NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
Client education by the nurse entails:
Correct Answer: B
Rationale: Client education entails giving the client accurate and understandable information to promote understanding and engagement in their care. The other options are either inappropriate or incomplete.
Question 2 of 5
The nurse is initiating an IV infusion of lactated Ringer's (LR) for the client in shock. What is the purpose of LR for this client?
Correct Answer: A
Rationale: A: LR is an isotonic crystalloid solution containing multiple electrolytes in approximately the same concentration as plasma. It enters the cells from the blood, provides fluids, and increases urinary output. B: A hypertonic solution draws fluid from the cells into the vascular compartment; LR is isotonic. C: LR alone does not contain dextrose. Formulations with dextrose are available. D: Magnesium is not a component of LR.
Question 3 of 5
The client is being discharged with a prescription for an inhaled glucocorticoid for asthma. Which of the following statements indicates additional education is needed prior to discharge?
Correct Answer: B
Rationale: The client should gargle and spit water immediately after taking an inhaled glucocorticoid to remove residue of the medication, which can lead to thrush.
Question 4 of 5
The client, admitted to the ED, is prescribed to receive 0.5 mg epinephrine subcutaneously for treatment of a severe asthma attack. The medication for injection is supplied in a vial that contains 5 mg/mL. How many milliliters of epinephrine should the nurse administer?
Correct Answer: 0.1
Rationale: Use a proportion to determine the amount in milliliters; then multiply the extremes (outside values) and the means (inside values) and solve for X. 5 mg: 1 mL :: 0.5 mg: X mL; 5X = 0.5 mL; X = 0.1 mL; the nurse should administer 0.1 mL of epinephrine (Adrenalin).
Question 5 of 5
The nurse completes teaching the client who has PD about taking benztropine. Which statements made by the client indicate that teaching is effective? Select all that apply.
Correct Answer: A,B,E
Rationale: A: Benztropine (Cogentin) may be crushed; this statement indicates teaching is effective. B: Many OTC medications contain alcohol. Alcohol should be avoided because it is another CNS depressant, and additive drowsiness can occur. This statement indicates teaching is effective. C: Benztropine should not be abruptly discontinued; symptoms will recur, and it may precipitate parkinsonian crisis. D: Benztropine is an anticholinergic that will cause a dry mouth, not drooling and increased secretions. E: Because benztropine (Cogentin) is a CNS depressant, driving should be avoided until the effects of the medication are known. This statement indicates teaching is effective.