NCLEX-PN
Pharmacology Questions NCLEX Questions
Extract:
Question 1 of 5
The client is receiving thrombolytic therapy for a diagnosed myocardial infarction (MI). Which assessment data indicate the therapy is successful?
Correct Answer: B
Rationale: Reperfusion dysrhythmias (e.g., PVCs) indicate restored coronary flow, a sign of thrombolytic success. ST depression, normal CK-MB, or D-dimer are not specific.
Question 2 of 5
A 13-month-old child is admitted to the emergency room with salicylate poisoning. Her mother found her beside the empty bottle of adult aspirin. She says there were 'about 10' aspirin left in the bottle. What manifestations would the nurse most expect to see in the child?
Correct Answer: B
Rationale: Salicylate poisoning causes metabolic acidosis, leading to hyperventilation, and stimulates the CNS, causing fever (hyperpyrexia).
Question 3 of 5
A nurse is assigned to perform well-child assessments at a day care center. A staff member interrupts the examinations to ask for assistance. They find a crying 3 year-old child on the floor with mouth wide open and gums bleeding. Two unlabeled open bottles lie nearby. The nurse's first action should be
Correct Answer: D
Rationale: ask the staff about the contents of the bottles. The nurse needs to assess what the child ingested before determining the next action. Once the substance is identified, the poison control center and emergency response team should be called.
Question 4 of 5
The male client comes to the emergency department and reports he stepped on a rusty nail at home about two (2) hours ago. Which question would be most important for the nurse to ask during the admission assessment?
Correct Answer: C
Rationale: Tetanus risk is high with puncture wounds; knowing the last tetanus shot guides prophylaxis, the priority per CDC guidelines.
Question 5 of 5
An adult is scheduled for a left cataract extraction. Homatropine and Cyclogyl eye drops are ordered. What is the expected action of these drops?
Correct Answer: A
Rationale: Homatropine and Cyclogyl are mydriatics, dilating the pupil to facilitate cataract surgery.