NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The client with CP is taking dantrolene. The nurse evaluates that the medication is effective when noting that the client has an increase in which findings? Select all that apply.
Correct Answer: C,D
Rationale: A: Increased muscle spasticity indicates the medication is not effective. B: Common adverse effects include urinary frequency. C: Dantrolene acts directly on skeletal muscles to inhibit muscle contraction, improving mobility. D: Dantrolene acts directly on skeletal muscles to inhibit muscle contraction, improving the ability to maintain balance. E: Dantrolene does not increase alertness.
Question 2 of 5
The nurse is reviewing documentation on four clients prior to administering medications. The nurse should immediately withhold the medication and notify the HCP about which client?
Correct Answer: D
Rationale: Client 4's symptoms of tardive dyskinesia (lip smacking, uncontrolled rhythmic movements) may be irreversible, requiring immediate medication withdrawal and HCP notification.
Question 3 of 5
What is the threshold of dextrose concentrations that can safely be administered through a peripheral IV?
Correct Answer: C
Rationale: Administering dextrose concentrations above 10% through a peripheral IV can lead to phlebitis. It is safe to administer dextrose concentrations below 10% through a peripheral IV.
Question 4 of 5
New medications are prescribed for the client taking lithium. Which medication, if prescribed, should the nurse question with the HCP?
Correct Answer: C
Rationale: Furosemide (Lasix) is a loop diuretic that promotes sodium loss and lithium retention, increasing serum lithium levels and risk of toxicity.
Question 5 of 5
The nurse is preparing to administer Azithromycin, and the pharmacy has provided the drug in a powder form that requires reconstitution connected to a saline piggyback. Which of the following is least concerning when preparing the medication?
Correct Answer: B
Rationale: The brand or trade name is not required to be on the medication label if the generic name is present. The nurse should check that the medication is not expired and that it has been stored according to the storage instructions. If the saline bag is leaking, it may indicate that the container is damaged and the fluid may not be sterile.