Q: A nurse is administering digoxin. Before giving the dose, the client's apical pulse is 54 bpm. What is the correct action?

Hold the dose and notify the provider. Digoxin should be held and the provider notified if the apical pulse is below 60 bpm in adults due to risk of cardiac toxicity.

Q: Which antidote is used for acetaminophen (Tylenol) overdose?

N-acetylcysteine (Mucomyst). N-acetylcysteine replenishes glutathione stores depleted by acetaminophen overdose, preventing hepatotoxicity.

Q: A client on warfarin therapy has an INR of 5.8 and is showing signs of active bleeding. What is the priority intervention?

Administer vitamin K and fresh frozen plasma. Active bleeding with a supratherapeutic INR requires immediate reversal with vitamin K and FFP for rapid factor replacement.

Q: A nurse is teaching a client prescribed lisinopril. Which side effect should the client report immediately?

Sudden swelling of the lips or throat. Angioedema is a life-threatening adverse effect of ACE inhibitors requiring immediate emergency care.

Question 1

A client is prescribed metformin for type 2 diabetes. Which condition is an absolute contraindication for this medication?

Accepted Answer

Renal impairment (eGFR < 30). Metformin is contraindicated in significant renal impairment due to risk of lactic acidosis from drug accumulation.

Question 2

A nurse is administering digoxin. Before giving the dose, the client's apical pulse is 54 bpm. What is the correct action?

Accepted Answer

Hold the dose and notify the provider. Digoxin should be held and the provider notified if the apical pulse is below 60 bpm in adults due to risk of cardiac toxicity.

Question 3

Which antidote is used for acetaminophen (Tylenol) overdose?

Accepted Answer

N-acetylcysteine (Mucomyst). N-acetylcysteine replenishes glutathione stores depleted by acetaminophen overdose, preventing hepatotoxicity.

Question 4

A client on warfarin therapy has an INR of 5.8 and is showing signs of active bleeding. What is the priority intervention?

Accepted Answer

Administer vitamin K and fresh frozen plasma. Active bleeding with a supratherapeutic INR requires immediate reversal with vitamin K and FFP for rapid factor replacement.

Question 5

A nurse is teaching a client prescribed lisinopril. Which side effect should the client report immediately?

Accepted Answer

Sudden swelling of the lips or throat. Angioedema is a life-threatening adverse effect of ACE inhibitors requiring immediate emergency care.

Free NCLEX Pharmacology Quiz