http://www.nursingtestsbank.store.
@etsy
Question 1 out of 421
A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor-vehicle
crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse
anticipate administering to the client first?(
A.
B.
C.
D.
Acamprosate
Naltrexone
Chlordiazepoxide
Disulfiram
an
k
53% of exam takers got this question correct.
Correct Answer:
C. Chlordiazepoxide
Chlordiazepoxide, a long-acting oral benzodiazepine, is a first-line medication for manifestations of acute alcohol withdrawal. For clients
who are nauseated or vomiting, another benzodiazepine such as lorazepam can be administered via IV. The nurse should apply the acute
versus chronic priority -setting framework when caring for this client. In this framework, acute needs (ie manifestations of acute alcohol
withdrawal) are typically the priority because they pose more of a threat to the client. Since chronic needs usually develop over a period of
time, the client has more of an opportunity to adapt to the alteration in health.
sB
4211
53
es
t
C.
m
si
Bone fractures
Deep-vein thrombosis
Increased LDL cholesterol
Increased risk of breast cancer
ur
A.
B.
C.
D.
ng
T
Question 2 out of 421
A nurse is reinforcing teaching with a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of
the following findings should the nurse include as an adverse effect of oral contraceptives?
@
N
62% of exam takers got this question correct.
Correct Answer:
B. Deep-vein thrombosis
The nurse should include in the teaching that clients who are premenopausal and have a prescription for a combination oral contraceptive
containing estrogen are at an increased risk for developing a deep-vein thrombosis, which is an adverse effect of this medication.
4212
62
B.
Question 3 out of 421
A nurse is collecting data from a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to
the nurse the client is experiencing digoxin toxicity?
A.
Suppression of dysrhythmias
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Increase in atrioventricular (AV) conduction
Visual disturbances
Weight gain
68% of exam takers got this question correct.
Correct Answer:
C. Visual disturbances
The nurse should recognize that nausea, vomiting, abdominal discomfort, fatigue, and visual disturbances are common manifestations that
can indicate that the client is experiencing digoxin toxicity.
4213
68
C.
sB
Pharmacodynamic tolerance(
Placebo effect
Metabolic tolerance
Tachyphylaxis
es
t
A.
B.
C.
D.
an
k
Question 4 out of 421
A nurse is caring for a client who has been receiving medication through a transdermal patch. The client is experiencing therapeutic
benefits from the medication even though the medication in the patch is no longer active. The nurse should recognize that this is an
example of which of the following?
ng
T
72% of exam takers got this question correct.
Correct Answer:
B. Placebo effect
The nurse should identify that the client is experiencing a placebo effect from the medication in the transdermal patch. This occurs when a
medication response is caused by psychological factors and not by the biochemical or physiological properties of the medication.
si
4214
@
N
ur
72
Question 5 out of 421
A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of following medications should the
nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)?(12
A.
B.
C.
D.
Aspirin
Warfarin
Ticagrelor
Enoxaparin
58% of exam takers got this question correct.
Correct Answer:
D. Enoxaparin
The nurse should anticipate the administration of enoxaparin for a client who is 12 hours postoperative following surgery. Enoxaparin is
low-molecular-weight (LMW) heparin that is used to prevent a DVT by inhibiting the effects of antithrombin and thrombin.
4215
12DVT
http://www.nursingtestsbank.store.
@etsy
58
D.
12LMWDVT
Question 6 out of 421
A nurse is collecting data from a client who is taking duloxetine to treat diabetic neuropathy pain. For which of the following
manifestations should the nurse monitor as a potential adverse effect of the medication?
A.
B.
C.
D.
Urinary frequency(urinary retention)
Increased appetite(decreased appetite)
Dry mouth
Decreased sweating(increased sweating)
70% of exam takers got this question correct.
Correct Answer:
C. Dry mouth
an
k
The nurse should monitor the client for dry mouth as a potential adverse effect of duloxetine.
4216
sB
70
es
t
C.
si
The excretion of medication is reduced.
The percentage of medication absorbed is increased.
The liver metabolizes medication more quickly.
Less medication is stored in fatty tissue.(
ur
A.
B.
C.
D.
ng
T
Question 7 out of 421
A nurse in a long-term care facility is administering medications to a group of older adult clients. Which of the following factors of
pharmacokinetics should the nurse consider when caring for this age group?
@
N
76% of exam takers got this question correct.
Correct Answer:
A. The excretion of medication is reduced.
Due to decreased renal function and blood flow, older adult clients do not excrete medications as quickly, which can contribute to the
development of toxic levels of medication.
4217
76
Question 8 out of 421
A nurse is collecting data from a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has
decreased from 20 to 12/min. Which of the following actions should the nurse take?
A.
B.
C.
D.
Flush the IV line with saline
Administer flumazenilopioid toxicity
Lower the head of the bed
Slow the rate of the infusion
http://www.nursingtestsbank.store.
@etsy
71% of exam takers got this question correct.
Correct Answer:
D. Slow the rate of the infusion
The nurse should decrease the infusion rate to reduce the amount of morphine the client receives and to lower the risk of respiratory
depression.
4218
20 / min / min12 / min
71
D.
an
k
Question 9 out of 421
A nurse is caring for a client who has multiple sclerosis and neurogenic bladder and is receiving bethanechol. The nurse should identify
that which of the following client statements indicates a therapeutic action of the medication?
es
t
sB
A. "My mouth seems very dry lately.(excessive salivation)
B. "I've noticed my heart beating faster.(cause hypotension and bradycardia)
C. "I am able to urinate more freely."
D. "I've noticed I can take a deep breath more easily.(
75% of exam takers got this question correct.
Correct Answer:
C. "I am able to urinate more freely."
The nurse should identify that bethanechol is administered for the treatment of urinary retention. A therapeutic effect is indicated by the
client stating that urination now occurs more freely.
ng
T
4219
75
si
C.
retention
A.
B.
C.
D.
@
N
ur
Question 10 out of 421
. A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests show an elevated
level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings
are potential indications of which of the following conditions?(ast alt
Renal dysfunction
Myelotoxicity
Hepatic toxicity
Cardiac dysrhythmia
83% of exam takers got this question correct.
Correct Answer:
C. Hepatic toxicity
The nurse should identify that elevated levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are indications the
client might be at risk for hepatic toxicity. AST and ALT are enzymes that test liver function. Therefore, this should indicate to the nurse
that the medication the client is taking is damaging to the liver. The client should undergo liver function tests, and the nurse should notify
the provider of this finding.
42110
ASTALT
83
C.
http://www.nursingtestsbank.store.
@etsy
ASTALT ASTALT
Question 11 out of 421
A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this
medication should the nurse monitor?
A. Insomnia( sleepiness )
B. Diarrhea
C. Joint pain(headaches)
D. Polycythemia(anemia,decrease the absorption of iron. )
50% of exam takers got this question correct.
Correct Answer:
B. Diarrhea
The most common adverse effects of acarbose, an alpha-glucosidase inhibitor, are gastrointestinal. They include diarrhea, abdominal
distention and cramping, and flatulence.
an
k
42111
2
50
sB
-
Tenderness of the gums(cause gingival hyperplasia)
Blood pressure 120/78 mmHg(treatment of hypertension)
Flushing of the face
Heart rate of 48/min
si
78% of exam takers got this question correct.
Correct Answer:
D. Heart rate of 48/min
ng
T
A.
B.
C.
D.
es
t
Question 12 out of 421
A nurse is reinforcing discharge teaching with a client who has a new prescription for amlodipine. For which of the following findings
should the client notify the provider?
N
ur
The nurse should reinforce with the client that amlodipine can cause bradycardia. The nurse should instruct the client about the correct
technique for obtaining a pulse and advise notifying the provider if the heart rate drops below 50/min.
@
42112
78
D.48 /
50 / min
Question 13 out of 421
A nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment.
Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication?
A.
B.
C.
D.
Small stature for age
Decreased weight
Poor dentition
Atrophied muscles
54% of exam takers got this question correct.
Correct Answer:
http://www.nursingtestsbank.store.
@etsy
A. Small stature for age (
The nurse should identify that an adverse effect of the long-term use of inhaled glucocorticoids can be a slowing in the rate of growth in
children.
42113
CF
54
A.
Question 14 out of 421
A nurse is caring for a client who has a dry, nonproductive cough. Which of the following types of medication should the nurse
recommend?
Expectorantmobilize secretions.
Mucolytichelp liquefy secretions
Bronchodilatorhelp open air passages.
Antitussive
an
k
A.
B.
C.
D.
sB
55% of exam takers got this question correct.
Correct Answer:
D. Antitussive
Antitussives suppress the cough reflex.
es
t
42114
ng
T
55
D.
N
Salmeterol
Cromolyn
Fluticasone
Albuterol
@
A.
B.
C.
D.
ur
si
Question 15 out of 421
A nurse is reinforcing teaching with the parents of a school-aged child who has asthma about medications for bronchospasm. Which of the
following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack?
91% of exam takers got this question correct.
Correct Answer:
D. Albuterol(
Albuterol is a short-acting beta2-adrenergic agonist that is used to provide immediate relief for an acute asthma attack. One or 2 puffs every
4 to 6 hours PRN is the commonly prescribed dose for a school-aged child. If higher or more frequent doses are needed, the provider should
evaluate the client for worsening asthma.
42115
91
D.
Albuterol2462PRN
Question 16 out of 421
A nurse is reinforcing discharge teaching with a client who is postoperative and has a new prescription for an oral opioid analgesic. Which
of the following pieces of information should the nurse include as a rationale for increasing the clients daily intake of fiber?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
Fiber binds with the medication to relieve pain.
Dietary fiber prevents nausea caused by opioids.
Fiber aids in the absorption of opioids.
Dietary fiber helps prevent constipation.
91% of exam takers got this question correct.
Correct Answer:
D. Dietary fiber helps prevent constipation.
The nurse should reinforce with the client that constipation is an adverse effect of opioids. Increasing dietary fiber consumption can help
manage opioid-induced constipation. The client should also increase physical activity and fluid intake. A stool softener and laxative might
be needed to prevent the complications associated with opioid-induced constipation.
42116
91
an
k
D.
Hypoglycemia(hyper)
Uterine ripening(
Increased blood pressure(hypo)
Number of uterine contractions
es
t
A.
B.
C.
D.
sB
Question 17 out of 421
A nurse is administering a prescription for nifedipine to a client who is pregnant. Which of the following pieces of information related to
nifedipine should the nurse monitor and document?
si
ng
T
52% of exam takers got this question correct.
Correct Answer:
D. Number of uterine contractions
A client who is going into preterm labor can have a prescription for nifedipine, which is a calcium channel blocker that inhibits the entry
of calcium into myometrial cells, which can delay labor.
ur
42117
N
52
@
D.
Question 18 out of 421
A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the
nurse review prior to the administration of the medication?
A.
B.
C.
D.
Ability to swallow
Results of last purified protein derivative (PPD) test
Serum creatinine level
Blood glucose level
40% of exam takers got this question correct.
Correct Answer:
B. Results of last purified protein derivative (PPD) test
The nurse should identify that a client who is taking etanercept is at risk for infections such as tuberculosis (TB). To reduce this risk, the
client should be tested for latent TB; if the test is positive, the client should undergo TB treatment before receiving etanercept. During
treatment with etanercept, the client should be monitored closely for the development of TB.
42118
http://www.nursingtestsbank.store.
@etsy
40
B.PPD
Question 19 out of 421
A nurse is assisting with the admission of a client who has unstable angina. Which of the following medications should the nurse anticipate
administering to the client?
A.
B.
C.
D.
Epinephrine(cardiac arrest)
Nitroglycerin
Lidocaine(ventricular dysrhythmias.)
Atropine(bradycardia and increases heart rate)
an
k
84% of exam takers got this question correct.
Correct Answer:
B. Nitroglycerin
The nurse should anticipate administering nitroglycerin to a client who has unstable angina. This medication acts by relaxing or preventing
spasms in the coronary arteries along with dilating the arteries, which increases oxygenation and blood flow.
sB
42119
es
t
84
B.
si
Trimethoprim
Erythromycin
Sulfonamides
Penicillins
ur
A.
B.
C.
D.
ng
T
Question 20 out of 421
A nurse is preparing an in-service session for medical-surgical staff on infections and antibiotic use. Which of the following antibiotics
should the nurse identify as having the highest rate of severe allergic reactions?
@
N
84% of exam takers got this question correct.
Correct Answer:
D. Penicillins
Penicillins carry the highest rate of severe allergic reactions. If a client is allergic to a penicillin, he or she should be considered allergic to
all of them. A client who is identified as having a severe allergic reaction to penicillins should not receive them again unless there is no
other medication available to treat a life-threatening infection. Penicillins are broad-spectrum antibiotics used to treat most gram-positive
and some gram-negative infections.
42120
84
D.
Question 21 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. The client has a new prescription for misoprostol
for cervical ripening and induction of labor. Which of the following findings in the client's medical history should the nurse identify as
increasing the clients risk of complications due to the use of this medication?
A.
B.
C.
D.
Positive bacterial vaginosis culture
History of failure to progress
Previous cesarean delivery
Positive serum Rh sensitization
57% of exam takers got this question correct.
Correct Answer:
C. Previous cesarean delivery(
The nurse should identify that misoprostol is a prostaglandin that promotes cervical ripening. An adverse effect of misoprostol is uterine
tachysystole (excessively frequent uterine contractions). Therefore, this medication should be used with extreme caution and is
contraindicated in clients who have experienced a previous cesarean delivery.
an
k
421421
39
57
sB
C.
Make sure the medication infuses slowly
Stop the infusion after the client has received half the dosage
Make sure the solution is not dilute
Request a prescription for intermittent dosing
ur
si
84% of exam takers got this question correct.
Correct Answer:
A. Make sure the medication infuses slowly
ng
T
A.
B.
C.
D.
es
t
Question 22 out of 421
A nurse is caring for a client who is receiving a continuous IV infusion of erythromycin lactobionate to treat a Bordetella pertussis
infection. Which of the following actions should the nurse perform to minimize the risk of thrombophlebitis?
84
@
42122
N
The nurse should make sure erythromycin infuses slowly to minimize the risk of thrombophlebitis, which is an inflammatory process
resulting from the formation of a blood clot in a vein. These blood clots usually form in the legs.
A.
Question 23 out of 421
A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the
client receiving this medication?
A.
B.
C.
D.
Blood pressure 180/70 mmHg
Oxygen saturation rate 94%
Heart rate 51/min
Respiratory rate 21/min
87% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
C. Heart rate 51/min
The nurse should identify that if the client's heart rate is less than 60/min, the medication should be withheld, and the provider should be
notified.
42123
87
C.51 /
60 / min
Question 24 out of 421
A nurse is assessing a client who was recently admitted and has a history of alcohol use disorder. The client displays ataxia, an altered level
of consciousness, and nystagmus. Which of the following medications should the nurse anticipate administering to the client?
Parenteral thiamine
Niacin extended-release capsules
Parenteral pyridoxine
Riboflavin tablets
an
k
A.
B.
C.
D.
es
t
sB
51% of exam takers got this question correct.
Correct Answer:
A. Parenteral thiamine
The nurse should identify that a client who has a history of alcohol use disorder and displays ataxia, an altered level of consciousness, and
nystagmus is exhibiting manifestations of Wernicke-Korsakoff syndrome due to a thiamine deficiency. Therefore, the nurse should
anticipate administering parenteral thiamine.
ng
T
42124
51
si
A.
-
"Report gastrointestinal disturbances immediately."
"You might find that you develop a dry mouth."
"You should not experience any central nervous system alterations."
"Increased urinary frequency is an expected effect."
@
A.
B.
C.
D.
N
ur
Question 25 out of 421
A nurse is reinforcing teaching with a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the
following pieces of information should the nurse include in the teaching?
65% of exam takers got this question correct.
Correct Answer:
B. "You might find that you develop a dry mouth."
A client who takes a first-generation antihistamine such as brompheniramine can experience cholinergic blockade effects that can cause
drying of mucous membranes in the mouth, nasal passages, and throat. Taking frequent sips of liquid or sucking on a hard, sugarless candy
can help relieve dry mouth.
421421
65
B.
http://www.nursingtestsbank.store.
@etsy
Question 25 out of 421
A nurse is reinforcing teaching with a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the
following pieces of information should the nurse include in the teaching?first-generation antihistamine
"Report gastrointestinal disturbances immediately.(gi
"You might find that you develop a dry mouth."
"You should not experience any central nervous system alterations."
"Increased urinary frequency is an expected effect.urinary retention
65% of exam takers got this question correct.
Correct Answer:
B. "You might find that you develop a dry mouth."
an
k
A client who takes a first-generation antihistamine such as brompheniramine can experience cholinergic blockade effects that can cause
drying of mucous membranes in the mouth, nasal passages, and throat. Taking frequent sips of liquid or sucking on a hard, sugarless candy
can help relieve dry mouth.
sB
421421
es
t
65
ng
T
B.
ur
Middle-agepregnancy
Obesity
Dark-colored eyes
Light-pigmented skind
N
A.
B.
C.
D.
si
Question 26 out of 421
A nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. Which of the following findings from the
client's record should the nurse identify as a risk factor for developing vitamin D deficiency?
@
46% of exam takers got this question correct.
Correct Answer:
B. Obesity
The nurse should identify that a client who is obese is at risk for vitamin D deficiency. A screening can be prescribed to determine if a
deficiency is present.
421421
DD
46
D
Question 27 out of 421
A nurse is administering an enteric-coated tablet to a client and explaining the pharmaceutical preparation. Which of the following
statements should the nurse make?
A.
B.
"This coated tablet dissolves better in your stomach and intestines."
"You are less likely to have an upset stomach with this pill because of the coating on the tablet."
http://www.nursingtestsbank.store.
C.
D.
@etsy
"The coating on the tablet improves the absorption of the medication."
"The coating on the tablet allows a gradual release of the medication."
49% of exam takers got this question correct.
Correct Answer:
B. "You are less likely to have an upset stomach with this pill because of the coating on the tablet."
Enteric-coated preparations have an outside coating of a substance that dissolves in the intestines instead of in the stomach. This protects
the medication from acids and enzymes in the stomach and protects the stomach from ingredients in the medication that can cause gastric
upset.
421421
49
B.
sB
Hearing examination
Glucose tolerance test
Electrocardiogram
Pulmonary function tests
es
t
A.
B.
C.
D.
an
k
Question 28 out of 421
A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following
diagnostic tests should the nurse plan to obtain prior to administering the medication?
ng
T
61% of exam takers got this question correct.
Correct Answer:
C. Electrocardiogram
Amitriptyline can cause tachycardia and ECG changes. An older adult client is at risk for cardiovascular effects while taking amitriptyline;
therefore, an ECG should be performed prior to the start of therapy to obtain a baseline of the client's cardiovascular status.
si
421421
ur
61
N
C.
@
Question 29 out of 421
A nurse is reinforcing teaching about food-drug interactions with a client who is prescribed sirolimus following a kidney transplant. Which
of the following pieces of information should the nurse include in the teaching?
A.
B.
C.
D.
"Increase your intake of high-fat foods.maintain consistency for absorption
"Avoid eating grapefruit while taking sirolimus."
"Drink apple juice just before dosing.taking cyclosporine
"Reduce your intake of gluten.celiac disease
85% of exam takers got this question correct.
Correct Answer:
B. "Avoid eating grapefruit while taking sirolimus."
The nurse should inform the client that grapefruit and grapefruit juice can inhibit the metabolism of sirolimus. This means that consuming
grapefruit and grapefruit juice would cause the levels of the medication to rise in the client's body, which could have adverse effects.
Therefore, grapefruits should be avoided.
421421
http://www.nursingtestsbank.store.
@etsy
85
B.
Question 30 out of 421
A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the
nurse take?(
A.
B.
C.
D.
Cover the applied ointment with cotton gauzeplastic wrap
Apply the ointment using a dose-measuring applicator
Apply the ointment using the index finger(using gloves and a dose-measuring applicator)
Massage the ointment onto the client's skin(
an
k
74% of exam takers got this question correct.
Correct Answer:
B. Apply the ointment using a dose-measuring applicator(
The nurse should apply the ointment using a dose-measuring applicator. This allows the nurse to measure the correct dose the client is to
receive.
sB
42130
es
t
74
ng
T
B.
ur
"Your current medication was not strong enough to manage this condition.
"Once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued."
"This medication was added to delay the disease progression."
"Treating this disease with 2 medications will help protect you from becoming treatment-resistant.
N
A.
B.
C.
D.
si
Question 31 out of 421
A nurse is reinforcing teaching with a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month
checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse
include in the teaching about the purpose of this change in the client's medication?
@
47% of exam takers got this question correct.
Correct Answer:
C. "This medication was added to delay the disease progression.
The nurse should inform the client that the provider prescribed methotrexate to be added to the medication regimen along with an NSAID
to delay the progression of the disease and to delay joint damage or deformity that can result from the disease.
421421
NSAID
47
C.
NSAID
Question 32 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough
levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak?
A.
B.
C.
D.
1 hour after administering the IM injection
Just before administering the IM injectionafter
12 hours after the last IM injection30min-1hr
30 minutes after administering the IM injection1hr
50% of exam takers got this question correct.
Correct Answer:
A. 1 hour after administering the IM injection
Timing is important when drawing blood samples for aminoglycoside levels. The nurse should obtain blood samples for peak levels 1 hour
after administering an IM injection or 30 minutes after completing an IV infusion.
42132
IM
an
k
50
IM1
IM1IV30
B.
C.
D.
"Your child might develop diarrhea or vomiting within 24 hours of receiving this vaccine.localized reactions, fever, fretfulness,
drowsiness, and anorexia
"I can either give your child all of the injections in this series at once or individually.The DTaP vaccine consists of a series of five
injections
"The vaccine will be injected into the infant's thigh."
"This injection contains a live virus.(inactivated bacteria )
ng
T
A.
es
t
sB
Question 33 out of 421
A nurse is preparing to administer the first injection of the diphtheria, tetanus, and pertussis (DTaP) vaccine to an infant. Which of the
following pieces of information should the nurse tell the guardian prior to administering the immunization?
