NCLEX Quiz: Pharmacological and Parenteral Therapies

May 31, 2015 By Rana Waqar Leave a Comment

On the NCLEX-RN® exam, you can expect 15 percent of the questions to relate to the Pharmacological and Parenteral Therapies subcategory. Exam content includes, but is not limited to, the following areas:
Adverse effects/contraindications/side effects/interactions

Blood and blood products
Central venous access devices
Dosage calculation
Expected actions/outcomes
Medication administration
Parenteral/intravenous therapies
Pharmacological pain management
Total parenteral nutrition

1. The nurse is conducting a home visit with a client who has a history of angina. Which of the following BEST demonstrates that further teaching about nitroglycerin therapy is required?*
- 1. “I take a tablet about 10 minutes before I walk up the stairs.”
- 2. “I take no more than 3 doses in a 15-minute period of time.”
- 3. “I keep the tablets in a glass dish on the windowsill so they are readily available.”
- 4. “I will call my doctor immediately if I experience blurred vision.”
2. The nurse assesses the peripheral IV site of a client receiving a doxorubicin infusion and suspects extravasation. After stopping the infusion and disconnecting the IV tubing, which of the following should the nurse do next?*
- 1. Apply a hot compress to the IV site.
- 2. Apply a cold compress to the IV site.
- 3. Elevate the affected extremity.
- 4. Attempt to aspirate the residual drug.
3. The nurse is preparing to discharge a 72-year-old man on warfarin therapy for a pulmonary embolism. The nurse’s discharge teaching should include which of the following instructions?*
- 1. Follow a healthy diet by increasing ingestion of green, leafy vegetables.
- 2. Take herbal remedies to manage cold symptoms.
- 3. Avoid alcohol due to enhanced anticoagulant effect.
- 4. Take Coumadin only on an empty stomach.
4. A 75-year-old woman has been prescribed amitriptyline hydrochloride to manage neuropathic pain associated with diabetic neuropathy. She reports to the nurse that her pain level has decreased from a 7 to a 3 on a scale of 1–10. However, she is experiencing severe xerostomia. Which of the following strategies should the nurse choose to help relieve this symptom?*
- 1. Increase caffeine intake.
- 2. Decrease fluid intake.
- 3. Increase dietary sodium.
- 4. Chew sugar-free gum.
5. Prior to administering digoxin 0.125 mg PO to a client with chronic heart failure, the nurse determines that the apical pulse is 56. Which of the following should the nurse do FIRST?*
- 1. Administer the drug and recheck the pulse in one hour.
- 2. Withhold the drug and notify the physician.
- 3. Obtain an EKG.
- 4. Send a blood sample to the laboratory for a digoxin level.

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