NCLEX-PN
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
Which of these is not a symptom of Serotonin Syndrome?
Correct Answer: A
Rationale: Serotonin syndrome, caused by an excess of serotonin, causes altered mental status (confusion), neuromuscular abnormalities (tremors), and/or autonomic dysfunction (fever). Edema is not a typical symptom.
Question 2 of 5
The clinic nurse is reviewing prescriptions with the parents of the school-aged child with newly diagnosed generalized contact dermatitis. Which prescription should the nurse question with the HCP?
Correct Answer: A
Rationale: A: Prednisone (Deltasone) would not be a first-line treatment for contact dermatitis, and its use should be questioned. Prednisone may be added later if the contact dermatitis has not resolved. B: Calamine lotion is used to promote drying and help relieve itching. C: Diphenhydramine (Benadryl) helps to relieve itching. D: Hydrocortisone cream is an anti-inflammatory agent used to treat contact dermatitis.
Question 3 of 5
The client seeking treatment for insomnia tells the nurse about researching complementary therapies for promoting sleep. Which are herbal remedies for promoting sleep that the client may wish to discuss with the nurse?
Correct Answer: B
Rationale: Chamomile tea and hops are believed to relieve insomnia.
Question 4 of 5
The factor that most determines drug distribution is:
Correct Answer: A
Rationale: Drugs are distributed via the circulatory system. Adequate perfusion is necessary for distribution of a drug. The other choices are not as dependent on adequate perfusion.
Question 5 of 5
The LPN is caring for a client admitted for acute pancreatitis. Which of these medications would be least appropriate for pain management?
Correct Answer: D
Rationale: Morphine is contraindicated for pain management in pancreatitis because it causes spasms in the Sphincter of Oddi.