Nclex-Rn Practice Questions-Physıologıcal Integrıty-Pharmacological And Parenteral Therapies Part 2
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Question 1 |
Which electrolyte imbalances should be of concern for the client taking digoxin (Lanoxin)?
A | Hypokalemia. |
B | Hyponatremia. |
C | Hypomagnesemia. |
D | Hypocalcemia. |
Question 2 |
Which is an advantage of using packed red cells for a client in need of a blood transfusion?
A | It provides added clotting factors. |
B | It decreases the chance of overload. |
C | It has a longer shelf life. |
D | It reduces the chance of allergic reactions. |
Question 3 |
A client with a diagnosis of neutropenia would most likely be transfused with which substance?
A | Cyroprecipitate. |
B | Fresh frozen plasma. |
C | Granulocytes. |
D | Platelets. |
Question 4 |
A client has no antibodies in the blood when tested for crossmatch. Which blood type is this client?
A | Type A. |
B | Type B. |
C | Type AB. |
D | Type O. |
Question 5 |
A client is given a prescription for amiodarone (Cordarone) in addition to digoxin (Lanoxin). Which action should the nurse take?
A | No action is necessary. |
B | Contact the physician. |
C | Encourage the patient to take the medications at the same time. |
D | Instruct the client to only take a half dose of digoxin (Lanoxin). |
Question 6 |
Which dietary change must a client make when starting treatment with the medication spironolactone (Aldactone)?
A | Eat extra helpings of bananas. |
B | Increase intake of water. |
C | Avoid salt substitutes. |
D | Increase intake of green leafy vegetables. |
Question 7 |
An elderly client is prescribed spironolactone (Aldactone) with the addition of potassium chloride (Kaochlor). Which is a true statement regarding the use of these two medications together?
A | Spironolactone (Aldactone) should not have potassium chloride (Kaochlor) added to the regimen because it is a potassium-sparing diuretic. |
B | Potassium is necessary when clients are placed on spironolactone (Aldactone) because it is a loop diuretic. |
C | Spironolactone (Aldactone) and potassium chloride (Kaochlor) have no additive or antagonistic effects with each other. |
D | Potassium chloride (Kaochlor) added to spironolactone (Aldactone) causes renal failure. |
Question 8 |
An elderly client receives instructions regarding the use of warfarin sodium (Coumadin). Which statement indicates the client understands the possible food interactions which may occur with this medication?
A | I’m going to miss having my evening glass of wine now. |
B | I told my daughter to buy bananas for me. I’ll have to eat more of those now. |
C | I will have to watch my intake of salads, something that I really love. |
D | I am going to begin eating more fish and pork and leave beef alone now. |
Question 9 |
A client admitted to the unit for treatment of an upper respiratory infection receives erythromycin lactobionate (Erythromycin). The client has a history of renal transplant and is taking cyclosporine (Neoral). These two medications can interact at which pharmacological phase?
A | Absorption. |
B | Distribution. |
C | Metabolism. |
D | Excretion. |
Question 10 |
A client involved in a major vehicle accident has type O blood. Which blood types can this client receive?
A | Type A. |
B | Type B. |
C | Type AB. |
D | Type O. |
Question 11 |
Hydrochlorthiazide (Microzide) is ordered for a client as an antihypertensive. Which should the nurse expect to be included in the client’s list of current medications?
A | Sodium thiosulfate. |
B | Potassium chloride (K-Dur). |
C | Magnesium citrate (Citrate of Magnesia). |
D | Calcium gluconate. |
Question 12 |
Which statement by the nurse indicates a positive outcome for a client who takes sodium polystyrene sulfonate (Kayexalate)?
A | The client’s urine output is good. |
B | The client’s nausea is gone. |
C | The client’s affect has improved. |
D | The client’s potassium level has decreased. |
Question 13 |
Which evaluation statement by the nurse is most accurate for a client who has been taking colchicine (Colgout)?
A | The client is free of pain. |
B | The client’s platelet level is increased. |
C | The client’s cardiac output is improved. |
D | The client is free from infection. |
Question 14 |
Timolol maleate (Timoptic) is ordered for a client with a diagnosis of open-angle glaucoma. The nurse knows this medication reduces intraocular pressure through which expected action?
A | Timolol maleate helps to decrease inflammation. |
B | Timolol maleate works to reduce aqueous humor production. |
C | Timolol maleate acts as an anti-fibrinolytic. |
D | Timolol maleate is an optic analgesic. |
Question 15 |
An immigrant from the Kurdish Jewish population is admitted for fever of unknown origin, generalized body aches, and dyspnea. The following medication regimen is ordered: albuterol sulfate (Proventil) inhaler 2 puffs four times a day as needed for dyspnea; acetylsalicylic acid (aspirin) 650 mg PO every 4 hours as needed for pain or fever; celecoxib (Celebrex) 200 mg PO daily, and fosinopril sodium (Monopril) 10 mg PO daily. Which order should the nurse question?
A | Albuterol sulfate (Proventil) inhaler 2 puffs four times a day as needed for dyspnea. |
B | Acetylsalicylic acid (aspirin) 650 mg PO every 4 hours as needed for pain or fever. |
C | Celecoxib (Celebrex) 200 mg PO daily. |
D | Fosinopril sodium (Monopril) 10 mg PO daily. |
Question 16 |
A client complains of increasing fatigue and pain due to rheumatoid arthritis currently being treated with sulfasalizine (Azulfidine). The client’s history includes diabetes mellitus type 2 and chronic obstructive pulmonary disease (COPD). The client’s medications include glipizide (Glucotrol) and estradiol (Estrace). Which symptom should the nurse expect to find as a result of medication interactions?
