NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
Correct Answer: B
Rationale: Chemotherapy causes rapid cell destruction, releasing uric acid as a metabolite, which can elevate levels and risk conditions like gout or kidney stones.
Question 2 of 5
When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?
Correct Answer: B
Rationale: An enema risks dislodging the placenta in placenta previa, potentially causing severe bleeding, and should be avoided.
Question 3 of 5
The nurse is caring for the client who has received sumatriptan. The nurse evaluates that sumatriptan has been an effective treatment when the client reports which change?
Correct Answer: D
Rationale: A: Sumatriptan is not used in the treatment of mood alterations. B: Sumatriptan is not used in the treatment of muscle spasms. C: Sumatriptan is not used in the treatment of insomnia. D: Sumatriptan (Imitrex) is a serotonin receptor agonist and a first-line medication for terminating a migraine or cluster headache attack.
Question 4 of 5
The nurse is preparing to administer medications at 1700 to multiple clients with GI problems. Which medication should be the nurse's priority when the meal trays are due to arrive at 1700?
Correct Answer: A
Rationale: A: The nurse's priority should be to administer misoprostol (Cytotec), a gastric protectant, first because it should be taken with meals to minimize diarrhea. B: Famcomputers (Pepcid), a histamine receptor agonist, should be taken after meals. C: Cimetidine (Tagamet H
B), a histamine receptor agonist, should be taken after meals. D: Bisacodyl (Dulcolax), a laxative, should be taken at least one hour after meals.
Question 5 of 5
An allergic reaction is classified as what type of pharmacological effect?
Correct Answer: C
Rationale: An allergic reaction is considered an adverse effect, as it is unintended and requires treatment. A side effect is also undesired but is somewhat expected, and a side effect does not require intervention.