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PHARMACOLOGY NCLEX -PN
LATEST UPDATE QUESTIONS
AND ANSWERS
Question 1: A nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On the basis of this data, the nurse reports the finding and makes which determination?
The magnesium sulfate is effective.The infusion rate needs to be increased.The client is experiencing cerebral edema.The client is experiencing magnesium toxicity.
Correct Answer: 4. The client is experiencing magnesium toxicity.
Question 2: A client who is human immunodeficiency virus (HIV) seropositive
has been taking zalcitabine (ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to be monitored while taking this medication?
Glucose level Platelet count Red blood cell count Liver function studies
Correct Answer: 4. Liver function studies
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Question 3: The nurse administering medications to a group of clients notes a
prescription to give a subcutaneous dose of heparin sodium. The nurse should do which of the following to give this medication safely?
Aspirate with the plunger before injecting.Massage the site after injection.Give the injection using a 25- to 27-gauge, ⅝-inch needle.Withdraw medication using a ⅝-inch needle and then change to a 1-inch needle.
Correct Answer: 3. Give the injection using a 25- to 27-gauge, ⅝-inch needle.
Question 4: The nurse is analyzing the laboratory results of a client with
leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy?
Anemia Decreased platelets Increased uric acid level Decreased leukocyte count
Correct Answer: 3. Increased uric acid level
Question 5: The client has begun medication therapy with pancrelipase
(Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
Weight loss Relief of heartbur Reduction of steatorrhea
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Absence of abdominal pain
Correct Answer: 3. Reduction of steatorrhea
Question 6: Sodium hypochlorite (Dakin's solution) is prescribed for a client
with a leg wound containing purulent drainage. The nurse is assisting in developing a plan of care for the client and includes which of the following in the plan?
Ensure that the solution is freshly prepared before use.Soak a sterile dressing with solution and pack into the wound.Allow the solution to remain in the wound following irrigation.Apply the solution to the wound and on normal skin tissue surrounding the wound.
Correct Answer: 1. Ensure that the solution is freshly prepared before use.
Question 7: A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring this client should look for which of the following to indicate a primary therapeutic response from the medication?
Decreased muscle spasms Increased range of motion of all extremities Increased muscle tone and strength Decreased nausea
Correct Answer: 1. Decreased muscle spasms
Question 8: A client with cancer is receiving cisplatin. Which finding indicates that the client is experiencing an adverse effect of the medication?
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Tinnitus Increased appetite
Excessive urination
Yellow halos in front of the eyes
Correct Answer: 1. Tinnitus
Question 9: The nurse provides medication instructions to an older hypertensive
client who is taking 20 mg of lisinopril (Prinivil, Zestril) orally daily. The nurse evaluates the need for further teaching when the client states which of the following?
"I can skip a dose once a week." "I need to change my position slowly." "I take the pill after breakfast each day." "If I get a bad headache, I should call my doctor immediately."
Correct Answer: 1. "I can skip a dose once a week."
Question 10: A nurse provides instructions to a client who has been prescribed
betaxolol (Betoptic) eye drops for the treatment of glaucoma. The nurse instructs the client regarding the administration of the medication and about the
importance of returning to the clinic for monitoring of the:
Temperature
Blood pressure and apical pulse