NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The nurse is caring for the client taking atorvastatin. The nurse should assess for which adverse effects?
Correct Answer: B
Rationale: A: Bile acid sequestrants act by inhibiting bile acids from absorption by the small intestine. This results in fewer bile acids in the small intestine, which may lead to constipation and hemorrhoids. B: Atorvastatin (Lipitor) is a 3-hydroxy-3-methylglutaryl coenzyme A (HMG-Co
A) reductase inhibitor (statin) used to lower lipid levels. Statins can cause muscle tissue injury manifested by muscle ache or weakness. Muscle injury can progress to myositis (muscle inflammation) or rhabdomyolysis (muscle disintegration). C: Diarrhea, not constipation, has been found to be a side effect of statin medications. D: Side effects of niacin, a lipid-lowering agent, include flushing, dysrhythmias, and postural hypotension.
Question 2 of 5
The client is being treated with Clozapine. Which findings during the nurse's assessment indicate that the client is experiencing adverse effects of Clozapine? Select all that apply.
Correct Answer: B,D,E
Rationale: Agranulocytosis, hypersalivation, and hyperglycemia are adverse effects of clozapine (Clozaril).
Question 3 of 5
The nurse is developing the plan of care for the 7-year-old with encopresis who has been started on lactulose. Which outcome would be most appropriate for the nurse to establish?
Correct Answer: D
Rationale: A: Weight gain is not expected with an osmotic laxative. B: Nighttime continence is not expected to be altered by an osmotic laxative. C: Blood glucose is not expected to be altered by an osmotic laxative. D: Lactulose (Constulose) is an osmotic laxative used in treating encopresis to prevent constipation; the nurse should establish an outcome of a normal daily bowel movement.
Question 4 of 5
An LPN is tasked with checking the narcotic count on a medical surgical unit. Which statement by the LPN requires further investigation?
Correct Answer: C
Rationale: Narcotics should be locked and kept in a secure place during the shift.
Question 5 of 5
The nurse administered phenylephrine eye drops to the client before performing an ophthalmoscopic eye examination. Which assessment finding should the nurse expect?
Correct Answer: D
Rationale: A: Tremors are a side effect if phenylephrine is absorbed systemically. B: Because phenylephrine absorbed systemically is a vasoconstrictor, hypertension (not hypotension) can occur as a side effect. C: Miosis is pupil constriction, not an effect of phenylephrine. D: Phenylephrine (NeoSynephrine), an adrenergic agonist, produces pupil dilation (mydriasis) by activating alpha1-adrenergic receptors on the dilator muscles of the iris.