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NCLEX Pharmacology Quiz 1 (20 Items)

As promotes, we deficiency to enjoy an catholic troddenion environing the incongruous garbages and their uses. But how desolate is your troddenion environing the concepts of Pharmacology? Procure our 20-item NCLEX manner rally environing this subject.
He who studies remedy extraneously books sails an uncharted sea, but he who studies remedy extraneously patients does not go to sea at all. —William Osler

Topics

Included subjects in this exam are:
  • Pharmacology nursing
  • Drug reckoning and dosages
  • Administration of remedy

Guidelines

To fabricate the most of this rally, prosper the guidelines beneath:
  • Read each topic solicitudefully and pick-out the best acceptance.
  • You are fond one microscopic per topic. Spend your occasion wisely!
  • Answers and rationales are fond beneath. Be fast to interpret them.
  • If you deficiency further tenuitys, content trodden them to the comments minority.

Text Mode

In Text Mode: All topics and acceptances are fond for interpreting and acceptanceing at your own gait. You can as-well-behaved vision this exam and fabricate a print out. 1. A 2 year-old cadet is receiving deal-outial whole composeral sustentation (TPN) through a accessible venous method. This is the original day of TPN therapy. Although all of the prospering nursing exercises must be comprised in the sketch of solicitude of this cadet, which one would be a pre-eminence at this occasion? A. Use aseptic technique during verbiage exchanges B. Detain accessible method catheter integrity C. Monitor serum glucose smooths D. Obstruct fruits of liver empty tests 2. Nurse Jamie is administering the primal whole composereral sustentation discontinuance to a client. Which of the prospering imposts exacts the promote’s contiguous vigilance? A. Temperature of 37.5 degrees Celsius B. Urine output of 300 cc in 4 hours C. Poor bark turgor D. Blood glucose of 350 mg/dl 3. Promote Susan administered intravenous gamma globulin to an 18 month-old cadet delay AIDS. The composer asks why this medication is nature fond. What is the promote’s best acceptance? A. “It achieve lazy down the reply of the poison.” B. “This medication achieve emend your cadet’s aggravateall bloom foundation.” C. “This medication is used to anticipate bacterial transmitted.” D. “It achieve fruit the agency of the other medications your cadet accepts.” 4. When caring for a client delay whole composereral sustentation (TPN), what is the most expressive exercise on the deal-out of the promote? A. Record the reckon of stools per day B. Detain sharp inprocure and output records C. Barren technique for verbiage exexvary at IV residence D. Monitor for cardiac arrhythmias
5. The promote is administering an intravenous vesicant chemosanitary proxy to a client. Which impost would exact the promote’s contiguous exercise? A. Stomatitis lesion in the mouth B. Sharp nausea and vomiting C. Complaints of pain at residence of refluence D. A indiscreet on the client’s extremities 6. Promote Cemethod is caring for a client delay clinical depression who is receiving a MAO inhibitor. When providing troddenions environing precautions delay this medication, the promote should trodden the client to: A. Avoid chocolate and cheese B. Procure recurrent naps C. Procure the medication delay milk D. Avoid walking extraneously assistance 7. Era providing abode solicitude to a client delay congestive interior demand, the promote is asked how covet diuretics must be captured. The BEST acceptance to this client should be: A. “As you urinate further, you achieve deficiency near medication to administer watery.” B. “You achieve enjoy to procure this medication for environing a year.” C. “The medication must be lived so the watery gist is administerled.” D. “Please converse to your physician environing medications and tenors.” 8. George, age 8, is admitted delay rheumatic fever. Which clinical opinion marks to the promote that George deficiencys to live induction the salicylates he had current at abode? A. Chorea. B. Polyarthritis. C. Subcutaneous nodules. D. Erythema marginatum. 9. An dispose is written to rouse an IV on a 74-year-old client who is getting interprety to go to the unoccupied sgait for a whole hip regaining. What fathom of catheter would best converge the deficiencys of this client? A. 18 B. 20 C. 21 butterfly D. 25 10. A client delay an sharp exacerbation of rheumatoid arthritis is admitted to the hospital for tenor. Which garbage, used to use clients delay rheumatoid arthritis, has twain an anti-inflammatory and immunosuppressive fruit? A. Gold sodium thiomalate (Myochrysine) B. Azathioprine (Imuran) C. Prednisone (Deltasone) D. Naproxen (Naprosyn) 11. Which of the prospering is lowest mitigated to rule the immanent for a client to concede delay lithium therapy behind empty? A. The impression of lithium on the client’s activity smooth and lifestyle. B. The deficiency for accordant dispose smooth monitoring. C. The immanent projecte fruits of lithium. D. What the client’s friends contemplate of his deficiency to procure medication 12. Which of the prospering is lowest mitigated to rule the immanent for a client to concede delay lithium therapy behind empty? A. The impression of lithium on the client’s activity smooth and lifestyle. B. The deficiency for accordant dispose smooth monitoring. C. The immanent projecte fruits of lithium. D. What the client’s friends contemplate of his deficiency to procure medication. 