Pharmacology on NCLEX

Home / Nursing & Allied Health Certifications / NCLEX PN

Review

Practice

Exam

Question 1 of 5.

Which laboratory test should the nurse monitor for the client receiving the intravenous steroid Solu-Medrol?

A. Potassium level.

B. Sputum culture and sensitivity.

C. Glucose level.

D. Arterial blood gases.

Explanation: Solu-Medrol (methylprednisolone) can cause hyperglycemia, requiring glucose monitoring, especially IV. Potassium, sputum, or ABGs are less directly affected.

Question 2 of 5.

The nurse administers 18 units of Humulin N, an intermediate-acting insulin, at 1630. Which priority intervention should the nurse implement?

A. Monitor the client's hemoglobin A1c.

B. Make sure the client eats the evening meal.

C. Check the a.c. blood glucometer reading.

D. Ensure the client eats a snack.

Explanation: Humulin N peaks in 4-12 hours; evening meal prevents hypoglycemia during peak action. A1c, a.c. checks, or snacks are less immediate.

Question 3 of 5.

The nurse is administering a.m. medications. Which medication should the nurse administer first?

A. The daily digoxin to the client diagnosed with congestive heart failure.

B. The loop diuretic to the client with a serum potassium level of 3.1 mEq/L.

C. The mucosal barrier Carafate to the client diagnosed with peptic ulcer disease.

D. Solu-Medrol IVP to a client diagnosed with chronic lung disease.

Explanation: Carafate (sucralfate) forms a protective barrier and must be given on an empty stomach, 30-60 minutes before other meds, to be effective for PUD.

Question 4 of 5.

The client's vital signs are T 99.2Â°F, AP 59, R 20, and BP 108/72. Which medication would the nurse question administering?

A. Theo-Dur, a bronchodilator.

B. Inderal, a beta blocker.

C. Ampicillin, an antibiotic.

D. Cardizem, a calcium channel blocker.

Explanation: Inderal (propranolol) slows HR; an apical pulse of 59 warrants holding it, per guidelines, to avoid bradycardia. Other meds are unaffected by HR.

Question 5 of 5.

The client is diagnosed with essential hypertension and is receiving a calcium channel blocker. Which assessment data would warrant the nurse holding the client's medication?

A. The client's oral temperature is 102Â°F.

B. The client complains of a dry, nonproductive cough.

C. The client's blood pressure reading is 106/76.

D. The client complains of being dizzy when getting out of bed.

Explanation: Dizziness on standing suggests orthostatic hypotension, a calcium channel blocker side effect, warranting holding the dose to prevent falls. Fever, cough, or BP are less critical.

Question 1 of 5.

Which laboratory test should the nurse monitor for the client receiving the intravenous steroid Solu-Medrol?

A. Potassium level.

B. Sputum culture and sensitivity.

C. Glucose level.

D. Arterial blood gases.

Question 2 of 5.

The nurse administers 18 units of Humulin N, an intermediate-acting insulin, at 1630. Which priority intervention should the nurse implement?

A. Monitor the client's hemoglobin A1c.

B. Make sure the client eats the evening meal.

C. Check the a.c. blood glucometer reading.

D. Ensure the client eats a snack.

Question 3 of 5.

The nurse is administering a.m. medications. Which medication should the nurse administer first?

A. The daily digoxin to the client diagnosed with congestive heart failure.

B. The loop diuretic to the client with a serum potassium level of 3.1 mEq/L.

C. The mucosal barrier Carafate to the client diagnosed with peptic ulcer disease.

D. Solu-Medrol IVP to a client diagnosed with chronic lung disease.

Question 4 of 5.

The client's vital signs are T 99.2Â°F, AP 59, R 20, and BP 108/72. Which medication would the nurse question administering?

A. Theo-Dur, a bronchodilator.

B. Inderal, a beta blocker.

C. Ampicillin, an antibiotic.

D. Cardizem, a calcium channel blocker.

Question 5 of 5.

The client is diagnosed with essential hypertension and is receiving a calcium channel blocker. Which assessment data would warrant the nurse holding the client's medication?

A. The client's oral temperature is 102Â°F.

B. The client complains of a dry, nonproductive cough.

C. The client's blood pressure reading is 106/76.

D. The client complains of being dizzy when getting out of bed.

Question 1 of 5.

Which laboratory test should the nurse monitor for the client receiving the intravenous steroid Solu-Medrol?

A. Potassium level.

B. Sputum culture and sensitivity.

C. Glucose level.

D. Arterial blood gases.

Question 2 of 5.

The nurse administers 18 units of Humulin N, an intermediate-acting insulin, at 1630. Which priority intervention should the nurse implement?

A. Monitor the client's hemoglobin A1c.

B. Make sure the client eats the evening meal.

C. Check the a.c. blood glucometer reading.

D. Ensure the client eats a snack.

Question 3 of 5.

The nurse is administering a.m. medications. Which medication should the nurse administer first?

A. The daily digoxin to the client diagnosed with congestive heart failure.

B. The loop diuretic to the client with a serum potassium level of 3.1 mEq/L.

C. The mucosal barrier Carafate to the client diagnosed with peptic ulcer disease.

D. Solu-Medrol IVP to a client diagnosed with chronic lung disease.

Question 4 of 5.

The client's vital signs are T 99.2Â°F, AP 59, R 20, and BP 108/72. Which medication would the nurse question administering?

A. Theo-Dur, a bronchodilator.

B. Inderal, a beta blocker.

C. Ampicillin, an antibiotic.

D. Cardizem, a calcium channel blocker.

Question 5 of 5.

The client is diagnosed with essential hypertension and is receiving a calcium channel blocker. Which assessment data would warrant the nurse holding the client's medication?

A. The client's oral temperature is 102Â°F.

B. The client complains of a dry, nonproductive cough.

C. The client's blood pressure reading is 106/76.

D. The client complains of being dizzy when getting out of bed.

Unlock your Potential. Subcribe to access more