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NCLEX Review Questions-Pharm Exam 2
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NCLEX Review Questions-Pharm Exam 2 NCLEX Review Questions-Pharm Exam 2 NCLEX Review Questions-Pharm Exam 2
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NCLEX Review Questions-Pharm Exam2
A toddler is running a fever of 103°F. Which of the following medications is alternated to treat the fever?
A. aspirin and acetaminophen
B. acetaminophen and ibuprofen
C. naproxen sodium and ibuprofen
D. aspirin and ibuprofen - ANS B. Toddlers with high fevers should be treated with acetaminophen
and ibuprofen. The medications are administered
in an alternating schedule.
Which of the following medications is contraindicated with acetaminophen?
A. Percocet
B. furosemide
C. phenytoin
D. ampicillin - ANS A. Percocet contains acetaminophen, and the two medications
should not be administered together.
A nurse is teaching a child care class to prospective grandparents. Which of the following medications is
contraindicated in children?
A. ibuprofen
B. acetaminophen
C. amoxicillin
D. aspirin - ANS D. The nurse should instruct the grandparents that aspirin
increases children's risk of developing Reye's syndrome,
and they should not give the drug to children.
,An automobile worker visits an occupational health nurse. He has pain in his right hand due to repetitive
movements, for which he has been taking aspirin 650mg every 2 hours. Which of the following
symptoms is indicative of salicylate toxicity?
A. ringing in the ears
B. halos around the lights
C. edema
D. dysthythmia - ANS A. Tinnitus is ringing in the ears is indicative of salicylate
toxicity, also known as salicylism.
A physician tells a patient to take aspirin for back pain. It is most important to instruct the patient to
A. Take the medication on an empty stomach to enhance absorption.
B. Take the medication after a meal to prevent gastric irritation.
C. Crush the enteric-coated tablet for increased effectiveness.
D. Take the medication 2 hours after a meal to enhance the absorption. - ANS B. The patient should take
aspirin with food to prevent
gastric irritation.
A home care nurse is visiting an 88-year-old man, who is taking acetaminophen for arthritic pain in his
knees. Which of the following patient teaching statements is most appropriate to implement?
A. "Acetaminophen will only relieve pain but not the inflammation from arthritis."
B. "Acetaminophen is appropriate for the treatment of inflammation from arthritis."
C. "Your primary health care provider should consider a prescription of Vicodin
(acetaminophen/hydrocodone)."
D. "The acetaminophen should be administered on an empty stomach." - ANS A. Acetaminophen is
effective in reducing pain but not
decreasing inflammation.
, A man with an acute gouty flare-up is taking allopurinol (Zyloprim). Which of the following subjective
statements indicates that he has developed uric acid kidney stones?
A. "I have pain in my right toe and left elbow."
B. "I am dizzy and feel like I am going to faint."
C. "I am urinating every hour-approximately 8 ounces."
D. "I have excruciating pain in my lower abdomen." - ANS D. Excruciating pain in the lower abdomen is
indicative
of the development of uric acid stones in patients receiving
a uricosuric agent.
A man is taking allopurinol for acute gout. He has also been receiving anticoagulant therapy since having
a myocardial infarction. What is the priority assessment?
A. diminished pain in the inflamed joint
B. adherence to the medication regimen
C. bleeding
D. abdominal pain - ANS C. The patient who has an acute gout flare-up is treated
with a uricosuric agent. In the event he is status post-myocardial
infarction and is administered anticoagulant agent,
it is important to assess the patient for bleeding.
When caring for a patient who is receiving morphine it is most important that the nurse regularly assess
for which of the following?
A. respiratory depression
B. hyperactive bowel sounds
C. frequent urination
D. insomnia - ANS A. The nurse should recognize that airway, breathing, and
circulation (ABCs) are priority considerations. Respiratory
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