NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The LPN participates in a home visit for a client with Type 2 Diabetes who has been taking Metformin for 3 years. The client states that for the past 3 months, they have been trying a vegan diet and experiencing fatigue, confusion, and mood changes. What is a likely cause of the new symptoms?
Correct Answer: A
Rationale: Long-term use of Metformin can lead to vitamin B12 deficiency, and a vegan diet is low in vitamin B12. Symptoms of vitamin B12 deficiency include anemia, fatigue, confusion, and mood changes.
Question 2 of 5
The client has an order for a 1,000 mL bag of fluids to be infused over 8 hours. What is the correct rate?
Correct Answer: C
Rationale: The correct calculation is 1000 / 8 which equals 125 mL/hr.
Question 3 of 5
Which of these is not a symptom of Serotonin Syndrome?
Correct Answer: A
Rationale: Serotonin syndrome, caused by an excess of serotonin, causes altered mental status (confusion), neuromuscular abnormalities (tremors), and/or autonomic dysfunction (fever). Edema is not a typical symptom.
Question 4 of 5
The LPN is caring for a client admitted for acute pancreatitis. Which of these medications would be least appropriate for pain management?
Correct Answer: D
Rationale: Morphine is contraindicated for pain management in pancreatitis because it causes spasms in the Sphincter of Oddi.
Question 5 of 5
The LPN is preparing a client for discharge and the discharge medications include phenobarbital. Which of these client statements would indicate a need for reinforced teaching about this medication?
Correct Answer: C
Rationale: Phenobarbital should not be taken with alcohol as it is a barbiturate. Alcohol may increase the sedative effect.