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NCLEX-RN — Pharmacological and Parenteral Therapies（薬理と非経口療法）: 160 practice questions
160 original NCLEX-RN questions on Pharmacological and Parenteral Therapies（薬理と非経口療法）, each with an explanation and its source. Topics: Medication Administration / Dosage Calculation（与薬・用量計算）, Adverse Effects / Contraindications / Interactions（有害作用・禁忌・相互作用）, Expected Actions/Outcomes, Pharmacological Pain Management（効果判定・鎮痛）, Controlled Substances / High-Risk Medications / Medication Reconciliation / Titration（麻薬管理・高リスク薬・持参薬照合・用量調整・保管と廃棄）, Blood Products, Central Lines, Parenteral Nutrition（輸血・中心静脈・TPN）, IV Therapy Management（末梢静脈輸液の管理）. Two free samples are below. Try 5 more free, no sign-up.
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Two Pharmacological and Parenteral Therapies（薬理と非経口療法） questions with explanations
Open a question, choose an answer in your head, then open the explanation.
Q1 Medication Administration / Dosage Calculation（与薬・用量計算）
A nurse is about to give a scheduled oral medication to a client on a medical-surgical unit. Which action best confirms that this is the right client?
- Confirm the client's name with the unlicensed assistive personnel (UAP) assigned to the room.
- Ask the client, 'Are you Mr. Lopez?' and wait for the client to agree.
- Ask the client to state their full name and date of birth, and compare both with the identification band and the MAR.
- Check the room number and bed number against the medication administration record (MAR).
Show the answer and explanation
Answer: C. The correct answer is to ask the client to state two identifiers (full name and date of birth) and match them with the ID band and the MAR. Two client-specific identifiers, checked against the order source, are the standard way to prevent wrong-patient errors.
Sources: Nursing Rights of Medication Administration - StatPearls - NCBI Bookshelf
Q2 Medication Administration / Dosage Calculation（与薬・用量計算）
A client is prescribed sublingual nitroglycerin for chest pain. Which instruction about the route is correct?
- Place the tablet under the tongue and let it dissolve completely without chewing or swallowing it.
- Swallow the tablet whole with a full glass of water.
- Chew the tablet thoroughly before swallowing so it acts faster.
- Place the tablet between the cheek and gum and drink water to help it dissolve.
Show the answer and explanation
Answer: A. The correct answer is to let the tablet dissolve under the tongue. The sublingual route absorbs the drug through the rich blood supply under the tongue directly into the circulation, avoiding first-pass metabolism in the liver.
Sources: NITROSTAT (nitroglycerin) sublingual tablets (FDA-approved prescribing information, DailyMed)
OTHER UNITS
NCLEX-RN practice questions by unit
- Management of Care（ケアのマネジメント） 180
- Safety and Infection Prevention and Control（安全と感染予防・管理） 130
- Health Promotion and Maintenance（健康増進と維持） 90
- Psychosocial Integrity（心理社会的統合性） 90
- Basic Care and Comfort（基本的ケアと安楽） 90
- Reduction of Risk Potential（リスク低減） 120
- Physiological Adaptation（生理的適応） 140
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