Pharmacological and Parenteral Therapies Drill 8
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This drill taken: March 24, 2022
YOUR SCORE
Question 1
A nurse is preparing to administer insulin
... [Show More] to a client with diabetes mellitus type 1. The client has regular
insulin and insulin glargine prescribed. How will the nurse prepare these medications?
A
Draw up the glargine insulin before the regular insulin
B
Mix the insulins in a larger syringe
C
Use a separate syringe for each insulin Correct Answer (Blank)
D
Draw up the regular insulin before the glargine insulin
Question Explanation
Rationale: Insulin glargine is a clear, long-acting insulin that should not be mixed with other insulins.
Mixing insulin glargine with other medications can cause precipitate formation. The insulins should be
drawn up in separate syringes. Short-acting insulins should be drawn up before long-acting insulins.
However, insulin glargine should not be combined with any other medication. A larger syringe does not
address incompatibility issues.
Concepts tested
NCLEX: Pharmacological and Parenteral Therapies
Question 2
A nurse is administering multiple IV push medications to a client through a subclavian central line. Which
action will the nurse perform to prevent occlusion of the catheter?
A
Flush the line between each medication Correct Answer (Blank)
B
Clamp the line after administering the medications
C
Clean the catheter hub for 10 seconds between medication syringes
D
Use a 1-ml syringe to flush the line
Question Explanation
Rationale: Intravenous medications have different viscosities. Flushing the line between each medication
administration helps to prevent the formation of a thrombus, precipitate, or occluding particles. Clamping
the line after administering medications prevents a pneumothorax. Cleaning the catheter hub between
syringes prevents infection, not occlusion. Syringes should ideally be 10-ml to avoid excess pressure and
damage to the catheter.
Concepts tested
NCLEX: Pharmacological and Parenteral Therapies The home health nurse is completing a medication reconciliation of a client who has a new prescription
for warfarin. Which medication should the nurse question the healthcare provider about?
A
Aspirin Correct Answer (Blank)
B
Nifedipine
C
NPH insulin
D
Vitamin D supplement
Question Explanation
Rationale: Warfarin is an anticoagulant that prevents blood from clotting by blocking the synthesis of
vitamin K. Clients taking warfarin are at increased risk for bleeding. Aspirin, which is an anti-platelet
aggregation, prevents platelets from clumping together. Taking warfarin and aspirin together could
increase the risk of bleeding and should be questioned. Nifedipine is a calcium channel blocker and does
not interact with warfarin. Insulin and vitamin D supplement do not cause adverse effects when taken with
warfarin.
Concepts tested
NCLEX: Pharmacological and Parenteral Therapies
Question 4
The nurse is teaching a client who is postoperative cesarean section about newly prescribed oxycodone.
Which statement should the nurse include in the client teaching about this medication?
A
“You may experience some constipation while taking this medication.” Correct Answer (Blank)
B
“Mothers who take this medication often have trouble with breastfeeding.”
C
“This medication may cause difficulty with sleeping.”
D
“Your vaginal bleeding may increase while taking this medication.”
Question Explanation
Rationale: Opioids, such as oxycodone, are used to treat postoperative pain. Opioids can slow down the
gastrointestinal system, which may result in constipation. Opioids do not affect the ability to breastfeed.
Opioids can cause increased drowsiness. Opioids do not increase vaginal bleeding.
Concepts tested
NCLEX: Pharmacological and Parenteral Therapies
Question 5
The nurse is educating a client prescribed metronidazole. Which of the following findings should the nurse
include in the education as reportable to the healthcare provider?
A
Pinpoint red spots on the skin Correct Answer (Blank) [Show Less]