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NCLEX RN· Pharmacological and Parenteral Therapies · Pharmacological Therapies NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The ED nurse admits a client with second-degree burns to the arms and third-degree burns to the legs. Based on the Parkland formula, which IV fluid would the nurse anticipate for this client during the first 24 hours?

A. D5W
B. colloid solutions
C. crystalloid solutions
D. 5% albumin in isotonic saline

Expert Explanatory Rationale

Correct Answer: crystalloid solutions

Question 2 of 5

The nurse is caring for a client who presents with increased ammonia levels, elevated BUN, and altered mental status. Which medication would the nurse anticipate the health care provider ordering for this client?

A. lactulose
B. sucralfate
C. lamotrigine
D. gabapentin

Expert Explanatory Rationale

Correct Answer: lactulose

Question 3 of 5

The nurse is caring for a client with breast cancer who has an order for doxorubicin IV. The nurse anticipates which common side effect of this medication?

A. permanent hair loss
B. halos around objects and blurred vision
C. red urine for 1-2 days after administration
D. facial flushing and red streaking along the vein

Expert Explanatory Rationale

Correct Answer: red urine for 1-2 days after administration

Question 4 of 5

The nurse is caring for a client who complains of a headache with a pain level of 5 on a scale of 1 to 10. Which PRN pain medication order is most appropriate for the nurse to administer?

A. morphine 2 mg IV q6h PRN
B. aspirin 325 mg PO q6h PRN
C. acetaminophen 650 mg PO q6h PRN
D. nitroglycerin 0.4 mg sublingually every 5 minutes, up to 3 doses over 15 minutes

Expert Explanatory Rationale

Correct Answer: acetaminophen 650 mg PO q6h PRN

Question 5 of 5

The ED nurse has admitted a client with suspected overdose of tricyclic antidepressants. Which signs and symptoms does the nurse expect to find in this client? Select all that apply.

A. confusion
B. dry mouth
C. bradycardia
D. dysrhythmias
E. constricted pupils
F. flushing of the skin

Expert Explanatory Rationale

Correct Answer:

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