80
@
42133
DTaP
N
ur
si
80% of exam takers got this question correct.
Correct Answer:
C. "The vaccine will be injected into the infant's thigh."
The DTaP vaccine is administered intramuscularly (IM) in the deltoid or mediolateral thigh because these are larger muscles that can better
diffuse inflammation. Therefore, the nurse should prepare to administer the IM injection in the mediolateral thigh.
C.
DTaPIMIM
Question 34 out of 421
A nurse is reinforcing discharge teaching with a client who has major depressive disorder and a new prescription for phenelzine. Which of
the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine?maoi
A.
B.
C.
D.
Broiled beef steak
Macaroni and cheese
Pepperoni pizza
Smoked salmon
58% of exam takers got this question correct.
Correct Answer:
A. Broiled beef steak
http://www.nursingtestsbank.store.
@etsy
Phenelzine is an MAOI antidepressant. This medication interacts with a variety of foods to produce a hypertensive crisis. Beef steak and
other meats that are fresh do not interact with phenelzine and are safe to consume.
421421
58
A.
MAOI
Question 35 out of 421
A nurse is reinforcing teaching about glucocorticoid therapy with the parent of a child who has severe reactive airway disease. The parent
asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse
provide the parent?
an
k
42% of exam takers got this question correct.
Correct Answer:
C. Oral glucocorticoids are more likely to slow linear growth in children.
Chronic use of oral glucocorticoids in high doses by children can result in decreased linear growth. Inhaled glucocorticoids deliver the antiinflammatory agent directly to the local target area (i.e. the clients airways), decreasing the risk for adrenal suppression.
sB
42135
es
t
42
C.
ur
si
Inhaled glucocorticoids are less likely to cause thrush.
Oral glucocorticoids are hazardous during times of stress.(
Oral glucocorticoids are more likely to slow linear growth in children.
Inhaled glucocorticoids are more effective for acute bronchospasm.adrenal suppression
N
A.
B.
C.
D.
ng
T
Question 35 out of 421
A nurse is reinforcing teaching about glucocorticoid therapy with the parent of a child who has severe reactive airway disease. The parent
asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse
provide the parent?
@
42% of exam takers got this question correct.
Correct Answer:
C. Oral glucocorticoids are more likely to slow linear growth in children.
Chronic use of oral glucocorticoids in high doses by children can result in decreased linear growth. Inhaled glucocorticoids deliver the antiinflammatory agent directly to the local target area (i.e. the clients airways), decreasing the risk for adrenal suppression.
42135
42
C.
Question 36 out of 421
A nurse is caring for a client who takes ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of
this herbal supplement?
A.
B.
C.
Decreased platelet aggregation
Prevention of migraine headaches(feverfew
Increased risk of deep-vein thrombosis
http://www.nursingtestsbank.store.
D.
@etsy
Lowered cholesterol and triglyceride levelsGarlic
50% of exam takers got this question correct.
Correct Answer:
A. Decreased platelet aggregation
Ginkgo biloba can decrease platelet aggregation by inhibiting the ability of platelets to clump together. The nurse should discuss the
potential increase in bleeding tendencies when taking ginkgo biloba and other antiplatelet aggregates such as NSAIDs and clopidogrel.
42136
50
A.
Oral
Intravenous
Intramuscular
Subcutaneous
sB
A.
B.
C.
D.
an
k
Question 37 out of 421
A nurse is assisting with the care of a client who is postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a
prescription for meperidine. Which of the following routes of administration will deliver the medication with the shortest time of onset?
ng
T
es
t
85% of exam takers got this question correct.
Correct Answer:
B. Intravenous
The nurse should identify that meperidine given intravenously has no barriers to absorption because it is deposited directly into the
circulatory system. An instantaneous time of onset and absorption gives the client immediate relief.
42137
8010
si
85
ur
B.
A.
B.
C.
D.
@
N
Question 38 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for human chorionic gonadotropin (HCG) to treat infertility.
Which of the following statements should the nurse make?
"Your heart rate will be slower while taking this hormone.tachycardia
"This hormone is extracted from the urine of women who are pregnant."
"You will no longer be able to take loratadine for allergy relief.(hcgphenothiazines such as promethazine
"Diarrhea is a common adverse effect of this hormone.( constipation)
45% of exam takers got this question correct.
Correct Answer:
B. "This hormone is extracted from the urine of women who are pregnant."
The nurse should reinforce with the client that HCG is produced naturally by the placenta and can be extracted from the urine of women
who are pregnant.
42138
HCG
45
http://www.nursingtestsbank.store.
@etsy
B.
HCG
Question 39 out of 421
A nurse in a provider's office is collecting data from a client who has hypothyroidism and has been taking levothyroxine for 3 months.
Which of the following statements by the client indicates that a decrease in the dosage of levothyroxine might be needed?(
A.
B.
C.
D.
"I have to take a laxative for constipation.(hypothyroidism,)
"I dont feel cold all the time anymore. Intolerance to cold
"I am having trouble getting to sleep at night."
"I am dieting but still not losing any weight.Weight gain is a manifestation of hypothyroidism
an
k
59% of exam takers got this question correct.
Correct Answer:
C. "I am having trouble getting to sleep at night."
Difficulty sleeping is a manifestation of hyperthyroidism. This statement by the client can indicate the dosage of levothyroxine needs to be
reduced.
sB
42139
3
es
t
59
ng
T
C.
N
ur
"The patch will not cause constipation like other pain medications do.
"I will have to stop drinking grapefruit juice while using the patch."
"I will place a heating pad over the patch to help it work better.(AOIVD)
"The patch will give me relief from my pain faster than pills can."
@
A.
B.
C.
D.
si
Question 40 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for a fentanyl transdermal patch. Which of the following
statements by the client indicates an understanding of the teaching?
49% of exam takers got this question correct.
Correct Answer:
B. "I will have to stop drinking grapefruit juice while using the patch.
The client should avoid drinking grapefruit juice while using the fentanyl transdermal patch. Grapefruit juice can increase the absorption of
the medication, raising the fentanyl level in the client's blood and placing the client at risk for CNS and respiratory depression.
42140
49
B.
Question 41 out of 421
A nurse is reviewing the laboratory reports for a client who has been taking warfarin for atrial fibrillation. Which of the following results
should the nurse report to the provider immediately?(warfarin
A.
PT 18 seconds
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Platelet count 160,000/mm^3
Hct 43%
INR 5.5
67% of exam takers got this question correct.
Correct Answer:
D. INR 5.5(expected to have an INR of 2 to 3)
When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority laboratory result is an INR of 5.5.
A client who is taking warfarin for the treatment of atrial fibrillation is expected to have an INR of 2 to 3. A level of 5.5 is considered a
critical value and places the client at risk for bleeding; therefore, the nurse should report this result to the provider immediately.
42141
67
an
k
D.5.5
INR 5.5INR235.5
80% of exam takers got this question correct.
Correct Answer:
C. Erythropoietin+
es
t
Calcium acetate
Vitamin Dvd
Erythropoietin
Diphenhydramine
ng
T
A.
B.
C.
D.
sB
Question 42 out of 421
A nurse is caring for a client who has chronic renal failure and has developed anemia. Which of the following medications should the nurse
expect the provider to prescribe?
80
N
@
42142
ur
si
Erythropoietin is a hormone produced by the kidneys that stimulates the production of red blood cells. When levels are low, the kidneys
increase the level of erythropoietin production. This homeostatic mechanism fails in a client who has chronic renal failure, and exogenous
erythropoietin is prescribed. Administering erythropoietin to a client who has chronic renal failure can reduce the need for blood
transfusions.
Question 43 out of 421
A nurse is collecting data from a client who has AIDS and is taking zidovudine. Which of the following findings is the priority for the nurse
to report to the provider?(abc
A.
B.
C.
D.
Nausea and vomiting
Decreased hemoglobin
Decreased appetite
Anxiety
63% of exam takers got this question correct.
Correct Answer:
B. Decreased hemoglobin
http://www.nursingtestsbank.store.
@etsy
The nurse should apply the safety and risk reduction priority-setting framework, which assigns priority to the factor or situation posing the
greatest safety risk to the client. When there are several risks to client safety, the risk posing the greatest threat is the highest priority. The
nurse should use Maslows hierarchy of needs, the ABC priority setting framework, and/or nursing knowledge to identify which risk poses
the greatest threat to the client. Therefore, the priority finding for the nurse to report to the provider is a decreased hemoglobin level.
Zidovudine can cause severe anemia and neutropenia from bone marrow suppression, resulting in hematologic toxicity.
42143
63
B.
MaslowABC/
Question 44 out of 421
A nurse is reinforcing teaching with a client about taking tetracycline PO. Which of the following statements should the nurse include in
the teaching?
es
t
59% of exam takers got this question correct.
Correct Answer:
B. "Limit your consumption of dairy products while taking this medicine."
an
k
"Take this medication on a full stomach.(empty stomach 1 hour before meals or 2 hours after meals)
"Limit your consumption of dairy products while taking this medicine."
"Take the medication with your regular iron supplement.(CANT)
"Take antacids if you have an upset stomach from using tetracycline.(CANT)
sB
A.
B.
C.
D.
ng
T
The nurse should tell the client to avoid or limit the consumption of dairy products while taking tetracycline. An interval of at least 2 hours
should separate tetracycline ingestion and the ingestion of products that can chelate this medication such as milk or calcium.
421421
PO
si
59
ur
B.
N
2
@
Question 45 out of 421
A nurse is caring for a client with type 1 diabetes mellitus who has a prescription to administer regular insulin subcutaneously. Which of
the following insulin durations should the nurse identify for regular insulin?(
A.
B.
C.
D.
Intermediate durationNPH insulin
Short duration, slow acting
Long durationglargine insulin and detemir insulin
Short duration, rapid acting insulin lispro, aspart, and glulisine
43% of exam takers got this question correct.
Correct Answer:
B. Short duration, slow acting
The nurse should identify that regular insulin has a short duration with a slower acting time. The nurse should plan to administer regular
insulin 30 minutes before meals.
42145
1
http://www.nursingtestsbank.store.
@etsy
43
B.
30
Question 46 out of 421
A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which of the following prescriptions should
the nurse expect?
A.
B.
C.
D.
Fluoxymesteronemale hypogonadism.
Methyltestosteronepostpubertal cryptorchidism.
Finasteride
Sildenafilerectile dysfunction.
an
k
54% of exam takers got this question correct.
Correct Answer:
C. Finasteride
sB
The nurse should expect a prescription for finasteride for a client who has BPH. Finasteride is a 5-alpha-reductase inhibitor that is
administered to reduce the size of the prostate within 3 to 6 months of therapy.
es
t
421421
BPH
54
ng
T
C.
BPH5--36
N
Protamine sulfateheparin overdoses
Fondaparinux(not be administered to a client who is hypercoagulated)
Vitamin K
Bivalirudin(b
@
A.
B.
C.
D.
ur
si
Question 47 out of 421
A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the
provider for which of the following medications?
86% of exam takers got this question correct.
Correct Answer:
C. Vitamin K
The nurse should anticipate the provider to prescribe vitamin K for a client who has an INR of 6.2. Vitamin K antagonizes warfarin's
actions, which can reverse warfarin-induced inhibition of clotting factor synthesis.
42147
2.5 mg POINR6.2
86
C.K
INR6.2KK
Question 48 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. The nurse should reinforce with the client the
need to monitor for which of the following adverse effects of this medication?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
Photosensitivity
Constipation(diarrhea)
OtotoxicityDoxycycline
Blurry visionDoxycycline
57% of exam takers got this question correct.
Correct Answer:
A. Photosensitivity
An adverse effect of doxycycline, a tetracycline antibiotic, is photosensitivity. In this reaction, the skin responds abnormally to light,
especially ultraviolet radiation or sunlight. Prevention involves avoiding direct exposure to sunlight and ultraviolet light, wearing
protective clothing outdoors, and using sunscreen.
42148
57
an
k
A.
"Analgesics can cause a lack of sensation.
"Anesthesia is specifically for eliminating pain perception.
"Analgesics treat pain without causing sedation.
"Anesthesia can cause loss of consciousness.
es
t
A.
B.
C.
D.
sB
Question 49 out of 421
A nurse is caring for a client who is due to receive general anesthesia. The client asks the nurse, "What is the difference between an
analgesic and anesthesia?" Which of the following statements should the nurse make?
ng
T
47% of exam takers got this question correct.
Correct Answer:
D. "Anesthesia can cause loss of consciousness."
General anesthesia reduces or causes a complete loss of consciousness.
si
421421
ur
47
@
N
D.
Question 50 out of 421
A nurse is reviewing new medication prescriptions for 4 clients. Which of the following prescriptions should the nurse verify with the
provider?(
A.
B.
C.
D.
Pancrelipase 500 units/kg/meal PO tid, give immediately before meals
Metoprolol 50 mg PO daily, hold for heart rate <50/min
Ranitidine 300 mg PO, on call from surgery
Enoxaparin 30 mg subQ 2 times daily
54% of exam takers got this question correct.
Correct Answer:
C. Ranitidine 300 mg PO, on call from surgerynpo, iv)
The nurse should verify this prescription with the provider since clients who are scheduled for surgery are usually maintained on an NPO
status. This prescription can be administered intravenously.
42150
4
http://www.nursingtestsbank.store.
@etsy
54
C.300 mg PO
NPO
Question 51 out of 421
A nurse in a providers office is reinforcing teaching with a female client who has a new diagnosis of seizures and a prescription for valproic
acid. Which of the following pieces of information should the nurse provide?
A.
B.
C.
D.
"This medication can cause changes in your mood and behavior."
"Valproic acid is one of the few seizure medications that can be taken during pregnancy.k
"You can expect this medication to cause you to lose weight.weight gain)
"Valproic acid should be taken every morning on an empty stomach.(take it with food)
an
k
57% of exam takers got this question correct.
Correct Answer:
A. "This medication can cause changes in your mood and behavior.
sB
All anti-seizure medications can cause an increased risk of suicidal thoughts and behavior. The nurse should inform the client of this
adverse effect and instruct her to notify the provider if depression, anxiety, panic, or thoughts of dying occur.
es
t
42151
ng
T
57
N
ur
si
Question 52 out of 421
A nurse is preparing to administer epoetin 50 units/kg/dose 3 times weekly subcutaneously to a client who weighs 198 pounds. Epoetin
solution is available for injection at 4,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest
tenth. Use a leading zero if applicable but do not use a trailing zero.)
@
(198lb/1ml )x (1kg/2.2lb) x (50unit/1kg )x (1ml/4000unit) = 9900/8800=1.1 ml
Question 53 out of 421
A nurse is collecting data from a client who is receiving omeprazole to treat a gastric ulcer. Which of the following findings should the
nurse report to the provider immediately?
A.
B.
C.
D.
Diarrhea
Magnesium 1.3 mg/dL
Dizziness
WBC count 9,800/mm^3
45% of exam takers got this question correct.
Correct Answer:
A. Diarrhea
The greatest risk to this client is an increased risk of developing Clostridium difficile, a bacterium that can cause severe diarrhea. Therefore,
the nurse should report this finding to the provider immediately.
42153
http://www.nursingtestsbank.store.
@etsy
45
A.
Question 54 out of 421
A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following pieces of information from the
client's medical record should the nurse identify as a risk factor for hearing loss?(
A.
B.
C.
D.
Frequent use of steroids
Chronic use of salicylates
Intermittent use of antacids
Habitual use of laxatives
an
k
71% of exam takers got this question correct.
Correct Answer:
B. Chronic use of salicylates
Chronic use of salicylates such as aspirin can lead to ototoxicity, which can manifest as tinnitus or hearing loss.
sB
42154
71
es
t
B.
si
"This medication will decrease prostaglandins.PUD
"The amount of bicarbonate in your body will be increased.PUD
"This medication can decrease bacteria in the gastrointestinal tract."
"This medication acts by increasing blood flow to the stomach.
ur
A.
B.
C.
D.
ng
T
Question 55 out of 421
A nurse is reinforcing teaching with a client who has a new diagnosis of peptic ulcer disease (PUD) and a prescription for bismuth
subsalicylate. The client asks the nurse, "How will this medication help my ulcer?" Which of the following statements should the nurse
make?
@
N
50% of exam takers got this question correct.
Correct Answer:
C. "This medication can decrease bacteria in the gastrointestinal tract.pud
The nurse should include in the teaching that bismuth subsalicylate can assist by eliminating the bacteria Helicobacter pylori, which can
cause PUD.
42155
PUD
50
C.
PUD
Question 56 out of 421
A nurse is collecting data from a client who is receiving ropinirole to treat restless leg syndrome. Which of the following findings should
indicate that the client is having a potential allergic reaction to the medication?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
Dizziness
Dry mouth
Sweating
Mild rash
69% of exam takers got this question correct.
Correct Answer:
D. Mild rash
The nurse should identify that a mild rash indicates a potential allergic reaction to the medication. An allergic reaction requires prior
sensitization to a medication and is an immune response. This can include reactions that range from a mild rash to anaphylaxis. Less than
10% of adverse drug reactions are allergic reactions.
42156
an
k
69
D.
sB
10
Insomniadizziness and headaches
Bleeding
Hypotensionhypertension
Constipationdiarrhea
ng
T
A.
B.
C.
D.
es
t
Question 57 out of 421
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse
effects?
68
B.
N
@
421421
ur
si
68% of exam takers got this question correct.
Correct Answer:
B. Bleeding
Clopidogrel is an antithrombotic medication that inhibits platelet aggregation. It is used to prevent stenosis of coronary stents, myocardial
infarctions, and strokes. The nurse should monitor for coffee-ground emesis, black tarry stools, ecchymosis, and any indication of bleeding.
Question 58 out of 421
A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. The nurse should identify that an increase in
which of the following parameters is an early indication of agranulocytosis?
A.
B.
C.
D.
Urine specific gravity(
Urine outputcauses urinary retention
Blood pressureorthostatic hypotension
Temperature
57% of exam takers got this question correct.
Correct Answer:
D. Temperature
Antipsychotic medications such as clozapine can cause agranulocytosis, which is the depletion of WBCs. This increases the clients risk of
infection. A fever is an early indication that the client should have a WBC count check to detect agranulocytosis.
http://www.nursingtestsbank.store.
@etsy
42158
57
D.
WBC
Question 59 out of 421
A nurse is reinforcing teaching with a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client to
report which of the following manifestations to the provider?(
A.
B.
C.
D.
Weight gainlose weight
Constipation
Chest pain
Fatigue Fatigue is common with hypothyroidism
sB
an
k
70% of exam takers got this question correct.
Correct Answer:
C. Chest pain(
Chest pain can result if a client takes too much levothyroxine. It is important to increase the dosage gradually to prevent rapid changes in
cardiac output that can cause tachycardia and angina, especially for clients who have longstanding hypothyroidism or cardiovascular
disorders.
es
t
42159
70
ng
T
C.
N
ur
The infant is teething.
The infant has a history of intussusception.
The infant has been constipated for 3 days.(moderate to severe diarrhea or vomiting)
The infant is 9 weeks old.8
@
A.
B.
C.
D.
si
Question 60 out of 421
A nurse is collecting data from an infant who is scheduled to receive the rotavirus vaccine. Which of the following criteria should the nurse
identify as a potential contraindication for administering this vaccine?gi
54% of exam takers got this question correct.
Correct Answer:
B. The infant has a history of intussusception.
The nurse should identify that the rotavirus vaccine is contraindicated for infants who have a history of intussusception. The rotavirus
vaccine is also contraindicated for infants who have an uncorrected gastrointestinal congenital malformation that could result in
intussusception.
42160
54
B.
http://www.nursingtestsbank.store.
@etsy
Question 61 out of 421
A nurse in a provider's office is reinforcing teaching with a client who has an elevated prostate-specific antigen level and a new prescription
for finasteride. Which of the following statements by the client indicates an understanding of the teaching?
A.
B.
C.
D.
"I should expect my urinary problems to improve within a couple of weeks.(6 to 12 months)
"It will be great to have a stronger sex drive.(decreased libido and erectile dysfunction)
"I will skip donating blood while I am taking this medication."
"I won't have to worry about getting cancer while taking this medication.(
46% of exam takers got this question correct.
Correct Answer:
C. "I will skip donating blood while I am taking this medication.
The nurse should reinforce with the client that finasteride is teratogenic to male fetuses and carries an FDA Pregnancy Risk Category X.
Pregnant women should not handle the medication, and men who are taking it should not donate blood until it has been discontinued for
at least 1 month.
an
k
421421
46
sB
C.
es
t
FDAX1
Discontinue the medication if a rash develops
Expect increased salivation during the first few weeks of therapy(dry mouth)
Minimize fiber intake to prevent diarrhea(
Avoid driving until the clients reaction to the medication is known
si
A.
B.
C.
D.
ng
T
Question 62 out of 421
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for oral clonidine. Which of the following
instructions should the nurse include in the teaching?
@
N
ur
73% of exam takers got this question correct.
Correct Answer:
D. Avoid driving until the clients reaction to the medication is known
Clonidine can cause drowsiness, weakness, sedation, and other CNS effects. Until the clients response to the medication is known, the nurse
should instruct the client to avoid driving or handling other potentially hazardous equipment. Over time, these effects are likely to
decrease.
42162
73
D.
Question 63 out of 421
A nurse is assisting with the care of a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST
changes. Which of the following medications should the nurse administer?
A.
B.
C.
D.
Simvastatinmyocardial infarction.
Furosemidetreat pulmonary edema as well as congestive heart failure
Nitroglycerin
Sildenafil
http://www.nursingtestsbank.store.
@etsy
85% of exam takers got this question correct.
Correct Answer:
C. Nitroglycerin
The nurse should identify the need to administer nitroglycerin, which is used to treat angina. Nitroglycerin acts directly on vascular smooth
muscle to promote vasodilation.
42163
ST
85
C.
Tremors
Wheezing
Restlessness
Palpitations
sB
A.
B.
C.
D.
an
k
Question 64 out of 421
A nurse is collecting data from a client who uses an albuterol inhaler to treat asthma. For which of the following findings should the nurse
withhold the medication and notify the provider?
es
t
38% of exam takers got this question correct.
