The second category in physiological
integrity is pharmacological and parenteral
therapies. Now, this is worth 13 to 19%.
Yes, this is the category that brings fear
into everyone, Pharm.
But I want you to know that it's far more
than just drugs.
Let's take a look at the things that you can
Now the definition is providing care related
to the administration of medication and
So look at some of the stuff that can be in
Administering blood products and evaluating
the client response.
Remember, only in RN can do that initial
hanging of the blood products and assess
them. And here you might have to know how to
access and maintain central venous access
devices. Now, in most hospitals you might
call that a central line, but in any language
it is a central venous access device.
That's what you got there.
Here could be the dosage calc that nobody in
this call really likes.
But if you take your time, do your math, use
your write on wipe off board.
I promise you'll be able to get the dosage
calculation that's available.
Now, in pharm, it would make sense that you
need to be able to recognize how the patient
is responding to the medication.
Is it safe?
Is it effective?
Those are the things that you're looking
They also may ask you to educate the client
about the medications that could appear in a
question that says which of the patient's
statements indicate the need for further
teaching. That would mean that you're
looking for the statement that's wrong or
unsafe about the medication that you're
Absolutely. You have to know the rights of
You don't ever want to give medication to a
patient without checking more than one form
of their identification.
So make sure if you're giving a blood
pressure medication, you check their blood
pressure before you give it.
If you're giving a medication that's hard on
the kidneys, you check their lab results.
So it's whatever you have to do to do safe
administration and evaluation of medications.
One question I get asked at almost every
NCLEX review is what exactly are the drugs
that are going to be on the pharm section?
The answer is no one knows, right?
I know that we've developed a course for you
where we've given our best guess based on the
highest risk to patient safety.
There is no list from NCSBN that says we are
only limited to these medications.
I can tell you it will be only generic
You won't see the trade names on the exam.
So that wraps up the pharm section.
But I have one more key strategy I want to
leave with you.
Don't panic about the number of drugs that
you see on the exam.
And please don't panic if you don't
recognize the name of a medication.
It happens more often than we're comfortable
However, you just tell yourself it is one
Do your best.
See if you can get clues from the stem.
And they just have to pick your answer and
So good luck in this section.
Keep in mind, drug names can pop up in any
of the categories, not just the pharm
category. So again, don't panic.
If you see drug names in multiple questions,
it doesn't mean you're not doing well in
pharm questions. It just means your test
happen to have a lot of drug names.
So good luck with our practice questions and
I'll see you in the next category.