NCLEX-RN Clinical Pharmacology & Patient Safety

Question 1

A patient with acute heart failure is prescribed Furosemide (Lasix) IV push. Which laboratory finding warrants the nurse's immediate attention prior to administration?

Accepted Answer

Serum Potassium of 2.9 mEq/L

Answer

Serum Sodium of 138 mEq/L

Answer

Serum Calcium of 9.2 mg/dL

Answer

Serum Glucose of 110 mg/dL

Question 2

Which of the following clinical signs are considered early indicators of local anesthetic systemic toxicity (LAST)? (Select all that apply)

Accepted Answer

Answer

Circumoral paresthesia and numbness

Answer

Metallic taste in the mouth

Answer

Auditory hallucinations or tinnitus

Answer

Refractory ventricular fibrillation

Answer

Sudden grand mal seizures

Question 3

A patient diagnosed with acute appendicitis should have a warm heating pad placed on the right lower quadrant to relieve somatic pain.

Accepted Answer

False

Question 4

The normal therapeutic serum level for Digoxin is ______ ng/mL.

Accepted Answer

0.5-2.0 or 0.5 to 2.0 or 0.8-2.0 or 0.5-2 or 0.8 to 2.0

Question 5

Arrange the sequential steps for adult Cardiopulmonary Resuscitation (CPR) according to current AHA resuscitation guidelines.

Accepted Answer

Verify scene safety and confirm patient unresponsiveness -> Call for emergency help (Code Blue) and retrieve an AED -> Check carotid pulse and spontaneous breathing simultaneously for 5-10s -> Initiate high-quality chest compressions (30 compressions : 2 rescue breaths) -> Power on the AED, attach electrode pads, and follow voice prompts

Question 6

Match each pharmacological medication with its specific clinical reversal agent / antidote.

Accepted Answer

NCLEX-RN Clinical Pharmacology & Patient Safety

A patient with acute heart failure is prescribed Furosemide (Lasix) IV push. Which laboratory finding warrants the nurse's immediate attention prior to administration?

Which of the following clinical signs are considered early indicators of local anesthetic systemic toxicity (LAST)? (Select all that apply)

A patient diagnosed with acute appendicitis should have a warm heating pad placed on the right lower quadrant to relieve somatic pain.

Arrange the sequential steps for adult Cardiopulmonary Resuscitation (CPR) according to current AHA resuscitation guidelines.

Match each pharmacological medication with its specific clinical reversal agent / antidote.

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