All NCLEX Resources
Example Questions
Example Question #21 : Pharmacology
The nurse prepares an order of atropine IM. The label on the available medication reads atropine per . How many milliliters will the nurse administer?
Use the concentration of the available medication to find the answer. The ordered dose is and the concentration proportion is .
Example Question #21 : General Concepts
You start a patient in the intensive care unit on a drip of phenylephrine, as the patient is persistently hypotensive. You think that this will raise the patient's blood pressure because phenylephrine's primary mechanism of action is which of the following?
Beta-1 adrenergic antagonist
Beta-1 adrenergic agonist
Alpha-1 adrenergic agonist
Beta-2 adrenergic agonist
Alpha-2 adrenergic agonist
Alpha-1 adrenergic agonist
The correct answer is "alpha-1 adrenergic agonist."
Phenylephrine is frequently administered in the intensive care unit setting for patients with hypotension that is refractory to simple fluid resuscitation. It is a vasopressor, as its mechanism of action is to serve as an alpha-1 adrenergic agonist.
The other choices are incorrect, as they represent the primary mechanisms of action of a handful of medications other than phenylephrine.
An example of an alpha-2 adrenergic agonist would be methyldopa.
An example of a beta-1 adrenergic agonist would be dobutamine.
An example of a beta-2 adrenergic agonist would be albuterol.
An example of a beta-1 adrenergic antagonist would be atenolol.
Example Question #22 : General Concepts
You are the nurse taking care of a patient with asthma. The patient reports using his albuterol inhaler about once a month for wheezing and shortness of breath. Albuterol functions by which of the following mechanisms of action?
Beta-2 adrenergic receptor agonist
Alpha-1 adrenergic receptor agonist
Beta-1 adrenergic receptor agonist
Beta-1 adrenergic receptor antagonist
Beta-2 adrenergic receptor antagonist
Beta-2 adrenergic receptor agonist
The correct answer is "Beta-2 adrenergic receptor agonist."
This question tests your knowledge of the mechanism of action of albuterol, a short-acting medication, frequently used in the treatment of acute asthma flares. Albuterol is an agonist of the Beta-2 adrenergic receptor in the bronchial smooth muscle, which helps to dilate the bronchioles, often providing relief to patients who are suffering from asthma flares, as bronchospasm plays a large role in causing their symptoms. Additional effects of albuterol include increased heart rate, increased insulin release, and vasodilation among others.
An example of a beta-1 adrenergic agonist would be dobutamine.
An example of a beta-1 adrenergic antagonist would be atenolol.
An example of a beta-2 adrenergic antagonist would be butoxamine.
An example of an alpha-1 adrenergic agonist would be phenylephrine.
Example Question #23 : General Concepts
You are taking care of a patient undergoing chemotherapy for breast cancer and she complains of nausea. Her physician prescribes her ondansetron for nausea relief. What is the mechanism of action of ondansetron?
Dopamine D2 receptor agonist
Dopamine D2 receptor antagonist
Serotonin 5HT-3 receptor partial agonist
Serotonin 5HT-3 receptor agonist
Serotonin 5HT-3 receptor antagonist
Serotonin 5HT-3 receptor antagonist
The correct answer is "Serotonin 5HT-3 receptor antagonist."
Ondansetron functions by antagonizing the serotonergic 5HT-3 receptors both centrally in the brain and peripherally at vagal nerve endings. It is frequently given as an anti-nausea and anti-emetic agent for patients with cancer undergoing chemotherapy and/or radiation therapy, as well as in post-operative patients, and for patients with gastroenteritis, among other uses.
Ondansetron is neither a full nor a partial agonist of the 5HT-3 receptors, making those answer choices incorrect.
Metaclopramide, which is another anti-nausea agent, is an anatagonist of the dopamine D2 receptor, but ondansetron is not, so this choice is incorrect. Neither metaclopramide nor ondansetron is an agonist of the dopamine D2 receptor.
Example Question #24 : General Concepts
You are a nurse at a gastroenterology practice and your patient is being started on ranitidine for gastroesophageal reflux disease (GERD). Which of the following describes the mechanism of action of ranitidine?
Beta-2 adrenergic receptor agonist
Histamine-1 receptor antagonist
Direct acid neutralization
Proton pump inhibitor
Histamine-2 receptor antagonist
Histamine-2 receptor antagonist
The correct answer is "Histamine-2 receptor antagonist."
This question tests your knowledge of the mechanism of action of the commonly prescribed antacid medication, ranitidine. Ranitidine functions by antagonizing the histamine-2 receptors within the parietal cells (acid-producing cells) of the stomach. This helps to reduce acid production, which can provide symptomatic relief to patients who suffer from epigastric burning, discomfort, and pain due to gastroesophageal reflux disease and peptic ulcer disease, among other conditions.
An example of a histamine-1 receptor antagonist would be diphenhydramine.
An example of a beta-2 adrenergic receptor agonist would be albuterol.
An example of a proton pump inhibitor would be omeprazole.
An example of a direct acid neutralizer would be calcium carbonate.
Example Question #1 : Drug Administration And Distribution
Ethel is an 80-year-old woman who was admitted for dehydration. The nurse reports that she is not making of urine and the physician orders a bolus of 250ml to be infused within 30 minutes. What is the correct drip rate for Ethel's infusion?
The minimum urine requirement per hour for most adults is . Based on a low finding, the physician may decide Ethel needs fluid replacement.
Calculate drip rate in minutes using the following formula:
Ethel's equation looks as follows:
Example Question #21 : Nclex
Which of the following is the preferred location of intramuscular (IM) injection in infants?
Deltoid
Dorsogluteal region
Biceps brachii
Vastus lateralis
Rectus femoris
Vastus lateralis
The vastus lateralis is the preferred site of injection in infants. Rectus femoris injections may be preformed as a second choice. The dorsogluteal site should not be used in infants as the muscle is not developed and there is risk associated with the location of the sciatic nerve. Deltoid injections may be given to older children when the muscle becomes larger.
Example Question #1 : Drug Administration And Distribution
The nurse is preparing to administer an intramuscular (IM) injection to a 4.8 pound infant. The nurse should position the needle at which angle?
90 degrees
15 degrees
45 degrees
60 degrees
30 degrees
45 degrees
The preferred angle for intramuscular (IM) injections is 90 degrees. However, very small infants may require that the injection be given at a 45 degree angle. Based on patient condition, it is the nurse's responsibility to assess the needs of the patient and adjust care as appropriate.
Example Question #2 : Drug Administration And Distribution
The new pediatric nurse has just given a suppository to a 5-year-old boy. He has a bowel movement 7 minutes post administration. Which action should the nurse take next?
Consult pharmacy
Give an additional half of the prescribed dose
Examine the stool for the suppository
Give another full dose of the suppository
Inform the physician that the child has had a bowel movement
Examine the stool for the suppository
First, examine the stool for the suppository. Based on the findings, inform the physician. If the suppository was fully present in the stool, the physician may want to prescribe another dose. If not, he may choose to re-order half of the prescribed dose or none at all.
Example Question #3 : Drug Administration And Distribution
The geriatric nurse is administering nightly medications to a 65-year-old woman with dysphagia. The patient is able to swallow crushed medications with thickened liquids. Which of the following medications should the nurse not crush?
Multivitamins
Acetaminophen
Potassium chloride
Pantoprazole ER
Sertraline HCl
Pantoprazole ER
Pantoprazole ER should not be crushed. "ER" is an abbreviation for extended release. Extended release medications dissolve over a delayed period of time. Crushing the medication results in a faster rate of absorption by body tissues due to disruption of the coating that allows it's extended release.