Correct Answer:
B. Wheezing(
ng
T
The nurse should identify that wheezing can indicate a paradoxical bronchospasm. If this condition worsens, the nurse should withhold the
medication and notify the provider immediately.
42164
si
38
@
N
ur
B.
Question 65 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client
statements indicates an understanding of the teaching?
A.
B.
C.
D.
"I should take this medication with my meals and at bedtime.1 hour before meals and at bedtime
"I should only have to take this medication for about 2 weeks.4-8 weeks
"I should wait at least 30 minutes before taking this medication after I take an antacid."
"I should swallow these tablets whole.can be broken or dissolved
47% of exam takers got this question correct.
Correct Answer:
C. "I should wait at least 30 minutes before taking this medication after I take an antacid."
The nurse should recognize that antacids can raise the gastric pH above 4, which can interfere with the effects of sucralfate. To minimize
these interactions, sucralfate should be taken at least 30 minutes apart from antacids.
42165
47
http://www.nursingtestsbank.store.
@etsy
C.30
pH430
Question 66 out of 421
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has been taking tiotropium. Which of the following
client statements should indicate to the nurse that the client is experiencing an adverse effect of this medication?
A.
B.
C.
D.
"My body aches all over.(a, D
"I am urinating more during the day.( cause urinary retention.)
"My mouth feels dry all the time."
"I have trouble sleeping at night."
an
k
58% of exam takers got this question correct.
Correct Answer:
C. "My mouth feels dry all the time.()
The nurse should identify that dry mouth is a common adverse effect of this medications anticholinergic effects. Tiotropium is a long-acting
anticholinergic inhaled medication used for maintenance therapy for clients with COPD.
42166
COPD
sB
58
es
t
C.
Administer half of the prescribed dosage at the client's next scheduled dose(
Tell the client that the medication seems to be effective
Advise the client to drink more water throughout the day
Continue to administer the medication as prescribed
si
A.
B.
C.
D.
ng
T
Question 67 out of 421
A nurse is reviewing the laboratory results of a client who is taking tobramycin and notes that the medications peak level is 7 mcg/mL.
Which of the following actions should the nurse take?expected reference range of 5 to 10 mcg/mL. 7
42167
7 mcg / mL
@
N
ur
62% of exam takers got this question correct.
Correct Answer:
D. Continue to administer the medication as prescribed
The nurse should identify that a peak level of 7 mcg/mL for a tobramycin is within the expected reference range of 5 to 10 mcg/mL.
Therefore, the nurse should continue to administer the scheduled medication as prescribed.
62
D.
7 mcg / mL510 mcg / mL
Question 68 out of 421
A nurse is reinforcing teaching a client who has ADHD and is starting therapy with amphetamine/dextroamphetamine mixture. Which of
the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider?
A.
B.
C.
D.
Restlessness
Insomnia
Palpitations
Weight loss
52% of exam takers got this question correct.
Correct Answer:
http://www.nursingtestsbank.store.
@etsy
C. Palpitations
The nurse should instruct the client that palpitations can be a sign of a cardiovascular adverse reaction and require immediate attention.
The nurse should instruct the client to contact the provider if palpitations develop.
42168
/
52
C.pit
develop
Question 69 out of 421
A nurse is collecting data from a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which
of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine?
"I have developed sores in my mouth.
"I often feel like the room is spinning."
"I noticed that the whites of my eyes look yellow."
"I have had a change in my vision recently."
an
k
A.
B.
C.
D.
sB
46% of exam takers got this question correct.
Correct Answer:
D. "I have had a change in my vision recently.(
es
t
The nurse should identify that hydroxychloroquine is an antimalarial medication used to treat rheumatoid arthritis. Clients who take
hydroxychloroquine in high doses are at risk for developing retinopathy, which can be irreversible and cause blindness.
ng
T
421421
46
ur
si
D.
A.
B.
C.
D.
@
N
Question 70 out of 421
A nurse is administering the first dose of sucralfate to a client. Which of the following explanations should the nurse provide about the
action of sucralfate?
"Sucralfate decreases gastric acid secretions.not
"Sucralfate forms a gel-like substance that protects ulcers."
"Sucralfate inactivates Helicobacter pylori.Sucralfate does not inactivate H. pylori.)
"Sucralfate inhibits the production of gastric acid.(NOT)
56% of exam takers got this question correct.
Correct Answer:
B. "Sucralfate forms a gel-like substance that protects ulcers."
The primary action of sucralfate is to form a gel-like protectant that adheres to the ulcer surface. This protective mechanism lasts for 6
hours and allows the ulcer to heal.
42170
56
B.
6
http://www.nursingtestsbank.store.
@etsy
Question 71 out of 421
A nurse in a provider's office is reinforcing teaching with a client who has hyperthyroidism and a new prescription for methimazole.
Which of the following statements by the client indicates an understanding of the teaching?(hyper
A.
B.
C.
D.
"I hope I get this disease under control before I get pregnant.
"I will stay away from crowds while taking this medication."
"I should expect to lose weight while on this medication.hyperhypo
"I should notice an effect from this medication right away.(take 3 to 12 weeks to notice the effects)
56% of exam takers got this question correct.
Correct Answer:
B. "I will stay away from crowds while taking this medication."
Methimazole can reduce blood cell counts and immune function. The client should be instructed to stay away from crowds and people who
are sick. The client should notify the provider if symptoms of illness occur.
an
k
42171
56
es
t
sB
B.
Grapefruit juice
Hardboiled eggs
Coffee
Oatmeal
si
A.
B.
C.
D.
ng
T
Question 72 out of 421
A nurse is caring for a client who is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the
client's breakfast tray before it is delivered to the room?
42172
40 mg PO
@
N
ur
89% of exam takers got this question correct.
Correct Answer:
A. Grapefruit juice
Grapefruit juice is contraindicated for a client who is taking simvastatin because it raises blood levels of the medication significantly by
inactivating a liver enzyme that is responsible for metabolism.
89
A.
Question 73 out of 421
A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing process should the
nurse identify the client's allergies?(
A.
B.
C.
D.
Planning
Evaluation
Data collection
Implementation
90% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
C. Data collection
The data collection step of the nursing process involves collecting pertinent information, which includes the identification of the client's
allergies.
42173
90
C.
Question 74 out of 421
A nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. The parent reports that the child has
exhibited a loss of appetite following the immunization. Which of the following actions should the nurse take?
Tell the parent that this reaction should only last for a couple of days
Notify the provider immediately
Prepare an antidote to administer to the child(
Request that the provider order a serum titer level
an
k
A.
B.
C.
D.
es
t
sB
49% of exam takers got this question correct.
Correct Answer:
A. Tell the parent that this reaction should only last for a couple of days(
The nurse should tell the parent that a loss of appetite is a mild reaction in response to the hepatitis A vaccine and will usually last 1 to 2
days.
ng
T
42174
320
49
si
A.
A12
"I will give my child a dose as soon as wheezing starts."
"My child should rinse his mouth after using the inhaler."
"My child should exhale completely before placing the inhaler in his mouth."
"If my child has difficulty breathing in the dose, he can use a spacer."
@
A.
B.
C.
D.
N
ur
Question 75 out of 421
A nurse is reinforcing teaching with a parent of a child who has asthma and a new prescription for cromolyn sodium via a metered-dose
inhaler. Which of the following statements by the parent indicates the need for further teaching?
56% of exam takers got this question correct.
Correct Answer:
A. "I will give my child a dose as soon as wheezing starts.
Cromolyn is a mast cell inhibitor that has a slow onset and is given for prophylactic treatment of asthma. It is not a rescue medication.
42175
56
Cromolyn
Question 76 out of 421
A nurse is caring for a client who has tuberculosis and is taking rifampin. Which of the following client statements should indicate to the
nurse that the client is experiencing an adverse effect of the medication?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
"I have noticed my urine is orange in color."
"I sleep more than I used to.(
"My tongue and mouth are sore.(thrush
"My voice seems hoarse.
52% of exam takers got this question correct.
Correct Answer:
A. "I have noticed my urine is orange in color.
The nurse should identify that an adverse effect of rifampin can be red-orange colored urine, saliva, sweat, and tears as the medication is
excreted from the body. The nurse should also inform the client that permanent staining of contact lenses can occur. However, this adverse
effect is harmless. The client should inform the provider if urine becomes dark in color since this can be an indication of hepatotoxicity.
42176
an
k
52
The client is having 12 bowel movements per day.
The client's glucose is elevated.(
The client has experienced weight loss.
The client has abdominal distention.(
es
t
A.
B.
C.
D.
sB
Question 77 out of 421
A nurse is collecting data from a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic
response to pancreatic enzyme replacement?
65
1-2
1-212
ur
@
N
42177
si
ng
T
65% of exam takers got this question correct.
Correct Answer:
A. The client is having 12 bowel movements per day.(
Having 12 bowel movements per day indicates adequate absorption of food and a therapeutic response to pancreatic enzyme replacement
for clients who have cystic fibrosis. Frequent stooling, defined as more than 12 bowel movements per day, indicates inadequate
replacement.
Question 78 out of 421
A nurse is caring for a client who has a positive tuberculin skin test and a new prescription for isoniazid. For which of the following
laboratory values should the nurse monitor?(treat and prevent tuberculosis (TB).
A.
B.
C.
D.
Thyroid Stimulating Hormone level (TSH)
Aspartate aminotransferase (AST)
Potassium
Sodium
70% of exam takers got this question correct.
Correct Answer:
B. Aspartate aminotransferase (AST)
Isoniazid can be toxic to the liver. Therefore, it is important to monitor liver enzymes such as AST during therapy with isoniazid. In
addition, the nurse should instruct the client to notify the provider about jaundice, nausea, dark-colored urine, or other findings indicating
hepatitis.
http://www.nursingtestsbank.store.
@etsy
42178
70
B.AST
AST
Question 79 out of 421
A nurse is reinforcing teaching with a client who will be taking dexamethasone daily for pain due to spinal edema. The nurse should
identify which of the following client statements as an indication that the client understands the instructions?-sone
A.
B.
C.
D.
"I should eat a snack at bedtime to avoid low blood glucose.increase blood glucose levels
I should stay away from people who are ill."
"I should increase my fluid intake to about 3 quarts per day.can cause fluid retention.
"I'll call my provider if I am experiencing too much sedation.(not cause sedation)
an
k
57% of exam takers got this question correct.
Correct Answer:
B. "I should stay away from people who are ill."
sB
This medication is a glucocorticoid that decreases inflammation by affecting the client's immune system. As a result, the client is susceptible
to infection and should avoid large crowds as well as people who are ill.
es
t
42179
57
ng
T
B.
N
"I should start taking this medication at 800 mg daily. initial dosage for allopurinol begins at 100 mg daily.
"I will need to have tests done on my liver due to the greater chance of liver failure.(not hepatotoxic,)
"I will increase my fluids to at least 2 liters per day."
"I should take this medication twice daily.once
@
A.
B.
C.
D.
ur
si
Question 80 out of 421
A nurse is reinforcing teaching with a client who has gout and a prescription for allopurinol. Which of the following statements by the
client should indicate to the nurse that the teaching was effective?
56% of exam takers got this question correct.
Correct Answer:
C. "I will increase my fluids to at least 2 liters per day."
The nurse should identify that an adverse effect of allopurinol is renal injury. Therefore, clients are encouraged to drink at least 2,000
mL/day to maintain a urine output of at least 2 L/day.
42180
56
C.2
2,000 mL2 L / day
http://www.nursingtestsbank.store.
@etsy
Question 81 out of 421
A nurse is preparing to administer 10 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following
actions should the nurse plan to take?
A.
B.
C.
D.
Verify giving insulin glargine at 1700 with the provideradminister insulin glargine at any time of the day.
Ensure the insulin glargine is a cloudy suspension Insulin glargine is a clear solution
Request a prescription for insulin glargine twice daily(once)
Use separate syringes for administering insulin glargine and NPH insulin
69% of exam takers got this question correct.
Correct Answer:
D. Use separate syringes for administering insulin glargine and NPH insulin
The nurse should not mix insulin glargine with any other insulin and should administer the NPH insulin and insulin glargine separately.
42181
104NPH
an
k
69
D.NPH
NPH
Propylthiouracil
Liothyronine( treats hypothyroidism, not hyperthyroidism.)
Methimazole(methimazole)
Iodine-131(thyroid cancers therapies,
ng
T
A.
B.
C.
D.
es
t
sB
Question 82 out of 421
A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should
anticipate a prescription from the provider for which of the following medications?(
A.
N
51
@
421421
6
ur
si
51% of exam takers got this question correct.
Correct Answer:
A. Propylthiouracil(methimazole)
This medication is used to treat hyperthyroidism during the first trimester of pregnancy because it does not cross the placental barrier well,
posing little risk to the fetus. However, methimazole is the preferred medication in the second and third trimesters of pregnancy.
Question 83 out of 421
A nurse is caring for a client who has developed a mild Clostridium difficile infection following antibiotic therapy. After discontinuing the
current antibiotic, the nurse should expect the provider to prescribe which of the following medications?(c.diff
A.
B.
C.
D.
Vancomycin(active against serious infections such as MRSA, staphylococcus epidermidis, streptococci, and penicillin-resistant
pneumococci)
Metronidazole
Clindamycinc doften the cause of C. difficile infection
Ciprofloxacin
40% of exam takers got this question correct.
Correct Answer:
B. Metronidazolemmiddle
http://www.nursingtestsbank.store.
@etsy
Metronidazole is a nitroimidazole antibiotic that is active against anaerobic bacteria such as C. difficile infection. It is the drug of choice for
mild to moderate cases of C. difficile. Metronidazole is also effective against protozoal infections.
42183
40
Question 84 out of 421
A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of
the following manifestations as an adverse effect of the medication? (Select all that apply.)
Dizziness
Pale appearance
Palpitations
Abdominal pain
Peripheral edema
an
k
A.
B.
C.
D.
E.
ng
T
es
t
sB
43% of exam takers got this question correct.
Correct Answers:
A. Dizziness
C. Palpitations
E. Peripheral edema
The nurse should monitor a client who is taking amlodipine for dizziness, palpitations, and peripheral edema as adverse effects of the
medication. The nurse should advise the client to avoid activities that require alertness until the effect of the medication is known. If these
adverse effects occur, the nurse should instruct the client to notify the provider.
421421
ur
N
@
A.
C.pit
E.
pit
si
43
Question 85 out of 421
A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lb. Ampicillin 125
mg/5 mL oral solution is available. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only.
Round the answer to the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)(
33lb/1ml x 1kg/2.2lb x 50mg/1kg x 5ml/125mg= 8250/275=30ml /4 =7.5ml
Question 86 out of 421
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for
which of the following medications?
A.
B.
C.
D.
Colchicine
Allopurinolchoice
Probenecidincreasing the excretion of uric acid in the urine
Pegloticaseiv. treat chronic gout
46% of exam takers got this question correct.
Correct Answer:
A. Colchicine
http://www.nursingtestsbank.store.
@etsy
The nurse should anticipate a prescription for colchicine because it is the medication of choice for an acute gout attack. The client can
experience relief from the attack within hours of receiving this medication. Colchicine can also be prescribed for long-term use to prevent
future attacks from occurring.
42186
46
A.
Question 87 out of 421
A nurse is reviewing the medical record of a client who is asking about taking a combination oral contraceptive. Which of the following
findings should the nurse identify as a contraindication to taking this form of contraceptive?
History of thrombophlebitis
Current prescription for cefazolin
Frequent urinary tract infections (UTIs)
Spontaneous abortion 6 months ago
an
k
A.
B.
C.
D.
sB
65% of exam takers got this question correct.
Correct Answer:
A. History of thrombophlebitis(dvt
es
t
The nurse should identify that a history of thrombophlebitis is an absolute contraindication to taking combination oral contraceptives
(OCs). OCs promote thrombosis by raising levels of clotting factors.
ng
T
42187
65
si
A.
ur
OCs OCs
@
N
Question 88 out of 421
A nurse is preparing to administer meperidine 50 mg IM for pain. Meperidine is available for injection at 25 mg/0.5 mL. How many mL
should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)
81% of exam takers got this question correct.
Correct Answer:
1
(50mg/1ml) x (0.5ml/25mg)=1
Question 89 out of 421
A nurse in a providers office is collecting data from a client who reports dysmenorrhea. Which of the following over-the-counter
prescriptions should the nurse expect the provider to suggest?
A.
B.
C.
D.
Acetaminophen(does not reduce bleeding and painful cramping.)
Naproxen
Diphenhydramine(used to suppress cough.)
Caffeine citrate(neonatal apnea and to promote wakefulness.)
47% of exam takers got this question correct.
Correct Answer:
B. NaproxenNSAID
http://www.nursingtestsbank.store.
@etsy
Naproxen is considered first-line therapy for dysmenorrhea. This NSAID can reduce bleeding and painful cramping. It should be
administered at the onset of menses rather than taken for prophylactic use.
421421
47
NSAID
IbuprofenNSAID effects are felt immediately
Methotrexate
Prednisonesone
CelecoxibNSAID effects are felt immediately
sB
E.
F.
G.
H.
an
k
Question 90 out of 421
A nurse is reinforcing medication teaching to a client who has a new diagnosis of rheumatoid arthritis. Which of the following medications
in the therapy regimen will take weeks to months to be effective?(
es
t
52% of exam takers got this question correct.
Correct Answer:
B. Methotrexate
ng
T
Methotrexate is a disease-modifying anti-rheumatic drug (DMARD) that is prescribed to control symptoms and slow the progression of the
disease. It can take weeks to months for DMARDs to show effectiveness, so clients are also placed on NSAID therapy for the control of pain.
After the DMARD takes effect, the NSAID therapy can be withdrawn.
42190
N
ur
si
52
@
DMARD DMARDsNSAID DMARDNSAID
Question 91 out of 421
A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of
the following events should the nurse expect to be reported in the client's medical history?
A.
B.
C.
D.
Recent myocardial infarction
History of hemorrhagic stroke
Current outbreak of psoriasis(
History of hypertension
53% of exam takers got this question correct.
Correct Answer:
A. Recent myocardial infarction
The nurse should expect the client's medical record to indicate a history of an atherosclerotic event such as myocardial infarction, ischemic
stroke, or peripheral vascular disease. Clopidogrel is an antiplatelet medication that inhibits the aggregation of platelets to prevent such
thrombotic events.
91/421
http://www.nursingtestsbank.store.
@etsy
53%
A
Question 92 out of 421
A nurse is reinforcing teaching with an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat
depression. The AP's selection of which of the following foods for the clients lunch indicates an understanding of the instructions?tyramine
Bologna on wheat breadbologna
Chicken salad
Cheddar cheese and crackers
Pizza with pepperonipizza
an
k
A.
B.
C.
D.
es
t
sB
74% of exam takers got this question correct.
Correct Answer:
B. Chicken salad
Phenelzine is an MAOI. Clients taking MAOIs must avoid foods that contain tyramine due to a dangerous food-drug interaction. Foods
high in tyramine include those that are processed and aged such as lunchmeats and cheeses. This menu selection does not contain foods
high in tyramine; therefore, it is the best choice.
92/421
ng
T
APAP
MAOIs
N
B
ur
si
74%
@
Question 93 out of 421
A nurse is caring for a client who reports diarrhea and abdominal cramps. The client tells the nurse, "I take a variety of vitamin
supplements." The nurse should identify the clients manifestations as potential adverse effects of which of the following vitamin
supplements?(gi
A.
B.
C.
D.
Nicotinic acidflushing, dizziness, and nausea as adverse effects
Oral thiamine (NOT adverse effects of thiamine)
Ascorbic acid
Riboflavin (NOT adverse effects)
50% of exam takers got this question correct.
Correct Answer:
C. Ascorbic acidvc
The nurse should identify manifestations such as nausea, abdominal cramps, and diarrhea as potential adverse effects of ascorbic acid or
vitamin C due to direct irritation of the intestinal mucosa.
42193
http://www.nursingtestsbank.store.
@etsy
50
C.
C
Question 94 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the
nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give?
A. "The enteric coating allows a lower dosage to be given.Enteric coating does not affect the dose
B. "Enteric-coated medications have better absorption in the body.enteric coating does not improve absorption.
C. "Enteric-coated medications cause less gastric irritation."
D. "The enteric coating allows a steady release of the medication over time.
Sustained-release formulations
an
k
57% of exam takers got this question correct.
Correct Answer:
C. "Enteric-coated medications cause less gastric irritation."
Enteric-coated medications do not dissolve until they reach the small intestine, which reduces the risk of gastric irritation.
sB
42194
es
t
57
ng
T
C.
N
ur
"Seizures can occur with this medication."
"You should observe for manifestations of bleeding.(cephalosporins)
"Check your hands and feet for sensory dysfunction.(adverse effect of penicillin IM)
"This medication can increase the risk of ototoxicity.(aminoglycosides antibiotics)
@
A.
B.
C.
D.
si
Question 95 out of 421
A nurse is assisting with preparing discharge teaching for a client who has a bacterial infection about adverse effects of imipenem to report
to the provider. Which of the following pieces of information should the nurse include?
40% of exam takers got this question correct.
Correct Answer:
A. "Seizures can occur with this medication."
The nurse should tell the client that seizures can occur when receiving imipenem. The client should notify the provider immediately if
these occur.
42195
40
Question 96 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects
should the client be taught to monitor and notify the provider if it occurs?
A.
B.
C.
D.
Nasal congestion
Tremors
Tinnitus
Frontal headache
57% of exam takers got this question correct.
Correct Answer:
C. Tinnitus(
Loop diuretics such as furosemide can cause ototoxicity. The client should be taught to notify the provider if tinnitus, a full feeling in the
ears, or hearing loss occurs.
421421
40
an
k
57
C.
fur
es
t
Theophylline level 15 mcg/mL
Decreased urine output
Decreased appetite
Creatinine 1.4 mg/dL( expected reference range of 0.5 to 1.3 mg/dL,
si
46% of exam takers got this question correct.
Correct Answer:
A. Theophylline level 15 mcg/mL(10-20 )
ng
T
A.
