NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
Methylphenidate hydrochloride is prescribed for the child with ADHD. The nurse should teach the parents to administer the medication in which way?
Correct Answer: D
Rationale: A: Methylphenidate is usually given twice daily at or before breakfast and at noon, not whenever inattention behaviors occur. B: Methylphenidate is usually given twice daily at or before breakfast and at noon, not whenever hyperactive behaviors occur. C: The last dose of the medication should be given before 6 p.m. to prevent insomnia. D: A side effect of methylphenidate hydrochloride (Ritalin) is anorexia. It should be given during or immediately after breakfast and lunch to prevent a decreased intake.
Question 2 of 5
The client with schizophrenia has a history of nonadherence to the prescribed medication regimen. Injectable antipsychotic agents are being considered for long-term use. Which medications, if prescribed by the HCP, should the nurse question? Select all that apply.
Correct Answer: A,B,C
Rationale: Olanzapine and ziprasidone injections are for short-term use, and aripiprazole is not available in injectable form.
Question 3 of 5
An LPN is tasked with checking the narcotic count on a medical surgical unit. Which statement by the LPN requires further investigation?
Correct Answer: C
Rationale: Narcotics should be locked and kept in a secure place during the shift.
Question 4 of 5
Cyclosporine and methotrexate are prescribed for the client with severe rheumatoid arthritis. What information should the nurse address when teaching the client? Select all that apply.
Correct Answer: B,C,E
Rationale: A: Grapefruit juice should be avoided because it can increase the concentration of cyclosporine. B: Adequate hydration minimizes the risk of adverse effects. C: St. John's wort decreases cyclosporine levels. Echinacea and melatonin interact with cyclosporine to alter immunosuppression. D: Methotrexate and cyclosporine can be taken orally instead of by injection. It is incorrect that both medications are taken weekly. Only methotrexate is taken weekly, whereas cyclosporine is usually taken twice daily. E: Methotrexate and cyclosporine both have immunosuppressive effects.
Question 5 of 5
The client with CP is taking dantrolene. The nurse evaluates that the medication is effective when noting that the client has an increase in which findings? Select all that apply.
Correct Answer: C,D
Rationale: A: Increased muscle spasticity indicates the medication is not effective. B: Common adverse effects include urinary frequency. C: Dantrolene acts directly on skeletal muscles to inhibit muscle contraction, improving mobility. D: Dantrolene acts directly on skeletal muscles to inhibit muscle contraction, improving the ability to maintain balance. E: Dantrolene does not increase alertness.