Example Register Nurse (RN) Questions with Answer 58th Edition
Example Register Nurse (RN) Questions with Answer 58th Edition (Pharmacology Questions)
1. Metformin (Glucophage) is prescribed for a client with type 2 diabetes mellitus. The nurse tells the client that the most common side effect of the medication is:
A. Hypoglycemia
B. Gastrointestinal (GI) disturbance
C. Weight gain
D. Flushing and palpitations
Answer: B. Gastrointestinal (GI) disturbance
Rationale: The most common side effect of metformin is GI disturbance including decreased appetite, nausea, and diarrhea. These generally subside over time. This medication does not cause weight gain; in fact, clients lose an average of 7 to 8 pounds because the medication causes decreased appetite. Hypoglycemia may be an adverse effect. Option 4 is not related to the use of this medication.
Test-Taking Strategy: Knowledge regarding the side effects associated with metformin is required to answer this question. Remember, the most common side effect of metformin is GI disturbance. Review this medication if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 684.
2. A nurse instructs a client with diabetes mellitus about blood glucose monitoring and checking for signs of hypoglycemia. The nurse informs the client that hypoglycemia is a blood glucose level of:
A. 120 mg/dl
B. 100 mg/dl
C. 90 mg/dl
D. 50 mg/dl
Answer: D. 50 mg/dl
Rationale: The principle adverse effect of insulin therapy is hypoglycemia. The normal blood glucose level ranges from 90 to 110 mg/dl.
Test-Taking Strategy: Use the process of elimination. Recalling the normal blood glucose level will assist in eliminating options 1, 2, and C. Review this content if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Content Area: Pharmacology
Reference: Christensen, B., & Kockrow, E. (2003). Adult health nursing (4th ed.). St. Louis: Mosby, p. 488.
3. A client newly diagnosed with diabetes mellitus is instructed by the physician to obtain glucagon hydrochloride (Glucagon) for emergency home use. The client asks the nurse about the purpose of the medication. The nurse instructs the client that the purpose of the medication is to treat:
A. Hypoglycemia from insulin overdose
B. Hyperglycemia from insufficient insulin
C. Lipoatrophy from insulin injections
D. Lipohypertrophy from inadequate insulin absorption
Answer: A. Hypoglycemia from insulin overdose
Rationale: Glucagon is used to treat hypoglycemia resulting from insulin overdose. The family of the client is instructed in how to administer the medication. In an unconscious client, arousal usually occurs within 20 minutes of injection. Once consciousness has been established, oral carbohydrates should be given. Lipoatrophy and lipohypertrophy result from insulin injections.
Test-Taking Strategy: Noting the word “glucagon” will assist in determining that the medication contains some form of glucose. This relationship should direct you to option A. Review the action of this medication if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, pp. 506-507.
4. Calcifediol (Calderol) is prescribed for a client with hypoparathyroidism in the management of hypocalcemia. The client arrives at the clinic for a follow-up visit and complains of chronic constipation, and the nurse provides instructions to the client about measures to alleviate the constipation. The nurse determines that the client needs further instructions if the client states to:
A. Increase daily fluid intake
B. Add one-half ounce of mineral oil to the daily diet
C. Increase high-fiber foods
D. Increase activity level as tolerated
Answer: B. Add one-half ounce of mineral oil to the daily diet
Rationale: Clients taking antihypocalcemic medications should be instructed to avoid the use of mineral oil as a laxative because it decreases vitamin D absorption and vitamin D is needed to assist in the absorption of calcium. Options 1, 3, and 4 are basic measures to alleviate constipation.
Test-Taking Strategy: Note the key words needs further instructions. These words indicate a false response question and that you need to select the incorrect client statement. Use the process of elimination and eliminate options 1, 3, and 4 because they are general and basic teaching measures that will assist in alleviating constipation. If you had difficulty with this question, review these basic measures and review the contraindications associated with the administration of Calderol.
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 2005. Philadelphia: W.B. Saunders, p. 1117.
Source : NCLEX example quiz and answer
Thank you for your attention with reading our article Example Register Nurse (RN) Questions with Answer 58th Edition (Pharmacology Questions). Thanks for your participation, like and share if this is usefull.
0 Response to "Example Register Nurse (RN) Questions with Answer 58th Edition"
Post a Comment