Digging deeper about the NCLEX

One of your most awaited days as an aspiring nurse is coming. You are now scheduled to take the NCLEX in a couple of days. Both excited and anxious, you just can’t wait for the time when you can finally call yourself a Registered Nurse and attach the “RN” to your name. However, there is a problem. You know close to nothing about what it’s like to take the NCLEX, it being your first time. What are the questions like? Will it be like the exams you have experienced in nursing school? Or will it be a whole lot different? The NCLEX actually includes questions that are organized along four major Client Needs Categories, specifically: Safe and Effective Care Environment; Health Promotion and Maintenance; Psychosocial Integrity; and Physiological Integrity.   Safe and Effective Care Environment Safe and Effective Care Environment, which is the first of the four major client needs categories, includes two concepts: Management of Care and Safety and Infection Control. Management of Care accounts for 17-23 percent of questions on the NCLEX-RN exam. Some of the nursing actions included in this subcategory are Advanced Directives, Advocacy, Case Management, Client Rights, Concepts of Management, Confidentiality, Consultation, Continuity of Care, Quality Improvement, Delegation, Establishing Priorities, Ethical Practice, Informed Consent, Legal Responsibilities, Referrals, and Supervision. Safety and Infection Control accounts for 9-15 percent of exam questions. Nursing actions include Accident Prevention, Error Prevention, Hazardous Materials, Surgical Asepsis, Standard Precautions, and Use of Restraints.   Health Promotion and Maintenance                 The second category includes questions that account for 6-12 percent of the exam. Nursing actions tested here include the Aging Process,...

NCLEX Practice Test for Pharmacological and Parenteral Therapies (ANSWERS & RATIONALE)

These answers are one of the NCLEX prep samples for Pharmacological and Parenteral Therapies. Click here to view the questions. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. C. Loop diuretics such as Lasix result in potent diuresis.  The most common side effects are electrolyte imbalances such as hypokalemia, hyponatremia making choices (1), (2) and (4) incorrect.  In addition, Digoxin taken in combination with loop diuretics can result in digitalis toxicity, so the nurse should be alert to this and normal serum lab values for Digoxin (Norm:  0.5-2.0 ng/ml).  The nurse should be aware that there is a very small variance between therapeutic and toxic levels of this drug. 2. D. A patient in 3 degree A-V Block has all sinus impulses blocked and abnormal ventricular conduction, as well as a heart rate of 40-60 bpm or less and will therefore need support in the form of a pacemaker and/or use of meds such as atropine or Isoproterenol (Isuprel).  Choice (2) Digoxin, a cardiac glycoside would only further decrease heart rate; Choice (3) Lidocaine is used in treatment of PVC’s; Choice (4) may seem a possible option, however, with proper medical management a heart rate sufficient to support perfusion can be maintained making CPR unnecessary. 3. C. A client should NOT repeat a dose if first dose is vomited, as one would not know how much of the original dose was absorbed, and could possibly lead to excess Digoxin levels, which can cause arrhythmias, or slow heart rate below 60 bpm.  Choices...

NCLEX Practice Test for Pharmacological and Parenteral Therapies

These questions are one of the NCLEX prep samples for Pharmacological and Parenteral Therapies. This post has a 15 set of questions with the accompanying answers and rationale located at the bottom. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. A patient in CCU (Coronary Care Unit) is receiving Digoxin (Lanoxin) and Furosemide (Lasix).  In assessing the patient’s lab values, which of the following might the nurse expect to see? a. Increase specific gravity of urine b. Hyperkalemia c. Hypokalemia d. Hypernatremia 2. You are caring for a client just diagnosed with 3 degree A-V Block.  Which of the following should the nurse be prepared to do? a. Assist in possible insertion of a pacemaker b. Administer Digoxin c. Administer Lidocaine d. Assist in doing CPR 3. A client is discharged on Digoxin (Lanoxin) following hospitalization for Atrial Fibrillation.  In preparing a Discharge Teaching Plan, the nurse would NOT include which of the following? a. Take pulse correctly and count for one full minute b. Report any signs and/or symptoms such as ocular disturbances, anorexia, etc.,  to M.D. promptly c. Take another dose of medication if first dose is vomited d. Withhold drug if heart rate falls below 60 bpm 4. A mother calls the clinic and asks to speak to the nurse regarding her 6 month old daughter who has been vomiting for the past 24 hours.  The mother states that the baby is on Digoxin for a congenital heart defect and she is concerned that this may be a serious problem.  What instructions should...

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