NCLEX PHARMACOLOGY PHYSIOLOGY EXAMS

NCLEX PHARMACOLOGY & PHYSIOLOGY EXAMS

WITH NGN, 2023 VERSION (A+ REAL EXAM)

• Question

1 point(s)

Category: Physiological Adaptation

When giving intravenous (I.V.) phenytoin, which of the following methods should you use? A. Use an in-line filter. B. Withhold other anticonvulsants. C. Mix the drug with saline solution only. D. Flush the I.V. catheter with dextrose solution.Incorrect

Correct Answer: C. Mix the drug with saline solution only.

Phenytoin is compatible only with saline solutions.

Options A and B: You needn’t withhold additional anticonvulsants or

use an in-line filter.

Option D: Dextrose causes an insoluble precipitate to form.

• Question

1 point(s)

Category: Physiological Adaptation

After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips? A. Abduction  B. Adduction  C. Prone

 D. Subluxated Incorrect

Correct Answer: A. Abduction

After surgical repair of the hip, keep the legs and hips abducted to stabilize the prosthesis in the acetabulum.

Option B: Adduction brings the limb or hand toward or across the

midline of the body, or brings the fingers or toes together.

Option C: Prone position is a body position in which the person lies flat

with the chest down and the back up.

Option D: A subluxation is a partial dislocation of a joint. It’s often the

result of acute injury or repetitive motions, but it can also occur because of medical conditions where the ligaments are loose.

• Question

1 point(s)

Category: Physiological Adaptation

Which of the following factors should be the primary focus of nursing management in a patient with acute pancreatitis? A. Nutrition management  B. Fluid and electrolyte balance  C. Management of hypoglycemia  D. Pain control Incorrect

Correct Answer: B. Fluid and electrolyte balance

Acute pancreatitis is commonly associated with fluid isolation and accumulation in the bowel secondary to ileus or peripancreatic edema.Fluid and electrolyte loss from vomiting is a major concern. Therefore, your priority is to manage hypovolemia and restore electrolyte balance.

Options A and D: Pain control and nutrition also are important, but not

priority.

Option C: Patients are at risk for hyperglycemia, not hypoglycemia.

• Question

1 point(s)

Category: Reduction of Risk Potential

After a liver biopsy, place the patient in which of the following positions? A. Left side-lying, with the bed flat  B. Right side-lying, with the bed flat  C. Left side-lying, with the bed in semi-Fowler’s position  D. Right side-lying, with the bed in semi-Fowler’s position Incorrect

Correct Answer: B. Right side-lying, with the bed flat.

Positioning the patient on his right side with the bed flat will splint the biopsy site and minimize bleeding.

Options A, C, D: The other positions won’t do this and may cause more

bleeding at the site or internally.

• Question

1 point(s)

Category: Reduction of Risk Potential

Which of the following potentially serious complications could occur with therapy for hypothyroidism? A. Acute hemolytic reaction  B. Angina or cardiac arrhythmia  C. Retinopathy  D. Thrombocytopenia

Incorrect Correct Answer B. Angina or cardiac arrhythmia Precipitation of angina or cardiac arrhythmia is a potentially serious complication of hypothyroidism treatment.

Option A: Acute hemolytic reaction is a complication of blood

transfusions.

Option C: Retinopathy typically is a complication of diabetes mellitus.

Option D: Thrombocytopenia doesn’t result from treating

hypothyroidism.

• Question

1 point(s)

Category: Physiological Adaptation

Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes?Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes? A. Diabetes mellitus  B. Diabetes insipidus  C. Diabetic ketoacidosis  D. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) Incorrect

Correct Answer: B. Diabetes insipidus

Maintaining adequate fluid and replacing vasopressin are the main objectives in treating diabetes insipidus.

Option A: Diabetes is a chronic condition associated with abnormally

high levels of sugar (glucose) in the blood. Insulin produced by the pancreas lowers blood glucose.

Option C: Diabetic ketoacidosis is a result of severe insulin

insufficiency.