B.
C.
D.
sB
Question 97 out of 421
A nurse is collecting data from a client who is taking theophylline. The clients dose was decreased due to concurrent use with cimetidine.
Which of the following findings should the nurse expect?
ur
The nurse should identify that a theophylline level of 15 mcg/mL is within the expected reference range of 10 to 20 mcg/mL and indicates
the dose is appropriate for this client.
A.15 mcg / mL
@
46
N
42197
15 mcg / mL1020 mcg / mL
Question 98 out of 421
A nurse is collecting data on a client who has developed hypertension that is unresponsive to lifestyle changes. The client has no other
comorbidities. Which of the following medications should the nurse expect the provider to prescribe first?
A.
B.
C.
D.
Captopril
Hydrochlorothiazide
Metoprolol
Hydralazine
44% of exam takers got this question correct.
Correct Answer:
B. Hydrochlorothiazide
http://www.nursingtestsbank.store.
@etsy
Hydrochlorothiazide is a thiazide diuretic that is used alone or with other antihypertensive agents. It is a first-line choice for treating
hypertension. Hydrochlorothiazide is the most frequently prescribed medication for hypertension.
42198
44
B.
inch(subcutaneous injections)
1 inch
2 inch( obese)
3 inch(obese. 3-inch needle is longer than necessary to inject )
sB
A.
B.
C.
D.
an
k
Question 99 out of 421
A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should
the nurse use to administer the medication?
es
t
79% of exam takers got this question correct.
Correct Answer:
B. 1 inch
In general, needle lengths for IM injections are 1 to inches, unless the client is obese. A BMI of 23 is considered to be an optimal weight.
ng
T
42199
BMI23100 mg
79
ur
si
B.1.5
IM1 BMI23
A.
B.
C.
D.
@
N
Question 100 out of 421
A nurse is reviewing the medical record of a client who has diabetes insipidus and has been taking oral desmopressin. Which of the
following findings indicates the client is having a therapeutic response to the medication?(
Decreased urine output
Weight gain
Serum glucose level within the expected reference range
Increase in heart rate
54% of exam takers got this question correct.
Correct Answer:
A. Decreased urine output
Diabetes insipidus causes a large output of dilute urine to be excreted due to a deficiency of antidiuretic hormone or its release by the
hypothalamus. Urine output can range from 4 to 30 L/day, and manifestations of dehydration are present (hypotension, tachycardia, dry
mucous membranes, increased thirst, low urine specific gravity).
421100
54
http://www.nursingtestsbank.store.
@etsy
A.
430
Question 101 out of 421
A nurse is reviewing the laboratory results for a client who is receiving allopurinol. Which of the following findings should indicate to the
nurse that the medication is having a therapeutic effect?
A.
B.
C.
D.
Increased hematocrit level
Decreased serum alkaline phosphatase level
Decreased urinary uric acid levels
Increased platelet levels
an
k
69% of exam takers got this question correct.
Correct Answer:
C. Decreased urinary uric acid levels(
The nurse should identify that a decrease in both serum and urinary uric acid levels indicates a therapeutic effect of allopurinol. Clinical
improvement findings can take 2 to 6 weeks for the nurse to observe.
sB
421101
es
t
69
C.
ng
T
26
ur
@
D.
Remove the patch from the pouch 30 minutes prior to placing it on the client(
Place a new patch on the client at the same time each day once each week for 3 weeks
Use a thin layer of barrier cream on the skin prior to applying the patchapply the transdermal patch to skin that is clean, dry, and free
of creams, lotions, and oils.
Apply the patch to an area of skin on the lower abdomen
N
A.
B.
C.
si
Question 102 out of 421
A nurse is preparing to administer a transdermal contraceptive patch to a female client. Which of the following actions should the nurse
plan to take?
63% of exam takers got this question correct.
Correct Answer:
D. Apply the patch to an area of skin on the lower abdomen
The nurse should apply the patch to a clean, dry area of the lower abdomen, buttocks, upper outer arm, or the front or back of the upper
torso. The nurse should avoid breast tissue or skin that is red, cut, or irritated.
421102
63
D.
Question 103 out of 421
A nurse is caring for a client who took an overdose of acetaminophen. Which of the following medications should the nurse plan to
administer?(
A.
B.
Acetylcysteine
Celecoxib
http://www.nursingtestsbank.store.
C.
D.
@etsy
Finasteride
Meclizine
84% of exam takers got this question correct.
Correct Answer:
A. Acetylcysteine
Acetylcysteine is a mucolytic that is used as an antidote for acetaminophen overdose. It can be administered orally or intravenously. The
medication decreases the buildup of hepatotoxic metabolites and can prevent or lessen the liver damage that acetaminophen overdose can
cause. Acetaminophen should be removed from the stomach by inducing emesis or gastric lavage prior to administering acetylcysteine.
421103
84
an
k
A.
es
t
Ecchymosisa b
Jaundice
Hypotension
Hypokalemia(Enalapril increases potassium levels and can cause hyperkalemia)
ng
T
A.
B.
C.
D.
sB
Question 104 out of 421
A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following
adverse effects of this medication?(pril
71
C.
ACE3
ur
@
N
421104
si
71% of exam takers got this question correct.
Correct Answer:
C. Hypotension
Enalapril, an angiotensin-converting enzyme (ACE) inhibitor, can cause hypotension and postural hypotension, especially during the first 3
hours following the initial dosage.
Question 105 out of 421
A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication
should indicate to the nurse that the treatment is effective?
A.
B.
C.
D.
Increased aspartate aminotransferase (AST)
Decreased alanine aminotransferase (ALT)
Increased prothrombin time (PT)
Decreased serum ammonia
67% of exam takers got this question correct.
Correct Answer:
D. Decreased serum ammonia
The nurse should identify that lactulose is a laxative that can be used for chronic liver disorders such as cirrhosis. Lactulose improves the
client's condition by decreasing ammonia levels through enhancing intestinal secretion of ammonia so that it can be eliminated from the
body.
http://www.nursingtestsbank.store.
@etsy
421105
67
D.
Question 106 out of 421
A nurse is collecting data from an infant during a routine checkup. The parent asks the nurse about the infant's immunization schedule.
Which of the following responses should the nurse make?
"Immunizations for children are recommended to start at the age of 2.hepatitis B vaccine is administered within 12 hours
"If your child misses an immunization, she should restart a new schedule.(catch-up)
"It is recommended that your infant receives 6 immunizations at 2 months of age."
"The recommended immunization schedule can be customized to fit your child's needs.(
71% of exam takers got this question correct.
Correct Answer:
C. "It is recommended that your infant receives 6 immunizations at 2 months of age."
an
k
A.
B.
C.
D.
sB
An infant who is 2 months of age should receive 6 immunizations, followed by 5 immunizations at 4 months of age. The monovalent
hepatitis B vaccine is administered within 12 hours of the infant's birth.
es
t
421106
71
ng
T
C.26
264512
N
Plan to use a type of short-duration insulin in the infusion pump
Replace the infusion pump set every 4 days1-3)
Turn off the infusion pump for at least 3 hours each day(
Move the infusion pump catheter 1.27 cm (0.5 in) away from the old site( 2.54 cm (1 in))
@
A.
B.
C.
D.
ur
si
Question 107 out of 421
A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following
pieces of information should the nurse reinforce in the teaching?(pump
54% of exam takers got this question correct.
Correct Answer:
A. Plan to use a type of short-duration insulin in the infusion pump
The client should plan to use short-duration insulin such as regular, lispro, aspart, or glulisine insulin in the infusion pump to deliver a
baseline infusion of insulin. The client should also administer bolus doses of insulin before each meal.
421107
1
54
A.
http://www.nursingtestsbank.store.
@etsy
Question 108 out of 421
A nurse is reviewing the laboratory data of a client who has Alzheimers disease and a new prescription for memantine. The nurse should
identify that which of the following findings places the client at risk for decreased clearance of the medication?
A.
B.
C.
D.
Alanine aminotransferase (ALT) 60 international units/L(alt
Creatinine clearance 35 mL/min
HbA1c 5%(4 to 5.9%)
BMI 31(does not lead to decreased clearance of memantine.)
59% of exam takers got this question correct.
Correct Answer:
B. Creatinine clearance 35 mL/min(expected reference range of 87 to 139 mL/min)
Creatinine clearance is an estimate of the glomerular filtration rate (GFR) and the kidneys' ability to filter waste. A creatinine clearance of
35 mL/min is below the expected reference range of 87 to 139 mL/min and indicates moderate renal impairment. Memantine is excreted by
the kidneys, and decreased clearance occurs with moderate renal impairment.
an
k
421108
59
sB
B.35 mL / min
GFR 35 mL / min87139 mL / min
es
t
Question 109 out of 421
A nurse is preparing to administer ampicillin 500 mg in 50 mL of 5% dextrose in water (D5W) infused over 15 minutes. The drop factor of
the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the
numeric value only. Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)
ng
T
(50ml/15min) x (10 gtt/1ml)=33gtt/ml
N
ur
HypertensionHypotension might result if the medication is administered too quickly
Cardiac dysrhythmias
Gastric discomfort(PO, NOT IV)
Tachycardia(bradycardia)
@
E.
F.
G.
H.
si
Question 110 out of 421
A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should
the nurse identify as an adverse effect of the medication?
64% of exam takers got this question correct.
Correct Answer:
B. Cardiac dysrhythmias
The nurse should identify cardiac dysrhythmias as an adverse effect of phenytoin IV. As a result of this potential complication, cardiac
monitoring is required.
421110
64
B.
Question 111 out of 421
A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following
adverse effects should the nurse monitor after giving this medication?(
A.
Hypotension
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Myalgia(
Diarrhea(abdominal pain, nausea, and vomiting.)
Ototoxicity(cause blurred vision)
79% of exam takers got this question correct.
Correct Answer:
A. Hypotension
Nitroglycerin is a coronary vasodilator and antianginal agent. A major adverse effect of this medication is hypotension; therefore, blood
pressure and pulse must be monitored before and after administration.
421111
79
A.
sB
Developed sensitivity to copper
Vaginal irritation or inflammation
Decreased menstrual bleeding
Spotting between menses cycles
es
t
A.
B.
C.
D.
an
k
Question 112 out of 421
The nurse is caring for a client who has had a levonorgestrel-releasing intrauterine device (IUD) in place for 1 year. Which of the following
findings should indicate that the client is experiencing an adverse effect?(
ng
T
42% of exam takers got this question correct.
Correct Answer:
D. Spotting between menses cycles
Light spotting and amenorrhea are common adverse effects for clients who use a levonorgestrel-releasing IUD. IUDs can alter menses,
prompting spotting between menstruation periods.
si
421421
IUD1
ur
42
N
D.
@
Question 113 out of 421
A nurse is reinforcing teaching with a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the
client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?
A.
B.
C.
D.
"This medication will not work unless I have enough potassium."
"This medication can cause a loss of potassium."
"Potassium will lower my blood pressure.(CANT)
"Potassium will increase the therapeutic effect of my blood pressure medication.(NO)
83% of exam takers got this question correct.
Correct Answer:
B. "This medication can cause a loss of potassium."
Hydrochlorothiazide can result in hypokalemia caused by excessive potassium excretion from the kidneys. The client should supplement
the diet with potassium-rich foods to avoid hypokalemia. Foods that are high in potassium include bananas, raisins, baked potatoes,
pumpkins, and milk.
421113
83
http://www.nursingtestsbank.store.
@etsy
B.
Question 114 out of 421
A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse
identify as an adverse effect of this type of medication?
A.
B.
C.
D.
Fluid overload
Bronchospasm
Electrolyte imbalance
Tachycardia(Bronchodilator)
an
k
57% of exam takers got this question correct.
Correct Answer:
B. Bronchospasm(
The nurse should identify that bronchospasm is an adverse reaction to a mucolytic agent. Mucolytic agents such as a hypertonic saline
solution or acetylcysteine can irritate the airways, resulting in bronchospasm while producing a cough and thinning mucus secretions.
421114
es
t
sB
57
Hypertension(adverse effect of this medication can be hypotension)
Peripheral vision loss(
Asthma
Increased intraocular pressure
si
A.
B.
C.
D.
ng
T
Question 115 out of 421
A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the
medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to
receiving this medication?
421115
POAG
@
N
ur
50% of exam takers got this question correct.
Correct Answer:
C. Asthma
The nurse should identify that asthma is a contraindication to receiving timolol. Timolol is a beta-blocker that can cause blocking of the
beta2-receptors, causing bronchospasm. A client who has a history of asthma is a candidate for an alternate medication to treat this
condition such as betaxolol.
50
C.
2
Question 116 out of 421
A nurse is caring for a client who received naloxone for a suspected opioid overdose. Which of the following findings should the nurse
identify as an adverse effect of this medication?(naloxone
A.
B.
C.
D.
Report of pain
Respiratory rate 8/min(
Report of numbness(hypertension or hypo)
Report of abdominal cramping and diarrhea(nausea and vomiting)
http://www.nursingtestsbank.store.
@etsy
42% of exam takers got this question correct.
Correct Answer:
A. Report of pain()
The nurse should identify that naloxone is used to reverse the effects of an opioid overdose administered for pain, sedation euphoria, and
respiratory depression. Excess doses of naloxone can cause the return of pain but can improve the client's respiratory rate.
421116
42
A.
Question 117 out of 421
A nurse is assisting with the administration of an epinephrine IV bolus to a client. Which of the following should the nurse verify before
initiating the IV medication?iv
Concentration of the formulation
Reversibility of the medicationcannot be reversed
Potential barriers to absorption(no barriers to absorption )
Gastric emptying time(oral routes,iv c )
an
k
A.
B.
C.
D.
es
t
sB
53% of exam takers got this question correct.
Correct Answer:
A. Concentration of the formulation
ng
T
The nurse should verify the concentration of the formulation of the medication prior to administration. Epinephrine can be injected
through several routes, and a solution prepared for use by a certain route can differ in concentration from others. Solutions intended for
subcutaneous administration are generally concentrated, whereas solutions intended for intravenous use are dilute. If a solution prepared
for subcutaneous administration is administered intravenously, the result could be fatal because intravenous administration of concentrated
epinephrine can overstimulate the heart and blood vessels, causing severe hypertension, cerebral hemorrhage, stroke, and death.
si
421117
ur
53
@
N
A.
Question 118 out of 421
A nurse is preparing to administer heparin 12,000 units subcutaneously every 8 hours. Heparin 20,000 units/1 mL is available. How many
mL should the nurse administer per dose? (Fill in the blank with the numeric value only. Round the answer to the nearest tenth. Use a
leading zero if applicable but do not use a trailing zero.)
12,000 units/x ml =20,000units / 1 ml
20,000x=12,000
x=0.6 ml
Question 119 out of 421
A nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. Which of the following
manifestations related to the medication should the nurse report to the provider?
A.
B.
Emesis that looks like coffee grounds
Erectile dysfunction
http://www.nursingtestsbank.store.
C.
D.
@etsy
Muscle pain
Gynecomastia(
73% of exam takers got this question correct.
Correct Answer:
A. Emesis that looks like coffee grounds(
The nurse should identify that coffee-ground emesis is a manifestation of a gastrointestinal bleed as a result of the duodenal ulcer and can
indicate that treatment with cimetidine has been ineffective. Therefore, the nurse should report this finding to the provider immediately.
421119
73
A.
sB
an
k
Question 120 out of 421
A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as
an adverse effect?(
A. Hypotensionhypertension)
B. Tinnitus(vision)
C. Urinary retention(not expect the client to have any urinary problems)
D. Chest pressure
ng
T
es
t
45% of exam takers got this question correct.
Correct Answer:
D. Chest pressure
A client who takes sumatriptan can develop sensations of chest pressure and heavy arms. The nurse should monitor the client; if the chest
pressure continues, the nurse should notify the provider. About 50% of clients who take sumatriptan experience chest pressure and
heaviness of the arms that are transient and resolve.
421120
si
45
N
ur
D.
50
A.
B.
C.
D.
@
Question 121 out of 421
A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client
for which of the following adverse effects?
Thrombophlebitis
Hyperactive reflexes
Muscle weakness
Hypoglycemia
62% of exam takers got this question correct.
Correct Answer:
C. Muscle weakness
Chlorothiazide is a thiazide diuretic used to treat hypertension and congestive heart failure. It promotes excretion of water, sodium, and
potassium, and can cause hypokalemia. Manifestations of hypokalemia include muscle weakness, muscle cramps, and dysrhythmias.
421121
62
http://www.nursingtestsbank.store.
@etsy
C.
Question 122 out of 421
A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate
that the client will receive which of the following medication-delivery devices for the treatment of asthma?
A.
B.
C.
D.
Dry-powder inhaler (DPI)
Metered-dose inhaler (MDI) with spacer
Respimat
Nebulizer
36% of exam takers got this question correct.
Correct Answer:
A. Dry-powder inhaler (DPI)(shake
The nurse should identify that DPIs do not require hand-breath coordination and are easier to use for clients who have deformities of the
hands. DPIs are used to deliver medications in a dry, micronized powder directly to the lungs.
an
k
421122
36
sB
A.DPI
DPI DPI
Aspirin EC 80 mg PO daily
Levothyroxine 75 mcg PO q AM before breakfast
Metformin XR 500 mg PO daily(XR,SLsl
Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses
ng
T
A.
B.
C.
D.
es
t
Question 123 out of 421
A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication
when administering which of the following prescriptions?
61
@
421123
N
ur
si
61% of exam takers got this question correct.
Correct Answer:
B. Levothyroxine 75 mcg PO q AM before breakfast
Levothyroxine can be crushed because it is not extended-release, sublingual, or enteric-coated. If crushed, the medication should be mixed
with 5 to 10 mL of water.
75 mcg PO q AM
510 mL
Question 124 out of 421
A nurse is reinforcing teaching with a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the
following instructions should the nurse include in the teaching?(dpisone
A.
B.
C.
D.
"This medication should be taken at the start of your symptoms."
"Rinse your mouth after administering this medication."
"Shake the canister prior to administering this medication."
"This medication relaxes your airways to decrease your symptoms."
75% of exam takers got this question correct.
Correct Answer:
B. "Rinse your mouth after administering this medication."
http://www.nursingtestsbank.store.
@etsy
The nurse should include in the teaching that this medication is an oral corticosteroid. Oral corticosteroids increase the risk of the
development of oral candidiasis, also known as thrush. In order to prevent this effect, the nurse should advise the client to rinse the mouth
after the administration of this medication.
421124
DPI
75
B.
Question 125 out of 421
A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should
the nurse plan to evaluate first?
Pain at the injection site
Prolonged motor dysfunction
Laryngeal edema
Temperature 37.6C (99.7F)
an
k
A.
B.
C.
D.
ng
T
es
t
sB
73% of exam takers got this question correct.
Correct Answer:
C. Laryngeal edema,
When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority finding is laryngeal edema,
which can indicate the client is experiencing an allergic reaction to penicillin G. The nurse should also consider that the client is
experiencing an anaphylactic reaction, which can be life-threatening. Anaphylaxis is an immediate hypersensitivity reaction that requires
the primary treatment of epinephrine in addition to respiratory support.
421125
G
73
si
C.
G
Celecoxib
Prednisoneshort- term,severe rheumatoid arthritis
Adalimumab(moderate to severe rheumatoid arthritis)
Abataceptrheumatoid arthritis who have not responded well to other forms of treatment
@
A.
B.
C.
D.
N
ur
Question 126 out of 421
A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. The nurse should anticipate a prescription from the provider
for which of the following medications for daily management of this condition?(
47% of exam takers got this question correct.
Correct Answer:
A. Celecoxib
The nurse should anticipate that the provider will prescribe celecoxib, which is a nonsteroidal anti-inflammatory drug (NSAID). This
medication or another NSAID should be initiated for a client who has a new diagnosis of rheumatoid arthritis.
421126
47
NSAIDNSAID
Question 127 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hours. Heparin 10,000 units/1 mL is available. How many mL
should the nurse administer per dose? (Fill in the blank with the numeric value only. Round the answer to the nearest tenth. Use a leading
zero if applicable but do not use a trailing zero.)
8,000 units/x ml = 10,000 units/ 1ml
x=0.8ml
Question 128 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following should the nurse include in
the teaching as an adverse effect of lisinopril?
Tongue swelling
Low potassium levelcause potassium retention and hyperkalemia
Runny noseACE inhibitors can cause a persistent, dry, and irritating cough
BruisingACE inhibitors can cause adverse effects such as flushing, pruritus, and rashes
an
k
A.
B.
C.
D.
sB
49% of exam takers got this question correct.
Correct Answer:
A. Tongue swelling(
Angioedema is a fatal response that occurs in about 1% of clients who use ACE inhibitors such as lisinopril. Manifestations of angioedema
include swelling of the tongue, lips, or pharynx.
es
t
421128
49
ng
T
A.
1ACE
N
ur
"You should expect decreased manifestations within a few days."
"Manifestations decrease after about 2 months."
"You should expect decreased manifestations immediately."
"Manifestations will decrease after several weeks."
@
A.
B.
C.
D.
si
Question 129 out of 421
A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for fluoxetine. The client asks the nurse, "When
should I notice the benefits of this medication?" Which of the following responses should the nurse make?
39% of exam takers got this question correct.
Correct Answer:
A. "You should expect decreased manifestations within a few days.
The nurse should inform the client that fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat PMD. Unlike using
fluoxetine to treat depression, using fluoxetine to treat PMD will improve manifestations more quickly.
421129
39
PMD5-PMD
Question 130 out of 421
A nurse is reinforcing teaching with the partner of a client who has moderate Alzheimers disease about a new prescription for a
rivastigmine transdermal patch. Which of the following information should the nurse provide?
A.
The patch should be changed every 72 hours.24hrsSites should be rotated and not repeated for 14 days.
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
The patch provides higher drug levels than oral medications. lower
The old patch should be removed before a new patch is applied.
Allowing the patch to get wet will deactivate it.can be worn during bathing and in hot weather.
88% of exam takers got this question correct.
Correct Answer:
C. The old patch should be removed before a new patch is applied.
Before applying a new rivastigmine transdermal patch, the client should remove the old patch to prevent toxicity from occurring.
