NCLEX PHARM PRACTICE PN EXAM QUESTIONS AND ANSWERS UPDATED 2024
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Course
NCLEX PHARM
Institution
NCLEX PHARM
A nurse is monitoring a client who has just returned to the unit following surgery. The client received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the following adverse effects should the nurse report immediately to the provider?
Emesis
Sedation
Respiratory rate 11/mi...
NCLEX PHARM PRACTICE PN EXAM
QUESTIONS AND ANSWERS UPDATED 2024
A nurse is monitoring a client who has just returned to the unit following surgery. The
client received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the
following adverse effects should the nurse report immediately to the provider?
Emesis
Sedation
Respiratory rate 11/min
Blood pressure 100/74 mm Hg -Answer- ✔Respiratory rate 11/min
When using the airway, breathing, circulation approach to client care, the priority finding
is a respiratory rate of 11/min indicating respiratory depression.
A nurse is reinforcing teaching with a client who is prescribed captopril for hypertension.
Which of the following side effects should the nurse instruct the client to report to the
provider immediately?
Photosensitivity
Weight loss
Sore throat
Altered taste sensation -Answer- ✔Sore throat
The greatest risk to the client is infection related to neutropenia. Unexplained fever, sore
throat, and fatigue can indicate an infection and should be immediately reported to the
provider.
A nurse is reinforcing teaching with a client who has a new prescription for
spironolactone for hypertension. Which of the following instructions should the nurse
include in the teaching?
Increase foods high in zinc.
Restrict foods high in potassium.
Restrict foods high in vitamin K.
Increase foods high in magnesium. -Answer- ✔Restrict foods high in potassium.
Spironolactone is a potassium-sparing diuretic, which can cause hyperkalemia.
Therefore, the client should restrict foods that are high in potassium.
A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For
which of the following adverse effects should the nurse instruct the client to monitor?
Muscle pain
Fine hand tremors
Urinary retention
Double vision -Answer- ✔Muscle pain
NCLEX PHARM PRACTICE pn
, NCLEX PHARM PRACTICE pn
The nurse should instruct the client to notify the provider if muscle pain or tenderness
develops, because this could indicate rhabdomyolysis.
A nurse is performing the third check before administering hydromorphone to a client.
After opening the unit-dose packet, the client tells the nurse he does not want to take
the medication now. Which of the following actions should the nurse take?
Complete an unusual occurrence report of the incident.
Encourage the client to take the medication.
Leave the medication at the client's bedside in case he changes his mind.
Dispose of the medication with a second nurse as a witness. -Answer- ✔Dispose of the
medication with a second nurse as a witness.
The nurse must have a witness when disposing of a controlled substance.
A nurse is caring for a client who is prescribed an IM injection of penicillin G benzathine.
The client asks why the injection must be given IM instead of through his IV line. Which
of the following is the correct response by the nurse?
"The medication is more rapidly absorbed when given IM."
"Your medication can't be given IV because it is not water-soluble."
"You will experience less discomfort with an IM injection."
"An IM injection allows more precise control of the medication level in your blood." -
Answer- ✔"Your medication can't be given IV because it is not water-soluble."
Medications cannot be administered IV if they are not water-soluble.
A nurse is assisting with the care of a client who is in preterm labor and is receiving
magnesium sulfate by continuous IV infusion. Which of the following findings indicats
magnesium toxicity?
Urinary output 60 mL/hr
Hyporeflexia
Respirations 14/min
Tachycardia -Answer- ✔Hyporeflexia
Magnesium sulfate depresses neuromuscular activity, leading to muscle weakness and
paralysis. Therefore, hyporeflexia can indicate magnesium toxicity.
A nurse is reinforcing teaching with a client who is prescribed a scopolamine patch for
motion sickness. Which of the following client statements indicates an understanding of
the teaching?
"I may have a runny nose during therapy."
"I should replace the patch every day."
"I may experience diarrhea as a potential side effect."
NCLEX PHARM PRACTICE pn
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