NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The LPN has been asked to help a client taking Risperdal with activities of daily living in the morning. Which of these tasks is most likely to be potentially impacted by this medication?
Correct Answer: C
Rationale: Risperdal can cause orthostatic hypotension, so, to prevent a fall, care should be taken when changing positions.
Question 2 of 5
When caring for pediatric clients, the nurse should pay special attention to the psychosocial development stages credited to ?
Correct Answer: B
Rationale: Erik Erikson is credited with the psychosocial development theory and eight stages. The nurse should take these stages into account when caring for pediatric clients to assess their development. Jean Piaget is responsible for cognitive development. Sigmund Freud is responsible for psychosexual development. Robert Peck is responsible for aging theory.
Question 3 of 5
The nurse is discussing the prescribed atypical antipsychotic medication therapy with the client with schizophrenia. What information should the nurse include in this discussion? Select all that apply.
Correct Answer: A,D,E
Rationale: Atypical antipsychotics target hallucinations and emotional responses, require blood glucose monitoring, and may cause increased appetite and weight gain.
Question 4 of 5
The LPN is caring for a client taking Lipitor (Atorvastatin). Which of these statements would indicate that the client may need reinforced teaching?
Correct Answer: D
Rationale: Grapefruit juice should be avoided when taking Lipitor. Grapefruit juice blocks the enzymes needed to breakdown the drug, which leads to excessive amounts of the drug in the body.
Question 5 of 5
The client with tonsillar cancer is receiving filgrastim. Prior to administering the next dose of filgrastim, the nurse notes that the client's absolute neutrophil count is 11,000/mm3. What is the nurse's best action?
Correct Answer: C
Rationale: A: Unnecessary doses can cause leukocytosis (WBCs above 100,000/mm3), an adverse effect of filgrastim. B: A normal neutrophil count is greater than 2000/mm3. Neutropenic precautions and protective wear are unnecessary because the filgrastim has been effective in increasing the neutrophil count. C: Filgrastim (Neupogen) is a granulocyte colony-stimulating factor for treatment of neutropenia. Filgrastim is usually discontinued when the absolute neutrophil count reaches 10,000/mm3. D: A high-efficiency particulate air (HEP
A) or N95 mask rather than a regular mask should be worn if the client is severely neutropenic (less than 100/mm3).