421130
88
an
k
C.
"I can expect this medication to cause my blood pressure to drop. hypertension, not hypotension
"I should take this medication with grapefruit juice.avoid taking cyclosporine with citrus juices,
"I will need to take a stool softener now that I am taking this medication.( diarrhea ,cant take stool softener)
"I should schedule an appointment with my dentist every 3 months."
es
t
A.
B.
C.
D.
sB
Question 131 out of 421
A nurse is reinforcing discharge teaching with a client who has a new prescription for cyclosporine following a kidney transplant. Which of
the following client statements indicates an understanding of the teaching?(
ng
T
49% of exam takers got this question correct.
Correct Answer:
D. "I should schedule an appointment with my dentist every 3 months.
ur
si
The nurse should reinforce with the client that gingival hyperplasia is a potential adverse effect of cyclosporine. The client should maintain
proper oral hygiene and schedule a dental examination for teeth cleaning and plaque control every 3 months to help decrease gingival
inflammation and hyperplasia.
D.3
@
49
N
421131
3
Question 132 out of 421
A nurse is preparing to administer benztropine 8 mg PO daily in 2 divided doses to a client who has Parkinson's disease. The amount
available is benztropine 2 mg tablets. How many tablets should the nurse administer with each dose? (Fill in the blank with the numeric
value only. Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)
8mg/2/2mg=2tablet
Question 133 out of 421
A nurse is reinforcing teaching with a client who has a new diagnosis of osteoporosis and is scheduled to start taking a calcium salt
supplement. Which of the following instructions should the nurse provide?
A.
Do not take other medications within 30 minutes of taking calcium.(within 1 to 2 hours )
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Increase intake of whole grains while taking calcium.(not to increase intake of whole grains)
Take no more than 600 mg of calcium at a time.
Decrease intake of vitamin D while taking calcium.
43% of exam takers got this question correct.
Correct Answer:
C. Take no more than 600 mg of calcium at a time.
The nurse should instruct the client to take no more than 600 mg of calcium at a time because absorption is best when maintained at this
level. If a higher dosage is required, it should be taken in multiple doses throughout the day.
421133
43
an
k
C.600
600
es
t
Act as a catalyst for the anesthetic properties of lidocaine
Delay systemic absorption of the anesthetic properties of lidocaine
Open the blood vessels for rapid anesthesia from the lidocainevasoconstrictor, which decreases the diameter of the blood vessels
Prevent medication toxicity during the proceduredecreased risk of toxicity from the lidocaine
ng
T
A.
B.
C.
D.
sB
Question 134 out of 421
A nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform
the client that the epinephrine will perform which of the following actions?(
B.
@
40
N
421134
ur
si
40% of exam takers got this question correct.
Correct Answer:
B. Delay systemic absorption of the anesthetic properties of lidocaine
The nurse should inform the client that medications such as lidocaine are often administered in combination with a vasoconstrictor such as
epinephrine. Epinephrine decreases local blood flow and delays systemic absorption of the anesthetic property of lidocaine.
Question 135 out of 421
A nurse is reinforcing teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces
of information should the nurse include?
A.
B.
C.
D.
"A full therapeutic response may take several months."
"This medication should be taken with high-protein foods.(cant!! intestinal absorption)
"A full therapeutic response might cause vivid dreams. Vivid dreams is adverse effect
"This medication is given at the onset of mild symptoms.(mild- selegiline.)
59% of exam takers got this question correct.
Correct Answer:
A.
"A full therapeutic response may take several months.severe symptoms.
The nurse should inform the family member that although levodopa is the most effective medication for Parkinson's disease, a full
therapeutic response might take several months.
http://www.nursingtestsbank.store.
@etsy
421135
59
Question 136 out of 421
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about self-administration of a new prescription for acarbose.
Which of the following pieces of information should the nurse include in the teaching?
A.
B.
C.
D.
Tell the client to take the medication with food
Show the client how to perform an intramuscular injection (oral)
Advise the client to avoid taking this medication with insulin
Warn the client against exercising while taking this medication( program of diet modification and exercise.)
an
k
52% of exam takers got this question correct.
Correct Answer:
A. Tell the client to take the medication with food
sB
Acarbose should be taken with food. The nurse should advise the client that this medication should be taken with the first bite of a meal 3
times each day. Acarbose inhibits an enzyme in the intestines that slows the digestion of carbohydrates and results in a lower postprandial
increase of blood glucose levels.
es
t
421136
2
ng
T
52
A.
si
3
With the morning meal
Immediately before bedtime
With the evening meal
In the middle of the day
@
A.
B.
C.
D.
N
ur
Question 137 out of 421
A nurse is caring for a client who has rheumatoid arthritis and a new prescription for prednisone PO daily. During which of the following
times should the nurse expect to administer the medication?
82% of exam takers got this question correct.
Correct Answer:
A. With the morning meal(
The nurse should expect to administer prednisone in the morning to coincide with the bodys normal secretion of cortisol. The nurse should
also administer the medication with food to decrease gastrointestinal irritation.
421137
PO
82
A.
http://www.nursingtestsbank.store.
@etsy
Question 138 out of 421
A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the
following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication?(
A.
B.
C.
D.
Breast cancer(prevent and treat breast cancer. )
History of deep-vein thrombosis (DVT)
Allergy to calcitonin
Current diagnosis of cholecystitis
an
k
61% of exam takers got this question correct.
Correct Answer:
B. History of deep-vein thrombosis (DVT)
The nurse should identify that a history of DVT is a contraindication for receiving raloxifene because this medication can cause DVT in
clients who have a prior history. Therefore, the nurse should notify the provider of this finding and request an alternative medication
prescription for the client.
421138
sB
61
es
t
B.DVT
DVTDVT
The prescription says to avoid taking the medicine with orange juice.
The prescription says to take standard tablets.
The prescription says to take 30 mg twice daily.
The prescription says to administer the medicine orally.
si
A.
B.
C.
D.
ng
T
Question 139 out of 421
A nurse is reviewing a new prescription for fexofenadine for a 7-year-old client who has seasonal allergies. Which of the following findings
should the nurse clarify with the provider?povider
421139
7
@
N
ur
49% of exam takers got this question correct.
Correct Answer:
B. The prescription says to take standard tablets.(12
The nurse should identify that this 7-year-old client has been prescribed a standard tablet, which is appropriate for clients 12 years of age
and older. Therefore, the nurse should clarify this aspect of the prescription with the provider because a client who is 7 years old should be
administered orally disintegrating tablets or a suspension.
49
B.
712127
Question 140 out of 421
A nurse is collecting data for a client who has been taking theophylline. Which of the following reports by the client indicates a therapeutic
response to the medication?
A.
B.
C.
D.
"I no longer have back pain."
"My glucose levels have been more stabilized."
"I have fewer asthma attacks."
"My tremors are better controlled.
64% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
C. "I have fewer asthma attacks.
Theophylline is a methylxanthine medication used for the control of asthma symptoms as a maintenance therapy. Methylxanthines reduce
asthma symptoms by providing bronchodilation. Theophylline can be taken be mouth and also administered intravenously. The medication
should be maintained at blood levels of 10 to 20 mcg/mL to avoid toxicity. Blood levels should be periodically evaluated.
421140
64
C.
1020 mcg / mL
sB
Red-tinged urine
Tinnitus
Blurred vision
Dry mouth
es
t
A.
B.
C.
D.
an
k
Question 141 out of 421
A nurse is caring for a client who has tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following
findings as an adverse effect of rifampin?
ng
T
57% of exam takers got this question correct.
Correct Answer:
A. Red-tinged urine lithium lithium
The nurse should identify that red-tinged urine, saliva, and tears are adverse effects of rifampin.
421141
si
57
N
ur
A.
A.
B.
C.
D.
@
Question 142 out of 421
A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription for lactulose. The nurse should inform the client that
lactulose has which of the following therapeutic effects?
Increases blood pressure
Prevents esophageal bleeding
Decreases heart rate
Lactulose does not decrease heart rate
46% of exam takers got this question correct.
Correct Answer:
D. Lactulose does not decrease heart rate
Lactulose is a laxative that promotes the excretion of ammonia in a client who has hepatic encephalopathy from cirrhosis of the liver.
421142
46
D.
http://www.nursingtestsbank.store.
@etsy
Question 143 out of 421
A nurse is reinforcing medication teaching with a client who has a new prescription for rivaroxaban for the prevention of deep venous
thrombosis (DVT).Which of the following statements by the client indicates an understanding of the teaching?Unlike warfarin and
heparin,
A.
B.
C.
D.
"I will be sure to take this medication at the same time every day."
"I will limit my intake of green leafy vegetables while taking this medication.
"I will need to come into the office monthly to have my blood tested.(
"I will be sure to take this medication on an empty stomach.Rivaroxaban can be taken with or without food.
46% of exam takers got this question correct.
Correct Answer:
A. "I will be sure to take this medication at the same time every day.bcwarfarin
Rivaroxaban is prescribed for anticoagulation to prevent DVT and pulmonary embolism (PE) and for the prevention of cerebrovascular
accident (CVA) in clients who have atrial fibrillation. The medication has a short duration and must be taken at the same time every day.
an
k
421143
DVT
es
t
sB
46
DVTPECVA
si
Lidocaine toxicity will cause the client to develop tachycardia.(Bradycardia)
Most clients develop a headache from spinal anesthesia.(
Hypotension is an adverse effect of spinal anesthesia.
Urinary urgency occurs when the client has spinal anesthesia.urinary retention and distention
ur
A.
B.
C.
D.
ng
T
Question 144 out of 421
A nurse is assisting in teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of
information should the nurse include in the teaching?
@
N
58% of exam takers got this question correct.
Correct Answer:
C. Hypotension is an adverse effect of spinal anesthesia.
The local anesthetic can cause the client's blood pressure to decrease due to venous dilation secondary to a sympathetic nervous system
response. If hypotension occurs, the nurse should lower the head of the client's bed, increase fluids if applicable, and administer
vasoconstrictive medication as indicated by the provider.
421144
58
C.
Question 145 out of 421
A charge nurse is discussing medication administration policy with a newly licensed nurse. The newly licensed nurse shows an
understanding of the policy by identifying which of the following situations as requiring the completion of an incident report?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
A nurse obtained a client's blood for culture testing prior to beginning antibiotic therapy.
A client refuses to take her morning medication.
A nurse used a client's telephone number as a client identifier prior to medication administration.
A stat prescription for a medication administration was initiated 2 hours after it was received.
69% of exam takers got this question correct.
Correct Answer:
D. A stat prescription for a medication administration was initiated 2 hours after it was received.(
Stat prescriptions are often written for emergencies and should be initiated immediately. This situation requires the completion of an
incident report because this medication error violates the right of "right time.
421145
69
an
k
D.2
Stat
Disorientationno
Epistaxis
Constipation monitor this client for diarrhea.
Jaundiceno
ng
T
A.
B.
C.
D.
es
t
sB
Question 146 out of 421
A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a postoperative infection.
Which of the following manifestations should the nurse monitor for as an adverse effect of the medication?
B.
Kepi
N
43
@
421146
121 g
ur
si
43% of exam takers got this question correct.
Correct Answer:
B. Epistaxisvk
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis. The nurse should monitor the client for
bleeding and notify the provider if this manifestation occurs so the medication can be discontinued.
Question 147 out of 421
A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan
to administer PO morphine to the client for peak analgesic effect during the ambulation?
A.
B.
C.
D.
3 to 4 hours before ambulation
10 to 15 minutes prior to ambulation
60 to 90 minutes prior to ambulation
Immediately before ambulation
58% of exam takers got this question correct.
Correct Answer:
C. 60 to 90 minutes prior to ambulation60-90 60-90
It takes 60 to 90 minutes for the peak effect of PO morphine to occur. Medicating the client 60 to 90 minutes prior to ambulation will
provide the greatest analgesic effect.
http://www.nursingtestsbank.store.
@etsy
421147
PO
58
6090
PO60906090
Question 148 out of 421
A nurse is caring for a client who has been taking taken metformin for 6 months. Which of the following findings should the nurse identify
as an expected therapeutic effect of the medication?(
A.
B.
C.
D.
Decreased vitamin B12 levels
Decreased blood glucose level
Abdominal bloating and diarrheaadverse effects of abdominal bloating and diarrhea.
Decreased LDL level A statin medication is prescribed to decrease LDL levels.
an
k
88% of exam takers got this question correct.
Correct Answer:
B. Decreased blood glucose level
A client who has taken metformin for 6 months should experience the expected therapeutic effect of a decrease in blood glucose levels.
Metformin is a non-insulin medication for clients who have type 2 diabetes mellitus.
sB
421148
6
es
t
88
ng
T
B.
62
ur
Tuberculosis
Hypertension
Diabetes
Cirrhosis
N
A.
B.
C.
D.
si
Question 149 out of 421
A nurse in a community health clinic is collecting data from a new client who has prescriptions for isoniazid and rifampin. Which of the
following disorders should the nurse expect the client to have?
@
84% of exam takers got this question correct.
Correct Answer:
A. Tuberculosis
The nurse should recognize that isoniazid and rifampin are first-line antitubercular medications used to treat active tuberculosis in
combination therapy.
421149
84
A.
Question 150 out of 421
A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client reports feeling dizzy, and the nurse notes that the
client's blood pressure is 84/54 mmHg. Which of the following actions should the nurse take?(
A.
B.
Place the client in the head-down position
Assess the placement of the catheter(Lpn
http://www.nursingtestsbank.store.
C.
D.
@etsy
Prepare to administer an IV reversal agent(
Assist the client in passive range of motion movementsunable to ambulate following surgery
51% of exam takers got this question correct.
Correct Answer:
A. Place the client in the head-down position(rapidly promote venous return to the heart)
The nurse should identify the client is experiencing an adverse effect from receiving the spinal anesthesia. Hypotension is the common
adverse effect of spinal anesthesia due to the loss of venous tone and decreased venous return to the heart. Therefore, the nurse should
position the client in a 10 to 15, head-down position to rapidly promote venous return to the heart, which increases the client's blood
pressure.
421150
3084/54 mmHg
51
an
k
A.
1015
Question 151 out of 421
A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following laboratory values should the nurse
monitor while the client is taking this medication?
sB
Alanine aminotransferase (ALT)
WBC count
Potassium
Chlorideacid-base or electrolyte imbalance
es
t
A.
B.
C.
D.
ng
T
48% of exam takers got this question correct.
Correct Answer:
A. Alanine aminotransferase (ALT)
The nurse should identify that ALT is a liver function test. Zileuton is a leukotriene modifier that can affect the liver, causing increased
ALT levels. The nurse should monitor this laboratory value closely while the client is taking the medication.
@
A.ALT
ALT ZileutonALT
N
48
ur
si
421151
Question 152 out of 421
A nurse in a provider's office is reinforcing medication teaching with a client who has developed asthma. Which of the following
medications should the nurse identify as being prescribed for the short-term relief of asthma symptoms?
A.
B.
C.
D.
Fluticasone long-term control of asthma
Montelukast long-term control of asthma.
Albuterol
Cromolyn long-term control of asthma.
88% of exam takers got this question correct.
Correct Answer:
C. AlbuterolSalmeterol
Albuterol is a beta-adrenergic agonist that is used as a short-acting medication for the control of asthma. It is administered by inhalation
either through an inhaler or a nebulizer. Short acting beta-adrenergic agonists (SABAs) work by inducing bronchodilation to relieve
bronchospasms. They also can suppress histamine relief and increase ciliary motility in the lungs. SABAs are the most effective medications
for bronchospasm and exercise induced bronchospasm.
http://www.nursingtestsbank.store.
@etsy
421152
88
C.
Albuterol--SABA SABA
Question 153 out of 421
A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client states, "I forget what the other
nurse told me this medication does." Which of the following pieces of information should the nurse reinforce with the client?(warfarin
"It helps your heart return to a normal rhythm.(CANT!Warfarin can prevent clot formation
"It dissolves blood clots.(Warfarin is an anticoagulant and cannot dissolve clots)
"It can reduce your risk of having a stroke."
"It helps prevent bleeding in atrial fibrillation.
an
k
A.
B.
C.
D.
sB
54% of exam takers got this question correct.
Correct Answer:
C. "It can reduce your risk of having a stroke."
The nurse should identify that atrial fibrillation increases the client's risk of having a stroke due to clot formation in the atrium. Warfarin
can prevent clot formation when used long-term, which will reduce the client's risk of having a stroke.
es
t
421153
54
ng
T
C.
N
ur
Bleeding
Increased clot formationtreat pulmonary embolus by dissolving clots in the lungs
Shortness of breath(breathe more easily.)
Blockage of the central venous catheter(diluted solution to dissolve any clots blocking)
@
A.
B.
C.
D.
si
Question 154 out of 421
A nurse is assisting with the care of a client who had a myocardial infarction 2 hours ago and is receiving alteplase. Which of the following
findings should the nurse identify as an adverse effect of receiving this medication?(
52% of exam takers got this question correct.
Correct Answer:
A. Bleeding
The nurse should identify that an adverse effect of alteplase is bleeding. Severe bleeding can occur as a result of the alteplase-plasminogen
complex, which catalyzes the conversion of other plasminogen molecules that digest fibrin clots. This action of the medication can
contribute to hemorrhage.
421154
2
52
A.
-
http://www.nursingtestsbank.store.
@etsy
Question 155 out of 421
A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to
expect?(zine,
A.
B.
C.
D.
Diarrheagi
Anxietybc
Nausea and vomiting
Dry mouth
69% of exam takers got this question correct.
Correct Answer:
D. Dry mouth
Hydroxyzine has anticholinergic properties. Dry mouth is a common adverse effect of this medication. The nurse should encourage the
client to take sips of water or suck hard candies to minimize this effect.
421155
an
k
69
D.
Shellfish(cant .iodine)
Gelatin(cant measles, mumps, or rubella vaccine)
Baker's yeast
Eggs(can influenza vaccine )
ng
T
A.
B.
C.
D.
es
t
sB
Question 156 out of 421
A nurse is collecting data from a client who is to receive the hepatitis B vaccine. Which of the following allergies is a contraindication to
receiving this vaccine?
ur
N
421156
si
43% of exam takers got this question correct.
Correct Answer:
C. Baker's yeast
An allergy to baker's yeast is a contraindication to receiving the hepatitis B vaccine. The nurse should notify the client's provider.
@
43
Question 157 out of 421
A nurse is reinforcing discharge teaching with a 6-year-old client who has asthma and several prescription medications using a metereddose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?
A.
B.
C.
D.
Add a spacer to each MDI
Instruct the child to inhale more rapidly than usual when using an MDI(inhale the medication slowly over 3 to 5 seconds)
Ask the provider to change the childs medications from inhaled to oral formulations
Administer oxygen by facemask along with the MDI
86% of exam takers got this question correct.
Correct Answer:
A. Add a spacer to each MDI
MDIs are difficult to use correctly; even when properly used, only a portion of the medication is delivered to the lungs. A spacer applied to
an MDI can make up for a lack of hand-lung coordination by increasing the amount of medication delivered to the lungs.
421157
http://www.nursingtestsbank.store.
@etsy
6MDI
86
A.MDI
MDIMDI
Question 158 out of 421
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to
discontinue taking the medication for which of the following adverse effects?(b c
A.
B.
C.
D.
Nausea
Metallic taste is a mild adverse effect of allopurinol
Fever
Drowsiness
an
k
51% of exam takers got this question correct.
Correct Answer:
C. Fever(b
A fever can indicate a potentially fatal hypersensitivity reaction. The client should discontinue allopurinol and notify the provider if a fever
or rash develops.
sB
421158
es
t
51
C.
si
Place the client leaning forward in a chairplace the client in a side-lying position
Hold the medication dropper 2.5 cm (1 in) from the client's ear canal1.3 cm (0.5 in)
Pull the pinna of the client's ear upward and outward
Have the client to remain still for 30 seconds after the medication is administered2-3mins
ur
A.
B.
C.
D.
ng
T
Question 159 out of 421
A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take?
421159
@
N
70% of exam takers got this question correct.
Correct Answer:
C. Pull the pinna of the client's ear upward and outward
The nurse should pull the pinna of the client's ear upward and outward so the nurse can instill the medication into the client's ear canal.
70
C.
Question 160 out of 421
A nurse is caring for a client who has a new prescription for meperidine 500 mg PO every 4 to 6 hours to manage pain. Which of the
following actions should the nurse take?(
A.
B.
C.
D.
Notify the pharmacist
Administer the prescribed amount
Contact the provider for clarification of the prescription
Clarify the dose with the charge nursecharge nurse cannot assume responsibility for clarifying it+
http://www.nursingtestsbank.store.
@etsy
71% of exam takers got this question correct.
Correct Answer:
C. Contact the provider for clarification of the prescription3450 mg
The nurse should call the provider and request clarification of the prescription. This dose is significantly outside the recommended range of
50 mg every 3 to 4 hours, not to exceed 600 mg within 24 hours. Only the provider can clarify this prescription.
421160
46500 mg PO
71
C.
3450 mg24600 mg
Question 161 out of 421
A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of
this medication?
Osteoporosis
Hyperthyroidism
Myocardial infarction
Deep-vein thrombosisRaloxifene lowers LDL cholesterol, which reduces the risk of MI in women
an
k
A.
B.
C.
D.
es
t
sB
45% of exam takers got this question correct.
Correct Answer:
D. Deep-vein thrombosis
The nurse should identify that raloxifene, like estrogen, increases the risk of deep-vein thrombosis, pulmonary embolism, and stroke.
Raloxifene is contraindicated for clients who have a history of venous thrombotic events.
ng
T
421161
45
ur
si
D.
A.
B.
C.
D.
@
N
Question 162 out of 421
A nurse is caring for a client who is pregnant and inquiring about alternative, non-pharmacological therapies for nausea and vomiting of
pregnancy (NVP). Which of the following options should the nurse recommend?
"Be sure to eat at least 3 large meals each day."
"If you're experiencing nausea when you wake up, wait to eat until lunchtime.Skipping meals is not recommended
"You may need to take additional supplements to alleviate nausea.
