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Pharmacological and Parenteral Therapies

(824 questions)

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  1. A client has a continuously running peripheral infusion. The physician orders the addition of a antibiotic as a piggyback infusion four times per day. In order to administer the antibiotic, the nurse should do which of the following?
    1. Start a new IV access to administer the antibiotic so that there will not be compatibility issues.
    2. Start a new IV access to eliminate the problem of too much volume for one site.
    3. Increase the flow rate of the continuous infusion to facilitate the administration of the antibiotic.
    4. Check to see if the antibiotic is compatible with the continuous infusion.


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  2. The nurse is preparing an IM injection of hydroxyzine (Vistaril) that is especially irritating to subcutaneous tissue. To prevent "tracking" of the medication and irritation to the tissues, it is best to take which of the following actions?
    1. Use a small-gauge needle
    2. Administer at a 45-degree angle
    3. Apply ice to the injection site
    4. Use the z-track technique


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  3. The nurse is caring for a client who has just been diagnosed with Graves' disease. Client education needs to include which of the following?
    1. Atropine-like medication
    2. Thyroid hormone replacement therapy
    3. A low-calorie diet
    4. Propylthiouracil (PTU)


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  4. The nurse would apply which of the following clinical labels to nausea and vomiting experienced by a client 24 hours after chemotherapeutic drug administration with cisplatin (Platinol)?
    1. Delayed nausea and vomiting
    2. Retching
    3. Acute nausea and vomiting
    4. Anticipatory nausea and vomiting


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  5. The client who has schizoaffective disorder takes both haloperidol (Haldol) and valproic acid (Depakote). When the client asks the nurse to explain what this particular combination of drugs is expected to do, what would be the best response by the nurse?
    1. "Haloperidol (Haldol) makes your moods calmer and valproic acid prevents tight muscles."
    2. "This combination is good for people who have problems like yours."
    3. "Haloperidol improves your thinking, and valproic acid stabilizes your moods."
    4. "This is an old combination of drugs that helps people to keep thinking and feelings in balance."


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  6. A health care provider prescribes 1000 mL D5W 0.09% NSS/ 6 hours. The flow rate for this infusion is___ mL per hour.


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  7. A client is to receive his first dose of epoetin (Epogen). Which of the following client assessment findings would be a contraindication to the nurse administering the medication?
    1. A hemoglobin level of 10 grams/dL
    2. A blood glucose level of 280 mg/dL
    3. A blood pressure of 180/100
    4. A heart rate of 58 beats per minute


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  8. Levodopa is prescribed for a client with Parkinson’s disease. Which of the following would the nurse include in the teaching plan for the client about levodopa?
    1. It is poorly absorbed if given with meals.
    2. It must be monitored by weekly laboratory tests.
    3. It causes an initial euphoria, followed by depression.
    4. It can cause a side effect of orthostatic hypotension.


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  9. The client is taking triazolam (Halcion) to reduce anxiety related symptoms. Which client statement indicates that the nurse should provide more teaching?
    1. "The doctor wants me to take this drug at bedtime because it will help me sleep better."
    2. "I should not abruptly stop taking this medication."
    3. "I might not be able to drive while I am taking this medication."
    4. "I will probably have to take this medication for the rest of my life."


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  10. The client is receiving 5% dextrose in 0.45% normal saline. The physician has ordered the client receive one unit of packed cells. Prior to hanging the blood, the nurse will prime the blood tubing with which of the following solutions?
    1. 5% dextrose
    2. Lactated Ringer's
    3. 0.9% sodium chloride
    4. 5% dextrose in 0.45% sodium chloride


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