NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The nurse is preparing to care for the 14-month-old newly hospitalized toddler with bacterial gastroenteritis and severe dehydration. Which initial collaborative interventions should the nurse expect to implement? Select all that apply.
Correct Answer: A,C,F
Rationale: A: Antibiotics may be prescribed to treat bacterial gastroenteritis to ensure complete recovery. B: Oral fluid rehydration will be initiated later, but not initially, when the toddler presents with severe dehydration. C: The child who presents with severe dehydration needs IV therapy to stabilize the balance of fluids and electrolytes. D: The pain and discomfort the toddler will have are due to fever and cramping from the GI illness; thus, analgesics are usually not prescribed. E: An antidiarrheal medication is contraindicated. F: Fever is often a symptom of gastroenteritis. Ensuring that the fever is controlled will provide some comfort.
Question 2 of 5
The HCP prescribes risperidone to manage the hallucinations of the client diagnosed with paranoid schizophrenia. Which client statements reflect a need for further education regarding the medication's side effects? Select all that apply.
Correct Answer: A,B
Rationale: Constipation, not diarrhea, and hypotension, not hypertension, are side effects of risperidone, indicating a need for further education.
Question 3 of 5
The parent of the 2-year-old with asthma has been given instructions about asthma control and Step Therapy. Which statement, if made by the parent, should indicate to the nurse that the parent has an adequate understanding of the instructions?
Correct Answer: D
Rationale: A: Asthma symptoms (wheezing) occurring 2 or fewer days per week should be treated at
Step 1. B: A respiratory tract infection may require the increased use of short-acting beta agonists, but an inhaled corticosteroid should not be added until the child is evaluated by the HCP. C: The use of the nebulizer twice a week or less should be treated at
Step 1. D: Nighttime waking with asthma symptoms 1 to 2 times per month indicates the need to proceed to
Step 2 therapy, which includes the use of an inhaled corticosteroid.
Question 4 of 5
The nurse is developing the plan of care for the 4-year-old client who is taking metronidazole for giardiasis. Which measures should be included in the plan of care? Select all that apply.
Correct Answer: B,C,E
Rationale: A: Metronidazole is not associated with any cardiac changes or adverse events. B: Giardiasis is an infectious diarrheal disease; the plan of care should include assessing for infection. Infection should subside when treated with metronidazole (Flagyl). C: Giardiasis is an infectious diarrheal disease; the plan of care should include reinforcing strict hand washing. D: Metronidazole should be given on an empty stomach. E: Giardiasis is an infectious diarrheal disease; the plan of care should include monitoring the results of stool samples.
Question 5 of 5
Which of the following actions should the LPN perform for a client with an active digoxin IV order? Select all that apply. A. Monitor ECG rhythm throughout administration., B. Administer the medication over at least 5 minutes., C. Monitor respirations during administration., D. Monitor the client's pulse for 1 minute prior to administration., E. Assess the client's blood pressure.
Correct Answer: A
Rationale: The LPN should monitor the client's heart rate and ECG with digoxin administration. Digoxin should not be given if a client's pulse is less than 60 bpm. Measuring blood pressure and respiratory rate are not indicated with digoxin administration. Administering an IV medication is outside of the LPN's scope of practice.