Pharmacological and parenteral therapies NCLEX RN 90 free Q's

Welcome to our pharmacological and parenteral therapies NCLEX questions article. In this article, you will have 75 questions.

Additional NCLEX RN practice tests and quizzes

For the parts that you scored poorly in, make sure to take our Practice Quizzes for the specific section. Here you can navigate all the NCLEX RN practice quizzes sections.

NCLEX practice questions Home
NCLEX RN full practice tests #2 and #3
NCLEX RN Management of Care quizzes
NCLEX RN Safety and Infection Control quizzes
NCLEX RN Basic Care and Comfort quizzes
NCLEX RN Reduction of Risk Potential quizzes
NCLEX RN Pharmacological and Parenteral Therapies quizzes
NCLEX RN Physiological Adaptation quizzes
NCLEX RN Psychosocial Integrity quizzes
NCLEX RN Health Promotion and Maintenance quizzes

Let’s get started right away.

Table of Contents

Toggle

Additional NCLEX RN practice tests and quizzes
NCLEX RN Pharmacological and Parenteral Therapies Quizzes

NCLEX RN Pharmacological and Parenteral Therapies Quizzes

NCLEX RN Pharmacological and Parenteral Therapies (Quiz 2)

Submit Cancel

Welcome to your NCLEX-RN Practice Quizzes.

Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions.

Domain 5 (Quiz 2): Pharmacological and Parenteral Therapies. (25 questions)

Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away.

Best of Luck!

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client is prescribed glipizide (Glucotrol) 5 mg every morning. The nurse educates the client that the purpose of this medication is

A. to promote urination

B. to reduce hypertension

C. to reduce blood glucose

D. to promote weight loss

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

When a health care provider (HCP) prescribes alprazolam for a client, what effect should the nurse tell the client to expect?

A. Improves ability to focus and retain information

B. Decreases symptoms of neuropathy

C. Reduces feelings of depression

D. Increases a sense of calm and relaxation

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A patient diagnosed with type 2 diabetes mellitus is admitted to the medical unit with pneumonia. The patient's oral antidiabetic medication has been discontinued, and the patient is now receiving insulin for glucose control. Which of the following statements best explains this change in medication?

A. Insulin administration will help prevent hypoglycemia during the illness.

B. The infection has compromised beta cell function, so the patient will need insulin from now on.

C. Stress-related states such as infections increase the risk of hyperglycemia.

D. Acute illnesses like Pneumonia will cause increased insulin resistance.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client who has been receiving a transfusion of packed red blood cells (PRBC) for 3 hours tells the nurse that they are experiencing shortness of breath and an itchy, raised rash. The nurse also notes that the client is anxious and restless. Which type of transfusion reaction does the nurse suspect?

A. Febrile transfusion reaction

B. Allergic transfusion reaction

C. Hemolytic transfusion reaction

D. Delayed transfusion reaction

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A post-operative client has a prescription for hydromorphone 0.015 mg/kg IM q 34 hr PRN for pain. The client weighs 156 pounds. Pharmacy sends a vial of hydromorphone with 4 mg/mL. How much will the nurse draw up and administer for this client? Round final answer to two decimal places.

A. 1.71 mL

B. 0.28 mL

C. 0.82 ml

D. 3.63 mL

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The nurse is educating a client with cardiac heart disease about the client's new prescription for nitroglycerin ER 2.5 mg PO tid. Which statement by the client would indicate a lack of understanding about the medication?

A. I'll take these on a regular daily schedule.

B. A headache means the medication is working.

C. I must swallow this medication whole.

D. When I feel chest pain, I'll take a capsule.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client receiving hemodialysis therapy weighs 78 kg today. The nurse notes that the client's previous weight was 76 kg. What is the percent change? Round to two decimal places.

A. 0.26%

B. 4.40%

C. 0.44%

D. 2.63%

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A 10-year-old girl is diagnosed with Type 1 diabetes. Her endocrinologist orders both a short-acting insulin and an intermediate-acting insulin. Which of the following is an intermediate-acting insulin?

A. Lispro (Humalog)

B. Regular (Humulin R)

C. Glargine (Lantus)

D. NPH (Novolin N)

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

While teaching a client with hypertension about taking a thiazide diuretic, which statement by the nurse is correct?

A. Stop taking this medication if you start to urinate frequently.

B. With this medication, you'll need to eat foods that have potassium.

C. I'll teach you how to count your pulse before taking this medication.

D. Take this medication at dinner with a large glass of water.

10.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

What is the bioavailability of a medication that is administered by the intravenous (IV) route?

