NCLEX-PN Test questions
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1. The provider ordered 500 mg erythromycin oral suspension every six hours
for a client diagnosed with pneumonia. The client has a gastrostomy tube. The
pharmacy sends up the medication in a liquid suspension of 250 mg/5 mL.
How much medication will the nurse administer every six hours?: 10 mL
500/250*5= 10 mL
2. The home care nurse is admitting a new client with a diagnosis of COPD,
atrial fibrillation and gout. After reviewing the client's medication list, the nurse
would arrange for periodic monitoring of blood drug levels for which of the
following medications? (Select all that apply.)
a. beclomethasone inhaled (Qvar)
b. theophylline (Elixophyllin, Theo-24, Uniphyl)
c. glipizide (Glucotrol)
d. allopurinol (Aloprim, Zyloprim)
e. digoxin (Lanoxin): Answer:
B. theophylline
E. digoxin
3. The order is for ibuprofen oral drops 10 mg/kg of body weight. The client
weighs 62 lbs. Motrin oral drops are supplied in bottles containing 40 mg/mL.
How many milliliters will the nurse administer? (Report to the nearest whole
number.): Answer: 7 mL
1mL= 1mL/40 mgX 10mg/kg X 1kg/2.2 lbs X62 lbs = 620/88= 7.05 or 7 mL
4. A nurse administers cimetidine to a 75 year-old client diagnosed with a
gastric ulcer. Which function may be affected by this medication and should
be closely monitored by the nurse?
A. Liver Function
B. Blood pressure
C. Mental Status
D. Hearing: Answer:
C. Mental Status
cimetidine (Tagamet) is a histamine H-2 receptor antagonist, used to treat gastric
ulcers. Clients over age 50 or who are severely ill may become temporarily confused
while taking H2 blockers, especially cimetidine
5. A nurse is talking to a client diagnosed with chronic renal failure about med-
ications. The client questions the purpose of aluminum hydroxide (Amphojel)
in the medication regimen. What is the best explanation for the nurse to give
the client for the use of this medication?
, NCLEX-PN Test questions
Study online at https://quizlet.com/_ftb9b5
A. Decrease serum phosphate
B. Reduce serum calcium
C. Control gastric acid secretions
D. Increase urine output: Answer: A. Decrease serum phosphate
Aluminum binds phosphates in the gastrointestinal tract. Phosphates tend to accu-
mulate in the client with chronic renal failure due to decreased filtration capacity of
the kidney. Antacids such as Amphojel and Basaljel are commonly used to lower
phosphate levels.
6. An antibiotic is ordered to be given intramuscularly (IM) to a toddler. The
total volume of the injection equals 2 mL. What is the correct nursing inter-
vention?
A. Call the health care provider and request a smaller dosage
B. Administer the medication in two separate injections
C. Check with pharmacy to substitute a liquid form of the medication
D. Give the medication in the dorsal gluteal site: Answer: B. Administer the
medication in two separate injections
Intramuscular injections should not exceed a volume of 1 mL for small children.
Medication doses exceeding this volume should be split into two separate injections
of 1 mL each. In adults the maximum intramuscular injection volume is commonly
5 mL depending on the characteristics of the site. The vastus lateralis of the thigh
should be used to administer IM medications to a toddler (12-36 months)
7. A postoperative client has a prescription for acetaminophen with codeine.
A nurse should recognize that a primary effect of this combination is what
action?
A. Minimized side effects
B. Prevents tolerance
C. Enhanced pain relief
D. Faster onset of action: Answer: C
Enhanced pain relief
Combination of analgesics with different mechanisms of action can afford greater
pain relief.
8. The client is prescribed digoxin as a treatment for heart failure. What side
effect can occur if the client develops hypokalemia when taking digoxin?
A. Altered level of consciousness (LOC)
B. Dyshrythmias
C. Tingling sensation
Study online at https://quizlet.com/_ftb9b5
1. The provider ordered 500 mg erythromycin oral suspension every six hours
for a client diagnosed with pneumonia. The client has a gastrostomy tube. The
pharmacy sends up the medication in a liquid suspension of 250 mg/5 mL.
How much medication will the nurse administer every six hours?: 10 mL
500/250*5= 10 mL
2. The home care nurse is admitting a new client with a diagnosis of COPD,
atrial fibrillation and gout. After reviewing the client's medication list, the nurse
would arrange for periodic monitoring of blood drug levels for which of the
following medications? (Select all that apply.)
a. beclomethasone inhaled (Qvar)
b. theophylline (Elixophyllin, Theo-24, Uniphyl)
c. glipizide (Glucotrol)
d. allopurinol (Aloprim, Zyloprim)
e. digoxin (Lanoxin): Answer:
B. theophylline
E. digoxin
3. The order is for ibuprofen oral drops 10 mg/kg of body weight. The client
weighs 62 lbs. Motrin oral drops are supplied in bottles containing 40 mg/mL.
How many milliliters will the nurse administer? (Report to the nearest whole
number.): Answer: 7 mL
1mL= 1mL/40 mgX 10mg/kg X 1kg/2.2 lbs X62 lbs = 620/88= 7.05 or 7 mL
4. A nurse administers cimetidine to a 75 year-old client diagnosed with a
gastric ulcer. Which function may be affected by this medication and should
be closely monitored by the nurse?
A. Liver Function
B. Blood pressure
C. Mental Status
D. Hearing: Answer:
C. Mental Status
cimetidine (Tagamet) is a histamine H-2 receptor antagonist, used to treat gastric
ulcers. Clients over age 50 or who are severely ill may become temporarily confused
while taking H2 blockers, especially cimetidine
5. A nurse is talking to a client diagnosed with chronic renal failure about med-
ications. The client questions the purpose of aluminum hydroxide (Amphojel)
in the medication regimen. What is the best explanation for the nurse to give
the client for the use of this medication?
, NCLEX-PN Test questions
Study online at https://quizlet.com/_ftb9b5
A. Decrease serum phosphate
B. Reduce serum calcium
C. Control gastric acid secretions
D. Increase urine output: Answer: A. Decrease serum phosphate
Aluminum binds phosphates in the gastrointestinal tract. Phosphates tend to accu-
mulate in the client with chronic renal failure due to decreased filtration capacity of
the kidney. Antacids such as Amphojel and Basaljel are commonly used to lower
phosphate levels.
6. An antibiotic is ordered to be given intramuscularly (IM) to a toddler. The
total volume of the injection equals 2 mL. What is the correct nursing inter-
vention?
A. Call the health care provider and request a smaller dosage
B. Administer the medication in two separate injections
C. Check with pharmacy to substitute a liquid form of the medication
D. Give the medication in the dorsal gluteal site: Answer: B. Administer the
medication in two separate injections
Intramuscular injections should not exceed a volume of 1 mL for small children.
Medication doses exceeding this volume should be split into two separate injections
of 1 mL each. In adults the maximum intramuscular injection volume is commonly
5 mL depending on the characteristics of the site. The vastus lateralis of the thigh
should be used to administer IM medications to a toddler (12-36 months)
7. A postoperative client has a prescription for acetaminophen with codeine.
A nurse should recognize that a primary effect of this combination is what
action?
A. Minimized side effects
B. Prevents tolerance
C. Enhanced pain relief
D. Faster onset of action: Answer: C
Enhanced pain relief
Combination of analgesics with different mechanisms of action can afford greater
pain relief.
8. The client is prescribed digoxin as a treatment for heart failure. What side
effect can occur if the client develops hypokalemia when taking digoxin?
A. Altered level of consciousness (LOC)
B. Dyshrythmias
C. Tingling sensation
