NCLEX-PN
NCLEX Health Promotion and Maintenance Questions
Extract:
Question 1 of 5
A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren't going away. Which of the following medications may be necessary?
Correct Answer: A
Rationale: Thrush, a fungal infection, may be occurring, and Nystatin is an antifungal medication used to treat it.
Question 2 of 5
A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
Correct Answer: B
Rationale: Acetaminophen is extensively metabolized in the liver.
Choices A, C, and D are incorrect because prolonged use of acetaminophen might result in an increased risk of renal dysfunction, but a single overdose does not precipitate life-threatening problems in the respiratory system, renal system, or adrenal glands.
Question 3 of 5
A client can receive the mumps, measles, rubella (MMR) vaccine if he or she:
Correct Answer: D
Rationale: A simple cold without fever does not preclude vaccination.
Choices 1 and 2 are incorrect because pregnant women and immunocompromised individuals cannot have the MMR vaccine because the rubella component is a live virus and might cause birth defects and/or disease.
Choice 3 is incorrect because the American Academy of Pediatrics states, 'Persons who have experienced anaphylactic reactions to topically or systemically administered neomycin should not receive measles vaccine.'
Question 4 of 5
Medication bound to protein can have which of the following effects?
Correct Answer: C
Rationale: Protein-bound drugs are inactive and less available for therapeutic effects until unbound. This does not enhance availability, speed distribution, or increase metabolism.
Question 5 of 5
When medications have an additive, synergistic, or antagonistic effect on a tissue, a reaction has occurred.
Correct Answer: B
Rationale: Pharmacodynamic reactions involve the effect of drugs on tissue receptors, causing additive, synergistic, or antagonistic effects.