NCLEX-PNstylestudyquestions &Answers.
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium
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levelis13mg/dL.Whichmedicationshouldthenurseprepareto administeras prescribed to theclient?
1. Calciumchloride
2. Calciumgluconate
3. Calcitonin(Miacalcin)
4. Large dosesofvitaminDANS
✅-
3.Calcitonin(Miacalcin)Ratio
nale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia.
Calciumgluconate and calcium chloride are medications used for the treatment of tetany, which occurs
as aresult of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided.
Calcitonin,a thyroid hormone, decreases the plasma calcium level by inhibiting bone resorption and
lowering theserumcalciumconcentration.
2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The
nurseinstructsthemothertoadministerthe ironwithwhichbestfood item?
1. Milk
2. Water
3. Applejuice
4. OrangejuiceANS
✅- 4. Orange
juiceRationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to
administerthe medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of theiron. Water will not assist in absorption. Orange juice contains a greater amount of
vitamin C than applejuice.
3.)Salicylicacidisprescribedforaclientwithadiagnosisofpsoriasis.Thenursemonitorstheclient,knowing that
which of the following would indicate the presence of systemic toxicity from thismedication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased
respirationsANS✅- 1.
TinnitusRationale:
HESI:PharmacologyTestBank_distinctionlevelExamSolutionsh
aseverything;Spring2022.
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result.
Symptomsinclude tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation and
diarrhea are notassociatedwithsalicylism.
4.) The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen.
Thenursereminds thechildrenthat chemicalsunscreensaremosteffectivewhenapplied:
1. Immediatelybeforeswimming
2. 15minutesbeforeexposuretothesun
3. Immediatelybeforeexposuretothesun
4. Atleast30minutesbeforeexposuretothesun
ANS✅- 4. At least 30 minutes before exposure to the
sunRationale:
Sunscreensaremosteffectivewhenappliedatleast30minutesbefore
exposuretothesunsothattheycanpenetratetheskin.Allsunscreensshouldbereappliedafterswimmingorsw
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