NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse prepares to administer naloxone 0.4 mg IV to the client experiencing respiratory depression. Naloxone is supplied in a 1-mg/mL vial. How many milliliters should the nurse administer?
Correct Answer: 0.4
Rationale: Use a proportion formula to calculate the correct amount. Multiply the extremes and then the means and solve for X. 1 mg: 1 mL :: 0.4 mg: X mL; X = 0.4 mL. The nurse should administer 0.4 mL of naloxone (Narcan).
Question 2 of 5
The nurse is assessing the newborn's respirations. Which of these findings would indicate a need for follow-up and further intervention?
Correct Answer: D
Rationale: The respirations in a newborn are usually irregular, abdominal, and shallow. However, the ideal respiratory rate in a newborn is 30-60 breaths per minute. A respiratory rate of 70 breaths per minute indicates tachypnea and may require intervention. The other answer choices do not necessarily indicate the need for follow-up.
Question 3 of 5
The nurse is observing a client self-administer two medications that are in a crushable pill form through their G tube. Which of the following would indicate a need for further instruction?
Correct Answer: C
Rationale: Medication should not be mixed with tube-feeding formula or other medications. The G-tube should be flushed before, between, and after the medications, and the client should remain in the Semi-Fowler's position for at least 30 minutes after medications are administered.
Question 4 of 5
Which of the following is least appropriate when caring for a stable postpartum client?
Correct Answer: B
Rationale: A family assessment is more appropriate after the client(s) have been discharged from the hospital. In the immediate postpartum stage, the nurse should provide perineal care, monitor for bleeding, and assess the location and height of the fundus.
Question 5 of 5
One day postoperative, the client complains of dyspnea, and his respiratory rate (RR) is 35, slightly labored, and there are no breath sounds in the lower-right base. The nurse should suspect:
Correct Answer: B
Rationale: No breath sounds in the lower-right base postoperative suggest atelectasis, a lung collapse common after surgery, causing dyspnea and tachypnea.