NCLEX PN Quiz with Answer 2019 / 2020 57th Edition

NCLEX PN Quiz with Answer 2019 / 2020 57th Edition (Pharmacology Quiz)

1. Vasopressin (Pitressin) is prescribed for the client with diabetes insipidus. During data collection, the nurse is particularly cautious in checking the client for which of the following preexisting conditions?

A. Depression
B. Endometriosis
C. Coronary artery disease
D. Pheochromocytoma

Answer: C. Coronary artery disease

Rationale: Because of its powerful vasoconstrictor actions, vasopressin can cause adverse cardiovascular effects. By constricting arteries of the heart, vasopressin can cause angina pectoris and even myocardial infarction, especially if administered to clients with coronary artery disease. In addition, vasopressin may cause gangrene by decreasing blood flow in the periphery.


Test-Taking Strategy: Use the process of elimination. Note the relationship between the name of the medication vasopressin and coronary artery disease, the correct option. Review the cautions associated with the administration of this medication if you had difficulty with this question.

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 2005. Philadelphia: W.B. Saunders, p. 1100.

2. Desmopressin (DDAVP) is prescribed for the treatment of diabetes insipidus. The nurse administering the medication understands that the primary action of the medication is to:

A. Decrease the permeability to water in the kidneys
B. Decrease water reabsorption
C. Increase renal excretion of water
D. Promote renal conservation of water

Answer: D. Promote renal conservation of water

Rationale: Desmopressin promotes renal conservation of water. The hormone accomplishes this by acting on the collecting ducts of the kidney to increase their permeability to water, which results in increased water reabsorption.

Test-Taking Strategy: Use the diagnosis in the question to assist in answering the question. Recalling the manifestations related to the loss of large volumes of urine in this disorder will assist in directing you to option D. Review diabetes insipidus and the action of desmopressin if you had difficulty answering this question.

Level of Cognitive Ability: Analysis
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. 301.

3. Octreotide acetate (Sandostatin) is prescribed for a client with acromegaly. The nurse monitors for which side effect associated with the administration of this medication?

A. Constipation
B. Polyuria
C. Abdominal pain
D. Hypotension

Answer: C. Abdominal pain

Rationale: Octreotide acetate is used to reduce growth hormone (GH) levels in clients with acromegaly. The most common side effects include diarrhea, nausea, gallstone formation, and abdominal discomfort. Hypertension, although rare, may occur. Polyuria is not associated with this medication.

Test-Taking Strategy: Knowledge regarding the side effects associated with octreotide acetate is required to answer the question. Remember, the most common side effects include diarrhea, nausea, gallstone formation, and abdominal discomfort. Review these side effects 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. 791.

4. Somatropin (Humatrope), a growth hormone, is prescribed for a client. The nurse obtains a health history from the client knowing that the medication is contraindicated in which of the following?

A. In a child with growth hormone deficiency
B. In a child with pituitary dwarfism
C. In a 20-year-old with growth failure
D. In a child with growth failure

Answer: C. In a 20-year-old with growth failure

Rationale: Somatropin should not be administered during or after epiphyseal closure. Efficacy of therapy declines as the client grows older and is usually lost entirely by age 20 to 24 years.

Test-Taking Strategy: Note the similarity between options 1, 2, and D. These options all relate to growth failure in a child. Review the contraindications associated with the administration of somatropin if you had difficulty with this question.

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 2005. Philadelphia: W.B. Saunders, p. 983.

Source : NCLEX example quiz and answer

Read also:

• Free 1000 NCLEX PN Practice Questions 56th Edition
• NCLEX PN Practice Questions Free 2019 / 2020 55th Edition
• NCLEX Practice Questions Free 2019 / 2020 54th Edition

Thank you for your attention with reading our article NCLEX PN Quiz with Answer 2019 / 2020 57th Edition. Thanks for your participation, like and share if this is usefull.

Share this post