NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The nurse is developing the teaching plan for the client who is started on amitriptyline. Which information is most appropriate to include?
Correct Answer: A
Rationale: Weight gain is often a major concern for clients taking TCAs such as amitriptyline (Elavil). A calorie-controlled diet plan will assist in avoiding weight gain.
Question 2 of 5
The nurse is reviewing client information for adverse effects of trazodone. Which finding should the nurse identify as an adverse effect unique to trazodone?
Correct Answer: A
Rationale: Prolonged or inappropriate erections (priapism) are a rare but problematic side effect of treatment with trazodone (Oleptro).
Question 3 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 4 of 5
The nurse telephones the HCP to request a pm anxiolytic medication order for a hospitalized client having occasional anxiety. Which medication, if prescribed, should the nurse question regarding its effectiveness for prn use?
Correct Answer: A
Rationale: Buspirone (BuSpar) has a 10- to 14-day delay in therapeutic onset, making it unsuitable for prn use.
Question 5 of 5
The nurse is reviewing the medications for all assigned clients on an inpatient psychiatric unit. The nurse anticipates assessing for extrapyramidal symptoms (EPS) in clients taking which antipsychotic medication?
Correct Answer: C
Rationale: Haloperidol (Haldol), a conventional antipsychotic, has a high probability of causing EPS.