"Ginger is effective in the treatment of nausea and vomiting.
85% of exam takers got this question correct.
Correct Answer:
D. "Ginger is effective in the treatment of nausea and vomiting."
The nurse should recommend seasoning foods with ginger to alleviate the client's nausea and vomiting. Ginger is derived from the ginger
root and is an alternative treatment to prescribed medication for treating nausea and vomiting during pregnancy.
421162
NVP
85
D.
http://www.nursingtestsbank.store.
@etsy
Question 163 out of 421
A nurse is preparing to apply a fentanyl transdermal patch to a client who has chronic pain. Which of the following actions should the
nurse take?
A.
B.
C.
D.
Press the patch firmly for 30 seconds to ensure contact with the skin
Shave the clients hair at the application site clean the area with water and clip the client's hair.
Allow the patch to sit for 15 minutes after opening( immediately )
Adjust the dosage by trimming the patch(
51% of exam takers got this question correct.
Correct Answer:
A. Press the patch firmly for 30 seconds to ensure contact with the skin
To apply a fentanyl transdermal patch, the nurse should press firmly on the patch (especially around the edges) for 30 seconds to ensure
that contact with the skin is complete.
an
k
421163
51
sB
A.30
es
t
30
"You will take this medication along with allopurinol.(Allopurinol is the first medication of choice,pegloticase
"You will take this medication by mouth.iv
"There are very few adverse effects of this medication.(
"If you experience a flare-up, you can take an NSAID while receiving this medication.
si
A.
B.
C.
D.
ng
T
Question 164 out of 421
A nurse is reinforcing teaching with a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking
allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase?
N
ur
43% of exam takers got this question correct.
Correct Answer:
D. "If you experience a flare-up, you can take an NSAID while receiving this medication."
421164
1
@
The nurse should instruct this client who has chronic gout that, during the first few months of treatment, an increase in gout manifestations
is expected. To reduce the intensity of these manifestations, clients are instructed to take an NSAID such as Naproxen.
43
D.NSAID
NSAID
Question 165 out of 421
A nurse in a providers office is reinforcing teaching with a client who has osteoporosis and a new prescription for alendronate sodium.
Which of the following pieces of information should the nurse provide?
A.
B.
Alendronate sodium can be administered by IV once yearly.(oral)
Take alendronate sodium with a full glass of water on an empty stomach.
http://www.nursingtestsbank.store.
C.
D.
@etsy
Side effects of alendronate sodium include leukopenia.(side effects of alendronate sodium include esophageal irritation,
musculoskeletal pain, atypical femur fractures, and osteonecrosis of the jaw.)
Alendronate sodium should be taken with calcium-containing foods to increase absorption.(NPO 30 mins.npo)
62% of exam takers got this question correct.
Correct Answer:
B. Take alendronate sodium with a full glass of water on an empty stomach.
Alendronate sodium should be taken with at least 230 mL (8 oz) of water 30 minutes before ingesting foods. Maintaining an upright
position is recommended after taking alendronate sodium to decrease the risk for esophagitis.
421165
62
B.
302308
sB
D.
"Nausea is a common adverse effect of this medication.no
"I should contact my provider immediately if I experience constipation."
"If I do not respond to treatment at the lowest dosage, my provider may continue to increase the dosage at weekly intervals.(After a
month)
"Abdominal pain with diarrhea can indicate a serious complication.(
es
t
A.
B.
C.
an
k
Question 166 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for alosetron. Which of the following client statements indicates
an understanding of the teaching?irritable bowel syndromediarrhea (IBS-D)
ng
T
36% of exam takers got this question correct.
Correct Answer:
B. "I should contact my provider immediately if I experience constipation."
si
The nurse should identify that constipation is an adverse effect of this medication and requires the provider to be notified. The provider
may adjust the dose or withhold the medication and then instruct the client to resume taking it once the constipation has resolved.
N
B.
@
36
ur
421166
Question 167 out of 421
A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for
which of the following therapeutic effects of this medication?(
A.
B.
C.
D.
Hypotensionv- bpDiuresis
Increased blood glucose level
Weight gainv-,w-)
75% of exam takers got this question correct.
Correct Answer:
B. Diuresis
The nurse should identify that furosemide is a high-ceiling loop diuretic indicated for the treatment of clients who have severe renal
impairment such as acute glomerulonephritis. Furosemide blocks the reabsorption of sodium and chloride, thereby preventing the
reabsorption of water. Diuresis is a therapeutic response to the administration of furosemide.
http://www.nursingtestsbank.store.
@etsy
421167
75
B.
Question 168 out of 421
A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe
methotrexate at which of the following times?
A.
B.
C.
D.
Within 3 months of the initial diagnosis
When NSAIDs have not provided pain relief (NSAIDs can be used along with DMARDs to control pain)
During an exacerbation of symptoms(
Once bone degeneration progresses
sB
an
k
44% of exam takers got this question correct.
Correct Answer:
A. Within 3 months of the initial diagnosis
The nurse should identify that current guidelines recommend starting a disease-modifying antirheumatic drug (DMARD) such as
methotrexate within 3 months of a diagnosis of rheumatoid arthritis to prevent or delay joint degeneration.
es
t
421168
44
ng
T
A.3
3DMARD
ur
Renal impairment
Ischemic heart disease
Severe osteoporosis
Cirrhosis
N
A.
B.
C.
D.
si
Question 169 out of 421
A nurse is reviewing the medical record for a client who has a migraine and a prescription for sumatriptan. Which of the following factors
in the client's medical history should the nurse identify as a contraindication to receiving sumatriptan?
@
48% of exam takers got this question correct.
Correct Answer:
B. Ischemic heart disease(
The nurse should identify that ischemic heart disease is a contraindication to receiving sumatriptan. Sumatriptan is a serotonin receptor
agonist that can cause vasoconstriction and coronary vasospasm. This medication is also contraindicated in clients who had a myocardial
infarction or clients who have coronary artery disease, uncontrolled hypertension, or other types of heart disease.
421169
48
B.
5Question 170 out of 421
A nurse is assisting with the monitoring of a client who is postoperative and is receiving morphine through a PCA pump. Which of the
following instructions should the nurse reinforce with the client?
A.
"You can have your partner give you a dose while you are sleeping.(overdose)
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
"You should postpone ambulating until the PCA pump is discontinued.(encourage)
"Administer a PCA dose prior to your dressing changes."
"Decrease your fluid intake so you won't have to get up so often.(encouraged to attempt to void every 4 hours.)
78% of exam takers got this question correct.
Correct Answer:
C. "Administer a PCA dose prior to your dressing changes."
The nurse should encourage the client to use the PCA at least 10 minutes prior to activities that can cause pain such as dressing changes,
ambulating, turning, coughing, and deep breathing.
PCA
78
an
k
C.PCA
10PCA
Thyroid-stimulating hormone (TSH) 8 microunits/mL
Free triiodothyronine (T3) 300 pg/dL (adults up to the age of 50 is 70 to 205 ng/dL)
Free thyroxine (T4) 7 mcg/dL (T4 is 4 to 12 mcg/dL)
Thyroxine-binding globulin 2.3 mg/dL(1.7 to 3.6 mg/dL.)
es
t
A.
B.
C.
D.
sB
Question 172 out of 421
A nurse is preparing to administer levothyroxine to a client who has hypothyroidism. The nurse should identify which of the following
laboratory results as supporting the administration of this medication?
si
ng
T
62% of exam takers got this question correct.
Correct Answer:
A. Thyroid-stimulating hormone (TSH) 8 microunits/mL(0.35/ mL)
The expected reference range for TSH is 0.3 to 5 microunits/mL. When a client has primary hypothyroidism, the TSH level becomes
elevated in an attempt to normalize the thyroid gland's function. When the client has had a therapeutic response to treatment, the TSH
level returns to the expected reference range.
N
ur
421172
@
62
A.TSH8/ mL
TSH0.35/ mLTSHTSH
Question 173 out of 421
A nurse working in a mental health facility is admitting a client with opioid use disorder who is experiencing withdrawal. The nurse should
anticipate a prescription for which of the following medications from the provider?
A.
B.
C.
D.
Methylnaltrexone(gi)
Methadone
Naloxone(
Hydromorphone(
63% of exam takers got this question correct.
Correct Answer:
B. Methadone
The nurse should anticipate a prescription from the provider for methadone for a client who is experiencing opioid withdrawal. Methadone
is an opioid medication that is used for pain management and treatment of withdrawal manifestations in clients who have opioid use
disorder.
http://www.nursingtestsbank.store.
@etsy
421173
63
Question 174 out of 421
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to
review prior to administration of this medication?alfa
A.
B.
C.
D.
Blood pressure
Temperature
Blood glucose levels
Total protein level
sB
an
k
59% of exam takers got this question correct.
Correct Answer:
A. Blood pressure
Epoetin alfa often causes hypertension, which can lead to a stroke or other cardiovascular complications. The nurse should monitor the
clients blood pressure and notify the provider of increases. Clients who receive epoetin alfa frequently require concurrent use of
antihypertensive medication.
es
t
421174
59
ng
T
A.
ur
N
D.
"I can take my water pill as prescribed."
"I can experience an imbalance in my electrolytes from this medication."
"I should drink 8 ounces of bowel cleanser every 10 minutes until I drink a total of 4 liters.ingest 20 tablets with clear liquid in the
evening and 20 tablets with clear liquid the next day.dose
"I can experience rebound constipation after using this medication.
@
A.
B.
C.
si
Question 175 out of 421
A nurse is reinforcing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is
scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate
to the nurse that the teaching has been effective?furosemide
66% of exam takers got this question correct.
Correct Answer:
B. "I can experience an imbalance in my electrolytes from this medication."
421175
66
B.
Question 176 out of 421
A nurse is reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the
following prescriptions should the nurse identify as a contraindication to administering an opioid medication?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
Metoprololbeta-blocker used to treat hypertension
Ondansetronondansetron can relieve the adverse effects of nausea and vomiting associated
Lorazepam
Naloxone
44% of exam takers got this question correct.
Correct Answer:
C. Lorazepam(
The nurse should identify that lorazepam can cause central nervous system depression, which can result in increased respiratory depression
and sedation when administered with an opioid. The nurse should clarify the prescription with the provider.
421176
44
an
k
m
m
"This medication should be used daily.( used 1 to 3 days per week.)
"This medication should be applied externally.(Estradiol cream is applied internally )
"This medication has fewer systemic effects than oral estrogen."
"This medication can increase your risk of bone loss.(
ng
T
A.
B.
C.
D.
es
t
sB
Question 177 out of 421
A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the
following statements should the nurse include in the teaching?
C.
@
44
N
421177
ur
si
44% of exam takers got this question correct.
Correct Answer:
C. "This medication has fewer systemic effects than oral estrogen."
The nurse should instruct the client that intravaginal estradiol cream has few systemic side effects because it is applied topically. However,
oral estrogen can cause serious systemic effects.
Question 178 out of 421
A nurse in an acute care facility is preparing a reconciled list of medications for a client who is being discharged home. Which of the
following actions should the nurse take?
A.
B.
C.
D.
Give the client a handwritten medication list to take to the next care provider following discharge
Include a list of medications the client received during care at the facility (
Inform the client that he can get a complete list of his medications from the provider who will be caring for him after discharge
Provide the client and the next care provider with a list of medications the client will take after discharge
71% of exam takers got this question correct.
Correct Answer:
D. Provide the client and the next care provider with a list of medications the client will take after discharge
The nurse should provide a reconciled medication list that includes any medications the provider prescribes at the time of discharge for the
client to take after discharge. The list should also include any other medications the client will be taking, including over-the-counter
http://www.nursingtestsbank.store.
@etsy
medications and supplements. If the client was taking other prescription medications before admission to the acute-care facility and did not
receive them during treatment in the facility, the provider should confirm whether the client should resume taking them after discharge.
421178
71
D.
Question 179 out of 421
A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following client statements indicates
that the teaching was effective?
"I should take the medication with a glass of orange juice.,
"I will allow the medication to dissolve in my mouth.take alendronate by mouth with a full glass of water
"I will sit upright for 30 minutes after taking the medication."
"I should take the medication right after eating breakfast.(30
an
k
A.
B.
C.
D.
sB
77% of exam takers got this question correct.
Correct Answer:
C. "I will sit upright for 30 minutes after taking the medication."
The nurse should instruct the client to sit upright or stand for at least 30 minutes after taking the medication to prevent esophagitis.
es
t
421179
77
ng
T
C.30
30
ur
N
Carbapenems
Cephalosporins
Aminoglycosides
Fluoroquinolones
@
A.
B.
C.
D.
si
Question 180 out of 421
A nurse is reviewing the medical history of a client who has a respiratory infection. The nurse notes the client has a severe penicillin
allergy. Which of the following class of antibiotics is also contraindicated for this client?
77% of exam takers got this question correct.
Correct Answer:
B. Cephalosporins(cef
Cephalosporins such as cefazolin, cefaclor, and cefepime should not be prescribed to clients who have a severe allergy to penicillins as fatal
anaphylaxis can occur. Cephalosporins can be prescribed to clients who have a mild penicillin allergy.
421180
77
B.
http://www.nursingtestsbank.store.
@etsy
Question 181 out of 421
A nurse is collecting data from a client who has been on long-term inhaled glucocorticoid therapy with fluticasone for the control of
asthma. Which of the following questions should the nurse ask the client to determine adverse effects of the medication?
A.
B.
C.
D.
"Have you had any episodes of low blood pressure?"
"Have you experienced any bone fractures?"
"Are you experiencing constipation?"
"Do you have any ringing in the ears?"
52% of exam takers got this question correct.
Correct Answer:
B. "Have you experienced any bone fractures?(
Long-term use of inhaled glucocorticoids such as fluticasone can result in bone loss and decreased bone density. The nurse should question
the client about manifestations of osteoporosis such as bone fractures and decreasing muscle strength and balance. Furthermore, the nurse
should recommend the client receive adequate amounts of calcium and vitamin D and engage in non-jarring weight-bearing exercises.
an
k
421181
52
sB
B.
es
t
D
A beta blocker was held for an apical heart rate of 50/min.
A client vomited immediately after receiving his oral medications.document the event in the client's medical record
An extended-release capsule was crushed before being given.
A client who is anemic refused a blood transfusion.
si
A.
B.
C.
D.
ng
T
Question 182 out of 421
A nurse is administering medications to 4 clients. Which of the following situations requires the completion of an incident report?(
N
ur
78% of exam takers got this question correct.
Correct Answer:
C. An extended-release capsule was crushed before being given.(document the event in the client's medical record
@
Extended-release capsules are designed to metabolize over a period of time. If crushed, the medication can absorb too quickly and can lead
to toxicity. This situation requires the completion of an incident report because a medication error occurred.
421182
4
78
C.
Question 183 out of 421
A nurse is preparing to administer atropine 0.6 mg IM preoperatively to a client. The amount available is atropine 0.4 mg/1 mL. How many
mL should the nurse plan to administer? (Fill in the blank with the numeric value only. Round to the nearest tenth. Use a leading zero if
applicable but do not use a trailing zero.)
0.6 mg/xml = 0.4mg/1ml
http://www.nursingtestsbank.store.
@etsy
0.4x=0.6
x=1.5ml
Question 184 out of 421
A nurse is caring for a client who asks about taking orlistat for weight loss. The nurse should inform the client that this medication can
intensify the effects of which of the following medications or supplements?
A.
B.
C.
D.
Psyllium(Psyllium is a bulk-forming laxative and can reduce the gastrointestinal effects of orlista)
Multivitamin(Orlistat can reduce the absorption of fat-soluble vitamins such as A, D, E, and K.
Metoprolol
Warfarin
45% of exam takers got this question correct.
Correct Answer:
D. Warfarin
an
k
The nurse should inform the client that orlistat can intensify the effects of warfarin, which increases the clients risk of bleeding. The client
should undergo close anticoagulant monitoring if the medications are to be used concurrently.
sB
421184
ng
T
es
t
45
ur
@
C.
D.
"Your child will not be able to receive the MMR vaccine for at least 3 months after discharge."
"I cannot administer routine vaccines to children while they are in the hospital.hospitalization is not the reason for the immunization
delay.
"Your child can receive the MMR vaccine once his fever is gone.
"I can administer the measles and rubella vaccines, but I cannot administer the mumps vaccine.3mmr
N
A.
B.
si
Question 185 out of 421
A nurse is caring for an 18-month-old toddler who has Kawasaki disease (KD). The child is receiving intravenous immune globulin (IVIG).
The guardian asks the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. Which of
the following statements should the nurse provide?
57% of exam takers got this question correct.
Correct Answer:
A. "Your child will not be able to receive the MMR vaccine for at least 3 months after discharge.ivigmmr
The nurse should explain to the guardian that IVIG given for the treatment of KD contains antibodies that can interfere with the action of
live-virus vaccines such as MMR. The MMR immunization should be postponed for 3 to 6 months.
421185
KD18IVIGMMR
57
MMR
KDIVIGMMR MMR36
Question 186 out of 421
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to
monitor the client for which of the following adverse effects?
A.
Ecchymosis
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Decreased urine output
Increased blood pressure
Dizziness
69% of exam takers got this question correct.
Correct Answer:
D. Dizzinessbdd
Zolpidem can cause dizziness and daytime drowsiness. It can cause confusion in an older adult client.
421186
69
D.
an
k
Question 187 out of 421
A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV infused over 8 hours. The drop factor of the manual IV tubing is 10
gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the numeric value only. Round
the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)min
sB
(1,000 ml/(8hr x 60mins) )x10 gtt/1ml=21 gtt/min
Thirst
Nocturia
Headache
Heart palpitations
ng
T
A.
B.
C.
D.
es
t
Question 188 out of 421
A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should
indicate to the nurse the client is experiencing an adverse effect of this medication?(
@
421188
N
ur
si
42% of exam takers got this question correct.
Correct Answer:
C. Headache
Headaches are an indicator of the adverse effect of water intoxication, which can occur as a result of taking desmopressin. This medication
causes fluid retention and places the client at risk of water intoxication.
42
C.
retention
Question 189 out of 421
A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse
identify as incompatible?
A.
B.
C.
D.
Albuterol and montelukast
Theophylline and zileuton
Aminophylline and fluticasone
Salmeterol and levalbuterol
45% of exam takers got this question correct.
Correct Answer:
B. Theophylline and zileuton
http://www.nursingtestsbank.store.
@etsy
The nurse should identify that zileuton, a leukotriene modifier, impairs the metabolism of certain medications. Concurrent use of zileuton
with theophylline can cause toxicity due to elevated theophylline, which is a systemic methylxanthine used to relax the smooth muscles of
the airway. Therefore, these medications are incompatible when used together.
421189
45
B.
Question 190 out of 421
A nurse is caring for a client who has a prescription for a QT interval medication. Which of the following conditions should the nurse
identify as an adverse effect of this medication?
Bradycardia
Jaundice
Low blood pressure
Dark urine
an
k
A.
B.
C.
D.
es
t
sB
67% of exam takers got this question correct.
Correct Answer:
A. Bradycardia
The nurse should identify that an adverse effect of a QT interval medication is bradycardia. This medication should be used with caution for
clients who have hypotension or heart failure, older adult clients, or clients who have low potassium or magnesium levels.
ng
T
421190
QT
67
si
A.
QT
Administer the medication over 4 to 5 minutes
Place the client in a high-Fowler's position(supine position0
Assess the client's pain level after administering the medication(before)
Review the client's last set of vital signs(review obtain a current set of vital signs prior to administering opioids.)
@
A.
B.
C.
D.
N
ur
Question 191 out of 421
A nurse is assisting with preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should
the nurse take?
38% of exam takers got this question correct.
Correct Answer:
A. Administer the medication over 4 to 5 minutes
The nurse should administer the IV injection of this opioid medication over 4 to 5 minutes to prevent the adverse effects of the medication
such as respiratory depression and cardiac arrest.
421191
IV
38
A.45
http://www.nursingtestsbank.store.
@etsy
45
Question 192 out of 421
A nurse is reinforcing discharge teaching with a client who has a new prescription for metoprolol. Which of the following instructions
should the nurse include? (Select all that apply.)
A.
B.
C.
D.
E.
"Do not stop taking this medication abruptly."
"Take the medication right before bedtime.(cause insomnia)
"Avoid exposure to sunlight.(Metoprolol does not cause photosensitivity)
"Count your radial pulse daily."
"Change positions slowly.
an
k
57% of exam takers got this question correct.
Correct Answers:
A. "Do not stop taking this medication abruptly."
D. "Count your radial pulse daily."
E. "Change positions slowly."
Clients who stop taking metoprolol abruptly increase their risk for angina, hypertension, and myocardial infarction. Clients should reduce
the dosage gradually over 1 to 2 weeks.
sB
The client should count the radial pulse daily and report a heart rate that is slower than 60/min. Metoprolol can cause orthostatic
hypotension. To prevent injury, the client should move slowly from lying down or sitting to standing.
es
t
421192
57
ng
T
D.radial
E.
12
si
the60 / min
Increased intestinal transit rate(decreases the intestinal transit rate.)
Accelerated excretion of fluids
Reduced renal blood flow(increases the glomerular filtration rate)
Decreased hepatic metabolism(Liver metabolism can increase)
@
A.
B.
C.
D.
N
ur
Question 193 out of 421
. A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the following physiological effects of
pregnancy should the nurse take into consideration?(
51% of exam takers got this question correct.
Correct Answer:
B. Accelerated excretion of fluids
There are physiological changes in the kidneys with pregnancy, including accelerated excretion from increased renal blood flow. This
results in increased glomerular filtration. To compensate for accelerated excretion, dosages of medications that glomerular filtration
eliminates must be increased to achieve a comparable therapeutic effect.
421193
51
B.
Question 194 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about storing unopened vials of insulin. Which of the
following pieces of information should the nurse include in the teaching?(
A.
B.
C.
D.
Store the vials in the freezer
Store the vials at room temperature
Store the vials by a window
Store the vials in the refrigerator
74% of exam takers got this question correct.
