Pharmacological and Parenteral Therapies is a subsection of the Physiological Integrity part of your NCLEX-RN® exam. The Pharmacological and Parenteral Therapies represent 15% of your test score. Therefore, be sure you allocate roughly this amount of your preparation to this area of the NCSBN® test.
Here are some free NCLEX-RN exam practice questions for the Pharmacology and Parenteral Nutrition to help you prepare.
1.) Your patient has a new prescription for zolpidem, also known as Ambien. She should report which possible effect while taking this medication?
A. Discolored urine
B. Irregular heart beat
C. Sudden headache
D. Sleepiness during the day
2.) Drug toxicity is a serious problem associated with which diagnosis?
A. Acute renal failure
B. Diverticulitis
C. Pancreatic cancer
D. Stomach ulcers
3.) A patient has an order for SL Nitro prn chest pain. Standard protocol allows that:
A. One nitro may be administered under the tongue. If chest pain continues, begin CPR.
B. One nitro may be administered every 5 minutes, up to 3 total doses, or until chest pain subsides.
C. Vitals must be checked after administration since BP will rise.
D. Up to 3 nitro tablets may be administered sub lingual at the same time.
4.) An oral medication is to be administered based on a child’s weight. You are to give 2 mg’s per kg. There are 10 mg per five cc’s. The child weighs 45 pounds. You will give:
A. 20 ml
B. 30 cc
C. 22 cc
D. 40 ml
5.) When preparing to change a right subclavian vein TPN bag and tubing, the patient instructions must include:
A. Inhale deeply, hold it, and bear down
B. Breathe normally
C. Exhale slowly and hold it
D. Turning the head to the left
6.) Total Parenteral Nutrition (TPN) may not have any medications added to it except:
A. Xanax
B. Phenergan
C. Insulin
D. Demerol
7.) A patient receiving parenteral nutrition may have it administered via the following routes except:
A. PICC (Peripherally inserted central catheter) line
B. Peg tube
C. Subclavian line
D. Central Venous Catheter
8.) Parenteral nutrition differs from enteral nutrition because:
A. Parenteral nutrition can be given through the digestive system
B. Either type of nutrition can be given through an IV
C. Parenteral nutrition bypasses the digestive system
D. Enteral nutrition bypasses the digestive system
Free NCLEX-RN Practice Test And Review Questions Online: Answers and Rationals
Use the answers to these NCLEX preparation questions to improve your mastery of exam content.
1.) Correct answer: D If daytime sleepiness is a problem, the physician should be consulted. The medication dose may need to be decreased, or is not being properly metabolized which could signal kidney or liver problems.
A – Ambien induces sleep and does not discolor urine.
B – This medication has no adverse effect on heart rate or regularity.
C – Ambien has not been shown to cause headache.
2.) Correct answer: A Drugs are carried out of the body via urine. In the case of renal failure, the kidneys do not filter. Therefore, medications can build up to toxic levels.
B – Diverticulitis is an inflammation of the intestine that does not cause a buildup of medication in the body.
C – Drug toxicity is not caused by pancreatic cancer; however, drugs and alcohol can contribute to the development of this cancer.
D – Though many drugs can cause stomach ulcers, this condition does not cause drug toxicity.
3.) Correct answer: B When a patient is having chest pain, one nitroglycerin tablet is placed under the tongue to dissolve. If the pain is not completely gone in 5 minutes, another may be given. Once 5 more minutes pass, if pain has not significantly subsided, another may be administered.
A – This is not the protocol for sub lingual nitro use. CPR is never begun on a patient whose heart is beating.
C – Vitals must be checked, but blood pressure is lowered by nitro.
D – No more than one nitro tablet is given at a time. This is a powerful drug that can dangerously lower the blood pressure in a matter of minutes, slow the heart, and cause death.
4.) Correct answer: A Pounds are changed to kilograms. (45/2.2=20.4kg or 20kg) There are 2mg per cc of medication. One cc per kg = 20 cc’s. One cc is equal to one ml.
B – Poor calculation – you have overdosed the child.
C – Calculation is off a small amount – but you are still headed for an incident report.
D – Double dose – the damage done will depend on the medication.
5.) Correct answer: A This procedure helps build pressure to keep air from entering the vein.
B – Normal breathing will increase the risk of a dangerous amount of air entering the vein.
C – This procedure will not produce the positive pressure needed to repel outside air.
D – Turning the head is not necessary, though the patient may prefer it.
6.) Correct answer: C Insulin is an acceptable additive for patients who need it with their TPN or PPN. No other additive or component is acceptable through the parenteral line.
A - Xanax cannot be given via a PN line, as it must pass through the digestive system.
B - Phenergan, and many other drugs, can cause precipitation in the TPN formulation.
D – Demerol cannot be administered with TPN.
7.) Correct answer: B A peg tube empties formula directly into the stomach to be digested. Parenteral nutrition bypasses the digestive system by administration to the bloodstream.
A – A PICC line is inserted into a peripheral vein, but is long enough to empty into the large veins going directly into the heart.
C – A subclavian line empties directly into the large vein of the heart, reducing risk of damage to smaller veins.
D – A CVC also empties just above the heart muscle to be distributed.
8.) Correct answer C: Parenteral nutrition is formulated to be administered directly into the bloodstream of patients whose digestive system is non-functional.
A – Parenteral nutrition goes directly into the bloodstream, bypassing the digestive system.
B – Enteral nutrition cannot be given IV as it must go through the digestive system to be processed.
D – Enteral nutrition is processed through the digestive system, usually through a tube that empties into the stomach.
