NACE Pharmacological and Parenteral Therapies 2

Question 1

A patient is prescribed heparin 5,000 units subcutaneously. The vial contains 10,000 units/mL. How many mL should the nurse administer?

Accepted Answer

0.5 mL

Answer

Using the formula: 5,000 units divided by 10,000 units/mL = 0.5 mL.

Question 2

Which assessment is most important before administering digoxin?

Accepted Answer

Apical heart rate for one full minute

Answer

The apical heart rate must be assessed for one full minute before administering digoxin. The medication should be held if the rate is below 60 bpm in adults.

Question 3

A patient receiving IV vancomycin develops flushing of the face, neck, and upper body. What is the nurse's priority action?

Accepted Answer

Slow the infusion rate

Answer

This presentation is consistent with Red Man Syndrome, a histamine-mediated reaction to rapid vancomycin infusion. Slowing the infusion rate typically resolves the symptoms.

Question 4

Which medication requires the nurse to monitor potassium levels closely due to the risk of hyperkalemia?

Accepted Answer

Spironolactone

Answer

Spironolactone is a potassium-sparing diuretic that blocks aldosterone, leading to potassium retention and risk of hyperkalemia.

Question 5

A nurse is administering total parenteral nutrition (TPN) through a central line. Which nursing action is essential?

Accepted Answer

Monitor blood glucose levels regularly

Answer

TPN contains high concentrations of dextrose that can cause hyperglycemia. Blood glucose monitoring every 4-6 hours is essential during TPN administration.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

NACE Pharmacological and Parenteral Therapies 2