NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
Oral terbutaline is prescribed for the client with bronchitis. Which comorbidity most warrants the nurse's close monitoring of the client following administration of terbutaline?
Correct Answer: B
Rationale: A: Terbutaline should be used with caution in clients with glaucoma (not strabismus). B: The client's history of hypertension warrants the nurse's close monitoring of the client when terbutaline (Brethine) is administered. It should be used with caution in clients with hypertension because it can precipitate a hypertensive episode. C: Terbutaline should be used with caution in clients with DM (not DI). D: Terbutaline should be used with caution in clients with hyperthyroidism (not hypothyroidism).
Question 2 of 5
Oral terbutaline is prescribed for the client with bronchitis. Which comorbidity most warrants the nurse's close monitoring of the client following administration of terbutaline?
Correct Answer: B
Rationale: A: Terbutaline should be used with caution in clients with glaucoma (not strabismus). B: The client's history of hypertension warrants the nurse's close monitoring of the client when terbutaline (Brethine) is administered. It should be used with caution in clients with hypertension because it can precipitate a hypertensive episode. C: Terbutaline should be used with caution in clients with DM (not DI). D: Terbutaline should be used with caution in clients with hyperthyroidism (not hypothyroidism).
Question 3 of 5
Which of the following should not be included in the teaching for clients who take oral iron preparations?
Correct Answer: A
Rationale: Iron should not be mixed with antacids, as antacids can reduce iron absorption. The other options are appropriate: taking with meals can reduce GI distress, using a straw prevents tooth discoloration, and juice enhances absorption while milk can inhibit it.
Question 4 of 5
The nurse is reviewing the medications for all assigned clients on an inpatient psychiatric unit. The nurse anticipates assessing for extrapyramidal symptoms (EPS) in clients taking which antipsychotic medication?
Correct Answer: C
Rationale: Haloperidol (Haldol), a conventional antipsychotic, has a high probability of causing EPS.
Question 5 of 5
One of the major functions of the kidneys in maintaining normal fluid balance is:
Correct Answer: C
Rationale: Major functions of the kidneys in maintaining normal fluid balance include regulation of extracellular fluid and osmolarity by selective retention and excretion of fluids, regulation of pH of the extracellular fluid by retention of hydrogen ions, and excretion of metabolic wastes and toxic substances. ADH is manufactured by the pituitary, and the parathyroid regulates calcium and phosphate balance.