Comprehensive Nursing Pharmacology
NCLEX Practice Questions and Answers
1. Question
A 2-year-old child is receiving temporary total parenteral nutrition (TPN)
through a central venous line. This is the first day of TPN therapy. Although all
of the following nursing actions must be included in the plan of care of this
child, which one would be a priority at this time?
• A. Use aseptic technique during dressing changes.
• B. Maintain central line catheter integrity.
• C. Monitor serum glucose levels.
• D. Check results of liver function tests.
2. Question
Nurse Jamie is administering the initial total parenteral nutrition solution to a
client. Which of the following assessments requires the
nurse’s immediate attention?
• A. Temperature of 37.5 degrees Celsius.
• B. Urine output of 300 cc in 4 hours.
• C. Poor skin turgor.
• D. Blood glucose of 350 mg/dl.
3. Question
Nurse Susan administered intravenous gamma globulin to an 18 month-old
child with AIDS. The parent asks why this medication is being given. What is
the nurse’s best response?
• A. “It will slow down the replication of the virus.”
, • B. “This medication will improve your child’s overall health status.”
• C. “This medication is used to prevent bacterial infections.”
• D. “It will increase the effectiveness of the other medications your
child receives.”
4. Question
When caring for a client with total parenteral nutrition (TPN), what is
the most important action on the part of the nurse?
• A. Record the number of stools per day.
• B. Maintain strict intake and output records.
• C. Sterile technique for dressing change at IV site.
• D. Monitor for cardiac arrhythmias.
5. Question
The nurse is administering an intravenous vesicant chemotherapeutic agent to
a client. Which assessment would require the nurse’s immediate action?
• A. Stomatitis lesion in the mouth.
• B. Severe nausea and vomiting.
• C. Complaints of pain at the site of infusion.
• D. A rash on the client’s extremities.
6. Question
Nurse Celine is caring for a client with clinical depression who is receiving an
MAO inhibitor. When providing instructions about precautions with this
medication, the nurse should instruct the client to:
• A. Avoid chocolate and cheese.
, • B. Take frequent naps.
• C. Take the medication with milk.
• D. Avoid walking without assistance.
7. Question
While providing home care to a client with congestive heart failure, the nurse
is asked how long diuretics must be taken. The best response to this client
should be:
• A. “As you urinate more, you will need less medication to control
fluid.”
• B. “You will have to take this medication for about a year.”
• C. “The medication must be continued so the fluid problem is
controlled.”
• D. “Please talk to your physician about medications and treatments.”
8. Question
George, age 8, is admitted with rheumatic fever. Which clinical finding
indicates to the nurse that George needs to continue taking the salicylates he
had received at home?
• A. Chorea
• B. Polyarthritis
• C. Subcutaneous nodules
• D. Erythema marginatum
9. Question
An order is written to start an IV on a 74-year-old client who is getting ready
to go to the operating room for a total hip replacement. What gauge of
catheter would best meet the needs of this client?
NCLEX Practice Questions and Answers
1. Question
A 2-year-old child is receiving temporary total parenteral nutrition (TPN)
through a central venous line. This is the first day of TPN therapy. Although all
of the following nursing actions must be included in the plan of care of this
child, which one would be a priority at this time?
• A. Use aseptic technique during dressing changes.
• B. Maintain central line catheter integrity.
• C. Monitor serum glucose levels.
• D. Check results of liver function tests.
2. Question
Nurse Jamie is administering the initial total parenteral nutrition solution to a
client. Which of the following assessments requires the
nurse’s immediate attention?
• A. Temperature of 37.5 degrees Celsius.
• B. Urine output of 300 cc in 4 hours.
• C. Poor skin turgor.
• D. Blood glucose of 350 mg/dl.
3. Question
Nurse Susan administered intravenous gamma globulin to an 18 month-old
child with AIDS. The parent asks why this medication is being given. What is
the nurse’s best response?
• A. “It will slow down the replication of the virus.”
, • B. “This medication will improve your child’s overall health status.”
• C. “This medication is used to prevent bacterial infections.”
• D. “It will increase the effectiveness of the other medications your
child receives.”
4. Question
When caring for a client with total parenteral nutrition (TPN), what is
the most important action on the part of the nurse?
• A. Record the number of stools per day.
• B. Maintain strict intake and output records.
• C. Sterile technique for dressing change at IV site.
• D. Monitor for cardiac arrhythmias.
5. Question
The nurse is administering an intravenous vesicant chemotherapeutic agent to
a client. Which assessment would require the nurse’s immediate action?
• A. Stomatitis lesion in the mouth.
• B. Severe nausea and vomiting.
• C. Complaints of pain at the site of infusion.
• D. A rash on the client’s extremities.
6. Question
Nurse Celine is caring for a client with clinical depression who is receiving an
MAO inhibitor. When providing instructions about precautions with this
medication, the nurse should instruct the client to:
• A. Avoid chocolate and cheese.
, • B. Take frequent naps.
• C. Take the medication with milk.
• D. Avoid walking without assistance.
7. Question
While providing home care to a client with congestive heart failure, the nurse
is asked how long diuretics must be taken. The best response to this client
should be:
• A. “As you urinate more, you will need less medication to control
fluid.”
• B. “You will have to take this medication for about a year.”
• C. “The medication must be continued so the fluid problem is
controlled.”
• D. “Please talk to your physician about medications and treatments.”
8. Question
George, age 8, is admitted with rheumatic fever. Which clinical finding
indicates to the nurse that George needs to continue taking the salicylates he
had received at home?
• A. Chorea
• B. Polyarthritis
• C. Subcutaneous nodules
• D. Erythema marginatum
9. Question
An order is written to start an IV on a 74-year-old client who is getting ready
to go to the operating room for a total hip replacement. What gauge of
catheter would best meet the needs of this client?
