Nursing Acceleration Challenge Exam I PN-RN Pharmacological and Parenteral Therapies Questions and Answers

Question 1

A nurse is monitoring a client receiving an IV infusion of 0.9% sodium chloride.
The client complains of pain and swelling at the IV site, and the surrounding skin appears cool and blanched.
Which action should the nurse take first?

Accepted Answer

Stop the infusion and remove the IV catheter.

Answer

Slow the infusion rate and apply a warm compress.

Answer

Check for blood return by lowering the IV bag.

Answer

Administer the prescribed analgesic for the pain.

Question 2

A nurse is preparing to administer a continuous intravenous infusion of heparin. Which of the following laboratory values is essential for the nurse to review immediately before initiating the infusion?

Accepted Answer

Activated Partial Thromboplastin Time (aPTT)

Answer

Prothrombin Time (PT)

Answer

International Normalized Ratio (INR)

Answer

Hemoglobin and Hematocrit

Question 3

A nurse is caring for a client receiving Total Parenteral Nutrition (TPN) via a central venous catheter. Which of the following is a priority nursing intervention to prevent a metabolic complication?

Accepted Answer

Monitoring blood glucose levels every 4 to 6 hours.

Answer

Changing the central line dressing every 24 hours.

Answer

Using the TPN line to administer IV push antibiotics.

Answer

Infusing the TPN solution rapidly if it falls behind schedule.

Question 4

A nurse is initiating a transfusion of packed red blood cells (PRBCs). Fifteen minutes into the transfusion, the client develops shortness of breath, chills, and lower back pain. What is the nurse's priority action?

Accepted Answer

Stop the transfusion immediately.

Answer

Administer an antihistamine as ordered.

Answer

Slow the rate of the transfusion.

Answer

Notify the healthcare provider.

Question 5

A client is admitted with severe dehydration secondary to gastroenteritis. The healthcare provider orders an intravenous fluid to rapidly expand intravascular volume. Which type of IV solution would the nurse anticipate being ordered?

Accepted Answer

0.9% Sodium Chloride (Normal Saline)

Answer

0.45% Sodium Chloride (1/2 NS)

Answer

Dextrose 5% in water (D5W)

Answer

3% Sodium Chloride

Question 6

When administering an intramuscular (IM) injection of an irritating medication to an average-sized adult, which of the following actions demonstrates the correct technique?

Accepted Answer

Utilizing the Z-track method during the injection.

Answer

Selecting the dorsogluteal site as the preferred location.

Answer

Using a 25-gauge, 5/8-inch needle for the injection.

Answer

Inserting the needle at a 45-degree angle to the skin.