NCLEXvnQuestions-Pharmacologyvn(withvnrationales)
Avnnursevnisvncaringvnforvnavnclientvnwithvnhyperparathyroidismvnandvnnotesvnth
atvnthevnclient'svnserumvncalciumvnlevelvnisvn13vnmg/dL.vnWhichvnmedicationvns
houldvnthevnnursevnpreparevntovnadministervnasvnprescribedvntovnthevnclient?
1.vnCalciumvnchloride
vn
2.vnCalciumvngluconate
vn
3.vnCalcitoninvn(Miacalcin)
vn
4.vnLargevndosesvnofvnvitaminvnDvn-vncorrectvnanswer✔ ✔
vn
3.vnCalcitoninvn(Miacalcin)
Rationale:
Thevnnormalvnserumvncalciumvnlevelvnisvn8.6vntovn10.0vnmg/dL.vnThisvnclientvnis
vnexperiencingvnhypercalcemia.vnCalciumvngluconatevnandvncalciumvnchlorid
evnarevnmedicationsvnusedvnforvnthevntreatmentvnofvntetany,vnwhichvnoccursvnasvn
avnresultvnofvnacutevnhypocalcemia.vnInvnhypercalcemia,vnlargevndosesvnofvnvit
aminvnDvnneedvntovnbevnavoided.vnCalcitonin,vnavnthyroidvnhormone,vndecrease
svnthevnplasmavncalciumvnlevelvnbyvninhibitingvnbonevnresorptionvnandvnloweri
ngvnthevnserumvncalciumvnconcentration.
Oralvnironvnsupplementsvnarevnprescribedvnforvnavn6-year-
oldvnchildvnwithvnironvndeficiencyvnanemia.vnThevnnursevninstructsvnthevnmothe
rvntovnadministervnthevnironvnwithvnwhichvnbestvnfoodvnitem?
1.vnMilk
vn
2.vnWater
vn
, 3.vnApplevnjuice
vn
4.vnOrangevnjuicevn-vncorrectvnanswer✔ ✔ 4.vnOrangevnjuice
vn
Rationale:
VitaminvnCvnincreasesvnthevnabsorptionvnofvnironvnbyvnthevnbody.vnThevnmother
vnshouldvnbevninstructedvntovnadministervnthevnmedication vnwithvnavncitrusvnfruit
vnorvnavnjuicevnthatvnisvnhighvninvnvitaminvnC.vnMilkvnmayvnaffectvnabsorptionvnof
vnthevniron.vnWatervnwillvnnotvnassistvninvnabsorption.vnOrangevnjuicevncontainsvn
avngreatervnamountvnofvnvitaminvnCvnthanvnapplevnjuice.
Salicylicvnacidvnisvnprescribedvnforvnavnclientvnwithvnavndiagnosisvnofvnpsoriasis.
vnThevnnursevnmonitorsvnthevnclient,vnknowingvnthatvnwhichvnofvnthevnfollowing
vnwouldvnindicatevnthevnpresencevnofvnsystemicvntoxicityvnfromvnthisvnmedicati
on?
1.vnTinnitus
vn
2.vnDiarrhea
vn
3.vnConstipation
vn
4.vnDecreasedvnrespirationsvn-vncorrectvnanswer✔ ✔ 1.vnTinnitus
vn
Rationale:
Salicylicvnacidvnisvnabsorbedvnreadilyvnthroughvnthevnskin,vnandvnsystemicvntox
icityvn(salicylism)vncanvnresult.vnSymptomsvnincludevntinnitus,vndizziness,vnhy
perpnea,vnandvnpsychologicalvndisturbances.vnConstipationvnandvndiarrheavna
revnnotvnassociatedvnwithvnsalicylism.
,Avnclientvnwithvnseverevnacnevnisvnseenvninvnthevnclinicvnandvnthevnhealthvncarevnp
rovidervn(HCP)vnprescribesvnisotretinoin.vnThevnnursevnreviewsvnthevnclient'svn
medicationvnrecordvnandvnwouldvncontactvnthevn(HCP)vnifvnthevnclientvnisvntakin
gvnwhichvnmedication?
1.vnVitaminvnA
vn
2.vnDigoxinvn(Lanoxin)
vn
3.vnFurosemidevn(Lasix)
vn
4.vnPhenytoinvn(Dilantin)vn-vncorrectvnanswer✔ ✔ 1.vnVitaminvnA
vn
Rationale:
IsotretinoinvnisvnavnmetabolitevnofvnvitaminvnAvnandvncanvnproducevngeneralize
dvnintensificationvnofvnisotretinoinvntoxicity.vnBecausevnofvnthevnpotentialvnforv
nincreased vntoxicity,vnvitaminvnAvnsupplements vnshouldvnbevndiscontinuedvnbe
forevnisotretinoinvntherapy.vnOptionsvn2,vn3,vnandvn4vnarevnnotvncontraindicated
vnwithvnthevnusevnofvnisotretinoin.
