NCLEX PHARMACOLOGY & PHYSIOLOGY EXAMS
WITH NGN, 2023 VERSION (A+ REAL EXAM)
1. Ques on
1 point(s)
Category: Physiological Adaptation
When giving intravenous (I.V.) phenytoin, which of the following
methods should you use?
A. Use an in-line filter.
B. Withhold other anticonvulsants.
C. Mix the drug with saline solution only.
D. Flush the I.V. catheter with dextrose solution.
Incorrect
Correct Answer: C. Mix the drug with saline solution only.
Phenytoin is compatible only with saline solutions.
Options A and B: You needn’t withhold additional anticonvulsants or
use an in-line filter.
Option D: Dextrose causes an insoluble precipitate to form.
2. Ques on
1 point(s)
Category: Physiological Adaptation
After surgical repair of a hip, which of the following positions is best for
the patient’s legs and hips?
A. Abduction
B. Adduction
C. Prone
ti
, D. Subluxated
Incorrect
Correct Answer: A. Abduction
After surgical repair of the hip, keep the legs and hips abducted to
stabilize the prosthesis in the acetabulum.
Option B: Adduction brings the limb or hand toward or across the
midline of the body, or brings the fingers or toes together.
Option C: Prone position is a body position in which the person lies flat
with the chest down and the back up.
Option D: A subluxation is a partial dislocation of a joint. It’s often the
result of acute injury or repetitive motions, but it can also occur
because of medical conditions where the ligaments are loose.
3. Ques on
1 point(s)
Category: Physiological Adaptation
Which of the following factors should be the primary focus of nursing
management in a patient with acute pancreatitis?
A. Nutrition management
B. Fluid and electrolyte balance
C. Management of hypoglycemia
D. Pain control
Incorrect
Correct Answer: B. Fluid and electrolyte balance
Acute pancreatitis is commonly associated with fluid isolation and
accumulation in the bowel secondary to ileus or peripancreatic edema.
Fluid and electrolyte loss from vomiting is a major concern. Therefore,
your priority is to manage hypovolemia and restore electrolyte
balance.
ti
, Options A and D: Pain control and nutrition also are important, but not
priority.
Option C: Patients are at risk for hyperglycemia, not hypoglycemia.
4. Ques on
1 point(s)
Category: Reduction of Risk Potential
After a liver biopsy, place the patient in which of the following
positions?
A. Left side-lying, with the bed flat
B. Right side-lying, with the bed flat
C. Left side-lying, with the bed in semi-Fowler’s position
D. Right side-lying, with the bed in semi-Fowler’s position
Incorrect
Correct Answer: B. Right side-lying, with the bed flat.
Positioning the patient on his right side with the bed flat will splint the
biopsy site and minimize bleeding.
Options A, C, D: The other positions won’t do this and may cause more
bleeding at the site or internally.
5. Ques on
1 point(s)
Category: Reduction of Risk Potential
Which of the following potentially serious complications could occur
with therapy for hypothyroidism?
A. Acute hemolytic reaction
B. Angina or cardiac arrhythmia
C. Retinopathy
D. Thrombocytopenia
ti
WITH NGN, 2023 VERSION (A+ REAL EXAM)
1. Ques on
1 point(s)
Category: Physiological Adaptation
When giving intravenous (I.V.) phenytoin, which of the following
methods should you use?
A. Use an in-line filter.
B. Withhold other anticonvulsants.
C. Mix the drug with saline solution only.
D. Flush the I.V. catheter with dextrose solution.
Incorrect
Correct Answer: C. Mix the drug with saline solution only.
Phenytoin is compatible only with saline solutions.
Options A and B: You needn’t withhold additional anticonvulsants or
use an in-line filter.
Option D: Dextrose causes an insoluble precipitate to form.
2. Ques on
1 point(s)
Category: Physiological Adaptation
After surgical repair of a hip, which of the following positions is best for
the patient’s legs and hips?
A. Abduction
B. Adduction
C. Prone
ti
, D. Subluxated
Incorrect
Correct Answer: A. Abduction
After surgical repair of the hip, keep the legs and hips abducted to
stabilize the prosthesis in the acetabulum.
Option B: Adduction brings the limb or hand toward or across the
midline of the body, or brings the fingers or toes together.
Option C: Prone position is a body position in which the person lies flat
with the chest down and the back up.
Option D: A subluxation is a partial dislocation of a joint. It’s often the
result of acute injury or repetitive motions, but it can also occur
because of medical conditions where the ligaments are loose.
3. Ques on
1 point(s)
Category: Physiological Adaptation
Which of the following factors should be the primary focus of nursing
management in a patient with acute pancreatitis?
A. Nutrition management
B. Fluid and electrolyte balance
C. Management of hypoglycemia
D. Pain control
Incorrect
Correct Answer: B. Fluid and electrolyte balance
Acute pancreatitis is commonly associated with fluid isolation and
accumulation in the bowel secondary to ileus or peripancreatic edema.
Fluid and electrolyte loss from vomiting is a major concern. Therefore,
your priority is to manage hypovolemia and restore electrolyte
balance.
ti
, Options A and D: Pain control and nutrition also are important, but not
priority.
Option C: Patients are at risk for hyperglycemia, not hypoglycemia.
4. Ques on
1 point(s)
Category: Reduction of Risk Potential
After a liver biopsy, place the patient in which of the following
positions?
A. Left side-lying, with the bed flat
B. Right side-lying, with the bed flat
C. Left side-lying, with the bed in semi-Fowler’s position
D. Right side-lying, with the bed in semi-Fowler’s position
Incorrect
Correct Answer: B. Right side-lying, with the bed flat.
Positioning the patient on his right side with the bed flat will splint the
biopsy site and minimize bleeding.
Options A, C, D: The other positions won’t do this and may cause more
bleeding at the site or internally.
5. Ques on
1 point(s)
Category: Reduction of Risk Potential
Which of the following potentially serious complications could occur
with therapy for hypothyroidism?
A. Acute hemolytic reaction
B. Angina or cardiac arrhythmia
C. Retinopathy
D. Thrombocytopenia
ti
