NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The client's dose of mirtazapine was increased from 15 to 30 mg at bedtime two days ago. When the nurse is preparing to administer mirtazapine, the client reports having insomnia, irritability, and panic attacks. What should the nurse do next?
Correct Answer: A
Rationale: Mirtazapine (Remeron) is an antidepressant. Adverse effects include insomnia, irritability, panic attacks, and suicidal ideation. A change in medication may be needed rather than a dosage increase.
Question 2 of 5
A laboring client is experiencing late decelerations. Which position should she be placed in?
Correct Answer: A
Rationale: The left lateral position promotes blood flow to the placenta.
Question 3 of 5
The client being treated for opiate dependence is receiving a buprenorphine/naloxone combination. The nurse understands that the reason for adding naloxone to the treatment with buprenorphine is for what effect?
Correct Answer: A
Rationale: Naloxone in buprenorphine/naloxone (Suboxone) blocks opiate receptors, preventing intoxication if opiates are abused.
Question 4 of 5
Which of the following symptoms is most characteristic of a client with cancer of the lungs?
Correct Answer: B
Rationale: A persistent, changing cough is the most characteristic symptom of lung cancer, distinguishing it from symptoms associated with COPD, asthma, or tuberculosis.
Question 5 of 5
The nurse is teaching the client newly started on propranolol for acute situational anxiety disorder. In addition to treating the client's anxiety, the nurse should inform the client that propranolol's use is effective in treating which associated problem?
Correct Answer: B
Rationale: Propranolol (Inderal), a beta blocker, has been shown to be effective in ameliorating the somatic symptoms of anxiety such as hand tremor.