Nursing Quiz NCLEX About Pharmacology with Answer and Rationale 18th Edition
Nursing Quiz NCLEX About Pharmacology with Answer and Rationale 18th Edition
1. A client is receiving diazepam (Valium) for its skeletal muscle relaxant effects. The nurse would monitor this client for which side effect of this medication?
A. Urinary retention
B. Headache
C. Incoordination
D. Increased salivation
Answer: C. Incoordination
Rationale: Diazepam is a centrally acting skeletal muscle relaxant. Incoordination and drowsiness are common side effects resulting from this medication. The other options are incorrect.
Test-Taking Strategy: Use the process of elimination. Recalling that diazepam is a centrally acting skeletal muscle relaxant will assist in directing you to option C. If you had difficulty with this question, review the side effects related to diazepam.
Level of Cognitive Ability: Analysis
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 200D. Philadelphia: W. B. Saunders, p. 316.
2. A client with multiple sclerosis is receiving dantrolene (Dantrium) for relief of muscle spasticity. The nurse checks the results of which laboratory value periodically ordered while the client is taking this medication?
A. Liver function studies
B. Creatinine level
C. Sedimentation rate
D. White blood cell count
Answer: A. Liver function studies
Rationale: Dantrolene can cause liver damage, and the nurse should monitor the results of liver function studies. Baseline liver function studies are done before therapy starts, and regular liver function studies are performed throughout therapy. Dantrolene is discontinued if no relief of spasticity is achieved in 6 weeks. The other options are incorrect.
Test-Taking Strategy: Use the process of elimination. Recalling that this medication is hepatotoxic will direct you to the correct option. If you had difficulty with this question, review the adverse effects of dantrolene.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 200D. Philadelphia: W.B. Saunders, p. 286.
3. A nurse has provided instructions to a client regarding the method for instilling eye drops into the left eye. The nurse determines that the client needs further instructions if the client does which of the following during a return demonstration?
A. Lies with the head to one side, puts the drop in the inner canthus, and slowly turns to the other side while blinking
B. Lies supine, pulls down on the lower lid, and puts the drop in the lower lid
C. Lies supine, pulls up on the upper lid, and puts the drop in the upper lid
D. Tilts the head back, pulls down on the lower lid and puts the drop in the lower lid
Answer: C. Lies supine, pulls up on the upper lid, and puts the drop in the upper lid
Rationale: It is correct procedure for the client to either lie down or sit with the head tilted back. The thumb or finger is used to pull down on the lower lid. The client holds the bottle like a pencil (tip facing downward), and squeezes the bottle so that the drop falls into the sac. The client then gently closes the eye. An alternative method for clients who blink very easily is to place the client in the supine position with the head turned to one side. The eye to be used is uppermost. The client squeezes the drop onto the inner canthus. The client turns from this side to the other while blinking. Surface tension and gravity then cause the drop to move into the conjunctival sac.
Test-Taking Strategy: Use the process of elimination, noting the key words needs further instructions. These words indicate a false response question and that you need to select the incorrect action. Visualizing each procedure described in the options will direct you to option C. Review the procedure for the administration of eye medications if you had difficulty with this question.
Level of Cognitive Ability: Comprehension
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 200D. Philadelphia: W. B. Saunders, p. 1185.
4. A client asks the nurse to describe the preferred provider organization model of care because the client is unsure of the procedure involved in this form of health care. Which statement by the nurse indicates an inaccurate description of this form of organization?
A. “It represents an arrangement between employers and insurance companies.”
B. “It provides member services from a selected group of providers.”
C. “Members can commonly elect to see any participating physician without prior authorization.”
D. “Beneficiaries are limited to those providers that are participating physicians for any required health care services.”
Answer: D. “Beneficiaries are limited to those providers that are participating physicians for any required health care services.”
Rationale: Options 1, 2, and 3 are accurate descriptions of the preferred provider organization. In the exclusive provider organization, beneficiaries are limited to those providers that are participating physicians for any required health care services. If members elect to see physicians outside the exclusive provider organization, services may not be covered.
Test-Taking Strategy: Note the key word inaccurate in the stem of the question. These words indicate a false response question and that you need to select the incorrect description. Use the process of elimination and knowledge regarding preferred provider organizations to assist in answering the question. If you had difficulty with this question, review the characteristics of the various health maintenance organizations.
Level of Cognitive Ability: Comprehension
Client Needs: Safe, Effective Care Environment
Integrated Process: Teaching/Learning
Content Area: Fundamental Skills
Reference: Potter, P., & Perry, A. (2005). Fundamentals of nursing (6th ed.). St. Louis: Mosby, p. 29.
5. An adult client had a cerebrospinal fluid (CSF) analysis after lumbar puncture. The nurse interprets that a negative value of which of the following is consistent with normal findings?
A. White blood cells
B. Red blood cells
C. Protein
D. Glucose
Answer: B. Red blood cells
Rationale: The adult with normal cerebrospinal fluid has no red blood cells in the CSF. The client may have small levels of white blood cells (0 to 3 per mm3). Protein (15 to 45 mg/dl) and glucose (40 to 80 mg/dl) are normally present in CSF.
Test-Taking Strategy: To answer this question accurately, it is necessary to be familiar with the normal components of CSF. Review this procedure and the expected findings if you had difficulty with this question.
Level of Cognitive Ability: Analysis
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Adult Health/Neurological
References:
- Chernecky, C., & Berger, B. (2004). Laboratory tests and diagnostic procedures (4th ed.). Philadelphia: W.B. Saunders, p. 351.
- Pagana, K., & Pagana, T. (2003). Mosby’s diagnostic and laboratory test reference (6th ed.). St. Louis: Mosby, pp. 574-577.
Thank you for your attention with reading our article Nursing Quiz NCLEX About Pharmacology with Answer and Rationale 18th Edition. Thanks for your participation, like and share if this is usefull.
0 Response to "Nursing Quiz NCLEX About Pharmacology with Answer and Rationale 18th Edition"
Post a Comment