1 | Page
EDAPT: NCLEX Readiness:
Pharmacological and Parenteral Therapies
Part 1 Questions and Answers Latest Update
The nurse admits a client into the emergency department with shortness of
breath, chest tightness, and wheezing. The client is barely able to complete a
sentence, but the nurse learns that the client has a history of asthma. The
client tried a rescue inhaler but "it did not work." The client was coughing a
lot but then struggled to cough. The nurse initiates the prescribed albuterol
nebulizer. For each potential assessment finding, click to specify whether
the finding indicates a potential improvement, signals a worsening
condition, or is unrelated to the condition of the client after completion of
the nebulizer treatment. Ans: Potential Improvement:
Lower pitch to expiratory wheeze
Client able to complete sentences
Increased coughing with nebulizer treatment
Worsening Condition:
No audible breath sounds
Client is restless
Unrelated:
Mist stops coming from the nebulizer after 10 minutes
Client reports increased thirst
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, 2 | Page
The nurse reviews discharge medications with a client. While explaining the
new medications, the client asks if they can have one glass of wine at a
wedding in the coming week. After reviewing the client's information,
highlight the priority medication in the electronic health record (EHR) that
indicates the client needs to avoid alcohol consumption. Ans: Metronidazole
The nurse prepares to administer an intravenous push (IVP) medication to a
client via a saline locked (capped) peripheral IV site. Which actions should
the nurse take to safely administer the IVP? Select all that apply. Ans:
Confirm two client identifiers.
Compare the medication name to the provider's prescription.
Assess the IV site for redness and pain.
The nurse receives a hand-off report for a client scheduled for dialysis in
two hours. After reviewing the electronic health record (EHR), which actions
should the nurse take? Select all that apply. Ans: Hold the prescribed IV
antibiotic ordered every 6 hours, due now.
Hold the prescribed dose of sodium polystyrene sulfonate by mouth daily.
Deliver the prescribed dose of NPH insulin 5 units subcutaneously.
Hold the prescribed dose of lisinopril 20 mg by mouth daily.
The nurse reviews the electronic health record (EHR) of a 16-year-old client
admitted to the pediatric unit for treatment following an overdose of
acetaminophen. In what order should the nurse perform these prescriptions,
from first to last? Ans: 1. Insert peripheral venous access device
2. Normal saline 100 mL bolus
3. N-acetylcysteine infusion 150 mg/kg over one hour
4. N-acetylcysteine infusion 12.5 mg/kg over four hours
© 2025 All rights reserved
, 3 | Page
5. N-acetylcysteine infusion 6.25 mg/kg over sixteen hours
6. Clear liquid diet as tolerated
For each potential nursing action, click to specify whether the intervention
is indicated or not indicated for the care of the client at this time. Ans:
Indicated:
Instruct the lab to draw an anti-Xa level in 6 hours
Reprogram the pump to run at 17 mL/hour
Assess the client for petechiae and bruising
Assess the integrity of the IV site
Not Indicated:
Bolus the client with 4000 units of heparin
Turn off the IV pump
Administer protamine sulfate as an antidote
Ask the client if unilateral leg pain is present
The nurse cares for a client receiving chemotherapy for leukemia. What
actions should the nurse take when preparing and administering a vesicant
agent? Select all that apply. Ans: Wear personal protective equipment when
handling the lines.
Monitor for erythema, pus, red streaks, or bruising at the line site.
Place absorbent pads underneath the lines when initiating the infusion.
Have a second qualified nurse verify the medication with the primary nurse.
© 2025 All rights reserved
EDAPT: NCLEX Readiness:
Pharmacological and Parenteral Therapies
Part 1 Questions and Answers Latest Update
The nurse admits a client into the emergency department with shortness of
breath, chest tightness, and wheezing. The client is barely able to complete a
sentence, but the nurse learns that the client has a history of asthma. The
client tried a rescue inhaler but "it did not work." The client was coughing a
lot but then struggled to cough. The nurse initiates the prescribed albuterol
nebulizer. For each potential assessment finding, click to specify whether
the finding indicates a potential improvement, signals a worsening
condition, or is unrelated to the condition of the client after completion of
the nebulizer treatment. Ans: Potential Improvement:
Lower pitch to expiratory wheeze
Client able to complete sentences
Increased coughing with nebulizer treatment
Worsening Condition:
No audible breath sounds
Client is restless
Unrelated:
Mist stops coming from the nebulizer after 10 minutes
Client reports increased thirst
© 2025 All rights reserved
, 2 | Page
The nurse reviews discharge medications with a client. While explaining the
new medications, the client asks if they can have one glass of wine at a
wedding in the coming week. After reviewing the client's information,
highlight the priority medication in the electronic health record (EHR) that
indicates the client needs to avoid alcohol consumption. Ans: Metronidazole
The nurse prepares to administer an intravenous push (IVP) medication to a
client via a saline locked (capped) peripheral IV site. Which actions should
the nurse take to safely administer the IVP? Select all that apply. Ans:
Confirm two client identifiers.
Compare the medication name to the provider's prescription.
Assess the IV site for redness and pain.
The nurse receives a hand-off report for a client scheduled for dialysis in
two hours. After reviewing the electronic health record (EHR), which actions
should the nurse take? Select all that apply. Ans: Hold the prescribed IV
antibiotic ordered every 6 hours, due now.
Hold the prescribed dose of sodium polystyrene sulfonate by mouth daily.
Deliver the prescribed dose of NPH insulin 5 units subcutaneously.
Hold the prescribed dose of lisinopril 20 mg by mouth daily.
The nurse reviews the electronic health record (EHR) of a 16-year-old client
admitted to the pediatric unit for treatment following an overdose of
acetaminophen. In what order should the nurse perform these prescriptions,
from first to last? Ans: 1. Insert peripheral venous access device
2. Normal saline 100 mL bolus
3. N-acetylcysteine infusion 150 mg/kg over one hour
4. N-acetylcysteine infusion 12.5 mg/kg over four hours
© 2025 All rights reserved
, 3 | Page
5. N-acetylcysteine infusion 6.25 mg/kg over sixteen hours
6. Clear liquid diet as tolerated
For each potential nursing action, click to specify whether the intervention
is indicated or not indicated for the care of the client at this time. Ans:
Indicated:
Instruct the lab to draw an anti-Xa level in 6 hours
Reprogram the pump to run at 17 mL/hour
Assess the client for petechiae and bruising
Assess the integrity of the IV site
Not Indicated:
Bolus the client with 4000 units of heparin
Turn off the IV pump
Administer protamine sulfate as an antidote
Ask the client if unilateral leg pain is present
The nurse cares for a client receiving chemotherapy for leukemia. What
actions should the nurse take when preparing and administering a vesicant
agent? Select all that apply. Ans: Wear personal protective equipment when
handling the lines.
Monitor for erythema, pus, red streaks, or bruising at the line site.
Place absorbent pads underneath the lines when initiating the infusion.
Have a second qualified nurse verify the medication with the primary nurse.
© 2025 All rights reserved
