NCLEX-PN
Pharmacology NCLEX Questions Questions
Extract:
Question 1 of 5
A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of 'feeling hot.' Almost immediately, the client begins to wheeze. What is the nurse's first action?
Correct Answer: A
Rationale: Stop the blood infusion. If a reaction of any type is suspected during administration of blood products, stop the infusion immediately, keep the line open with saline, notify the health care provider, monitor vital signs and other changes, and then send a blood sample to the lab.
Question 2 of 5
A client is receiving dexamethasone (Decadron) therapy. What should the nurse plan to monitor in this client?
Correct Answer: B
Rationale: The drug Decadron increases gluconeogenesis. This may lead to hyperglycemia.
Therefore the blood sugar level and acetone production must be monitored.
Question 3 of 5
Which of the following persons would be least likely to receive tetracycline?
Correct Answer: B
Rationale: Tetracycline can damage developing teeth in fetuses and children under 8, making the pregnant woman least likely to receive it.
Question 4 of 5
Aluminum hydroxide gel (Amphojel) is ordered for an adult who has acute renal failure. What is the primary reason for administering this drug to this client?
Correct Answer: B
Rationale: In renal failure, aluminum hydroxide binds phosphates in the gut, reducing hyperphosphatemia, a common complication.
Question 5 of 5
A 17-year-old client has been recently diagnosed as having diabetes mellitus Type 1. Insulin is prescribed. The client asks why insulin can't be taken by mouth. What is the best answer for the nurse to give?
Correct Answer: C
Rationale: Insulin is a protein destroyed by gastric enzymes, requiring injection for effective delivery.