A | Pathological fractures. |
B | Hot flashes. |
C | Increased dyspnea. |
D | Hypoglycemia. |
Question 17 |
A client has a history of positive HIV with onset of acquired immunodeficiency syndrome (AIDS). The client receives 2 units of whole blood. Which transfusion reaction is this client most likely to have?
A | Acute hemolytic reaction. |
B | Graft versus host disease. |
C | Allergic reaction. |
D | Febrile transfusion reaction. |
Question 18 |
A client is admitted for minor injuries sustained in a motorcycle accident. The physician order reads: desmopressin acetate (DDAVP) 0.3 mcg/kg IV × 1 dose. The nurse knows this medication is ordered to manage the client’s:
A | Christmas disease. |
B | Disseminated intravascular coagulation (DIC). |
C | Sickle-cell anemia. |
D | Von Willebrand’s disease. |
Question 19 |
A 22-year-old female client receives Rho(D) immune globulin, human (Rhogam) after a sudden miscarriage. Which statement is true regarding this blood product?
A | Rhogam should be given to females who are Rh positive after miscarriage or delivery. |
B | Rhogam provides active immunity to women exposed to Rh-positive blood from the fetus. |
C | Epinephrine should be available since Rhogam can cause anaphylaxis. |
D | Rhogam increases antibody response to Rh-negative exposure. |
Question 20 |
Hypocalcemia can occur when large amounts of blood are used in critical patient situations. Which statement is true regarding the cause of hypocalcemia?
A | The citrate contained in the blood bags combines with calcium ions making them unusable. |
B | The pH of banked blood is alkalinic creating an environment that is not stable for the calcium ions. |
C | A shift to the right on the oxyhemoglobin dissociation curve occurs causing calcium to be excreted more quickly from the renal system. |
D | Increased amounts of 2.3 DPG is found in banked blood, which antagonizes calcium. |
Question 21 |
A 32-year-old female client who is 5 months pregnant is diagnosed with pelvic inflammatory disease and given a prescription for metronidazole (Flagyl). Which substance should be avoided in this client in order to prevent an interaction with Flagyl?
A | Furosemide (Lasix). |
B | Alcohol. |
C | Doxycycline (Vibramycin). |
D | St. John’s wort. |
Question 22 |
For which client would the use of acetaminophen (Tylenol) pose a higher risk?
A | A 42-year-old female who abuses cocaine. |
B | A 54-year-old male who abuses alcohol. |
C | A 23-year-old female who has asthma. |
D | A 34-year-old male with sickle-cell anemia. |
Question 23 |
A client receives a unit of packed red blood cells. Which is appropriate nursing care for this client?
A | Give a bolus of 50 mL of blood to start the process. |
B | Take vital signs prior to the start of administering blood and again in 15 minutes. |
C | Measure the client’s blood pressure, pulse, and pulse oximetry only. |
D | A nurse and nurse’s aide can check the blood prior to administration. |
Question 24 |
A 52-year-old client is seen in the local clinic after positive seroconversion of a tuberculin (TB) test. The nurse expects the client to be placed on which medication?
A | Doxycycline hydrochloride (Vibramycin). |
B | Fluconazole (Diflucan). |
C | Isoniazid (INH). |
D | Oseltamivir phosphate (Tamiflu). |
Question 25 |
A 62-year-old male client has nitroglycerin (Nitrostat) added to his medication regimen. Which statement made by this client indicates that further education is needed?
A | I will take this medication if I have an episode of chest pain. |
B | I will wait at least 1 hour after I take my sildanefil (Viagra) before using Nitrostat. |
C | I can take up to 3 tablets every 5 minutes if my angina occurs. |
D | I know that I must put this tablet under my tongue for it to work. |
Question 26 |
A client who receives a blood transfusion complains of chest and low back pain. Vital signs are blood pressure 94/62 mm Hg, pulse 140 beats/minute, respiratory rate 32 breaths/minute. Which nursing action takes priority?
A | Contact the physician immediately. |
B | Turn off the blood. |
C | Place the client in Trendelenburg position. |
D | Open the saline on the blood tubing. |
Question 27 |
A client takes the following medications: labetolol hydrochloride (Normodyne) 100 milligrams twice a day, ketorolac tromethamine (Toradol) 10 milligrams as needed, and mirtazapine (Remeron) 15 milligrams at bedtime. Which nursing diagnosis is most appropriate for this client?
A | Risk for trauma related to drug-induced hypotension. |
B | Risk for fluid volume deficit related to adverse reactions. |
C | Risk for trauma related to lowered seizure threshold. |
D | Risk for impaired skin integrity related to dermatologic reactions. |
Question 28 |
A client is prescribed the following medications: cefprazil (Cefzil) 500 mg PO twice a day, digoxin (Lanoxin) 0.125 mg PO daily, magaldrate (Riopan) 10 mL PO ac meals, and zolpidem tartrate (Ambien) 10 mg HS. Which medications should not be given together?
A | Digoxin (Lanoxin) and zolpidem tartrate (Ambien). |
B | Digoxin (Lanoxin) and magaldrate (Riopan). |
C | Magaldrate (Riopan) and zolpidem tartrate (Ambien). |
D | Cefprazil (Cefzil) and zolpidem tartrate (Ambien). |
Question 29 |
The nurse receives a unit of blood at 0800 for transfusion. This unit of blood must be infused by what time?
A | 1000. |
B | 1200. |
C | 1400. |
D | 1600. |
Question 30 |
A client awaiting surgery is accidentally given a double dose of morning medication, which includes metformin hydrochloride (Glucophage) 1000 mg and aspirin 81 mg. Which step should the nurse take to ensure no ill effects occur as a result of this incident?
A | Observe for Kussmaul respirations. |
B | Monitor closely for hypertension. |
C | Test for blood glucose levels. |
D | Document temperature readings. |
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