A. 100%

B. 80%

C. 60%

D. 40%

11.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client is transported to the Emergency Department after sustaining 30% full-thickness burns on the torso and arms. Which IV fluid can the nurse expect to administer?

A. Normal Saline

B. Lactated Ringer's

C. 5% Dextrose in Water

D. 0.45% Saline

12.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client weighing 165 lb is admitted with a diagnosis of deep vein thrombosis (DVT). The health care provider (HCP) prescribes an initial heparin bolus of 80 units/kg. How many units will the nurse administer?

A. 2700 units

B. 176 units

C. 610 units

D. 6000 units

13.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A patient receiving vancomycin has an order for a trough level to be drawn. When should the lab collect the blood sample?

A. 1 hour before the infusion

B. 30 minutes after the infusion

C. 30 minutes before the infusion

D. 1 hour after the infusion

14.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

All of the following are equivalent to 25% EXCEPT

A. 1/4

B. 25

C. one-quarter

D. 0.25

15.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The healthcare provider prepares to administer a corticosteroid to a patient with a diagnosis of asthma. What is the rationale for administering this drug to this patient?

A. To prevent respiratory infections

B. To promote expectoration of mucus

C. To promote bronchodilation

D. To decrease airway swelling

16.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

Following a client's intentional benzodiazepine overdose, the Emergency Department physician prescribes flumazenil 200 mcg IV push STAT. The stock vial contains 0.5 mg flumazenil in 5 mL solution. How many mL should the nurse draw up and administer? Provide an answer to one decimal place.

A. 2.0 mL

B. 2.5 mL

C. 0.5 mL

D. 4.0 mL

17.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A patient with a diagnosis of hepatic coma is admitted to the ICU. The provider orders neomycin 300mg q6h to be administered via the NG tube. The nurse knows the rationale for this drug order is

A. to prevent fulminate sepsis

B. to prevent further liver damage

C. to decrease the serum ammonia level

D. to decrease the pH level in the small intestine

18.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A 12-year-old male is admitted to the hospital several days after stepping on a sharp object that punctured his shoe and penetrated the bottom of his foot. Concerned about possible osteomyelitis, the doctor has ordered parenteral antibiotics. Which of the following is done immediately before the antibiotic is started?

A. A complete blood count (CBC) with differential is drawn.

B. The first antibiotic dose is held until the parents are present

C. A blood culture test is drawn.

D. The admission orders are entered into the system.

19.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A provider has prescribed isotretinoin (Accutane) for a 22-year-old female with a diagnosis of severe cystic acne. Before the nurse gives the client instructions for taking the medication, which of the following is the MOST important question that the nurse should ask the client?

A. What date was your last menstrual period?

B. Does your insurance cover prescriptions?

C. Can you tolerate some slight weight gain?

D. Are you able to swallow capsules easily?

20.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

Before administering penicillin IM to a client with"NKDA" on his medical record, the nurse asks the client if he has any drug allergies. The client responds, "I'm not sure. I may have had a rash one time after I had a shot when I was sick." Which is the appropriate action for the nurse?

A. Administer the penicillin and observe for 60 minutes

B. Ask the client for more details before giving the penicillin

C. Hold the penicillin and contact the prescribing provider

D. Contact the hospital pharmacist for oral penicillin

21.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A healthcare provider is performing an assessment of a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication that the patient is experiencing an adverse effect of this drug?

A. Paresthesia

B. Urinary retention

C. Dry mouth

D. Bradycardia

22.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A Gravida 1 Para O patient is admitted for severe preeclampsia. Her provider orders magnesium sulfate (MgSO4) to prevent seizures. The nurse can safely re-administer the drug if

A. urine output is 15-20 cc per hour

B. respirations are greater than 16 per minute

C. the patellar deep tendon reflex is absent

D. MgSO4 serum level is greater than 15 mg/dL

23.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The provider orders total parenteral nutrition (TPN) for a client who weighs 147.6 pounds. The client is to receive 2 grams of protein per kilogram of body weight, daily. How many grams of protein will the client receive each day?

A. 73.8 grams

B. 268.4 grams

C. 671 grams

D. 134.2 grams

24.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client with idiopathic liver disease is on the liver transplant list. While awaiting a suitable donor, the client will receive an infusion of fresh frozen plasma (FFP), 10 ml/kg of body weight. The client weighs 156 pounds. How many mL of FFP should be given?

