NCLEX-PN
NCLEX Pharmacology Questions Questions
Extract:
Question 1 of 5
The client diagnosed with epilepsy is being discharged from the hospital with a prescription for phenytoin (Dilantin) by mouth. Which discharge instructions should the nurse discuss with the client?
Correct Answer: B
Rationale: Phenytoin causes gingival hyperplasia; regular dental visits prevent complications. No self-monitoring machines exist, driving bans are not absolute, and alcohol limits are secondary.
Question 2 of 5
The nurse is to administer an IM injection to a 6-month-old child. What is the most appropriate site to use?
Correct Answer: A
Rationale: Infants and small children do not have enough muscle in the gluteal area to use that site. The vastus lateralis is the appropriate site. The iliac crest is a site used for SC injections, not IM.
Question 3 of 5
The client is receiving the angiotensin-converting enzyme (ACE) inhibitor enalapril (Vasotec). When would the nurse question administering this medication?
Correct Answer: B
Rationale: A persistent cough is a common ACE inhibitor side effect, warranting discontinuation or HCP evaluation. Potassium, BP, or urine output are less critical.
Question 4 of 5
A client is receiving erythromycin 500 mg IV every 6 hours to treat a pneumonia. Which of the following is the most common side effect of the medication?
Correct Answer: B
Rationale: Nausea and vomiting. Nausea is a common side-effect of erythromycin in both oral and intravenous forms.
Question 5 of 5
The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. Which of the following statements suggests that further teaching is needed?
Correct Answer: C
Rationale: Sometimes I take the pills in the morning and other times at night.' Inconsistency in taking the prescribed medication indicates more teaching is needed.