NACE Pharmacological and Parenteral Therapies 3

Question 1

Which medication requires the nurse to monitor for ototoxicity as a serious adverse effect?

Accepted Answer

Gentamicin

Answer

Gentamicin is an aminoglycoside antibiotic with well-documented ototoxic and nephrotoxic effects. Peak and trough levels must be monitored.

Question 2

A nurse is preparing to administer the first dose of an ACE inhibitor. Which assessment finding would cause the nurse to hold the medication?

Accepted Answer

Blood pressure of 84/56 mmHg

Answer

A blood pressure of 84/56 mmHg indicates significant hypotension. ACE inhibitors lower blood pressure and could cause dangerously low readings in this patient.

Question 3

Which IV solution is considered isotonic and is commonly used for fluid replacement?

Accepted Answer

0.9% Normal Saline (NS)

Answer

0.9% Normal Saline is an isotonic solution with the same osmolarity as blood plasma, making it ideal for fluid volume replacement without causing fluid shifts.

Question 4

A patient is receiving a blood transfusion and develops chills, fever, and back pain 15 minutes into the infusion. What should the nurse do first?

Accepted Answer

Stop the transfusion immediately

Answer

These symptoms suggest a hemolytic transfusion reaction. The nurse must stop the transfusion immediately to prevent further antigen-antibody reaction and potential organ damage.

Question 5

Which teaching point is most important for a patient prescribed warfarin?

Accepted Answer

Maintain consistent intake of vitamin K-containing foods

Answer

Patients on warfarin should maintain consistent vitamin K intake rather than eliminating it, as vitamin K directly affects warfarin's anticoagulant activity.

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 3