NCLEX Practice Exam for Pharmacological and Parenteral Therapies

Practice Mode

Welcome to your NCLEX Practice Exam for Pharmacological and Parenteral Therapies! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 20 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider the immediate metabolic changes that can occur when starting TPN therapy.

1 / 20

1. Nurse Amy is caring for Tommy, a 2-year-old who is receiving temporary total parenteral nutrition (TPN) through a central venous line on his first day of therapy. She must decide which nursing action is the most critical to prioritize in her plan of care for Tommy.

💡 Hint

Think about the impact of various medications on an elderly patient's mental state, especially in the context of changes in behavior and cognition.

2 / 20

2. Nurse Clara is caring for Mr. Thompson, an elderly patient diagnosed with sundown syndrome. Mr. Thompson is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is currently hospitalized for evaluation. Nurse Clara asks Mr. Thompson and his family to list all prescription and nonprescription medications he is taking. What is the primary reason for this request?

💡 Hint

Consider how pregnancy affects insulin requirements due to hormonal changes and increased insulin resistance.

3 / 20

3. Nurse Lisa is monitoring a 26-year-old pregnant woman in her fifth month who has been managing diabetes mellitus with a daily dose of 20 units of NPH insulin for six years. During her routine prenatal visits, Nurse Lisa has provided diabetic teaching. Which statement by the woman indicates she understands the teaching regarding her insulin needs during pregnancy?

💡 Hint

Think about the primary benefit of gamma globulin in immunocompromised patients.

4 / 20

4. Nurse Lucy administered intravenous gamma globulin to Jordan, an 18-month-old with AIDS. Jordan's parents ask why this medication is necessary. What should Nurse Lucy's response be?

💡 Hint

Consider the gauge that allows for rapid fluid administration and blood transfusions, which are often needed during major surgeries.

5 / 20

5. Nurse Ryan is preparing a 74-year-old patient for surgery, specifically a total hip replacement. He needs to start an IV and must choose the appropriate gauge catheter to best meet the patient's needs.

💡 Hint

Consider the effects of hydrocortisone and the surgery on the patient's metabolic state, particularly blood sugar levels.

6 / 20

6. Nurse Alex is caring for a patient in the surgical ICU following a left adrenalectomy. The patient is sleepy but easily aroused, and an IV containing hydrocortisone is running. Nurse Alex knows it is essential to include which nursing intervention at this time?

💡 Hint

Focus on the metabolic effects that might arise soon after starting TPN, particularly those that can be rapidly corrected.

7 / 20

7. Nurse Karen is administering the initial total parenteral nutrition (TPN) solution to a patient. During the assessment, she must identify which finding requires her immediate attention.

💡 Hint

Consider the chronic nature of congestive heart failure and the ongoing need for medication to control symptoms.

8 / 20

8. Nurse Samantha is providing home care to Mr. Thompson, a patient with congestive heart failure. When Mr. Thompson asks how long he will need to take diuretics, how should Nurse Samantha respond?

💡 Hint

Think about dietary restrictions associated with MAO inhibitors to prevent serious side effects.

9 / 20

9. Nurse Maria is providing care for a patient with clinical depression who is on a MAO inhibitor. She needs to give important instructions regarding precautions to follow with this medication.

💡 Hint

Think about how Lugol's solution affects the thyroid gland directly before surgery.

10 / 20

10. Nurse Sarah is preparing a patient with hyperthyroidism for a scheduled thyroidectomy. The physician has ordered Lugol’s solution for the patient. Nurse Sarah understands that the primary reason for administering Lugol’s solution preoperatively is to:

💡 Hint

Think about the medication that is commonly used for its strong anti-inflammatory properties and its ability to suppress the immune system.

11 / 20

11. Nurse Emma is admitting a patient with an acute exacerbation of rheumatoid arthritis to the hospital for treatment. She needs to identify which drug used for rheumatoid arthritis provides both anti-inflammatory and immunosuppressive effects.

💡 Hint

Consider the importance of maintaining a stable sodium level in the body when taking lithium therapy.

12 / 20

12. A patient with bipolar disorder has been prescribed lithium therapy. Which statement by the patient indicates a need for further teaching regarding lithium therapy?

💡 Hint

Focus on the symptom that salicylates effectively relieve in rheumatic fever.

13 / 20

13. Nurse Karen is caring for an 8-year-old patient admitted with rheumatic fever. She needs to determine which clinical finding indicates that the patient should continue taking the salicylates prescribed at home.

💡 Hint

Think about the potential complications associated with TPN and which ones require frequent monitoring to prevent serious outcomes.

14 / 20

14. Nurse John is managing the care of a patient who is receiving total parenteral nutrition (TPN). He needs to determine the most critical nursing action to prioritize.

💡 Hint

Consider the onset and peak times for regular insulin.

15 / 20

15. Nurse Hannah is teaching an adult patient about their insulin regimen, which includes 10 units of regular insulin and 15 units of NPH insulin in the morning. She needs to explain when the patient can expect the first insulin peak.

💡 Hint

Consider which factor is less directly related to the patient's health and treatment regimen.

16 / 20

16. Nurse Alex is preparing a patient for discharge who will be continuing lithium therapy. She needs to determine which factor is least likely to influence the patient's compliance with the therapy after discharge.

💡 Hint

Think about the common gastrointestinal symptoms that often present early in cases of digoxin toxicity.

17 / 20

17. Nurse Emily is caring for a two-year-old child with congestive heart failure who has been on digoxin for one week. She needs to identify the early signs of digitalis toxicity in this young patient.

💡 Hint

Focus on a symptom that indicates potential tissue damage at the infusion site.

