NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The 3-year-old with LTB is receiving aerosolized racemic epinephrine. Which assessment finding should the nurse recognize as indicating that the treatment is having an adverse effect?
Correct Answer: A
Rationale: A: Tachycardia is an adverse effect of racemic epinephrine (AsthmaNefrin). B: Hypertension, not hypotension, is an adverse effect of racemic epinephrine; a BP of 60/40 mm Hg in a 3-year-old indicates hypotension. C: A respiratory rate of 25 breaths/min is normal for a 3-year-old. D: A pulse oximetry reading of 90% is concerning and may indicate the need for supplemental oxygen, but it is not an adverse effect from the medication.
Question 2 of 5
The nurse is discussing the prescribed atypical antipsychotic medication therapy with the client with schizophrenia. What information should the nurse include in this discussion? Select all that apply.
Correct Answer: A,D,E
Rationale: Atypical antipsychotics target hallucinations and emotional responses, require blood glucose monitoring, and may cause increased appetite and weight gain.
Question 3 of 5
Signs of impaired breathing in infants and children include all of the following except:
Correct Answer: D
Rationale: Lip quivering is a distracter. Signs of impaired breathing in infants and children include all the other options.
Question 4 of 5
The nurse is evaluating the effectiveness of lispro and glargine insulins being administered to the 2-year-old with type 1 DM. Which findings on the serum laboratory report indicate that treatment is effective?
Correct Answer: A, B
Rationale: The treatment goal for children with type 1 DM is blood glucose levels within the normal range (60-105 mg/dL for a 2-year-old). Hgb A1c levels are indicative of the average blood glucose levels over the past 2 to 3 months; normal A1c is 3.9% to 7.7%. Although the other laboratory values are normal, these do not indicate the effectiveness of insulin therapy.
Question 5 of 5
Which of the following is least appropriate when caring for a stable postpartum client?
Correct Answer: B
Rationale: A family assessment is more appropriate after the client(s) have been discharged from the hospital. In the immediate postpartum stage, the nurse should provide perineal care, monitor for bleeding, and assess the location and height of the fundus.