NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH, the nurse should best respond to Melissa's complaints with which of the following statements?
Correct Answer: B
Rationale: Pregnancy-induced hypertension (PIH) symptoms like headaches, blurred vision, and vomiting suggest preeclampsia, which is best managed with bed rest at home unless severe, requiring hospitalization.
Question 2 of 5
The hospitalized client is prescribed to receive ferrous fumarate 200 mg oral daily. When transcribing the medication onto the client's MAR, at which time in military time should the nurse schedule the daily dose for best absorption?
Correct Answer: B
Rationale: A: 0830 is near the time of breakfast in a health care facility. Food reduces the absorption of iron. B: For best absorption and therapeutic effectiveness, the nurse should schedule ferrous fumarate (Feosol) at 1000. Iron preparations should be administered one hour before or two hours after a meal because food diminishes iron absorption. C: 1230 is near lunchtime in a health care facility. Food reduces the absorption of iron. D: 1730 is near the evening meal in a health care facility. Food reduces the absorption of iron.
Question 3 of 5
A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: This statement reveals cultural sensitivity. Ginger is sometimes used to relieve nausea. The other statements are culturally insensitive and do not show an awareness of herbal pharmacology.
Question 4 of 5
During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?
Correct Answer: C
Rationale: Rectal adenocarcinoma commonly metastasizes to the liver via the portal vein and lymphatics, making it the most likely next site.
Question 5 of 5
The nurse is developing the teaching plan for the client who is started on amitriptyline. Which information is most appropriate to include?
Correct Answer: A
Rationale: Weight gain is often a major concern for clients taking TCAs such as amitriptyline (Elavil). A calorie-controlled diet plan will assist in avoiding weight gain.