Next Generation NCLEX Practice Questions (Answered) 2023
Module 8: Pharmacology and Intravenous Therapies
Question. The nurse is preparing to administer 30 milliliters (mL) of a liquid
medication to an assigned client. What should the nurse do when preparing this
medication? Choose the most likely option for the missing information in the
statements below by choosing from the lists of options.
The nurse should use a medicine cup, pouring liquid into it after placing it on a flat
surface.
The nurse is preparing to administer 30 milliliters (mL) of a liquid
medication to an assigned client. What should the nurse do when
preparing this medication? Choose the most likely option for the
missing information in the statements below by choosing from the lists
of options.
If too much is poured, the nurse should discard the medication per policy.
Question: A topical glucocorticoid preparation has been prescribed for a client
in whom local dermatitis has developed as a result of an insect bite. What
should the nurse include when teaching the client about the medication?
Rub the cream gently into the skin
Cover the site with plastic wrap after applying the cream
Apply an occlusive dressing over the site after applying the cream
Apply the cream in a thick layer over the site of the bite and on 2 inches of surrounding
skin.
RATIONALE:
Topical glucocorticoids can be absorbed into the systemic circulation. Therefore they
should be applied in a thin layer and gently rubbed into the skin. The client is told not to
use occlusive dressings (e.g., bandages, plastic wrap) unless instructed to do so by the
health care provider.
Question: A client with breast cancer who has undergone a mastectomy will
be receiving chemotherapy. The oncologist prescribes allopurinol, 100 mg
orally daily, to be started before the initiation of chemotherapy. The nurse
should tell the client that this medication is used for which purpose?
To prevent nausea
To prevent
diarrhea
To reduce postoperative incision pain
To minimize an increase in the plasma uric acid level
, Q. A client with Hodgkin's disease will be receiving chemotherapy with
doxorubicin. Which action should the nurse plan to take as a means of
monitoring the client for toxicity specific to this medication?
Checking the client's temperature
Attaching a cardiac monitor to the client
Assessing the client for peripheral edema
Drawing a blood specimen to check the client's platelet count
Q. A client has been given instructions regarding the recently prescribed
levothyroxine. The nurse determines the teaching was effective if the client
states the medication should be taken in which manner?
With food
At bedtime
With a snack at 3 p.m.
In the morning, on an empty stomach
Q. Oral prednisone, 10 mg/day, has been prescribed for a hospitalized client
with a history of type 1 diabetes mellitus for the treatment of an acute
exacerbation of asthma. The nurse should monitor the client closely for which
occurrence?
Signs of hypoglycemia
Signs of hyperglycemia
The need to decrease the prescribed daily insulin dose
Q. The need to change the prescribed daily insulin to an oral hypoglycemic
medication
A nurse has taught a client with type 1 diabetes mellitus how to draw up and
mix the prescribed dose of NPH insulin 20 units and regular insulin 6 units.
The nurse realizes the teaching has been effective if the client draws up the
insulins in which order? Arrange the sequence options in the correct order by
assigning each option a number
Putting 20 units of air into the NPH insulin bottle 1
•
Putting 6 units of air into the regular insulin bottle 2
• Drawing up the regular insulin 3
Drawing up the NPH insulin 4
• Rectally administered lactulose is prescribed for a client with hepatic
encephalopathy. Which parameter should the nurse monitor to evaluate
the effectiveness of the medication?
• Blood pressure
• Ammonia level
• Electrolyte levels
• Looseness of stools
Q. The nurse provides medication instructions to a client. Which
statements by the client indicate the need for follow-up and
additional teaching? Select all that apply.
Module 8: Pharmacology and Intravenous Therapies
Question. The nurse is preparing to administer 30 milliliters (mL) of a liquid
medication to an assigned client. What should the nurse do when preparing this
medication? Choose the most likely option for the missing information in the
statements below by choosing from the lists of options.
The nurse should use a medicine cup, pouring liquid into it after placing it on a flat
surface.
The nurse is preparing to administer 30 milliliters (mL) of a liquid
medication to an assigned client. What should the nurse do when
preparing this medication? Choose the most likely option for the
missing information in the statements below by choosing from the lists
of options.
If too much is poured, the nurse should discard the medication per policy.
Question: A topical glucocorticoid preparation has been prescribed for a client
in whom local dermatitis has developed as a result of an insect bite. What
should the nurse include when teaching the client about the medication?
Rub the cream gently into the skin
Cover the site with plastic wrap after applying the cream
Apply an occlusive dressing over the site after applying the cream
Apply the cream in a thick layer over the site of the bite and on 2 inches of surrounding
skin.
RATIONALE:
Topical glucocorticoids can be absorbed into the systemic circulation. Therefore they
should be applied in a thin layer and gently rubbed into the skin. The client is told not to
use occlusive dressings (e.g., bandages, plastic wrap) unless instructed to do so by the
health care provider.
Question: A client with breast cancer who has undergone a mastectomy will
be receiving chemotherapy. The oncologist prescribes allopurinol, 100 mg
orally daily, to be started before the initiation of chemotherapy. The nurse
should tell the client that this medication is used for which purpose?
To prevent nausea
To prevent
diarrhea
To reduce postoperative incision pain
To minimize an increase in the plasma uric acid level
, Q. A client with Hodgkin's disease will be receiving chemotherapy with
doxorubicin. Which action should the nurse plan to take as a means of
monitoring the client for toxicity specific to this medication?
Checking the client's temperature
Attaching a cardiac monitor to the client
Assessing the client for peripheral edema
Drawing a blood specimen to check the client's platelet count
Q. A client has been given instructions regarding the recently prescribed
levothyroxine. The nurse determines the teaching was effective if the client
states the medication should be taken in which manner?
With food
At bedtime
With a snack at 3 p.m.
In the morning, on an empty stomach
Q. Oral prednisone, 10 mg/day, has been prescribed for a hospitalized client
with a history of type 1 diabetes mellitus for the treatment of an acute
exacerbation of asthma. The nurse should monitor the client closely for which
occurrence?
Signs of hypoglycemia
Signs of hyperglycemia
The need to decrease the prescribed daily insulin dose
Q. The need to change the prescribed daily insulin to an oral hypoglycemic
medication
A nurse has taught a client with type 1 diabetes mellitus how to draw up and
mix the prescribed dose of NPH insulin 20 units and regular insulin 6 units.
The nurse realizes the teaching has been effective if the client draws up the
insulins in which order? Arrange the sequence options in the correct order by
assigning each option a number
Putting 20 units of air into the NPH insulin bottle 1
•
Putting 6 units of air into the regular insulin bottle 2
• Drawing up the regular insulin 3
Drawing up the NPH insulin 4
• Rectally administered lactulose is prescribed for a client with hepatic
encephalopathy. Which parameter should the nurse monitor to evaluate
the effectiveness of the medication?
• Blood pressure
• Ammonia level
• Electrolyte levels
• Looseness of stools
Q. The nurse provides medication instructions to a client. Which
statements by the client indicate the need for follow-up and
additional teaching? Select all that apply.
