NCLEX-PN
Pharmacology Questions NCLEX Questions
Extract:
Question 1 of 5
A woman is two months pregnant when her 5-year-old child develops rubella. What is most likely to be given to her?
Correct Answer: A
Rationale: Immune serum globulin may be given to reduce the risk of rubella infection in the pregnant woman, protecting the fetus.
Question 2 of 5
The nurse is administering the following 1800 medications. Which medication should the nurse question before administering?
Correct Answer: C
Rationale: Metformin must be held before contrast dye due to lactic acidosis risk if renal function is impaired; other medications are appropriate.
Question 3 of 5
A client is receiving digitalis. The nurse should instruct the client to report which of the following side effects?
Correct Answer: A
Rationale: Nausea, vomiting, fatigue. Side effects of digitalis toxicity include fatigue, nausea, vomiting, anorexia, and bradycardia. Digitalis inhibits the sodium potassium ATPase, which makes more calcium available for contractile proteins, resulting in increased cardiac output.
Question 4 of 5
A 60-year-old client has been hospitalized for deep vein thrombosis. The client is to be discharged on warfarin (Coumadin) 5 mg PO daily. Which statement that the client makes indicates the best understanding of the medication routine?
Correct Answer: C
Rationale: Warfarin requires regular INR monitoring via blood tests to ensure therapeutic anticoagulation levels.
Question 5 of 5
The client is receiving thrombolytic therapy for a diagnosed myocardial infarction (MI). Which assessment data indicate the therapy is successful?
Correct Answer: B
Rationale: Reperfusion dysrhythmias (e.g., PVCs) indicate restored coronary flow, a sign of thrombolytic success. ST depression, normal CK-MB, or D-dimer are not specific.