A. 343 ml

B. 1560 ml

C. 3230 mL

D. 710 mL

25.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A 26-year old female is prescribed amoxicillin for a urinary tract infection. Besides determining if there is a possible allergy to penicillin, what else should the nurse ask the client?

A. Are you prone to stomach problems?

B. Do you eat a lot of citrus fruits?

C. Do you practice good hand hygiene?

D. Are you taking birth control pills?

1 out of 25

Time is Up!

Time's up

NCLEX RN Pharmacological and Parenteral Therapies (Quiz 3)

Submit Cancel

Welcome to your NCLEX-RN Practice Quizzes.

Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions.

Domain 5 (Quiz 3): Pharmacological and Parenteral Therapies. (25 questions)

Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away.

Best of Luck!

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The provider orders "Gabapentin 18 mg/kg/day in 3 divided doses" for a child who weighs 28 kg. How many mg will the nurse administer for each dose?

A. 504 mg

B. 126 mg

C. 168 mg

D. 252 mg

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The nurse is assessing a 3-year-old being treated with succimer for a diagnosis of lead poisoning. Which test result will be MOST important for the nurse to review?

A. Glucose tolerance

B. Ultrasound of the liver

C. CBC with differential

D. Upper GI series

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP) prescribes furosemide for a client with acute pulmonary edema. Which of the following would indicate an adverse effect of the medication?

A. The client loses a pound each day for 3 days.

B. The client's blood pressure drops to 108466.

C. The client's shortness of breath is not relieved.

D. The client complains of leg muscle cramps.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP) has prescribed PRN sublingual nitroglycerin for a client experiencing acute angina. Which of the following is the CORRECT instruction to give the client?

A. When you feel chest pain, stop at once and take a tablet.

B. Drink a full glass of water after you put a tablet under your tongue.

C. If you are still feeling chest pain after 5 doses, call 911.

D. Keep this medication locked in a secure place at all times.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A nurse working in the Cardiac Care Unit notes the presence of multifocal premature ventricular contractions on a patient's monitor. Which medication will the nurse likely administer?

A. Nitroglycerine

B. Furosemide

C. Digoxin

D. Lidocaine

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

One liter of Lactated Ringer's solution is to be infused over 8 hours. The drop factor for the tubing is 60 gtt/mL. How many drops per minute should the nurse administer?

A. 125 gtts/min

B. 100 gtts/min

C. 75 gtts/min

D. 150 gtts/min

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP) prescribes furosemide for an elderly client with a recent diagnosis of congestive heart failure (CHF). The client asks the nurse, "Why am I taking this pill?" What is the nurse's response?

A. It'll remove extra fluid from your body.

B. It'll make your heart pump stronger.

C. It'll repair previous heart damage.

D. It'll reduce your risk of having a stroke.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

For a client complaining of severe chest pain, the Emergency Department physician orders morphine sulfate 4 mg IVP q 2 hrs. Which of the following drug actions can the nurse anticipate?

A. Increased level of consciousness

B. Increased respiratory rate

C. Increased peripheral vasodilation

D. Increased pain awareness

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The provider orders penicillin G potassium, 450,000 units IM. The directions on the label of the vial state, "Contains 1,000,000 units of penicillin G potassium. Reconstitute with 9.6 mL sterile water for a concentration of 100,000 units/mL." How many mL of the reconstituted medication will the nurse administer?

A. 4.5 mL

B. 9.6 mL

C. 10.4 mL

D. 0.5 ml

10.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

If a client has a known allergy to penicillin, which prescription is NOT suitable?

A. Tetracycline, such as Sumycin or Panmycin

B. Aminoglycoside, such as Gentamicin or Tobramycin

C. Sulfonamide, such as Bactrim or Septra

D. Cephalosporin, such as Ancef or Rocephin

11.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The pediatrician has prescribed heparin therapy for a child. Before the nurse administers the first dose, which assessment finding is MOST important?

A. Tendon reflexes

B. Intake & output

C. Weight in kg

D. Vital signs

12.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP) has prescribed a unit of packed red blood cells (PRBCs) for a client with anemia. Which of the following nursing actions is appropriate for administration of the PRBCs?

A. Place the PRBCs in the unit refrigerator until ready to administer.

B. Slow the transfusion if client displays signs of a reaction.

C. Monitor vital signs every 15 minutes for the duration.

D. Transfuse the unit of PRBCs over a maximum of four hours.

13.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

When administering a Mantoux tuberculin test, what type of injection is used?

