NCLEX-PN
NCLEX Pharmacology Cheat Sheet Questions
Extract:
Question 1 of 5
The client diagnosed with angina must receive a two (2)-inch nitroglycerin paste (Nitro-Bid) application. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B
Rationale: Gloves prevent nurse absorption, and removing old paste ensures accurate dosing. Hairy spots reduce adhesion, leg-only application is incorrect, and headaches are expected.
Question 2 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 3 of 5
The client diagnosed with bipolar disorder has been taking valproic acid (Depakote), an anticonvulsant, for four (4) months. Which assessment data would warrant the medication being discontinued?
Correct Answer: A
Rationale: Yellow eyes suggest hepatotoxicity, a serious valproic acid side effect, warranting discontinuation. Mood swings, hypertension, or normal levels are less critical.
Question 4 of 5
The client is in end-stage renal disease and is receiving sodium polystyrene sulfonate (Kayexalate) via an enema. Which data indicate the medication is effective?
Correct Answer: D
Rationale: Kayexalate lowers serum potassium in hyperkalemia; a level of 5 mEq/L (normal) indicates effectiveness. Urine, phosphorus, or rhythm are unrelated.
Question 5 of 5
The client diagnosed with diabetes insipidus is receiving vasopressin intranasally. Which assessment data indicate the medication is effective?
Correct Answer: D
Rationale: Vasopressin reduces polyuria in diabetes insipidus; urination every 3–4 hours indicates effectiveness. Nasal breathing, thirst, or glucose are unrelated.