NCLEX-PN
Pharmacology NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is administering digoxin, a cardiac glycoside, to the client with congestive heart failure. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D
Rationale: Checking apical HR prevents bradycardia, teaching pulse empowers monitoring, and digoxin levels ensure therapeutic range. Sodium or Cushingoid features are irrelevant.
Question 2 of 5
The client has the following arterial blood gases: pH 7.19, Paco2 33, Pao2 95, and HCO3 19. Which medication would the nurse prepare to administer based on the results?
Correct Answer: A
Rationale: Metabolic acidosis (low pH, low HCO3) requires sodium bicarbonate to correct pH. Oxygen, epinephrine, or antacids are inappropriate.
Question 3 of 5
The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously. It is important for the nurse to monitor which of the following parameters?
Correct Answer: C
Rationale: Continuous EKG readings. Procainamide (Pronestyl) is used to suppress cardiac arrhythmias. When administered intravenously, it must be accompanied by continuous cardiac monitoring by ECG.
Question 4 of 5
An adult client has rheumatoid arthritis. Aspirin 975 mg q4h PRN is ordered for pain. At 2:00 P.M., the client requests pain medication. Aspirin was last given at 9:30 A.M. What is the most appropriate initial action for the nurse to take?
Correct Answer: A
Rationale: The time since the last dose (4.5 hours) is within the q4h PRN order, and 975 mg is a standard high dose for rheumatoid arthritis.
Question 5 of 5
An adult is receiving gentamicin IV q8h. Which laboratory tests does the nurse expect that the client will have done regularly?
Correct Answer: B
Rationale: BUN and serum creatinine are tests of renal function. Gentamicin is nephrotoxic. All persons receiving gentamicin should have these tests done regularly to assess for toxicity.