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WorksheetsNCLEX - Pharma and parenteral Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The nurse is preparing to administer a scheduled dose of metoclopramide IV to a client with diabetic gastroparesis. Which clinical finding causes the nurse to question the prescription?
a)
Diarrhea
b)
Frequent burping
c)
Headache
d)
Sucking lip motions
e)
-
2.
The home health nurse is reviewing current medications with a client who has hypertension. Which of the following statements by the client would require follow-up?
a)
I take omeprazole daily to prevent heartburn.
b)
I regularly take ibuprofen for chronic low back pain.
c)
I occasionally take docusate sodium for constipation.
d)
I take hydrochlorothiazide daily to lower my blood pressure.
e)
-
3.
The nurse plans discharge teaching for a client with active herpes lesions who has a new prescription for oral acyclovir and topical lidocaine. What information will the nurse include in the teaching plan?
a)
Adhesive bandaging should remain on the lesions to prevent virus shedding
b)
Blood tests will be drawn to ensure the virus is eradicated
c)
Condoms should be used during intercourse until the lesions are healed
d)
Gloves should be used to apply the medication to the lesions
e)
-
4.
The nurse is reviewing new prescriptions from the health care provider. Which prescription would require further clarification?
a)
Atorvastatin for hyperlipidemia in a client with angina pectoris
b)
Bupropion for smoking cessation in a client with emphysema
c)
Cyclobenzaprine for muscle spasms in a client with hepatitis
d)
Metronidazole for trichomoniasis in a client with Crohn disease
e)
-
5.
The nurse is caring for a client who is receiving epidural analgesia. It would be a priority for the nurse to monitor the client for
a)
pruritis (4%)
b)
hypotension (62%)
c)
headache (16%)
d)
paresthesia (15%)
e)
-
6.
An elderly client is prescribed codeine for a severe cough. The home health nurse teaches the client how to prevent the common adverse effects associated with codeine. Which client statements indicate an understanding of how to prevent them? Select all that apply.
a)
I'll be sure to apply sunscreen if I go outside.
b)
I'll drink at least 8 glasses of water a day.
c)
I'll drink decaffeinated coffee so I can sleep at night.
d)
I'll sit on the side of my bed for a few minutes before getting up.
e)
I'll take my medicine with food.
7.
The clinic nurse is reviewing telephone messages from four clients. Which client's call should the nurse return first?
a)
Client who has just taken albuterol and reports a heart rate of 108/min and a coarse tremor in both arms (14%)
b)
Client who is prescribed azithromycin and reports frequent, foul-smelling, liquid stools and abdominal cramping (12%)
c)
Client who is prescribed metformin and reports a blood glucose of 284 mg/dL (15.76 mmol/L) and frequent urination (13%)
d)
Client who takes amiodarone and reports a dry cough and increased dyspnea when walking around the house (59%)
e)
-
8.
A client is scheduled for allergy skin testing to identify asthmatic triggers. Which medications should the nurse instruct the client to withhold before the test to ensure accurate results? Select all that apply.
a)
Acetaminophen
b)
Albuterol
c)
Diphenhydramine
d)
Enalapril
e)
Loratadine
9.
A nurse has received new medication prescriptions for a client admitted with hypertension and an exacerbation of chronic obstructive pulmonary disease. Which prescription should the nurse question?
a)
Amlodipine (12%)
b)
Codeine (63%)
c)
Ipratropium (12%)
d)
Methylprednisolone (11%)
e)
-
10.
A client who is 24 hours postoperative bowel resection is receiving IV opioids PRN for severe pain. The nurse reviews the health care provider's prescription to discontinue the continuous IV normal saline. What is the nurse's most appropriate action?
a)
Convert to a saline lock
b)
Remove the IV catheter
c)
Request a prescription for a saline lock
d)
Slow the IV fluids to a keep-vein-open rate
e)
-
11.
The nurse is providing teaching to the parents of a 1-year-old who was just prescribed a 10-day course of amoxicillin for acute otitis media. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.
a)
Give your child over-the-counter decongestants to help speed up recovery.
b)
If your child develops loose stools, please discontinue the antibiotic.
c)
Return to the clinic if your child does not improve within 48-72 hours.
d)
Stop administering the amoxicillin if your child is feeling better in 5-7 days.
e)
Your child may need a hearing screening after the ear infection has resolved.
12.
The nurse is reviewing new medication prescriptions for a client with asthma and nasal polyps. The nurse should clarify the prescription for
a)
cimetidine
b)
ibuprofen
c)
montelukast
d)
prednisone
e)
-
13.
The nurse is caring for a client with heart failure who has gained 5 lb (2.26 kg) in the last 3 days and has a decreased serum sodium level. Which of the following medications should the nurse expect to administer to the client?
a)
furosemide
b)
calcium gluconate
c)
0.45% sodium chloride
d)
sodium polystyrene sulfonate
e)
-
14.
The nurse is preparing to administer a unit of packed RBCs to a client. The client is currently receiving 5% dextrose in water (D5W) through a 20-gauge peripheral venous access device (VAD). Which of the following actions should the nurse take?
a)
Administer the transfusion as an IV piggyback using an infusion pump.
b)
Attach the transfusion tubing to the port closest to the client on the existing IV tubing.
c)
Discontinue the infusion of D5W, flush the VAD with normal saline, and start the transfusion.
d)
Discontinue the 20-gauge VAD, select a new VAD site on the opposite extremity, and insert an 18-gauge VAD.
e)
-
15.
A client with type 1 diabetes has a prescription for 20 units of NPH insulin daily at 7:30 AM and regular insulin before meals, based on a sliding scale. At 7:00 AM, the client's blood glucose level is 220 mg/dL (12.2 mmol/L), and the client's breakfast tray has arrived. What action should the nurse take?
a)
Administer 20 units of NPH insulin now and then 6 units of regular insulin after the morning meal
b)
Administer 26 units of insulin: 20 units of NPH insulin and 6 units of regular insulin in 2 separate injections
c)
Administer 26 units of insulin: 20 units of NPH mixed with 6 units of regular insulin in the same syringe, drawing up the NPH into the syringe first
d)
Administer 26 units of insulin: 20 units of NPH mixed with 6 units of regular insulin in the same syringe, drawing up the regular insulin first
e)
-
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