NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The new nurse is initiating TPN for four hospitalized pediatric clients. The experienced nurse should intervene when observing the new nurse attach the TPN infusion tubing to which IV line?
Correct Answer: C
Rationale: A: The external jugular vein is a central IV access site. B: The subclavian vein is a central IV access site. C: TPN is a concentrated hypertonic solution containing glucose, vitamins, electrolytes, trace minerals, and protein. Because it is hypertonic, it should be administered through a central IV access site or a PICC. A major vein is used to avoid inflammatory reactions and venous thrombosis from the high-caloric and high-osmotic fluid. D: A PICC is a central IV access site.
Question 2 of 5
Which of the following is true when administering a nasal spray medication?
Correct Answer: A
Rationale: The client should blow their nose gently before the medication is administered. This is to clear the nasal passages to allow the medication to be properly administered. When administering the medication, the client should sit upright, insert the applicator into the designated nostril, and spray the medication as the patient inhales.
Question 3 of 5
The client diagnosed with BPD is taking Olanzapine. The nurse evaluates that Olanzapine is effective when observing a reduction in which behaviors? Select all that apply.
Correct Answer: A,C,E
Rationale: With BPD, reductions in anxiety, paranoia, and hostility indicate olanzapine (Zyprexa) is effective.
Question 4 of 5
The nurse receives the HCP order to start TPN for the client who has a PICC. Into which type of catheter illustrated should the nurse plan to administer the TPN?
Correct Answer: B
Rationale: A: Illustration A is a central line that is percutaneously inserted into the jugular or subclavian vein and terminates in the central circulation. These are intended for short-term venous access. B: Illustration B is a PICC, which is inserted into the arm and terminates in the central circulation. A PICC is used when medications or solutions are too caustic to be peripherally administered or when therapy lasts more than 2 weeks. C: Illustration C is a tunneled catheter inserted into the upper chest wall and threaded through the cephalic vein; it terminates in the central circulation. D: Illustration D is an intra-aortic balloon pump catheter that is inserted into the femoral artery and positioned in the descending aortic arch. The balloon on the end inflates during diastole. It is not used for medication or fluid administration.
Question 5 of 5
The severely depressed client tells the nurse, “I don't need these antidepressants; they're too expensive! I'm going to use St. John's wort instead.†Which is the most appropriate response by the nurse?
Correct Answer: C
Rationale: St. John's wort has not been clinically proven effective for severe depression.