NCLEX-PN
Health Promotion and Maintenance NCLEX Questions
Extract:
Question 1 of 5
The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:
Correct Answer: B
Rationale: A client with an infection needs both antibiotics as soon as possible. However, the pH of ampicillin is 8-10, and the pH of gentamicin is 3-5.5 (making them incompatible when given together). Flushing well between drugs is necessary.
Question 2 of 5
A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:
Correct Answer: D
Rationale: Small volumes of medication or fluids are delivered and sometimes at slow rates to neonates and pediatric clients. The syringe pump allows precise infusion of small volumes.
Choice 1 is incorrect because a syringe pump can be used in almost any setting, but is not generally for adult clients.
Choices 2 and 3 are incorrect because large volumes of fluids are not administered with a syringe pump.
Question 3 of 5
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
Correct Answer: C
Rationale: CVADs allow administration of vesicant chemotherapeutic drugs into larger veins, reducing damage to smaller peripheral veins. They are more expensive, dosing varies, and home administration is not standard.
Question 4 of 5
A complication of total parenteral nutrition (TPN) is the development of cholestasis. What is this condition?
Correct Answer: B
Rationale: Cholestasis from TPN is an intrahepatic interruption of bile flow, unlike cholangitis (duct inflammation), cholecystitis (gallbladder inflammation), or gallstone formation.
Question 5 of 5
A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
Correct Answer: A
Rationale: One hundred ml in one hour equals 50 ml in 30 minutes, which is what the physician prescribed.
Choice 2 is 10 ml more than the physician prescribed for 30 minutes.
Choice 3 is the same as
Choice 2; it is 10 ml more than the physician prescribed for 30 minutes.
Choice 4 only provides 25 ml over 30 minutes, or half the volume prescribed.