NCLEX-PN

NCLEX-PN practice questions, page 26 of 29, with answer review and explanations.

Question 126

Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?

  1. 0.9% sodium chloride
  2. 5% dextrose in water solution
  3. sterile water
  4. Heparin sodium

Question 127

Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?

  1. CVADs are less expensive than a peripheral IV.
  2. Weekly administration is possible.
  3. Chemotherapeutic agents can be caustic to smaller veins.
  4. The client or family can administer the drug at home.

Question 128

The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:

  1. cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA.
  2. have few, if any, side effects.
  3. are used to treat multiple types of cancer.
  4. are cell-cycle-specific agents.

Question 129

Medication bound to protein can have which of the following effects?

  1. enhancement of drug availability
  2. rapid distribution of the drug to receptor sites
  3. less availability to produce desired medicinal effects
  4. increased metabolism of the drug by the liver

Question 130

The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:

  1. administer both medications simultaneously.
  2. give the medications sequentially, and flush well between them.
  3. ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.
  4. start one medication now and begin the other medication in 2–4 hours.