NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
Two hours after administering iron dextran, the nurse is drawing the client's blood sample for a laboratory test. Which intervention should the nurse implement when noting that the client's blood has a brownish hue?
Correct Answer: A
Rationale: A: The nurse should document the finding of the blood's brownish hue; iron dextran (Dexferrum) may impart a brownish hue to blood drawn within four hours after administration. B: Drawing blood from another site is unnecessary because iron dextran imparts the brown-colored serum, and the color will be unchanged even if blood is drawn at another site. C: Notifying the HCP is unnecessary because the brown-colored serum is a normal finding after iron dextran administration. D: The blood sample should not be discarded because the brown-colored serum is a normal finding after iron dextran administration and will not affect laboratory analysis.
Question 2 of 5
The nurse is teaching the client newly started on propranolol for acute situational anxiety disorder. In addition to treating the client's anxiety, the nurse should inform the client that propranolol's use is effective in treating which associated problem?
Correct Answer: B
Rationale: Propranolol (Inderal), a beta blocker, has been shown to be effective in ameliorating the somatic symptoms of anxiety such as hand tremor.
Question 3 of 5
The client taking lithium for bipolar disorder participated in a recreational game of basketball in the mental health unit gym. The client is now feeling nauseated and shaky, has blurred vision, and is finding it hard to stand. Considering this information, which action should be taken by the nurse?
Correct Answer: B
Rationale: The client is showing signs of lithium (Lithane) toxicity, especially apparent after high levels of physical activity. The HCP should be notified for a STAT lithium level and corrective action.
Question 4 of 5
Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?
Correct Answer: D
Rationale: Insulin is not required in continuous treatment for every Type II diabetic, as many can manage with lifestyle changes and oral medications.
Question 5 of 5
The nurse is performing a health history on the child with ADHD who is being evaluated for treatment with psychostimulants. Which information is most critical to collect prior to treatment with psychostimulants?
Correct Answer: D
Rationale: Cardiovascular history is critical due to contraindications of psychostimulants in certain CV conditions.