Correct Answer:
D. Store the vials in the refrigerator
The nurse should tell the client to store unopened vials of insulin in the refrigerator. The client can use the unopened vials of insulin up to
the printed expiration date.
an
k
421194
2
74
sB
D.
Atropinetreat sinus bradycardia and heart block
Diltiazem
Epinephrine
Vasopressin treat cardiac arrest and asystole.
ng
T
A.
B.
C.
D.
es
t
Question 195 out of 421
A nurse is assisting with the admission of a client who has atrial fibrillation with a heart rate of 155/min. The nurse should anticipate a
prescription from the provider for which of the following medications?
50
@
421195
155 / min
N
ur
si
50% of exam takers got this question correct.
Correct Answer:
B. Diltiazemabastopdil
The nurse should anticipate the provider to prescribe diltiazem for a client who is experiencing atrial fibrillation. Diltiazem is an
antiarrhythmic agent that reduces the ventricular rate in atrial fibrillation.
B.
Question 196 out of 421
A nurse is preparing to administer the influenza vaccine to a client. Which of the following allergies should the nurse identify as a
contraindication to the client receiving this vaccine?
A.
B.
C.
D.
Gelatin
Chicken eggs
Neomycin
Prednisone
81% of exam takers got this question correct.
Correct Answer:
B. Chicken eggs
http://www.nursingtestsbank.store.
@etsy
The nurse should identify that an allergy to chicken eggs is a contraindication to receiving the influenza vaccine. Clients who have this
allergy can experience angioedema and severe respiratory distress if this vaccine is administered.
421196
81
B.
Question 197 out of 421
A nurse is reinforcing teaching with a client who has chronic bronchitis about how to administer acetylcysteine using a handheld nebulizer
(HHN). Which of the following client statements indicates an understanding of the teaching?
C.
D.
"I can store an open vial of the medication in the refrigerator for up to 24 hours.96
"I should limit my fluid intake while taking this medication.client should drink plenty of fluids, at least 2 to 3 L (67.6 to 101.4 oz) each
day
"I should try to cough productively just before I begin the treatment."
"If the medication becomes discolored, I should throw it out and get a new supply.(
an
k
A.
B.
sB
49% of exam takers got this question correct.
Correct Answer:
C. "I should try to cough productively just before I begin the treatment."
A productive cough prior to beginning the treatment will clear sputum from lung surfaces, allowing better absorption of the medication.
es
t
421197
HHN
ng
T
49
C.
N
Inability to tolerate bright lights(photophobia)
Pinpoint pupils( Dilation of the eye/mydriasis)
Blurred vision
Inability to perform upward gaze( head or facial trauma,)
@
A.
B.
C.
D.
ur
si
Question 198 out of 421
A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination.
Which of the following findings should the nurse expect as a result of cycloplegia?
45% of exam takers got this question correct.
Correct Answer:
C. Blurred vision
Assessment findings of cycloplegia include blurred vision because focusing for near vision is impaired. This action occurs following the
administration of atropine because the paralysis of the ciliary muscle prevents near-vision focus. Accommodation (looking from far to near
and vice-versa) is also temporarily impaired.
421198
45
C.
Question 199 out of 421
A nurse suspects that a client is having an allergic reaction to a medication. Which of the following factors should the nurse identify as
increasing the likelihood of an allergic reaction to the medication?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
This is the client's initial dose of the current prescription.initial dosage rarely causes an allergic reaction.
The client received a large dosage.allergic reactions does not depend of the dosage.
The route of administration was oral.
The client has had previous exposure to the medication.
50% of exam takers got this question correct.
Correct Answer:
D. The client has had previous exposure to the medication.(
Once the immune system has developed sensitization to a medication, a subsequent exposure to that same medication can result in an
allergic response. The more exposure the client has to the medication, the more intense the reaction will likely be.
421199
50
an
k
D.
The medication is a depot preparation.(im
The client is taking an anticoagulant.
The medication is a particulate suspension.imsubqut
The client has been vomiting.im
es
t
A.
B.
C.
D.
sB
Question 200 out of 421
A nurse is preparing to administer an IM injection for a client. Which of the following factors should the nurse identify as a potential
contraindication to administering the medication via the IM route?im
ng
T
68% of exam takers got this question correct.
Correct Answer:
B. The client is taking an anticoagulant.
Because of the risk of bleeding from the injection site, anticoagulant therapy (e.g. warfarin) is a contraindication to receiving medications
via the IM route.
ur
si
421200
IMIM
N
68
@
B.
IM
Question 201 out of 421
A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the
following findings in the client's medical history?(birth control for women
A.
B.
C.
D.
Takes St. John's wort
Breastfeeds a 6-month-old infant
Has a parent with hypertension
Has a positive human papillomavirus (HPV) test result
48% of exam takers got this question correct.
Correct Answer:
A. Takes St. John's wort
St. John's wort can reduce the effects of subdermal etonogestrel because it stimulates hepatic drug-metabolizing enzymes. Therefore, the
nurse should alert the provider about the client's use of St. John's wort, and it should be discontinued.
421201
http://www.nursingtestsbank.store.
@etsy
48
A.
Question 202 out of 421
A nurse in a provider's office is collecting data from a client who reports taking a dietary supplement to reduce hot flashes related to
menopause. Which of the following supplements is this client probably taking?
A.
B.
C.
D.
Flaxseed
Ginkgo bilobaGinkgo biloba improves blood flow
Black cohosh
St. John's worttreat mild to moderate depression
an
k
62% of exam takers got this question correct.
Correct Answer:
C. Black cohosh
Black cohosh is an herb that is used for the treatment of menopausal symptoms such as hot flashes, vaginal dryness, irritability, and sleep
disturbance.
421202
sB
62
es
t
C.
Naproxen
Acetaminophen
Aspirin
Ibuprofen
si
A.
B.
C.
D.
ng
T
Question 203 out of 421
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse
plan to administer?cbc
421203
@
N
ur
70% of exam takers got this question correct.
Correct Answer:
B. Acetaminophen(NSAIDnsaid
Acetaminophen is an analgesic used for mild to moderate pain. It can be administered to a client who has peptic ulcer disease because it
does not affect blood coagulation and does not increase the risk of gastrointestinal bleeding.
70
Question 204 out of 421
A nurse is reinforcing teaching about the adverse effects of baclofen with a client who has multiple sclerosis with spasms. Which of the
following statements should the nurse identify as an indication that the client understands the information?(
A.
B.
C.
D.
"Adverse effects include urinary frequency. muscle relaxer that can cause urinary retention
"I should increase my fiber intake to counteract the adverse effect of diarrhea. constipation
"This medication can cause addiction.not physical dependence.
"I should not stop taking this medication suddenly."
69% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
D. "I should not stop taking this medication suddenly."
The nurse should inform the client about the adverse effects associated with abrupt withdrawal of baclofen such as visual hallucinations,
paranoid ideations, and seizures.
421204
69
D.
A.
B.
C.
D.
"My last bowel movement was 2 days ago."
"My tongue keeps moving like a worm."
"I feel dizzy when I stand up too quickly.(orthostatic hypotension;)
"I can't stop blinking when I'm in the sun.(photophobia)
es
t
sB
69% of exam takers got this question correct.
Correct Answer:
B. "My tongue keeps moving like a worm."
an
k
Question 205 out of 421
A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client
should prompt the nurse notify the provider immediately?
ng
T
Involuntary tongue movement indicates that this client is at greatest risk for tardive dyskinesia, which is a rare neurological syndrome that
has no cure. Therefore, this is the priority statement.
421205
si
69
@
N
ur
B.
Question 206 out of 421
A nurse is reinforcing teaching with a client who has a seizure disorder and a new prescription for carbamazepine. Which of the following
statements should the nurse include in the teaching?(
A.
B.
C.
D.
"This medication will decrease the effectiveness of oral contraceptives."
"Once you are seizure-free for a month, you will be able to stop taking the medication."
"You can cut the dose in half if gastrointestinal upset occurs."
"This medication might initially increase the frequency of your seizures.
80% of exam takers got this question correct.
Correct Answer:
A. "This medication will decrease the effectiveness of oral contraceptives."
The nurse should reinforce with the client that traditional antiepileptic drugs (AEDs) such as carbamazepine decrease the effectiveness of
oral contraceptives.
421206
80
http://www.nursingtestsbank.store.
@etsy
Question 207 out of 421
A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors
facilitates the effective passage of the medication across the client's cell membranes?(
A.
B.
C.
D.
Protein-binding ability
Lipid solubility
Hepatic metabolism
Slow dissolution
an
k
53% of exam takers got this question correct.
Correct Answer:
B. Lipid solubility
A medication being lipid soluble and the presence of a transport system both facilitate the ability of a medication to cross cell membranes
that separate the medication from the blood.
421207
es
t
sB
53
Morphine 30 mg PO every 4 hr PRN(605)
Morphine 30 mg PR every 4 hr PRN(20607)
Morphine 5 mg IM every 4 hr PRN
Morphine 5 mg IV intermittent bolus every 4 hr PRN(.)
si
A.
B.
C.
D.
ng
T
Question 209 out of 421
A nurse is collecting data on a client who is postoperative and reports acute pain of 8 on a 0 to 10 pain scale. After reporting the findings to
the provider, the nurse should anticipate a prescription for which of the following medications?
N
ur
62% of exam takers got this question correct.
Correct Answer:
D. Morphine 5 mg IV intermittent bolus every 4 hr PRN
@
Morphine given by IV intermittent bolus has a rapid onset and peaks in 20 minutes. The medication has a duration of up to 5 hours. For a
client who is in acute postoperative pain, morphine given by IV intermittent bolus will provide the fastest relief. The nurse should expect
the provider to prescribe this medication by this route.
421209
0108
62
D.45
Question 210 out of 421
A nurse is collecting data from a client who is taking vasopressin for diabetes insipidus. Which of the following findings should the nurse
identify as a manifestation of water intoxication associated with this medication?(
A.
B.
C.
D.
Anxiety(bc
Urinary frequency
Weight loss
Headache
http://www.nursingtestsbank.store.
@etsy
51% of exam takers got this question correct.
Correct Answer:
D. Headache
The nurse should identify that a headache is a manifestation of water intoxication, an adverse effect of vasopressin. The nurse should report
this manifestation to the clients provider.
IV205
421210
51
an
k
D.
Give oral corticosteroids(
Administer dopamine
Give diphenhydramine IVsecond-line medication (either IV or IM) for treatment of anaphylaxis.
Administer epinephrine subcutaneously
es
t
A.
B.
C.
D.
sB
Question 211 out of 421
A nurse administered an antibiotic 10 minutes ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the
following actions should the nurse take first?first!!
D.
N
66
@
421211
10
ur
si
ng
T
66% of exam takers got this question correct.
Correct Answer:
D. Administer epinephrine subcutaneously
Evidence-based practice indicates the nurse should first administer epinephrine, a catecholamine that constricts blood vessels, increases
cardiac output, and dilates bronchioles passages. Epinephrine is the first-line medication to administer for anaphylaxis and can be
administered via an IV, subcutaneously, or via an endotracheal tube. Other early signs of anaphylaxis are often related to the skin and
characterized by warmth, redness, itching, hives, and swelling of the head and neck.
Question 212 out of 421
A nurse is performing a reconciliation of a clients medications. Which of the following actions should the nurse take first?(
A.
B.
C.
D.
Review the medications the client is taking at home and compare the list with the medications the client is taking in the facility
Compare any new medication prescriptions with the clients current list of medications
Obtain a list of the clients current medications, including those that are over-the-counter
Provide the current and accurate medication list to all of the clients health care providers
63% of exam takers got this question correct.
Correct Answer:
C. Obtain a list of the clients current medications, including those that are over-the-counter
According to evidence-based practice, when completing a medication reconciliation, the nurse should first obtain a current, complete, and
accurate list of any medications the client is taking. This should include over-the-counter medications and herbal supplements.
http://www.nursingtestsbank.store.
@etsy
421212
63
C.
Question 213 out of 421
A nurse is reinforcing teaching with a client who has tuberculosis and a prescription for rifampin. The nurse should identify which of the
following findings as a harmless and expected adverse effect of rifampin?(
Red-orange discoloration of urine
Increased ecchymosisreport
Yellow appearance of the scleraereport
Lack of energyreport
an
k
A.
B.
C.
D.
es
t
sB
86% of exam takers got this question correct.
Correct Answer:
A. Red-orange discoloration of urine
The nurse should instruct the client that rifampin commonly causes a red-orange discoloration of body fluids. This adverse effect is
considered harmless and does not need to be reported to the provider.
421213
ng
T
86
A.
N
0800regular insulin is 30 to 60 minutes;
0745
0900NPH insulin has an onset of action of 1 to 2 hours
1030`
@
A.
B.
C.
D.
ur
si
Question 214 out of 421
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The
nurse should anticipate the insulins onset of action at which of the following times?(
60% of exam takers got this question correct.
Correct Answer:
B. 0745
Insulin glulisine has a very short onset of action of 15 minutes. The nurse should expect the onset of action around 0745 and ensure the
client eats breakfast immediately following the administration of the insulin.
421214
0730101
60
B.0745
150745
Question 110 out of 421
A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should
the nurse identify as an adverse effect of the medication?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
HypertensionHypotensioniv
Cardiac dysrhythmias
Gastric discomfortgi
Tachycardiabradycardia
64% of exam takers got this question correct.
Correct Answer:
B. Cardiac dysrhythmias(
The nurse should identify cardiac dysrhythmias as an adverse effect of phenytoin IV. As a result of this potential complication, cardiac
monitoring is required.
421110
64
an
k
B.
Allergic response
Superinfection
Renal toxicity
Hepatotoxicity
es
t
A.
B.
C.
D.
sB
Question 216 out of 421
A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize
that candidiasis is a manifestation of which of the following adverse effects?
ng
T
79% of exam takers got this question correct.
Correct Answer:
B. Superinfection
A superinfection can develop from the overgrowth of fungus due to the antibacterial effect of tetracycline. The nurse should monitor the
client for manifestations of a superinfection such as soreness of the mouth and a swollen tongue.
ur
si
421216
7
N
79
@
B.
Question 217 out of 421
A nurse is reinforcing discharge teaching with a client who has a new prescription for sildenafil to treat erectile dysfunction. Which of the
following pieces of information should the nurse include?
A.
B.
C.
D.
"Take this medication 10 minutes before sexual activity.30mins-4hours
"If you experience chest pain after taking this medication, take a sublingual nitroglycerin.avoid concurrent use of nitrates and
sildenafil.
"This medication offers protection against HIV infection.(CANT)
"This medication should not be taken more than once per day."
71% of exam takers got this question correct.
Correct Answer:
D. "This medication should not be taken more than once per day."
The nurse should reinforce with the client that sildenafil should only be taken once daily.
421217
http://www.nursingtestsbank.store.
@etsy
71
D.
Question 218 out of 421
A nurse is preparing to administer metoclopramide to a client who has GERD. For which of the following manifestations should the nurse
monitor as an adverse effect of the medication?
A.
B.
C.
D.
Urinary retentionab
Tardive dyskinesia
Blurred vision
Photosensitivity(
an
k
45% of exam takers got this question correct.
Correct Answer:
B. Tardive dyskinesia
sB
The nurse should monitor the client for tardive dyskinesia, which includes involuntary movements or repetitive movements of the arms,
legs, and facial muscles. Clients who are on long-term, high-dose therapy are at greatest risk for developing this adverse effect.
es
t
421218
GERD
si
ng
T
45
Chlordiazepoxide
Disulfiramcomplete abstinence from alcohol
Naloxone
Acetaminophen
@
A.
B.
C.
D.
N
ur
Question 219 out of 421
A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. The client's last drink
was 10 hours ago. Which of the following medications should the nurse plan to administer upon admission?
52% of exam takers got this question correct.
Correct Answer:
A. Chlordiazepoxide
The nurse should anticipate that this client will experience manifestations of alcohol withdrawal. Benzodiazepines are the most effective
medications used to facilitate alcohol withdrawal, and chlordiazepoxide is preferred because it has a longer half-life than other
benzodiazepines. Benzodiazepines are safe and can stabilize vital signs, reduce the intensity of symptoms, and decrease the risk of seizures
and delirium tremens.
421219
6110
52
A.
del
http://www.nursingtestsbank.store.
@etsy
Question 220 out of 421
A nurse is reinforcing teaching with a client who has systemic lupus erythematosus and a new prescription for oral glucocorticoid therapy.
Which of the following client statements indicates an understanding of the teaching?
A.
B.
C.
D.
"I should take a calcium supplement while on this medication."
"I have to complete regular liver function studies while I am taking this medication.(
"I can take NSAIDs to treat mild pain while using this medication.(
"I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication.Hyperglycemia, not hypoglycemia
41% of exam takers got this question correct.
Correct Answer:
A. "I should take a calcium supplement while on this medication."
An adverse effect of systemic glucocorticoid therapy is osteoporosis. Increasing calcium-rich foods in the clients diet and adding calcium
and vitamin D supplements should be encouraged to prevent osteoporosis and decrease the risk of fractures.
421220
an
k
41
D
"Take this medication with meals to decrease gastrointestinal upset.empty stomach.
"Continue this medication if you become pregnant.(
"Wear protective clothing while in the sun."
"Expect to have severe diarrhea while taking this medication.(
si
59% of exam takers got this question correct.
Correct Answer:
C. "Wear protective clothing while in the sun.
ng
T
A.
B.
C.
D.
es
t
sB
Question 221 out of 421
A nurse is reinforcing teaching with a client who has a prescription for doxycycline for the treatment of a Helicobacter pylori infection.
Which of the following instructions should the nurse include in the teaching?
421221
@
N
ur
The nurse should include in the teaching that all tetracycline medications increase the sensitivity of the skin to ultraviolet light and
sunlight. Therefore, clients are encouraged to avoid prolonged exposure to the sun and to wear protective clothing while outside and
exposed to the sun.
59
C.
Question 222 out of 421
A nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. The nurse should identify that which of the
following client statements indicates a potential adverse effect of the medication?(Anti-inflammatory.)
A.
B.
C.
D.
"My body aches all over."
"I have abdominal cramping.(Dimethyl fumarate )
"My hair seems to be thinning.Teriflunomide
"It hurts when I urinate.Natalizumab
http://www.nursingtestsbank.store.
@etsy
46% of exam takers got this question correct.
Correct Answer:
A. "My body aches all over."
The adverse effects of interferon beta-1a can include flu-like symptoms such as general body and muscle aches.
421222
beta-1a
46
-1a
Question 223 out of 421
A nurse is reinforcing teaching with a client who has a prescription for a transdermal estradiol patch. In which of the following locations
should the nurse instruct the client to apply the patch?
Abdomen
Breast(cant
Forearm (transdermal estradiol spray )
Back of the thigh(transdermal estradiol emulsion)
an
k
A.
B.
C.
D.
es
t
sB
71% of exam takers got this question correct.
Correct Answer:
A. Abdomen
The nurse should instruct the client to apply the transdermal estradiol patch to the skin of the trunk (e.g. the abdominal area) but not the
breasts. This allows the estrogen from the patch to be absorbed through the skin directly into the client's blood.
ng
T
421421
71
N
ur
si
A.
A.
B.
C.
D.
@
Question 224 out of 421
A nurse is reinforcing teaching with a client who received a liver transplant and has a prescription to transition from cyclosporine to
tacrolimus. Which of the following instructions should the nurse include in the teaching?(
"Take both medications together for 72 hours and then stop taking the cyclosporine.
"Stop taking the cyclosporine for 24 hours and then begin taking the tacrolimus."
"Alternate taking the medications for 48 hours and then take only the tacrolimus.48
"If adverse reactions to the tacrolimus occur, stop taking it and restart the cyclosporine.LPN
53% of exam takers got this question correct.
Correct Answer:
B. "Stop taking the cyclosporine for 24 hours and then begin taking the tacrolimus.24
The nurse should reinforce with the client that these medications should not be taken concurrently due to the increased risk of developing
nephrotoxicity. The client should stop the cyclosporine for 24 hours prior to beginning the tacrolimus prescription.
421224
53
B.24
http://www.nursingtestsbank.store.
@etsy
24
Question 225 out of 421
A nurse is caring for a client who was recently diagnosed with Addison's disease and placed on long-term mineralocorticoid therapy with
fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this
therapy?(mineraocortioid,)
A.
B.
C.
D.
Mineralocorticoids help the body metabolize carbohydrates, fats, and proteins.
Mineralocorticoids support secondary sexual development.
Mineralocorticoids maintain electrolyte and fluid balance.
Mineralocorticoids reduce the risk of cardiac dysrhythmias.ab
an
k
54% of exam takers got this question correct.
Correct Answer:
C. Mineralocorticoids maintain electrolyte and fluid balance.
Mineralocorticoids, specifically aldosterone, are necessary for the regulation of fluid and electrolyte balance, particularly of sodium,
potassium, and water. Addison's disease results in a deficiency of cortisol and aldosterone production and requires supplementation with
glucocorticoids and mineralocorticoids. Fludrocortisone is the only mineralocorticoid available.
421225
sB
54
es
t
C.
Hyperthyroidism
Intestinal obstruction
Glaucoma
Low blood pressure
si
A.
B.
C.
D.
ng
T
Question 226 out of 421
A nurse is reinforcing teaching with a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of
the following conditions is a contraindication to this medication?gigi
421226
@
N
ur
51% of exam takers got this question correct.
Correct Answer:
B. Intestinal obstruction
Metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting gastric emptying. It is contraindicated for a
client who has an intestinal obstruction or perforation.
51
B.
Question 227 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following client
statements indicates an understanding of the teaching?
A.
B.
C.
D.
"I will not eat or drink anything for 1 hour after taking the medication.(dissolved)
"I will keep the pills in my plastic pill box when traveling."
"I will contact my doctor if the medication gives me a headache.( headache is a common adverse effect of nitroglycerin. )
"I will sit down when I take this medication.
64% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
D. "I will sit down when I take this medication.(orthostatic hypotension)
The nurse should reinforce with the client the need to sit down when taking this medication to prevent orthostatic hypotension. The client
should change positions slowly after taking this medication.
421421
64
D.
"You might experience somnolence.(But STOP it will insomnia)
"Plan to taper the dose slowly over several months."