Want more NCLEX review questions, classes, books and prep courses to pass your NCLEX Pharmacological and Parenteral Therapies and other sections of your registered nurse test?
Here are some free NCLEX-RN exam practice questions for the Pharmacology and Parenteral Nutrition to help you prepare.
1.) Your patient has a new prescription for zolpidem, also known as Ambien. She should report which possible effect while taking this medication?
A. Discolored urine
B. Irregular heart beat
C. Sudden headache
D. Sleepiness during the day
2.) Drug toxicity is a serious problem associated with which diagnosis?
A. Acute renal failure
B. Diverticulitis
C. Pancreatic cancer
D. Stomach ulcers
3.) A patient has an order for SL Nitro prn chest pain. Standard protocol allows that:
A. One nitro may be administered under the tongue. If chest pain continues, begin CPR.
B. One nitro may be administered every 5 minutes, up to 3 total doses, or until chest pain subsides.
C. Vitals must be checked after administration since BP will rise.
D. Up to 3 nitro tablets may be administered sub lingual at the same time.
4.) An oral medication is to be administered based on a child’s weight. You are to give 2 mg’s per kg. There are 10 mg per five cc’s. The child weighs 45 pounds. You will give:
A. 20 ml
B. 30 cc
C. 22 cc
D. 40 ml
5.) When preparing to change a right subclavian vein TPN bag and tubing, the patient instructions must include:
A. Inhale deeply, hold it, and bear down
B. Breathe normally
C. Exhale slowly and hold it
D. Turning the head to the left
6.) Total Parenteral Nutrition (TPN) may not have any medications added to it except:
A. Xanax
B. Phenergan
C. Insulin
D. Demerol
7.) A patient receiving parenteral nutrition may have it administered via the following routes except:
A. PICC (Peripherally inserted central catheter) line
B. Peg tube
C. Subclavian line
D. Central Venous Catheter
8.) Parenteral nutrition differs from enteral nutrition because:
A. Parenteral nutrition can be given through the digestive system
B. Either type of nutrition can be given through an IV
C. Parenteral nutrition bypasses the digestive system
D. Enteral nutrition bypasses the digestive system
Use the answers to these NCLEX preparation questions to improve your mastery of exam content.
1.) Correct answer: D If daytime sleepiness is a problem, the physician should be consulted. The medication dose may need to be decreased, or is not being properly metabolized which could signal kidney or liver problems.
A – Ambien induces sleep and does not discolor urine.
B – This medication has no adverse effect on heart rate or regularity.
C – Ambien has not been shown to cause headache.
2.) Correct answer: A Drugs are carried out of the body via urine. In the case of renal failure, the kidneys do not filter. Therefore, medications can build up to toxic levels.
B – Diverticulitis is an inflammation of the intestine that does not cause a buildup of medication in the body.
C – Drug toxicity is not caused by pancreatic cancer; however, drugs and alcohol can contribute to the development of this cancer.
D – Though many drugs can cause stomach ulcers, this condition does not cause drug toxicity.
3.) Correct answer: B When a patient is having chest pain, one nitroglycerin tablet is placed under the tongue to dissolve. If the pain is not completely gone in 5 minutes, another may be given. Once 5 more minutes pass, if pain has not significantly subsided, another may be administered.
A – This is not the protocol for sub lingual nitro use. CPR is never begun on a patient whose heart is beating.
C – Vitals must be checked, but blood pressure is lowered by nitro.
D – No more than one nitro tablet is given at a time. This is a powerful drug that can dangerously lower the blood pressure in a matter of minutes, slow the heart, and cause death.
4.) Correct answer: A Pounds are changed to kilograms. (45/2.2=20.4kg or 20kg) There are 2mg per cc of medication. One cc per kg = 20 cc’s. One cc is equal to one ml.
B – Poor calculation – you have overdosed the child.
C – Calculation is off a small amount – but you are still headed for an incident report.
D – Double dose – the damage done will depend on the medication.
5.) Correct answer: A This procedure helps build pressure to keep air from entering the vein.
B – Normal breathing will increase the risk of a dangerous amount of air entering the vein.
C – This procedure will not produce the positive pressure needed to repel outside air.
D – Turning the head is not necessary, though the patient may prefer it.
6.) Correct answer: C Insulin is an acceptable additive for patients who need it with their TPN or PPN. No other additive or component is acceptable through the parenteral line.
A - Xanax cannot be given via a PN line, as it must pass through the digestive system.
B - Phenergan, and many other drugs, can cause precipitation in the TPN formulation.
D – Demerol cannot be administered with TPN.
7.) Correct answer: B A peg tube empties formula directly into the stomach to be digested. Parenteral nutrition bypasses the digestive system by administration to the bloodstream.
A – A PICC line is inserted into a peripheral vein, but is long enough to empty into the large veins going directly into the heart.
C – A subclavian line empties directly into the large vein of the heart, reducing risk of damage to smaller veins.
D – A CVC also empties just above the heart muscle to be distributed.
8.) Correct answer C: Parenteral nutrition is formulated to be administered directly into the bloodstream of patients whose digestive system is non-functional.
A – Parenteral nutrition goes directly into the bloodstream, bypassing the digestive system.
B – Enteral nutrition cannot be given IV as it must go through the digestive system to be processed.
D – Enteral nutrition is processed through the digestive system, usually through a tube that empties into the stomach.
Want more NCLEX review questions, classes, books and prep courses to pass your NCLEX Pharmacological and Parenteral Therapies and other sections of your registered nurse test?
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