NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
Which of the following would likely not be a barrier to learning?
Correct Answer: D
Rationale: Dysphagia may be a barrier to communication but not to learning. Barriers to learning include an altered mental status, taking sedative medications, and lack of motivation to learn.
Question 2 of 5
The nurse is assessing the client newly started on benztropine mesylate. Which findings indicate that the client is experiencing the most common side effects of benztropine mesylate?
Correct Answer: C
Rationale: Blurred vision, dry mouth, and constipation are common side effects of anticholinergic agents like benztropine mesylate (Cogentin).
Question 3 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 4 of 5
The Native American client is being assessed for emotional distress following a family crisis. In anticipating pharmacological treatment, the nurse understands that the Native American client would most likely do what?
Correct Answer: A
Rationale: Native American cultures often use herbal or plant remedies with healing properties.
Question 5 of 5
The HCP prescribes 1200 mL of TPN solution to be administered over 24 hours for the homebound client. The home health nurse should instruct the client to set the infusion pump to deliver how many mL per hour?
Correct Answer: 50
Rationale:
To calculate the infusion rate, divide the total volume by the total time: 1200 mL/ 24 hours = 50 mL per hour. The nurse should instruct the client to set the infusion pump to deliver 50 mL per hour.