NCLEX-PN
Pharmacology on NCLEX Questions
Extract:
Question 1 of 5
The nurse is teaching a parent how to administer oral iron supplements to a 2 year-old child. Which of the following interventions should be included in the teaching?
Correct Answer: B
Rationale: Give the medicine with orange juice and through a straw. Absorption of iron is facilitated in an environment rich in Vitamin C. Since liquid iron preparation will stain teeth, a straw is preferred.
Question 2 of 5
An adult client has been diagnosed as having rheumatoid arthritis and is started on piroxicam (Feldene) 20 mg daily. Two days later, the client calls the nurse and says that her joints still hurt. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Piroxicam, an NSAID, may take up to two weeks for full anti-inflammatory effects.
Question 3 of 5
The client is complaining of low-back pain and is prescribed the muscle relaxant carisoprodol (Soma). Which teaching intervention has priority?
Correct Answer: C
Rationale: Carisoprodol causes drowsiness, a safety risk (e.g., falls, driving); warning is the priority. GI distress, tapering, or alcohol are secondary.
Question 4 of 5
The client received Narcan, a narcotic antagonist, following a colonoscopy. Which action by the nurse has the highest priority?
Correct Answer: D
Rationale: Narcan reverses opioids but has a short half-life; frequent assessment (15–30 min) monitors for re-sedation or respiratory depression, the priority.
Question 5 of 5
A 6-year-old child is seen in the emergency room after stepping on a rusty nail. He has received no immunizations. What should the nurse expect to give him immediately to prevent a tetanus infection?
Correct Answer: C
Rationale: Immune serum globulin provides immediate passive immunity against tetanus in an unimmunized child.