Thevnnursevnisvnapplyingvnavntopicalvncorticosteroidvntovnavnclientvnwithvneczem
a.vnThevnnursevnwouldvnmonitorvnforvnthevnpotentialvnforvnincreasedvnsystemicvn
absorptionvnofvnthevnmedicationvnifvnthevnmedicationvnwerevnbeingvnappliedvnt
ovnwhichvnofvnthevnfollowingvnbodyvnareas?
1.vnBack
vn
2.vnAxilla
vn
3.vnSolesvnofvnthevnfeet
vn
4.vnPalmsvnofvnthevnhandsvn-vncorrectvnanswer✔ ✔ 2.vnAxilla
vn
Rationale:
, Topicalvncorticosteroidsvncanvnbevnabsorbedvnintovnthevnsystemicvncirculation.
vnAbsorptionvnisvnhighervnfromvnregionsvnwherevnthevnskinvnisvnespeciallyvnper
meablevn(scalp,vnaxilla,vnface,vneyelids,vnneck,vnperineum,vngenitalia),vnandvnl
owervnfromvnregionsvninvnwhichvnpermeabilityvnisvnpoorvn(back,vnpalms,vnsoles
).
Thevnhealthvncarevnprovidervnhasvnprescribedvnsilvervnsulfadiazinevn(Silvaden
e)vnforvnthevnclientvnwithvnavnpartial-
thicknessvnburn,vnwhichvnhasvnculturedvnpositivevnforvngram-
negativevnbacteria.vnThevnnursevnisvnreinforcingvninformationvntovnthevnclientvn
aboutvnthevnmedication.vnWhichvnstatementvnmadevnbyvnthevnclientvnindicatesvn
avnlackvnofvnunderstandingvnaboutvnthevntreatments?
1.vn"Thevnmedicationvnisvnanvnantibacterial."
vn
2.vn"Thevnmedicationvnwillvnhelpvnhealvnthevnburn."
vn
3.vn"Thevnmedicationvnwillvnpermanentlyvnstainvnmyvnskin."
vn
vn4.vn"Thevnmedicationvnshouldvnbevnappliedvndirectlyvntovnthevnwound."vn-
vncorrectvnanswer✔ ✔
3.vn"Thevnmedicationvnwillvnpermanentlyvnstainvnmyvnskin."
Rationale:
Silvervnsulfadiazinevn(Silvadene)vnisvnanvnantibacterialvnthatvnhasvnavnbroadvnsp
ectrumvnofvnactivityvnagainstvngram-negativevnbacteria,vngram-
positivevnbacteria,vnandvnyeast.vnItvnisvnappliedvndirectlyvntovnthevnwoundvntovnas
sistvninvnhealing.vnItvndoesvnnotvnstainvnthevnskin.
Avnnursevnisvncaringvnforvnavnclientvnwithvnhyperparathyroidismvnandvnnotesvnth
atvnthevnclient'svnserumvncalciumvnlevelvnisvn13vnmg/dL.vnWhichvnmedicationvns
houldvnthevnnursevnpreparevntovnadministervnasvnprescribedvntovnthevnclient?
1.vnCalciumvnchloride
vn
2.vnCalciumvngluconate
vn
3.vnCalcitoninvn(Miacalcin)
vn
4.vnLargevndosesvnofvnvitaminvnDvn-vncorrectvnanswer✔ ✔
vn
3.vnCalcitoninvn(Miacalcin)
Rationale:
Thevnnormalvnserumvncalciumvnlevelvnisvn8.6vntovn10.0vnmg/dL.vnThisvnclientvnis
vnexperiencingvnhypercalcemia.vnCalciumvngluconatevnandvncalciumvnchlorid
evnarevnmedicationsvnusedvnforvnthevntreatmentvnofvntetany,vnwhichvnoccursvnasvn
avnresultvnofvnacutevnhypocalcemia.vnInvnhypercalcemia,vnlargevndosesvnofvnvit
aminvnDvnneedvntovnbevnavoided.vnCalcitonin,vnavnthyroidvnhormone,vndecrease
svnthevnplasmavncalciumvnlevelvnbyvninhibitingvnbonevnresorptionvnandvnloweri
ngvnthevnserumvncalciumvnconcentration.
Oralvnironvnsupplementsvnarevnprescribedvnforvnavn6-year-
oldvnchildvnwithvnironvndeficiencyvnanemia.vnThevnnursevninstructsvnthevnmothe
rvntovnadministervnthevnironvnwithvnwhichvnbestvnfoodvnitem?
1.vnMilk
vn
2.vnWater
vn
, 3.vnApplevnjuice
vn
4.vnOrangevnjuicevn-vncorrectvnanswer✔ ✔ 4.vnOrangevnjuice
vn
Rationale:
VitaminvnCvnincreasesvnthevnabsorptionvnofvnironvnbyvnthevnbody.vnThevnmother
vnshouldvnbevninstructedvntovnadministervnthevnmedication vnwithvnavncitrusvnfruit
vnorvnavnjuicevnthatvnisvnhighvninvnvitaminvnC.vnMilkvnmayvnaffectvnabsorptionvnof
vnthevniron.vnWatervnwillvnnotvnassistvninvnabsorption.vnOrangevnjuicevncontainsvn
avngreatervnamountvnofvnvitaminvnCvnthanvnapplevnjuice.
