NCLEX-PN
NCLEX Pharmacology Cheat Sheet Questions
Extract:
Question 1 of 5
The charge nurse is observing the new graduate administering a fentanyl (Duragesic) patch to a client diagnosed with cancer. Which action by the new graduate requires intervention by the charge nurse?
Correct Answer: B
Rationale: Fentanyl patches last 72 hours; removing at 24 hours is incorrect and requires intervention. Dating, rotating sites, and ID checks are correct.
Question 2 of 5
A client who has Hodgkin's disease receives a weekly IV dose of nitrogen mustard. Which nursing order is most appropriate for this client?
Correct Answer: D
Rationale: Nitrogen mustard causes bone marrow suppression and nausea; high fluid intake helps flush the drug and prevent dehydration.
Question 3 of 5
The client admitted with pneumonia is taking Imuran, an immunosuppressive agent. Which question should the nurse ask the client regarding this medication?
Correct Answer: C
Rationale: Imuran (azathioprine) use and duration clarify indication (e.g., autoimmune) and infection risk, critical with pneumonia. Tapering, hepatitis, or allergies are less immediate.
Question 4 of 5
A young woman delivered a 7-lb, 8-oz baby boy spontaneously. Ergotrate 0.4 mg q6h for five days is ordered. A half-hour after the nurse administers the first dose, she complains of abdominal cramping. The nurse's best response is based on which understanding?
Correct Answer: C
Rationale: Ergotrate causes uterine contractions, leading to cramping, which is the intended effect to prevent postpartum hemorrhage.
Question 5 of 5
A 2-year-old child who weighs 33 pounds is to receive a total daily dose of 25 mg/kg of a medication. It is to be administered in three evenly divided doses. The label reads 150 mg/mL. How many milliliters will be injected per dose?
Correct Answer: B
Rationale: First, convert 33 pounds to kilograms: 33 ÷ 2.2 = 15 kg.
Then, calculate daily dose: 15 × 25 = 375 mg. Divide by 3 doses: 375 ÷ 3 = 125 mg/dose. Finally, calculate volume: 125 ÷ 150 = 0.83 mL.