13. The promote is caring for an elderly client who has been diagnosed as having sundown syndrome. He is watchful and oriented during the day but becomes disoriented and disruptive encircling dinnertime. He is hospitalized for evaluation. The promote asks the client and his race to roll all of the medications, custom and nonprescription, he is currently induction. What is the original infer for this exercise? A. Multiple medications can transfer to dementia B. The medications can furnish clues in-reference-to his medical setting C. Force to resumption medications is a cheerful-tempered-tempered impost of the client’s smooth of orientation. D. Medications captured by a client are deal-out of entire nursing impost. 14. A 25-year-old dowager is in her fifth month of pregnancy. She has been induction 20 units of NPH insulin for diabetes mellitus daily for six years. Her diabetes has been polite administerled delay this dosage. She has been hence for tenor prenatal visits, during which diabetic education has been implementeD. Which of the prospering propositions marks that the dowager inferiorneathstands the education in-reference-to her insulin deficiencys during her pregnancy? A. “Are you fast all this insulin won’t annoy my baby?” B. “I’ll probably deficiency my daily insulin dose honorable.” C. “I achieve live to procure my identifyd dose of insulin.” D. “These finger sticks fabricate my index shrill. Can I do them near recurrently?” 15. Mrs. Johanson’s physician has prescribed tetracycmethod 500 mg po q6h. Era assessing Mrs. Johanson’s nursing narrative for allergies, the promote notes that Mrs. Johanson’s is as-well-behaved induction verbal contraceptives. What is the most alienate primal nursing intercession? A. Administer the dose of tetracycline. B. Declare the physician that Mrs. Johanson is induction verbal contraceptives. C. Communicate Mrs. Johanson, she should plug induction verbal contraceptives past they are inactivated by tetracycline. D. Communicate Mrs. Johanson, to use another produce of nativity administer for at lowest two months. 16. An adult client’s insulin dosage is 10 units of identifyd insulin and 15 units of NPH insulin in the waking. The client should be taught to wait-for the original insulin peak: A. as anteriorly-covet as buttress is ingested. B. in two to immodest hours. C. in six hours. D. in ten to twelve hours. 17. An adult is hospitalized for tenor of collected electrical burns. Kindle irritate sepsis develops and mafenide acetate 10% (Sulfamylon) is disposeed bid. Era applying the Sulfamylon to the irritate, it is expressive for the promote to furnish the client for wait-fored acceptances to the subjectal impression, which embody: A. sharp beaming affliction for a few microscopics prospering impression. B. feasible sharp metabolic alkalosis delay lived use. C. bwithdrawal defacement of anything that comes in touch delay this garbage. D. chilling due to evaporation of discontinuance from the moistened verbiages. 18. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has disposeed Lugol’s discontinuance for the client. The promote inferiorneathstands that the original infer for giving Lugol’s discontinuance preoperatively is to: A. contract the imperil of agranulocytosis postoperatively. B. anticipate tetany era the client is inferiorneathneath notorious anesthesia. C. contract the comprehensiveness and vascularity of the thyroid and anticipate hemorrhage. D. potentiate the fruit of the other preoperative medication so near remedy can be fond era the client is inferiorneathneath anesthesia. 19. A two-year-old cadet delay congestive interior demand has been receiving digoxin for one week. The promote deficiencys to identify that an forthhence expressionalal of digitalis toxicity is: A. bradypnea. B. demand to prosper. C. tachycardia. D. vomiting. 20. Mr. Bates is admitted to the surgical ICU prospering a left adrenalectomy. He is sluggish but abundantly aroused. An IV compriseing hydrocortisone is present. The promote sketchning solicitude for Mr. Bates knows it is qualitative to embody which of the prospering nursing intercessions at this occasion? A. Monitor dispose glucose smooths entire vary to discaggravate fruit of hypo- or hyperglycemia. B. Practise insipid on tail delay minimal motion to contract imperil of hemorrhage prospering surgery. C. Administer hydrocortisone until insepartelling expressionals stabilize, then dislive the IV. D. Teach Mr. Bates how to solicitude for his irritate past he is at haughty imperil for developing postoperative poison.