Salicylicvnacidvnisvnprescribedvnforvnavnclientvnwithvnavndiagnosisvnofvnpsoriasis.
vnThevnnursevnmonitorsvnthevnclient,vnknowingvnthatvnwhichvnofvnthevnfollowing
vnwouldvnindicatevnthevnpresencevnofvnsystemicvntoxicityvnfromvnthisvnmedicati
on?
1.vnTinnitus
vn
2.vnDiarrhea
vn
3.vnConstipation
vn
4.vnDecreasedvnrespirationsvn-vncorrectvnanswer✔ ✔ 1.vnTinnitus
vn
Rationale:
Salicylicvnacidvnisvnabsorbedvnreadilyvnthroughvnthevnskin,vnandvnsystemicvntox
icityvn(salicylism)vncanvnresult.vnSymptomsvnincludevntinnitus,vndizziness,vnhy
perpnea,vnandvnpsychologicalvndisturbances.vnConstipationvnandvndiarrheavna
revnnotvnassociatedvnwithvnsalicylism.
,Avnclientvnwithvnseverevnacnevnisvnseenvninvnthevnclinicvnandvnthevnhealthvncarevnp
rovidervn(HCP)vnprescribesvnisotretinoin.vnThevnnursevnreviewsvnthevnclient'svn
medicationvnrecordvnandvnwouldvncontactvnthevn(HCP)vnifvnthevnclientvnisvntakin
gvnwhichvnmedication?
1.vnVitaminvnA
vn
2.vnDigoxinvn(Lanoxin)
vn
3.vnFurosemidevn(Lasix)
vn
4.vnPhenytoinvn(Dilantin)vn-vncorrectvnanswer✔ ✔ 1.vnVitaminvnA
vn
Rationale:
IsotretinoinvnisvnavnmetabolitevnofvnvitaminvnAvnandvncanvnproducevngeneralize
dvnintensificationvnofvnisotretinoinvntoxicity.vnBecausevnofvnthevnpotentialvnforv
nincreased vntoxicity,vnvitaminvnAvnsupplements vnshouldvnbevndiscontinuedvnbe
forevnisotretinoinvntherapy.vnOptionsvn2,vn3,vnandvn4vnarevnnotvncontraindicated
vnwithvnthevnusevnofvnisotretinoin.
Thevnnursevnisvnapplyingvnavntopicalvncorticosteroidvntovnavnclientvnwithvneczem
a.vnThevnnursevnwouldvnmonitorvnforvnthevnpotentialvnforvnincreasedvnsystemicvn
absorptionvnofvnthevnmedicationvnifvnthevnmedicationvnwerevnbeingvnappliedvnt
ovnwhichvnofvnthevnfollowingvnbodyvnareas?
1.vnBack
vn
2.vnAxilla
vn
3.vnSolesvnofvnthevnfeet
vn
4.vnPalmsvnofvnthevnhandsvn-vncorrectvnanswer✔ ✔ 2.vnAxilla
vn
Rationale:
, Topicalvncorticosteroidsvncanvnbevnabsorbedvnintovnthevnsystemicvncirculation.
vnAbsorptionvnisvnhighervnfromvnregionsvnwherevnthevnskinvnisvnespeciallyvnper
meablevn(scalp,vnaxilla,vnface,vneyelids,vnneck,vnperineum,vngenitalia),vnandvnl
owervnfromvnregionsvninvnwhichvnpermeabilityvnisvnpoorvn(back,vnpalms,vnsoles
).
Thevnhealthvncarevnprovidervnhasvnprescribedvnsilvervnsulfadiazinevn(Silvaden
e)vnforvnthevnclientvnwithvnavnpartial-
thicknessvnburn,vnwhichvnhasvnculturedvnpositivevnforvngram-
negativevnbacteria.vnThevnnursevnisvnreinforcingvninformationvntovnthevnclientvn
aboutvnthevnmedication.vnWhichvnstatementvnmadevnbyvnthevnclientvnindicatesvn
avnlackvnofvnunderstandingvnaboutvnthevntreatments?
1.vn"Thevnmedicationvnisvnanvnantibacterial."
vn
2.vn"Thevnmedicationvnwillvnhelpvnhealvnthevnburn."
vn
3.vn"Thevnmedicationvnwillvnpermanentlyvnstainvnmyvnskin."
vn
vn4.vn"Thevnmedicationvnshouldvnbevnappliedvndirectlyvntovnthevnwound."vn-
vncorrectvnanswer✔ ✔
3.vn"Thevnmedicationvnwillvnpermanentlyvnstainvnmyvnskin."
Rationale:
Silvervnsulfadiazinevn(Silvadene)vnisvnanvnantibacterialvnthatvnhasvnavnbroadvnsp
ectrumvnofvnactivityvnagainstvngram-negativevnbacteria,vngram-
positivevnbacteria,vnandvnyeast.vnItvnisvnappliedvndirectlyvntovnthevnwoundvntovnas
sistvninvnhealing.vnItvndoesvnnotvnstainvnthevnskin.
