Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 68

1. Carrying a donor card for organ donation means that:

A) medical care is altered in the event of serious injuries to get organs for donation.
B) the family or legally responsible party of a client has no decision-making authority in the event that the client is considered for organ donation.
C) a client is allowed to revoke his decision for organ donation at any time.
D) a client is considered an organ donor for only one organ or tissue.

2. Referral for client education in the community can be accomplished through all of the following except:

A) community agencies such as the American Heart Association.
B) parish nurses.
C) home health care agencies.
D) unlicensed massage therapists.

3. The tendency of a drug to combine with its receptor is called:

A) potency.
B) efficacy.
C) kinetics.
D) affinity.

4. Levothyroxine (Synthroid) is the drug of choice for thyroid replacement therapy in clients with hypothyroidism because:

A) it is chemically stable, nonallergenic, and can be administered orally once a day.
B) it is available in a single 25mg tablet, which makes dosing simple.
C) it is not a prodrug.
D) it has a short half-life.

5. When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.

A) pharmaceutical
B) pharmacodynamic
C) pharmacokinetic
D) drug incompatibility

1. Right Answer: C
Explanation: Revocation of the decision for organ donation may occur at any time, by either the client or his responsible party. When organ donation is considered, as many organs as the donor wished to donate are considered and accepted for donation if found appropriate. Medical care for an individual during immediate care and/or resuscitation is not altered to declare a client dead and ready for organ donation. Coordinated Care

2. Right Answer: D
Explanation: Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community. Coordinated Care

3. Right Answer: D
Explanation: Affinity is a close relationship, mutual attraction, or similarity. The tendency of a drug to combine with its receptor is called affinity. Affinity is a measure of the strength of the drug-receptor bonding. Choices 1 and 2 describe the capability of a drug to produce the desired effect. Choice 3 is the branch of science that deals with the effects of forces on the motions of material bodies or with changes in a physical or chemical system. Pharmacological Therapies

4. Right Answer: A
Explanation: Levothyroxine is safe and effective with virtually no side effects when dosed properly. A single, daily dose is possible because of the long half-life (7 days).Levothyroxine tablets are available in a wide range of concentrations to meet individual client requirements. Levothyroxine (T4) is a prodrug of T3.Pharmacological Therapies

5. Right Answer: B
Explanation: Pharmacodynamics pertain to the effect of a drug on receptors. Pharmaceutical reactions are chemical reactions between drugs prior to administration or absorption. Pharmacokinetic reactions refer to the bodys effect on the drug. Drug incompatibilities are another term for pharmaceutical reactions.PharmacologicalTherapies

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