Answers & Rationale

Here are the acceptances and rationale for this exam. Counter obstruct your acceptances to those beneath and communicate us your jaws. If you enjoy any disputes or deficiency further tenuity to a indubittelling topic, content trodden them to the comments minority. 1. Acceptance C. Monitor serum glucose smooths Monitor serum glucose smooths. Hyperglycemia may supervene during the original day or 2 as the cadet adapts to the haughty-glucose entrust of the TPN discontinuance. Thus, a original nursing once is dispose glucose testing. 2. Acceptance D. Blood glucose of 350 mg/dl Total composereral sustentation produceulas comprise dextrose in concentrations of 10% or main to afford 20% to 50% of the whole calories. Dispose glucose smooths should be obstructed entire 4 to 6 hours. A sliding lamina dose of insulin may be disposeed to detain the dispose glucose smooth beneath 200mg/dl. 3. Acceptance C. “This medication is used to anticipate bacterial transmitted.” Intravenous gamma globulin is fond to aid anticipate as polite as to contest bacterial transmitted in adolescent cadetren delay AIDS. 4. Acceptance C. Sterile technique for verbiage exexvary at IV residence Clients receiving TPN are very desirtelling to poison. The close glucose discontinuances are a cheerful-tempered-tempered average for bacterial fruit. Sharp barren technique is searching in anticipateing poison at IV refluence residence. 5. Acceptance C. Complaints of affliction at residence of refluence A vesicant is a chemosanitary proxy desirtelling of causing chafing of edifices and feasible edifice necrosis if there is extravasation. These proxys are irritants which inducement affliction parallel the state mole, delay or extraneously inflammation. 6. Acceptance A. Avoid chocolate and cheese Foods haughty in tryptophan, tyramine and caffeine, such as chocolate and cheese may douse hypertensive emergency. 7. Acceptance C. “The medication must be lived so the watery gist is administerled.” This is the most sanitary acceptance and gives the client respectful counsel. 8. Acceptance B. Polyarthritis. Chorea is the restnear and anxietyshort aimnear and riotous motions of the extremities anxietylessly seen in living-souls delay rheumatic passion, in-particular girls. Polyarthritis is characterized by protuberant, afflictionful, hot joints that suit to salicylates. Subcutaneous nodules are nontender swellings aggravate gaunt prominences sometimes seen in living-souls delay rheumatic passion. Erythema marginatum is a bark requiplight characterized by nonpruritic indiscreet, considertelling stem and proximal extremities, seen in living-souls delay rheumatic passion. 9. Acceptance A. 18 Clients going to the unoccupied sgait ideally should enjoy an 18- fathom catheter. This is extensive plenty to use dispose products safely and to assignal flying government of extensive amounts of watery if involved during the perioperative continuance. An 18-fathom catheter is recommended. A 20-fathom catheter is a bar valuable. A 21-fathom deficiencyle is too insignificant and a butterfly too unsttelling for a client going to surgery. A 25-fathom deficiencyle is too insignificant. 10. Acceptance C. Prednisone (Deltasone) Gold sodium thiomalate is usually used in association delay aspirin and nonsteroidal anti-inflammatory garbages to succor affliction. Gold has an immunosuppressive move. Azathioprine is used for clients delay life-threatening rheumatoid arthritis for its immunosuppressive fruits. Prednisone is used to use living-souls delay sharp exacerbations of rheumatoid arthritis. This medication is fond for its anti-inflammatory and immunosuppressive fruits. Naproxen is a nonsteroidal anti-inflammatory garbage. Immunosuppression does not supervene. 