NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
Correct Answer: A
Rationale: Pursed-lip breathing will help decrease the volume of air expelled by increased bronchial airways.
Question 2 of 5
The client undergoing detoxification from chronic alcohol abuse is to receive Phenobarbital 120 mg IM and promethazine 50 mg IM. Which explanation by the nurse about using this medication combination is correct?
Correct Answer: B
Rationale: Promethazine (Phenergan) potentiates the CNS depression of phenobarbital, producing a greater sedative effect.
Question 3 of 5
The nurse is storing vaccines for future use. What should the nurse do so they are properly stored? Select all that apply.
Correct Answer: B,D,E,F
Rationale: A: Not all vaccines are refrigerated; some vaccines will be inactivated by refrigeration and freezing. B: Periodic checking for expiration dates is necessary to ensure that outdated vaccines are not administered. C: Not all bulk supplies should be placed in a freezer; some vaccines are inactivated by freezing. D: When refrigeration is required, a main shelf inside the refrigerator is best because a shelf in the door will have frequent temperature changes that will alter the potency of the vaccine. E: Storing food and beverage in the same unit may result in frequent opening of the unit, leading to greater chance of temperature instability and light exposure. Contamination may also result. F: Aluminum foil or packaging can be used to protect light-sensitive vaccines.
Question 4 of 5
The HCP prescribes risperidone to manage the hallucinations of the client diagnosed with paranoid schizophrenia. Which client statements reflect a need for further education regarding the medication's side effects? Select all that apply.
Correct Answer: A,B
Rationale: Constipation, not diarrhea, and hypotension, not hypertension, are side effects of risperidone, indicating a need for further education.
Question 5 of 5
The LPN is teaching a 25-year-old client about HPV. Which statements made by the client indicate understanding of the teaching? Select all that apply.
Correct Answer: B
Rationale: HPV infection is common and most adults will have HPV at some point in their life. It can be transmitted via skin-to-skin contact as well through vaginal, anal, or oral sex. HPV infections can cause cancer, though most infections will disappear within two years. Transmission of HPV can occur even if someone is not symptomatic of infection. The HPV vaccine is recommended for children age 9 up to adults age 26. The only way to help prevent sexual transmission of HPV between partners is with condom use.