NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The client with GERD is taking cimetidine. Which serum laboratory finding should the nurse determine is most concerning?
Correct Answer: A
Rationale: A: Elevation of liver enzymes should be most concerning because drug-induced hepatitis is an adverse effect of cimetidine (Tagamet H
B) therapy. B: Histamine-2 receptor blockers can cause myelosuppression including thrombocytopenia. A decreased (not increased) platelet count would be concerning. C: Renal adverse effects of the drug include elevated (not decreased) creatinine and BUN. D: Cimetidine can increase (not decrease) secretion of prolactin from the anterior pituitary, inducing gynecomastia.
Question 2 of 5
Which of the following of Erikson's developmental stages are relevant to adults ages 18-64? Select all that apply.
Correct Answer: A
Rationale: In the adult 18-64 stage, Intimacy vs. Isolation is relevant to young adulthood and Generativity vs. Stagnation is relevant to middle adulthood. Initiative vs. Guilt is relevant to preschool childhood. Industry vs. Inferiority is relevant to school-age childhood. Ego Integrity vs. Despair is relevant to mature adulthood after age 65.
Question 3 of 5
The client is experiencing delirium from substance withdrawal. Which medication, if prescribed prn, should the nurse administer to help calm the client?
Correct Answer: D
Rationale: Lorazepam (Ativan) depresses the CNS, reducing anxiety and calming the client during withdrawal.
Question 4 of 5
The client with advanced prostate cancer is receiving abarelix. Due to the effects of the medication, what should be the nurse's priority?
Correct Answer: C
Rationale: A: Constipation is a side effect of abarelix and is important to monitor but is not the priority. B: Breast pain with tenderness is a side effect of abarelix and is important to monitor but is not the priority. C: The nurse's priority should be to observe the client for at least 30 minutes after abarelix (Plenaxis) administration. The risk of a severe allergic reaction increases with each dose and can occur within a short time after administration. D: Sleep disturbances are common side effects of abarelix, and teaching about sleep hygiene is important but not the priority.
Question 5 of 5
A pregnant client asks how she can prevent getting Group B Strep. What is the LPN's best response?
Correct Answer: B
Rationale: Group B Strep lives in the vagina, rectum, and intestines of about 25% of the female population. It is considered normal flora and is not a sexually transmitted disease. The same woman can test positive in one pregnancy and negative in another, which is why testing is done every pregnancy, usually within 5 weeks of expected delivery. If a woman tests positive for Group B Strep, she will be given antibiotics during delivery to greatly reduce the risk of complications for her and her baby.