NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The child with CF is prescribed vitamin A supplements. Which finding by the clinic nurse indicates that the vitamin has been effective?
Correct Answer: A
Rationale: A: A water-miscible form of vitamin A is given in children diagnosed with CF because the uptake of the fat-soluble vitamins is decreased. One of the functions of vitamin A is to keep epithelial tissue healthy by aiding the differentiation of specialty cells. B: Other treatments for CF, such as bronchodilators and recombinant human deoxyribonuclease dornase alfa (Pulmozyme), decrease the viscosity of secretions. C: Vitamin K, another fat-soluble vitamin administered in CF, increases coagulation. D: Vitamin A has no effect on pancreatic enzyme absorption.
Question 2 of 5
An LPN is reviewing medication lists for several clients recently admitted to the hospital. Which of the following scenarios would be least concerning?
Correct Answer: C
Rationale: Ginseng may cause an increased risk of bleeding but should not interact with Lipitor. St. John's wort should not be taken with an SSRI as it may cause serotonin syndrome. Black cohosh should not be taken with allopurinol as they can both cause hepatotoxicity, especially in combination. Ginkgo biloba should not be taken with warfarin as it causes an increased risk of bleeding.
Question 3 of 5
The nurse telephones the HCP to request a pm anxiolytic medication order for a hospitalized client having occasional anxiety. Which medication, if prescribed, should the nurse question regarding its effectiveness for prn use?
Correct Answer: A
Rationale: Buspirone (BuSpar) has a 10- to 14-day delay in therapeutic onset, making it unsuitable for prn use.
Question 4 of 5
The client has an order for a 1,000 mL bag of fluids to be infused over 8 hours. What is the correct rate?
Correct Answer: C
Rationale: The correct calculation is 1000 / 8 which equals 125 mL/hr.
Question 5 of 5
The client seeking treatment for insomnia tells the nurse about researching complementary therapies for promoting sleep. Which are herbal remedies for promoting sleep that the client may wish to discuss with the nurse?
Correct Answer: B
Rationale: Chamomile tea and hops are believed to relieve insomnia.