NCLEX-PN
Pharmacology NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer 37.5 mg of meperidine (Demerol) IM to a client who is having pain. The medication comes in a 50-mg/mL vial. Which action should the nurse implement?
Correct Answer: B
Rationale: Dose: 37.5 mg / 50 mg/mL = 0.75 mL. Wasting 0.25 mL requires verification by another nurse, per narcotic protocols.
Question 2 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 3 of 5
The nurse is administering an otic drop to the 45-year-old client. Which procedure should the nurse implement when administering the drops?
Correct Answer: B
Rationale: For adults, pulling the ear up and back straightens the ear canal for otic drops. Down/back is for children, others are for ophthalmic drops.
Question 4 of 5
The client is exhibiting multifocal premature ventricular contractions. Which antidysrhythmic medication should the nurse anticipate the HCP ordering for this dysrhythmia?
Correct Answer: D
Rationale: Amiodarone is effective for ventricular dysrhythmias like PVCs, per ACLS guidelines. Adenosine, epinephrine, or atropine are used for other rhythms.
Question 5 of 5
The client with type 2 diabetes is diagnosed with gout and prescribed allopurinol (Zyloprim). Which instruction should the nurse discuss when teaching about this medication?
Correct Answer: B
Rationale: Allopurinol increases uric acid excretion, risking kidney stones; 2–3 L water daily prevents this. Rash is possible but not probable, stomach timing is flexible, and diabetes meds are unaffected.