A. Intravenous

B. Intradermal

C. Subcutaneous

D. Intramuscular

14.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A female client comes to the OB/GYN clinic with a complaint of repeated vaginal infections. An assessment shows that she has candidiasis caused by Candida albicans. What does the nurse anticipate as the treatment for this client?

A. A prescription for a penicillin suppository

B. A nonprescription antifungal medication

C. A prescription for a broad-spectrum antibiotic

D. An over-the-counter (OTC) vaginal douche product

15.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

After starting an IV infusion of an antibiotic, the nurse observes that the client has developed a rash on the chest, neck, and face. The nurse recalls that "Red Man Syndrome" is caused by which antibiotic?

A. Erythromycin

B. Gentamicin

C. Vancomycin

D. Clindamycin

16.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The home health nurse visits an 82-yearold client who has been taking hydralazine (Apresoline) 20 mg PO q am for three years without incident. Today, an hour after taking it, the client's blood pressure is 76/44. When the nurse assesses the situation, which of the following is the most significant finding regarding the client's hypotension?

A. Recent serum potassium was 3.6 mmol/L

B. Bilateral pedal pulses are weak

C. 24-hour intake has been 750 mL

D. Current apical heart rate is 150 bpm

17.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A nursing instructor is observing a student nurse caring for a client with Stage IV metastatic cancer. After the client receives oxycodone 10 mg PO for complaint of pain, which finding by the student nurse should be reported IMMEDIATELY?

A. Self-reported drop in pain level from 8 to 4

B. Refusal to eat lunch but wants ice cream

C. Client request to be left alone in darkened room

D. Respiration rate of 10 breaths per minute

18.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

When a client in the Cardiac Care Unit develops a ventricular arrythmia, the health care provider (HCP) prescribes a continuous intravenous (IV) infusion of lidocaine at 3 mg/min. Pharmacy prepares 2 grams of lidocaine in a 500 ml bag of 5% Dextrose in Water (D5W). How many mL/hr will the client receive?

A. 66 mL/hr

B. 17 mL/hr

C. 45 mL/hr

D. 83 mL/hr

19.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP). prescribes 5 mg ephedrine IV push. Pharmacy delivers a vial with 50 mg ephedrine in 10 mL normal saline (NS). How many mL equals the prescribed dose?

A. 1.5 mL

B. 0.5 mL

C. 2 mL

D. 1 mL

20.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A 15-month-old toddler who weighs 26 pounds is admitted to the pediatric unit, due to severe dehydration. The health care provider (HCP) prescribes an intravenous (IV) bolus of 0.9% Sodium Chloride 25mL/kg to be infused over 2 hours. What IV rate (mL/hr) will the nurse need to set the infusion pump?

A. 115 mL/hr

B. 275 mL/hr

C. 325 ml/hr

D. 150 mL/hr

21.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The home health nurse is visiting a client with a temperature of 101.4°F (38.6°C). There is a standing order for acetaminophen suppository 1 gm PR 96 hr PRN for temp >101°F (38.3°C). The client has a supply of 325 mg scored acetaminophen suppositories. How many suppositories should the nurse administer?

A. 2.75 suppositories

B. 2.5 suppositories

C. 3.25 suppositories

D. 3 suppositories

22.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

76 parts per 100 may be written as all of the following EXCEPT

A. 100/76

B. 0.76

C. 76/100

D. 76%

23.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP) prescribes a keep vein open (KVO) rate of 10 mL/hr at 0800. There are 135 mL remaining in a bag of 0.9% NS. What time will the bag of solution be infused?

A. 2030 (8:30 pm)

B. 2130 (9:30 pm)

C. 2330 (11:30 pm)

D. 2230 (10:30 pm)

24.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP). prescribes an IV piggyback (IVPB) of vančomycin in 50 mL D5W to be infused over 30 minutes. The IV tubing has a drip factor of 15. How many drops per minute (gtts/min) will be needed to infuse the medication as prescribed?

A. 50 gtts/min

B. 20 gtts/min

C. 25 gtts/min

D. 35 gtts/min

25.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client asks the nurse what to take for an occasional upset stomach. The nurse knows that magnesium hydroxide/aluminum hydroxide (Maalox, Mylanta) 30 mL PO will relieve the client's symptoms. Which of the following instructions by the nurse is correct?

A. Take two teaspoons of Maalox.

B. Take one teaspoon of Maalox.

C. Take one tablespoon of Maalox.

D. Take two tablespoons of Maalox.

1 out of 25

Time is Up!

Time's up