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NCLEX RN· Pharmacological and Parenteral Therapies · Pharmacological and Parenteral Therapies NCLEX RN Edapt

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Showing all 4 practice questions with expert explanatory rationales.

Question 1 of 4

The nurse is caring for a client receiving total parenteral nutrition (TPN). During the assessment, the nurse notes absence of breath sounds on the right side, where the central catheter is placed. Which of the following does the nurse suspect is responsible for this abnormal assessment finding?

A. air embolism
B. fluid overload
C. pneumothorax
D. refeeding syndrome

Expert Explanatory Rationale

Correct Answer: pneumothorax

Question 2 of 4

An adolescent client ingests a large number of acetaminophen tablets in an attempt to commit suicide. Which laboratory result is associated with acetaminophen overdose?

A. metabolic alkalosis
B. increased blood urea nitrogen level
C. decreased hemoglobin and hematocrit
D. elevated liver enzyme levels

Expert Explanatory Rationale

Correct Answer: elevated liver enzyme levels

Question 3 of 4

The nurse is caring for a client scheduled to receive cyclopentolate HCl preoperatively. Which finding in the client's history would prompt the nurse to notify the health care provider?

A. osteoporosis
B. hypothyroidism
C. renal insufficiency
D. cardiac dysrhythmias

Expert Explanatory Rationale

Correct Answer: cardiac dysrhythmias

Question 4 of 4

A client with suspected vitamin C toxicity presents to the ED. Which manifestations of toxicity would the nurse expect in this client? Select all that apply.

A. muscle weakness
B. halos around objects
C. occult rectal bleeding
D. dry mucous membranes
E. increased estrogen levels

Expert Explanatory Rationale

Correct Answer: occult rectal bleeding

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