NCLEX-PN
Pharmacology on NCLEX Questions
Extract:
Question 1 of 5
A client is scheduled for an intravenous pyelogram (IVP). After the contrast material is injected, which of the following client reactions should be reported immediately?
Correct Answer: D
Rationale: Hives. This is a sign of anaphylaxis and should be reported immediately. The other reactions are considered normal and the client should be informed that they may occur.
Question 2 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.
Question 3 of 5
A client is scheduled for an intravenous pyelogram (IVP). After the contrast material is injected, which of the following client reactions should be reported immediately?
Correct Answer: D
Rationale: Hives. This is a sign of anaphylaxis and should be reported immediately. The other reactions are considered normal and the client should be informed that they may occur.
Question 4 of 5
A child presents to the Emergency Department with documented acetaminophen poisoning. In order to provide counseling and education for the parents, which principle must the nurse understand?
Correct Answer: B
Rationale: Hepatic problems may occur and may be life-threatening. Clinical manifestations associated with acetaminophen poisoning occur in 4 stages. The third stage is hepatic involvement which may last up to 7 days and be permanent. Clients who do not die in the hepatic stage gradually recover.
Question 5 of 5
The client with coronary artery disease is prescribed one (1) baby aspirin a day. Which instructions should the nurse provide the client concerning this medication?
Correct Answer: D
Rationale: Dark, tarry stools suggest GI bleeding, a serious aspirin side effect, requiring HCP notification. Empty stomach, Tylenol, or joint pain are less critical.