NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The nurse is to administer vancomycin to the client diagnosed with sepsis. The client is to have a peak and trough level completed on this dose of vancomycin. Which action should the nurse initiate first?
Correct Answer: A
Rationale: A: A trough level must be drawn before vancomycin (Vancocin) is administered. This is the first action because if the trough level has not been drawn, it will delay the vancomycin dose and could result in a medication error. B: Checking medication compatibilities is important, but this can be completed while the laboratory is obtaining the trough level. C: Checking C&S report results is important, but this can be completed while the laboratory is obtaining the trough level. D: Calculating the administration rate is important, but this can be completed while the laboratory is obtaining the trough level.
Question 2 of 5
Which of the following are included in the Rights of Medication Administration? Select all that apply. A. right dose, B. right time, C. right explanation, D. right client, E. right route
Correct Answer: B
Rationale: The Rights of Medication Administration include right client, right drug, right dose, right route, and right time. An additional right that is sometimes included is right documentation.
Question 3 of 5
The client taking carbamazepine XR for seizure control reports that pieces of the medication are being passed into the stool. Which action by the nurse is most important?
Correct Answer: B
Rationale: A: It is inappropriate to report an expected finding to the HCP. B: Carbamazepine XR (Tegretol XR) is a sustained-release medication with a coating that is not absorbed but is excreted in feces and may be visible in stool. The nurse should reassure the client that this is normal. C: Collecting the stool for laboratory analysis is not necessary because the coating is not absorbed but excreted in the stool. D: The nurse should document the client teaching but usually would not document the presence of the coating in the client's stool.
Question 4 of 5
Methylphenidate hydrochloride is prescribed for the child with ADHD. The nurse should teach the parents to administer the medication in which way?
Correct Answer: D
Rationale: A: Methylphenidate is usually given twice daily at or before breakfast and at noon, not whenever inattention behaviors occur. B: Methylphenidate is usually given twice daily at or before breakfast and at noon, not whenever hyperactive behaviors occur. C: The last dose of the medication should be given before 6 p.m. to prevent insomnia. D: A side effect of methylphenidate hydrochloride (Ritalin) is anorexia. It should be given during or immediately after breakfast and lunch to prevent a decreased intake.
Question 5 of 5
What is the threshold of dextrose concentrations that can safely be administered through a peripheral IV?
Correct Answer: C
Rationale: Administering dextrose concentrations above 10% through a peripheral IV can lead to phlebitis. It is safe to administer dextrose concentrations below 10% through a peripheral IV.