NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The mother asks the nurse why the anticonvulsant valproic acid is being prescribed for her adolescent who is beginning therapy for control of aggressive behaviors. The nurse's response is based on the fact that valproic acid is helpful in reducing manic and impulsive behavior by what mechanism of action?
Correct Answer: D
Rationale: Valproic acid (Depakote) increases levels of GABA, an inhibitory neurotransmitter in the CNS.
Question 2 of 5
The client admitted to the ED has drowsiness, clammy skin, and slow, shallow breathing. A friend states that the client took multiple oxycodone tablets. Which medication should the nurse plan to administer to this client?
Correct Answer: A
Rationale: Naloxone (Narcan) reverses CNS and respiratory depression due to opioid overdose.
Question 3 of 5
Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH, the nurse should best respond to Melissa's complaints with which of the following statements?
Correct Answer: B
Rationale: Pregnancy-induced hypertension (PIH) symptoms like headaches, blurred vision, and vomiting suggest preeclampsia, which is best managed with bed rest at home unless severe, requiring hospitalization.
Question 4 of 5
The client with ulcerative colitis is started on sulfasalazine. The nurse overhears the client talking with family members about sulfasalazine and recognizes the need for more teaching when the client makes which statement?
Correct Answer: C
Rationale: A: Sulfasalazine reduces inflammation and thereby will reduce the number of diarrheal stools. B: Sulfasalazine, commonly used to treat ulcerative colitis, decreases inflammation in the colon. C: This statement indicates the client needs additional teaching. Ulcerative colitis is a chronic illness. Sulfasalazine (Azulfidine) does not cure ulcerative colitis; the only cure is a total proctocolectomy. D: Sulfasalazine reduces inflammation and thereby will reduce the incidence of flare-ups from ulcerative colitis.
Question 5 of 5
The client is prescribed varenicline for smoking cessation. The nurse concludes that varenicline is being prescribed primarily for its antagonistic effect. Which statement describes this effect?
Correct Answer: C
Rationale: Varenicline (Chantix) functions as an antagonist, blocking receptors to reduce the pleasurable effects of smoking.