NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The client is being treated with Clozapine. Which findings during the nurse's assessment indicate that the client is experiencing adverse effects of Clozapine? Select all that apply.
Correct Answer: B,D,E
Rationale: Agranulocytosis, hypersalivation, and hyperglycemia are adverse effects of clozapine (Clozaril).
Question 2 of 5
The nurse is caring for a client who has dysphagia related to a stroke. The nurse works with the client to explain what food and beverages might minimize aspiration. What is this an example of?
Correct Answer: C
Rationale: The goal of tertiary prevention is to improve quality of life while minimizing further injury or symptoms of chronic disease. Primary prevention is used to prevent disease. Secondary prevention focuses on early detection of disease and interventions to prevent worsening of that disease. Health promotion activities are designed to prevent illness and promote wellness.
Question 3 of 5
Oral ranitidine 2 mg/kg twice daily is prescribed for the infant weighing 16 lb 8 oz. The medication is supplied as 15 mg/mL. How many milliliters should the nurse instruct the parent to withdraw in the syringe provided with the ranitidine to administer one dose?
Correct Answer: 1
Rationale: Use a proportion formula to calculate the dose. First determine the dose for the child's weight: 16 lb 8 ounces = 16.5 lb/ 2.2 lb/kg = 7.5 kg. Next determine the prescribed dose: 7.5 kg x 2 mg = 15 mg. The medication is supplied in 15 mg per 1 mL. The dose to administer is 1 mL of ranitidine (Zantac).
Question 4 of 5
What is the therapeutic range for carbamazepine (Tegretol)?
Correct Answer: B
Rationale: The therapeutic range for carbamazepine (Tegretol) is 4-10 mcg/mL.
Question 5 of 5
The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm. Given this information, what would the nurse expect the child's chest circumference to be?
Correct Answer: A
Rationale: In newborns, the head circumference should be 2 cm to 3 cm larger than the chest circumference. Note: Due to molding that occurs during the birth process, the head and chest measurement may be nearly equal during the first 48 hours after birth.