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Pharmacological & Parenteral Therapies NCLEX
Assessment (2025/2026) — Verified Questions &
Answers (65 Questions | Medication Administration &
IV Therapy | NCLEX®-RN®/PN® Readiness)||LATEST
EXAM!!!
The nurse admits a client into the emergency department
with shortness of breath, chest tightness, and wheezing.
The client is barely able to complete a sentence, but the
nurse learns that the client has a history of asthma. The
client tried a rescue inhaler but "it did not work." The client
was coughing a lot but then struggled to cough. The nurse
initiates the prescribed albuterol nebulizer. For each
potential assessment finding, click to specify whether the
finding indicates a potential improvement, signals a
worsening condition, or is unrelated to the condition of the
client after completion of the nebulizer treatment. -
Answer-*Potential Improvement:*
Lower pitch to expiratory wheeze
Client able to complete sentences
Increased coughing with nebulizer treatment
*Worsening Condition:*
No audible breath sounds
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Client is restless
*Unrelated:*
Mist stops coming from the nebulizer after 10 minutes
Client reports increased thirst
The nurse reviews discharge medications with a client.
While explaining the new medications, the client asks if
they can have one glass of wine at a wedding in the
coming week. After reviewing the client's information,
highlight the priority medication in the electronic health
record (EHR) that indicates the client needs to avoid
alcohol consumption. - Answer-Metronidazole
The nurse prepares to administer an intravenous push
(IVP) medication to a client via a saline locked (capped)
peripheral IV site. Which actions should the nurse take to
safely administer the IVP? Select all that apply. - Answer-
Confirm two client identifiers.
Compare the medication name to the provider's
prescription.
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Assess the IV site for redness and pain.
The nurse receives a hand-off report for a client scheduled
for dialysis in two hours. After reviewing the electronic
health record (EHR), which actions should the nurse take?
Select all that apply. - Answer-Hold the prescribed IV
antibiotic ordered every 6 hours, due now.
Hold the prescribed dose of sodium polystyrene sulfonate
by mouth daily.
Deliver the prescribed dose of NPH insulin 5 units
subcutaneously.
Hold the prescribed dose of lisinopril 20 mg by mouth
daily.
The nurse reviews the electronic health record (EHR) of a
16-year-old client admitted to the pediatric unit for
treatment following an overdose of acetaminophen. In
what order should the nurse perform these prescriptions,
from first to last? - Answer-1. Insert peripheral venous
access device
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2. Normal saline 100 mL bolus
3. N-acetylcysteine infusion 150 mg/kg over one hour
4. N-acetylcysteine infusion 12.5 mg/kg over four hours
5. N-acetylcysteine infusion 6.25 mg/kg over sixteen hours
6. Clear liquid diet as tolerated
For each potential nursing action, click to specify whether
the intervention is indicated or not indicated for the care of
the client at this time. - Answer-*Indicated:*
Instruct the lab to draw an anti-Xa level in 6 hours
Reprogram the pump to run at 17 mL/hour
Assess the client for petechiae and bruising
Assess the integrity of the IV site
*Not Indicated:*
Bolus the client with 4000 units of heparin
Pharmacological & Parenteral Therapies NCLEX
Assessment (2025/2026) — Verified Questions &
Answers (65 Questions | Medication Administration &
IV Therapy | NCLEX®-RN®/PN® Readiness)||LATEST
EXAM!!!
The nurse admits a client into the emergency department
with shortness of breath, chest tightness, and wheezing.
The client is barely able to complete a sentence, but the
nurse learns that the client has a history of asthma. The
client tried a rescue inhaler but "it did not work." The client
was coughing a lot but then struggled to cough. The nurse
initiates the prescribed albuterol nebulizer. For each
potential assessment finding, click to specify whether the
finding indicates a potential improvement, signals a
worsening condition, or is unrelated to the condition of the
client after completion of the nebulizer treatment. -
Answer-*Potential Improvement:*
Lower pitch to expiratory wheeze
Client able to complete sentences
Increased coughing with nebulizer treatment
*Worsening Condition:*
No audible breath sounds
,2|Page
Client is restless
*Unrelated:*
Mist stops coming from the nebulizer after 10 minutes
Client reports increased thirst
The nurse reviews discharge medications with a client.
While explaining the new medications, the client asks if
they can have one glass of wine at a wedding in the
coming week. After reviewing the client's information,
highlight the priority medication in the electronic health
record (EHR) that indicates the client needs to avoid
alcohol consumption. - Answer-Metronidazole
The nurse prepares to administer an intravenous push
(IVP) medication to a client via a saline locked (capped)
peripheral IV site. Which actions should the nurse take to
safely administer the IVP? Select all that apply. - Answer-
Confirm two client identifiers.
Compare the medication name to the provider's
prescription.
,3|Page
Assess the IV site for redness and pain.
The nurse receives a hand-off report for a client scheduled
for dialysis in two hours. After reviewing the electronic
health record (EHR), which actions should the nurse take?
Select all that apply. - Answer-Hold the prescribed IV
antibiotic ordered every 6 hours, due now.
Hold the prescribed dose of sodium polystyrene sulfonate
by mouth daily.
Deliver the prescribed dose of NPH insulin 5 units
subcutaneously.
Hold the prescribed dose of lisinopril 20 mg by mouth
daily.
The nurse reviews the electronic health record (EHR) of a
16-year-old client admitted to the pediatric unit for
treatment following an overdose of acetaminophen. In
what order should the nurse perform these prescriptions,
from first to last? - Answer-1. Insert peripheral venous
access device
, 4|Page
2. Normal saline 100 mL bolus
3. N-acetylcysteine infusion 150 mg/kg over one hour
4. N-acetylcysteine infusion 12.5 mg/kg over four hours
5. N-acetylcysteine infusion 6.25 mg/kg over sixteen hours
6. Clear liquid diet as tolerated
For each potential nursing action, click to specify whether
the intervention is indicated or not indicated for the care of
the client at this time. - Answer-*Indicated:*
Instruct the lab to draw an anti-Xa level in 6 hours
Reprogram the pump to run at 17 mL/hour
Assess the client for petechiae and bruising
Assess the integrity of the IV site
*Not Indicated:*
Bolus the client with 4000 units of heparin