11. Acceptance D. What the client’s friends contemplate of his deficiency to procure medication The impression of lithium on the client’s activity smooth and lifestyle are majestic determinants to ductility. The recurrent dispose smooth monitoring exactd is perplexing for clients to prosper for a covet continuance of occasion. Immanent projecte fruits such as thin trepidation, trance, diarrhea, polyuria, dryness, power construct, and fatigue can be irritant to the client. Era the client’s collective network can rule the client in situations of ductility, the rule is typically barary to that of the other factors rolled. 12. Acceptance D. What the client’s friends contemplate of his deficiency to procure medication. The impression of lithium on the client’s activity smooth and lifestyle are majestic determinants to ductility. The recurrent dispose smooth monitoring exactd is perplexing for clients to prosper for a covet continuance of occasion. Immanent projecte fruits such as thin trepidation, trance, diarrhea, polyuria, dryness, power construct, and tire can be irritant to the client. Era the client’s collective network can rule the client in situations of ductility, the rule is typically barary to that of the other factors rolled. 13. Acceptance A. Multiple medications can transfer to dementia Drugs uniformly used by old mass, in-particular in association, can transfer to dementia. Impost of the medication captured may or may not furnish counsel on the client’s medical setting. However, this is not the original infer for assessing medications in a client who is exhibiting sundown syndrome. Force to resumption medications may mark short-term recollection and resumption. However, that is not the original infer for assessing medications in a client delay sundown syndrome. Medication narrative should be a deal-out of the nursing impost. In this client there is an uniproduce further expressive infer for evaluating the medications captured. 14. Acceptance B. “I’ll probably deficiency my daily insulin dose honorable.” The client rouses to deficiency fruitd insulin in the bar trimester. This prolie marks a behindcited a eradrawal of construction. As a fruit of placental maturation and placental produceation of lactogen, insulin exactments initiate increasing in the bar trimester and may embrace or quadruple by the end of pregnancy. The client rouses to deficiency fruitd insulin in the bar trimester. This prolie marks a behindcited a eradrawal of construction. Insulin doses await on dispose glucose smooths. Finger sticks for glucose smooths must be lived. 15. Acceptance B. Notify the physician that Mrs. Johanson is induction verbal contraceptives. The promote should be informed that tetracyclines contract the agency of verbal contraceptives. The physician should be notified. The physician should be notified. Tetracycmethod contracts the agency of verbal contraceptives. There may be an analogous fruitive antibiotic adapted that can be prescribed. Note on the client’s chart that the physician was notified. The promote should be informed that tetracyclines contract the agency of verbal contraceptives. The promote should not communicate the client to plug induction verbal contraceptives unnear the physician disposes this. The promote should be informed that tetracyclines contract the agency of verbal contraceptives. If the physician pick-outs to practise the client on tetracycline, the client should be encouraged to use another produce of nativity administer. The original intercession is to declare the physician. 16. Acceptance B. in two to immodest hours. The original insulin peak achieve supervene two to immodest hours behind government of identifyd insulin. Recognized insulin is classified as flying acting and achieve peak two to immodest hours behind government. The bar peak achieve be prospect to twelve hours behind the government of NPH insulin. This is why a snack must be eaten mid-waking and as-well-behaved three to immodest hours behind the uniforming fast. The original insulin peak achieve supervene two to immodest hours behind government of identifyd insulin. The original insulin peak achieve supervene two to immodest hours behind government of identifyd insulin. The bar peak achieve supervene prospect to twelve hours behind the government of NPH insulin. 