NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?
Correct Answer: A
Rationale: A soft toothbrush minimizes gum bleeding in leukemia clients with low platelets. Dental floss and razors increase bleeding risk, and pressure should be held for 5-10 minutes.
Question 2 of 5
A client receiving drug therapy with furosemide and digitalis requires careful observation and care. In planning care for this client, the nurse should recognize that which of the following electrolyte imbalances is most likely to occur?
Correct Answer: C
Rationale: Furosemide, a diuretic, commonly causes potassium loss, leading to hypokalemia, which can potentiate digitalis toxicity, requiring close monitoring.
Question 3 of 5
Which type of hepatitis is transmitted via the fecal-oral route?
Correct Answer: A
Rationale: Hepatitis A is transmitted via the fecal-oral route, often through contaminated food or water, unlike B, C, and D, which are primarily bloodborne.
Question 4 of 5
Which statement best describes electrolytes in intracellular and extracellular fluid?
Correct Answer: A
Rationale: There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid, maintaining cellular function and fluid balance.
Question 5 of 5
A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?
Correct Answer: D
Rationale: A dark red stoma indicates inadequate blood supply, an abnormal finding requiring intervention. Mild edema, minimal bleeding, and rose color are normal postoperative findings.