NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is discussing the prescribed atypical antipsychotic medication therapy with the client with schizophrenia. What information should the nurse include in this discussion? Select all that apply.
Correct Answer: A,D,E
Rationale: Atypical antipsychotics target hallucinations and emotional responses, require blood glucose monitoring, and may cause increased appetite and weight gain.
Question 2 of 5
The client is taking methylphenidate sustained-release tablets once daily for attention deficit disorder. The medication peaks in 4 to 7 hours and has a duration of 12 hours. At which time should the nurse instruct the client to take the prescribed dose of methylphenidate?
Correct Answer: D
Rationale: Sustained-release methylphenidate (Ritalin) should be taken in the morning to avoid sleep interference.
Question 3 of 5
The nurse completes teaching the client who has PD about taking benztropine. Which statements made by the client indicate that teaching is effective? Select all that apply.
Correct Answer: A,B,E
Rationale: A: Benztropine (Cogentin) may be crushed; this statement indicates teaching is effective. B: Many OTC medications contain alcohol. Alcohol should be avoided because it is another CNS depressant, and additive drowsiness can occur. This statement indicates teaching is effective. C: Benztropine should not be abruptly discontinued; symptoms will recur, and it may precipitate parkinsonian crisis. D: Benztropine is an anticholinergic that will cause a dry mouth, not drooling and increased secretions. E: Because benztropine (Cogentin) is a CNS depressant, driving should be avoided until the effects of the medication are known. This statement indicates teaching is effective.
Question 4 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 5 of 5
The LPN is caring for a client newly diagnosed with HIV. Which statement made by the client regarding antiretroviral therapy (ART) would require correction from the nurse?
Correct Answer: D
Rationale: The World Health Organization (WHO) recommends making treatment for those with a CD4 count of ≤ 350 cells/mm3 a priority, as early intervention can help delay disease progression. Studies have shown that ART can reduce HIV transmission to sexual partners by up to 96%. Conditions such as pregnancy and Hepatitis B and C increase the need to initiate therapy sooner and are in no way contraindicated. ART does not cure HIV, but to maintain viral suppression, it should be continued indefinitely.