract:
Question 1 of 5
A 48-year-old man is in the emergency room. He has crushing substernal pain and is diaphoretic, apprehensive, and ashen gray in color. The cardiac monitor shows runs of premature ventricular contractions. Which drug is most likely to be given to this client?
Correct Answer: A
Rationale: Lidocaine is used to treat ventricular arrhythmias, such as premature ventricular contractions, in acute coronary syndrome.
Question 2 of 5
An adult client has been diagnosed as having rheumatoid arthritis and is started on piroxicam (Feldene) 20 mg daily. Two days later, the client calls the nurse and says that her joints still hurt. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Piroxicam, an NSAID, may take up to two weeks for full anti-inflammatory effects.
Question 3 of 5
The nurse is administering an intramuscular (IM) injection to a client. When the nurse aspirates, there is a blood return. What is the most appropriate action for the nurse to take?
Correct Answer: C
Rationale: The nurse should not inject medication that has blood in it. Blood may interact with the medication and cause an adverse response.
Question 4 of 5
A child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. Which of the following side effects is most likely to occur?
Correct Answer: C
Rationale: Swollen and tender gums occur often with use of phenytoin. Good oral hygiene and regular visits to the dentist should be emphasized.
Question 5 of 5
A 68-year-old man has been diagnosed as having Parkinson's disease. He is started on Cogentin 0.5 mg PO daily. Which nursing action is most essential at this time?
Correct Answer: B
Rationale: Cogentin, an anticholinergic, causes dry mouth; encouraging cold beverages and hard candies helps manage this side effect.