NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The 17-year-old female is about to have a drug screen test for employment. The adolescent tells the nurse of a recent UTI that was treated with antibiotics. Which antibiotic, if identified by the client, could produce a false-positive urine screening test for opioids?
Correct Answer: D
Rationale: A: Cephalexin (Keflex) does not interfere with urine testing for opioids. B: Ceftazidime (Fortaz), a cephalosporin, does not interfere with urine testing for opioids. C: Amoxicillin (Amoxil), an aminopenicillin, does not interfere with urine testing for opioids. D: Fluoroquinolones, such as ciprofloxacin (Cipro), can cause false-positive urine opiate screens.
Question 2 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.
Question 3 of 5
What is the therapeutic range for carbamazepine (Tegretol)?
Correct Answer: B
Rationale: The therapeutic range for carbamazepine (Tegretol) is 4-10 mcg/mL.
Question 4 of 5
The nurse is reviewing documentation on four clients prior to administering medications. The nurse should immediately withhold the medication and notify the HCP about which client?
Correct Answer: D
Rationale: Client 4's symptoms of tardive dyskinesia (lip smacking, uncontrolled rhythmic movements) may be irreversible, requiring immediate medication withdrawal and HCP notification.
Question 5 of 5
Which of these medications has the least risk of causing tinnitus?
Correct Answer: D
Rationale: Gentamicin, Lasix, and Aspirin are all ototoxic drugs that have a potential side effect of causing tinnitus, a ringing in the ear. Fluoxetine, an SSRI, is not typically associated with tinnitus.