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Pharmacological and Parenteral Therapies NCLEX RN NCSBN TESTBANK LATEST UPDATE 2024.!
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Created By: A SolutionPharmacological and Parenteral Therapies NCLEX RN
NCSBN TESTBANK LATEST UPDATE 2024.!
Question 1
A nurse is providing care to a female client who is 32-weeks pregnant. The client has been
diagnosed with hypertension and will begin prescribed pharmacological treatment. The nurse
will clarify which medication if observed in the client’s record?...
A
Spironolactone
B
Methyldopa
C
Lisinopril Correct Answer
D
Hydralazine
1
,Created By: A Solution
Question Explanation
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used in the treatment
of hypertension. ACE inhibitors are pregnancy risk category D and are contraindicated during
the second and third trimesters of pregnancy. Spironolactone and methyldopa are pregnancy risk
category B and have been used routinely and safely during pregnancy. Hydralazine is a
pregnancy risk category C, but its use has been proven to be safe during pregnancy.
Concepts tested
NCLEX: Pharmacological and Parenteral Therapies
A nurse is preparing to administer plasma to a client with a coagulation disorder. Which
identification step will the nurse verify prior to initiating the transfusion?
P a g e 1 | 411
A
Cross match
B
Expiration date
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C
ABO compatibility Correct Answer
D
Hemoglobin level
Question Explanation
Rationale: Plasma is a blood product that needs to be typed prior to administration to avoid a
reaction. Typing determines if the blood product is compatible with the client’s blood type. A
cross match for antigens is only required for transfusions containing red blood cells. The
expiration date is an important component to check prior to administration. However, this does
not identify the client. Plasma does not contain red blood cells, so checking the hemoglobin level
is not indicated and does not identify the client.
Concepts tested
NCLEX: Pharmacological and Parenteral Therapies
3
, Created By: A Solution
The nurse is preparing to administer newly prescribed intravenous phenytoin to a client. When
reviewing the client’s medical record, which prescription should the nurse question?
A
Continuous infusion of dextrose 5% in 0.9% saline Correct Answer
B
NPH insulin 40 units before meals
C
Labetalol 100 mg orally twice per day Your Answer
D
Ketorolac 15 mg IV push as needed for pain
Question Explanation
Rationale: Phenytoin is not compatible with most IV fluids, especially those with dextrose. If the
nurse observes a continuous infusion of a fluid that contains dextrose, they should understand
4
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