17. Acceptance A. sharp beaming affliction for a few microscopics prospering impression. Mafenide acetate 10% (Sulfamylon) does inducement beaming on impression. An analgesic may be exactd anteriorly the ointment is applied. Mafenide acetate 10% (Sulfamylon) is a secure carbonic anhydrase inhibitor that moves the renal tubular buffering indubitableity, fruiting in metabolic acidosis. Mafenide acetate 10% (Sulfamylon) does not inducement defacement. Silver nitrate discontinuance, another subjectal antibiotic used to use kindle sepsis, has the hindrance of turning anything it touches sombre. Mafenide acetate 10% (Sulfamylon) is an ointment that is applied troddenly to the irritate. It has the force to verbose flyingly through the eschar. The irritate may be left disclosed or dry verbiage may be applied. Silver nitrate discontinuance is applied by soaking the irritate verbiages and practiseing them always wet, which may inducement chilling and hypotension. 18. Acceptance C. contract the comprehensiveness and vascularity of the thyroid and anticipate hemorrhage. Doses of aggravate 30 mg/day may fruit the imperil of agranulocytosis. Lugol’s discontinuance does not act to anticipate tetany. Calcium is used to use tetany. The client may accept iodine discontinuance (Lugol’s discontinuance) for 10 to 14 days anteriorly surgery to contract vascularity of the thyroid and thus anticipate surplus bleeding. Lugol’s discontinuance does not potentiate any other preoperative medication. 19. Acceptance D. vomiting. Bradypnea (lazy vivacious) is not associated delay digitalis toxicity. Bradycardia is associated delay digitalis toxicity. Although cadetren delay congestive interior demand repeatedly enjoy a connected requiplight of demand to prosper, it is not troddenly connected to digitalis government. It is further connected to constant hypoxia. Tachycardia is not a expressionalal of digitalis toxicity. Bradycardia is a expressionalal of digitalis toxicity. The exaltedest expressionalal of digitalis toxicity is vomiting, although one end does not empower discontinuing medication. 20. Acceptance A. Monitor dispose glucose smooths entire vary to discaggravate fruit of hypo- or hyperglycemia. Hydrocortisone promotes gluconeogenesis and elevates dispose glucose smooths. Aftercited adrenalectomy the typical afford of hydrocortisone is intermittent and must be replaced to detain the dispose glucose at typical smooths. Solicitude for the client prospering adrenalectomy is resembling to that for any abdominal agency. The client is encouraged to exexvary lie, cough, and collected murmur to anticipate postoperative complications such as pneumonia or thrombophlebitis. Maintenance doses of hydrocortisone achieve be administered IV until the client is telling to procure it by mouth and achieve be qualitative for six months to two years or until the retaining gland recovers. The client inferiorneathgoing an adrenalectomy is at fruitd imperil for poison and advanced irritate nutritious and achieve deficiency to collect environing irritate solicitude, but not at this occasion era he is in the ICU.

See Also


You may as-well-behaved affect these rallyzes: Nursing Pharmacology
Questions connected to administering medication safely are deal-out of the NCLEX-RN. Furnish for these nursing pharmacology topics delay these rallyzes: Dosage Calculations
This set of NCLEX manner topics embodys not solely dosage calculations but as-well-behaved metric conversions. Better get your calculators interprety!

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