18 / 20

18. Nurse Alex is administering an intravenous vesicant chemotherapeutic agent to a patient. During the infusion, she needs to identify which assessment finding requires immediate action.

💡 Hint

Consider the immediate sensory reactions commonly associated with the application of this specific topical burn treatment.

19 / 20

19. Nurse Megan is caring for an adult patient hospitalized for deep electrical burns who has developed burn wound sepsis. Mafenide acetate 10% (Sulfamylon) is prescribed to be applied twice daily. While applying the Sulfamylon to the wound, Nurse Megan needs to prepare the patient for the expected responses to the topical application.

💡 Hint

Think about the importance of addressing potential drug interactions and ensuring the physician is aware of all medications the patient is taking.

20 / 20

20. Nurse Emily is preparing to administer tetracycline 500 mg po q6h to Mrs. Johanson, whose physician has prescribed the medication. While reviewing Mrs. Johanson's nursing history for allergies, Nurse Emily notes that she is also taking oral contraceptives. What is the most appropriate initial nursing intervention?

Exam Mode

Welcome to your NCLEX Practice Exam for Pharmacological and Parenteral Therapies! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 20 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 30 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 30 minutes in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 20

1. Nurse Clara is caring for Mr. Thompson, an elderly patient diagnosed with sundown syndrome. Mr. Thompson is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is currently hospitalized for evaluation. Nurse Clara asks Mr. Thompson and his family to list all prescription and nonprescription medications he is taking. What is the primary reason for this request?

2 / 20

2. A patient with bipolar disorder has been prescribed lithium therapy. Which statement by the patient indicates a need for further teaching regarding lithium therapy?

3 / 20

3. Nurse Karen is administering the initial total parenteral nutrition (TPN) solution to a patient. During the assessment, she must identify which finding requires her immediate attention.

4 / 20

4. Nurse Ryan is preparing a 74-year-old patient for surgery, specifically a total hip replacement. He needs to start an IV and must choose the appropriate gauge catheter to best meet the patient's needs.

5 / 20

5. Nurse Megan is caring for an adult patient hospitalized for deep electrical burns who has developed burn wound sepsis. Mafenide acetate 10% (Sulfamylon) is prescribed to be applied twice daily. While applying the Sulfamylon to the wound, Nurse Megan needs to prepare the patient for the expected responses to the topical application.

6 / 20

6. Nurse Samantha is providing home care to Mr. Thompson, a patient with congestive heart failure. When Mr. Thompson asks how long he will need to take diuretics, how should Nurse Samantha respond?

7 / 20

7. Nurse Alex is administering an intravenous vesicant chemotherapeutic agent to a patient. During the infusion, she needs to identify which assessment finding requires immediate action.

8 / 20

8. Nurse Hannah is teaching an adult patient about their insulin regimen, which includes 10 units of regular insulin and 15 units of NPH insulin in the morning. She needs to explain when the patient can expect the first insulin peak.

9 / 20

9. Nurse Maria is providing care for a patient with clinical depression who is on a MAO inhibitor. She needs to give important instructions regarding precautions to follow with this medication.

10 / 20

10. Nurse Sarah is preparing a patient with hyperthyroidism for a scheduled thyroidectomy. The physician has ordered Lugol’s solution for the patient. Nurse Sarah understands that the primary reason for administering Lugol’s solution preoperatively is to:

11 / 20

11. Nurse John is managing the care of a patient who is receiving total parenteral nutrition (TPN). He needs to determine the most critical nursing action to prioritize.

12 / 20

12. Nurse Alex is preparing a patient for discharge who will be continuing lithium therapy. She needs to determine which factor is least likely to influence the patient's compliance with the therapy after discharge.

13 / 20

13. Nurse Lisa is monitoring a 26-year-old pregnant woman in her fifth month who has been managing diabetes mellitus with a daily dose of 20 units of NPH insulin for six years. During her routine prenatal visits, Nurse Lisa has provided diabetic teaching. Which statement by the woman indicates she understands the teaching regarding her insulin needs during pregnancy?

14 / 20

14. Nurse Amy is caring for Tommy, a 2-year-old who is receiving temporary total parenteral nutrition (TPN) through a central venous line on his first day of therapy. She must decide which nursing action is the most critical to prioritize in her plan of care for Tommy.

15 / 20

15. Nurse Lucy administered intravenous gamma globulin to Jordan, an 18-month-old with AIDS. Jordan's parents ask why this medication is necessary. What should Nurse Lucy's response be?

16 / 20

16. Nurse Emma is admitting a patient with an acute exacerbation of rheumatoid arthritis to the hospital for treatment. She needs to identify which drug used for rheumatoid arthritis provides both anti-inflammatory and immunosuppressive effects.

17 / 20

17. Nurse Emily is caring for a two-year-old child with congestive heart failure who has been on digoxin for one week. She needs to identify the early signs of digitalis toxicity in this young patient.

18 / 20

18. Nurse Alex is caring for a patient in the surgical ICU following a left adrenalectomy. The patient is sleepy but easily aroused, and an IV containing hydrocortisone is running. Nurse Alex knows it is essential to include which nursing intervention at this time?

19 / 20

19. Nurse Emily is preparing to administer tetracycline 500 mg po q6h to Mrs. Johanson, whose physician has prescribed the medication. While reviewing Mrs. Johanson's nursing history for allergies, Nurse Emily notes that she is also taking oral contraceptives. What is the most appropriate initial nursing intervention?

20 / 20

20. Nurse Karen is caring for an 8-year-old patient admitted with rheumatic fever. She needs to determine which clinical finding indicates that the patient should continue taking the salicylates prescribed at home.