"Call the provider if you have muscle weakness.( cause muscle twitches and convulsions )
"Confusion is common during this process.(Alprazolam can cause confusion if acute toxicity occurs from an oral overdose)
sB
A.
B.
C.
D.
an
k
Question 228 out of 421
A nurse is reinforcing teaching about benzodiazepines with a client who is discontinuing long-term use of alprazolam. Which of the
following pieces of information should the nurse include in the teaching?
ng
T
es
t
71% of exam takers got this question correct.
Correct Answer:
B. "Plan to taper the dose slowly over several months."
The nurse should instruct the client to plan to taper the alprazolam, a benzodiazepine and CNS depressant, dose slowly over several weeks
or months to ease the physiological and psychological manifestations of withdrawal.
421228
si
71
N
ur
B.
A.
B.
C.
D.
@
Question 229 out of 421
A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse notes the child's serum phenytoin
level is 14 mcg/mL. Which of the following actions should the nurse take?
Administer the dose
Administer half the dose
Do not administer the dose
Clarify the dose with the provider
55% of exam takers got this question correct.
Correct Answer:
A. Administer the dose
A serum phenytoin level of 14 mcg/mL is within the expected reference range of 10 to 20 mcg/mL. The nurse should administer the
medication as prescribed.
421421
14 mcg / mL
55
A.
http://www.nursingtestsbank.store.
@etsy
14 mcg / mL1020 mcg / mL
Question 230 out of 421
A nurse is reinforcing teaching with a client who has persistent cancer pain about the adverse effects of opioids. Which of the following
statements should the nurse include in the teaching?
E.
F.
G.
H.
"Opioids do not relieve pain without causing severe adverse effects."
"Physical dependence is not the same as addiction."
"Tolerance typically means that the medication will no longer be effective.
"The most common adverse effect is respiratory depression with prolonged use.(most dangerous)
42% of exam takers got this question correct.
Correct Answer:
B. "Physical dependence is not the same as addiction.(
an
k
The nurse should explain that physical dependence can occur in all clients who take opioids, and the client may develop abstinence
syndrome if the opioid is abruptly withdrawn. Physical dependence is not the same as addiction, but it can result in addiction. Addiction
results when the opioid is continued despite physical or psychological harm.
421230
sB
42
es
t
B.
si
Mottling of the extremities(
Orange-red urine and bodily secretionsrifampin bcantitubercular medication
Yellowing of the scleraisoniazidisoniazid and rifampin mix are treating TB!! REMEMBER
Loss of red/green color discrimination
ur
A.
B.
C.
D.
ng
T
Question 231 out of 421
A nurse is collecting data from a client who has tuberculosis and a prescription for ethambutol. The nurse should inform the client that he
is likely to develop which of the following alterations as an adverse effect of this medication?
@
N
42% of exam takers got this question correct.
Correct Answer:
D. Loss of red/green color discrimination
Ethambutol is an antitubercular medication that impairs ribonucleic acid synthesis. A common adverse reaction is the loss of red/green
color discrimination due to optic neuritis. The nurse should notify the provider of this finding and expect a prescription to discontinue the
medication.
421231
42
D./
/
Question 232 out of 421
A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider
immediately?(
A.
B.
C.
Nausea
Bloody stools
Drowsiness
http://www.nursingtestsbank.store.
D.
@etsy
Headache
62% of exam takers got this question correct.
Correct Answer:
B. Bloody stoolsabcs
When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority finding is bloody stools. Adverse
effects of treatment with famotidine might include blood dyscrasias such as thrombocytopenia, which can lead to bleeding. This finding
should be reported to the provider immediately.
421232
62
an
k
B.
sB
Question 233 out of 421
A nurse is preparing to administer codeine 30 mg PO every 4 hour PRN to a client for pain. Codeine oral solution 15 mg/5 mL is available.
How many mL should the nurse plan to administer per dose? (Fill in the blank with the numeric value only. Round the answer to the
nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)(30mg430mg4
ng
T
30mg/xml= 15mg/5ml
15x=150
x=10ml
es
t
81% of exam takers got this question correct.
Correct Answer:
10
N
ur
Pravastatin can be taken with grapefruit juice.
Pravastatin can be continued during pregnancy.
Pravastatin should be taken with the evening meal.(Taking pravastatin with food decreases absorption
Laboratory testing to monitor WBC count is required.(wbccholesterol and triglyceride testing 0
@
A.
B.
C.
D.
si
Question 234 out of 421
A nurse is reinforcing teaching with a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the
following pieces of information should the nurse include in the teaching?
33% of exam takers got this question correct.
Correct Answer:
A. Pravastatin can be taken with grapefruit juice.(
Grapefruit juice increases the bioavailability of some medications, but it does not have this effect on pravastatin. It is safe for the client to
take the medication with grapefruit juice if desired.
421234
33
Question 235 out of 421
A nurse is caring for a female client who has been taking clomiphene to treat infertility. Which of the following findings should indicate to
the nurse that the medication has been effective?
A.
Decreased serum luteinizing hormone (LH) levels
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Follicular enlargement and conversion to corpus luteum after ovulation
Increased human chorionic gonadotropin (hCG) levels(hcg
Blocked endogenous release of LH and prevention of premature ovulationa
48% of exam takers got this question correct.
Correct Answer:
B. Follicular enlargement and conversion to corpus luteum after ovulation
The nurse should identify that clomiphene is a medication that promotes follicular maturation and is used in the treatment of infertility.
Successful treatment reveals progressive follicular enlargement, followed by conversion of the follicle to a corpus luteum after ovulation
occurs.
421235
48
an
k
B.
Question 236 out of 421
A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective
response to the medication?(warfarinmscarol
sB
Hct 45%
Hgb 15 g/dL
aPTT 35 seconds
INR 3.0
es
t
A.
B.
C.
D.
ng
T
69% of exam takers got this question correct.
Correct Answer:
D. INR 3.0INR of 2 to 3
Warfarin is an anticoagulant that prevents thrombus formation in susceptible clients. The INR measures its effectiveness. For most clients
taking warfarin, an INR of 3.0 indicates effective therapy.
ur
si
421236
@
D.INR 3.0
INRINR3.0
N
69
Question 237 out of 421
A nurse is reviewing laboratory reports for a client who has a Clostridium difficile infection and is receiving vancomycin. Which of the
following results should the nurse report to the provider before administering the next dose?(c diff,vancomycin- glycopeptide antibiotic
A.
B.
C.
D.
Hematocrit 46%
Serum glucose 110 mg/dL
Serum creatinine 2.5 mg/dL
Serum potassium 4.8 mEq/L
71% of exam takers got this question correct.
Correct Answer:
C. Serum creatinine 2.5 mg/dL0.5 to 1.3 mg/dL
Vancomycin is nephrotoxic and can result in renal failure, which is indicated by elevated levels of creatinine above the expected reference
range of 0.5 to 1.3 mg/dL. The nurse should report this laboratory value to the provider prior to administering any further doses of the
medication.
421237
http://www.nursingtestsbank.store.
@etsy
71
C.2.5 mg / dL
0.51.3 mg / dL
Question 238 out of 421
A nurse is reinforcing teaching about the adverse effects of ergotamine with a client who has migraine headaches. Which of the following
client statements should indicate an understanding of the teaching?
A.
B.
C.
D.
"If I overuse this medication, I might become addicted to it."
"This medication is okay to use during pregnancy.
"Tingling in my fingers and toes is an adverse effect that goes away with continued use.
"I will experience restlessness as an adverse effect when I begin taking this medication(
an
k
42% of exam takers got this question correct.
Correct Answer:
A. "If I overuse this medication, I might become addicted to it."
The client should take the ergotamine according to the prescribed dose and should only take the medication when needed to avoid
developing a physical dependence.
sB
238238
ng
T
es
t
42
N
ur
BradycardiaTachycardia, rather than bradycardia
Cold intoleranceHeat intolerance, rather than cold intolerance
Tremor
HypothermiaHyperthermia, rather than hypothermia
@
A.
B.
C.
D.
si
Question 239 out of 421
A nurse is collecting data from a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that
the client is experiencing acute levothyroxine overdose?
62% of exam takers got this question correct.
Correct Answer:
C. Tremor
Tremor and anxiety are expected findings in acute levothyroxine overdose. These findings are similar to those seen in hyperthyroidism.
421239
62
C.
Question 240 out of 421
A nurse is collecting data from a client who is taking varenicline for smoking cessation. Which of the following findings is nurses priority?
A.
B.
C.
Erratic behavior
Nausea
Altered sense of taste
http://www.nursingtestsbank.store.
D.
@etsy
Skin rash
55% of exam takers got this question correct.
Correct Answer:
A. Erratic behavior
The nurse should apply the safety and risk reduction priority-setting framework, which assigns priority to the factor or situation posing the
greatest safety risk to the client. When there are several risks to client safety, the risk posing the greatest threat is the highest priority. The
nurse should use Maslows hierarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which risk poses
the greatest threat to the client. For this client, the development of neuropsychiatric effects could progress to depression and suicide.
Therefore, the highest priority in terms of findings is erratic behavior.
421240
55
an
k
A.
MaslowABC/
Ipratropium
Albuterol sulfate
Tiotropium
Budesonide
es
t
A.
B.
C.
D.
sB
Question 241 out of 421
A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for
which of the following inhalers for the client?
si
ng
T
79% of exam takers got this question correct.
Correct Answer:
B. Albuterol sulfate
The nurse should anticipate a client who has mild intermittent asthma to be prescribed albuterol sulfate. Albuterol sulfate is a short-acting
beta2-agonist that activates beta2-receptors in the smooth muscle of the lung, allowing the clients airway and lungs to dilate, thereby
relieving bronchospasm and allowing the client to breathe.
ur
421241
@
N
79
22
Question 242 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension.
Which of the following instructions should the nurse include in the teaching?
A.
B.
C.
D.
"Take hydrochlorothiazide as needed for edema."
"Check your weight once each week."
"Take hydrochlorothiazide on an empty stomach."
"Take hydrochlorothiazide in the morning.
78% of exam takers got this question correct.
Correct Answer:
D. "Take hydrochlorothiazide in the morning.(
The client should take hydrochlorothiazide in the morning to allow diuresis during the day and prevent nocturia.
421242
50 mg PO
http://www.nursingtestsbank.store.
@etsy
78
D.
Question 243 out of 421
A nurse is reinforcing teaching with a client who has a prescription for a combination oral contraceptive (OC) that uses a 28-day cycle.
Which of the following instructions should the nurse include in the teaching?
A.
B.
C.
D.
"If you miss a pill, take the missed pill with your next dose.
"If you miss 2 pills during the second and third week, discard the inactive placebo pills and begin a new pack.(skip pill continue )
"If you miss 3 pills during the second week, take a pill as soon as possible and continue with your scheduled doses.
"You can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks.
an
k
40% of exam takers got this question correct.
Correct Answer:
A. D. "You can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3
weeks."
The nurse should instruct this client that up to 7 days can be missed with little or no increase in the chance of getting pregnant, provided
that the client took the pills continuously for the previous 3 weeks.
sB
421243
28OC
es
t
40
ng
T
D.37
37
ur
N
Blurred vision
Rhinitis
Urinary retention
Anorexia
@
A.
B.
C.
D.
si
Question 244 out of 421
A nurse is preparing to administer an initial dose of etanercept for a client who has rheumatoid arthritis. For which of the following
manifestations should the nurse monitor as a potential adverse effect of the medication?
38% of exam takers got this question correct.
Correct Answer:
B. Rhinitis
The nurse should monitor the client for rhinitis as an adverse effect of etanercept. Other manifestations the nurse should monitor for
include an upper respiratory infection, pharyngitis, and a cough.
421244
38
Question 245 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the
following prescriptions should the nurse clarify with the provider?ng tubeecec
A.
B.
C.
D.
Aspirin EC 325 mg per NG tube daily
Atorvastatin 40 mg per NG tube daily
Propranolol 20 mg per NG tube daily
Sucralfate 2 g oral suspension per NG tube BID
58% of exam takers got this question correct.
Correct Answer:
A. Aspirin EC 325 mg per NG tube dailyec-enteric-coated tablets should not be crushed.
The nurse should clarify the prescription for aspirin EC 325 mg per NG tube daily, as enteric-coated tablets should not be crushed.
421245
NPONG
an
k
58
A.ECNG325 mg
NG325EC
Compare the providers initial prescription with the medication administration record (MAR)
Ask each client to list the medications he or she is currently taking while in the facility
For unmarked medication containers, check the clients MAR 3 times while preparing the medication(cant check it)
Have a second nurse verify the MAR at the clients bedside.(verify the clients MAR with the medication for a final check)
ng
T
A.
B.
C.
D.
es
t
sB
Question 246 out of 421
A nurse is preparing to administer medications to a group of clients. Which of the following actions should the nurse take to verify the
right medication is administered?
si
67% of exam takers got this question correct.
Correct Answer:
A. Compare the providers initial prescription with the medication administration record (MAR)
@
421246
N
ur
To verify the right medication, the nurse should compare the providers prescription with the clients MAR when the prescription is first
received.
67
A.MAR
MAR
Question 247 out of 421
A nurse is reinforcing discharge teaching with a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and
furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?
A.
B.
C.
D.
"Blurred vision is something I will expect to happen while taking digoxin."
"I will measure my urine output each day and document it in my diary.(record the weight!! I&O use for ER)
"I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute.(report a heart rate of <60/min.STOP
medication)
"I will eat fruits and vegetables that have a high potassium content every day."
58% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
D. "I will eat fruits and vegetables that have a high potassium content every day."
Hypokalemia is an adverse effect of diuretic therapy. Because this client is taking digoxin, the client will need to maintain a potassium level
between 3.5 to 5.0 mg/dL to avoid digoxin toxicity.
421247
0.125 mg PO20 mg PO
58
D.
3.55.0 mg / dL
A.
B.
C.
D.
Disulfiramassist a client with maintaining abstinence from alcohol
Chlordiazepoxide
Methadonewithdrawal from opioids
Vareniclinesmoking cessation
an
k
Question 248 out of 421
A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should expect to administer which of the following
medications?(
es
t
sB
52% of exam takers got this question correct.
Correct Answer:
B. Chlordiazepoxide
Chlordiazepoxide is a benzodiazepine, which is a type of medication often used to facilitate withdrawal. It assists with decreasing
withdrawal manifestations, stabilizing vital signs, and preventing seizures and delirium tremens.
ng
T
421248
52
si
del
Pneumonia(urinary rhinitis)
Benign prostatic hypertrophy (BPH) (cause urinary retention,
Hepatitis
Diabetes mellitus
@
A.
B.
C.
D.
N
ur
Question 249 out of 421
A nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription for tizanidine.
Which of the following comorbidities should the nurse identify as increasing the client's risk for adverse effects while taking this
medication?
43% of exam takers got this question correct.
Correct Answer:
C. Hepatitis
Tizanidine can cause liver damage. This medication should be used with extreme caution by a client who has a preexisting impairment of
hepatic function.
421421
43
C.
Question 250 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should identify that which of
the following actions is the purpose of this medication?
A.
B.
C.
D.
Inhibition of ovulation
Thinning of the endometrial liningcause thickening, not thinning, of the endometrial lining
Inhibition of luteinizing hormonedecrease follicular stimulating hormone, not luteinizing hormone.
Thinning of cervical mucus thicken cervical mucus, creating a barrier for sperm
66% of exam takers got this question correct.
Correct Answer:
A. Inhibition of ovulation
The nurse should identify that this medication inhibits ovulation to prevent pregnancy.
421250
66
an
k
A.
Sodium 152 mEq/L
Potassium 6.0 mEq/L
Creatinine clearance 50 mL/min
Aspartate aminotransferase (AST) 52 units/L
es
t
A.
B.
C.
D.
sB
Question 251 out of 421
A nurse is caring for a client who has diabetes insipidus. Which of the following laboratory values should the nurse identify as reflecting a
contraindication to receiving vasopressin to treat this disorder?
ur
@
42
N
421251
si
ng
T
42% of exam takers got this question correct.
Correct Answer:
C. Creatinine clearance 50 mL/min
Creatinine clearance should be above 87 mL/min for female clients and above 107 mL/min for male clients. A creatinine clearance of 50
mL/min indicates renal impairment and is a contraindication to receiving vasopressin. Renal impairment increases the likelihood of the lifethreatening adverse effect of water intoxication.
C.50 mL / min
87 mL / min107 mL / min50 mL / min
Question 252 out of 421
A nurse in a provider's office is collecting data from a client who has been experiencing migraine headaches. Which of the following
medications should the nurse expect the provider to prescribe for abortive therapy of migraine headaches?
A.
B.
C.
D.
Propranololpreventive therapy of migraine headaches.
Estrogen patchmenstrual associated migraine headaches
Sumatriptan
Metoclopramidenausea and vomiting
73% of exam takers got this question correct.
Correct Answer:
C. Sumatriptan
http://www.nursingtestsbank.store.
@etsy
Sumatriptan is prescribed to abort an ongoing migraine headache. The medication is available as oral tablets, nasal inhalation, subcutaneous
injection, and transdermal patch. Sumatriptan can also relieve the associated symptoms related to migraine headaches such as nausea and
photophobia.
421252
73
Question 253 out of 421
A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse
identify as being contraindicated for this client?
Dextromethorphan(over-the-counter cough suppressant)
Montelukast(
Ciprofloxacintreat bacterial infections. cdiff
Propranolol
an
k
A.
B.
C.
D.
es
t
sB
61% of exam takers got this question correct.
Correct Answer:
D. Propranolol
The nurse should identify that a client who is experiencing an acute asthma exacerbation requires the use of a beta2-agonist to alleviate
bronchospasm and relax the client's airway. Therefore, propranolol is contraindicated for this client. Propranolol is a beta-blocker that is
used to treat cardiac conditions, including hypertension. Blocking the beta receptors prevents the action of beta2-agonists such as albuterol.
ng
T
421253
61
ur
si
D.
22
A.
B.
C.
D.
@
N
Question 254 out of 421
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the
following therapeutic effects?
Antimicrobialtreat infectious diseases
Anti-estrogenic
Androgenicpromote male sex
Anti-inflammatorysuppress inflammation
58% of exam takers got this question correct.
Correct Answer:
B. Anti-estrogenic
Tamoxifen is an anti-estrogen medication used to treat cancer of the breast in both premenopausal and postmenopausal women who are at
an increased risk.
421254
58
B.
http://www.nursingtestsbank.store.
@etsy
Question 255 out of 421
A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate labor. Which of the following statements
should the nurse include in the teaching?(gelpouch
A.
B.
C.
D.
"It is inserted using a catheter.(Dinoprostone gel .not pouch!!)
"One pouch is given every 4 hours until labor occurs.medication slowly until active labor occurs or is removed after 12 hours.
"Lie on your back for at least 2 hours without getting up."
"If labor doesn't occur within 6 hours, a second dose can be administered.(dinoprostone vaginal insert pouch lasts for up to 12 hours
and is removed )
46% of exam takers got this question correct.
Correct Answer:
C. "Lie on your back for at least 2 hours without getting up."
The client should remain supine for at least 2 hours after the dinoprostone vaginal pouch is inserted to allow a slow release of the
medication from the pouch to stimulate labor.
an
k
421255
46
sB
C.2
2
History of cirrhosis
History of multiple sclerosis
History of cerebral palsy
History of malignant hyperthermia
ng
T
A.
B.
C.
D.
es
t
Question 256 out of 421
A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the client's
medical history should the nurse identify as a contraindication to the administration of this medication?
57
A.
N
@
421256
ur
si
57% of exam takers got this question correct.
Correct Answer:
A. History of cirrhosis(
The nurse should identify that dantrolene is contraindicated for clients who have active liver disease because it is hepatotoxic and can cause
liver failure. Liver function tests are monitored for clients throughout treatment with this medication.
Question 257 out of 421
A nurse is preparing to administer cefaclor 750 mg PO in 3 divided doses. Cefaclor 500 mg/tablet is available. How many tablets should the
nurse administer with each dose? (Fill in the blank with the numeric value only. Round the answer to the nearest tenth. Use a leading zero
if applicable but do not use a trailing zero.)
750mg /3/x table=500mg/1table
500x=250
x=0.5
Question 258 out of 421
A nurse is reinforcing teaching with the guardian of an infant about the diphtheria, tetanus, and pertussis (DTaP) vaccine. Which of the
following pieces of information should the nurse include in the teaching?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
"Routine immunization for DTaP consists of 3 injections.(DTaP consists of 5 injections)
"The first immunization for DTaP in the series is given at 2 months."
"DTaP immunization has been replaced with DTP.(
"This immunization is administered subcutaneously.(Im)
64% of exam takers got this question correct.
Correct Answer:
B. "The first immunization for DTaP in the series is given at 2 months."
The nurse should tell the guardian that the first immunization of DTaP is given at 2 months, with the rest of the vaccinations occurring at 4
months, 6 months, 15 to 18 months, and 4 to 6 years of age.
421258
DTaP
an
k
64
B.DTaP2
sB
DTaP246151846
Alanine aminotransferase (ALT) 60 international units/L4 to 36 international units/L.
Creatinine clearance 35 mL/min
HbA1c 5% 4 to 5.9%
BMI 31
ng
T
A.
B.
C.
D.
es
t
Question 259 out of 421
A nurse is reviewing the laboratory data for a client who has Alzheimers disease and a new prescription for memantine. The nurse should
identify that which of the following findings increases the clients risk for reduced clearance of the medication?(
66
@
421259
N
ur
si
66% of exam takers got this question correct.
Correct Answer:
B. Creatinine clearance 35 mL/minexpected reference range of 87 to 139 mL/min
Creatinine clearance is an estimate of the glomerular filtration rate (GFR) and the kidneys' ability to filter waste. A creatinine clearance of
35 mL/min is below the expected reference range of 87 to 139 mL/min and indicates moderate renal impairment. Memantine is excreted by
the kidneys, and decreased clearance occurs with moderate renal impairment.
B.35 mL / min
GFR 35 mL / min87139 mL / min
Question 260 out of 421
A nurse is reinforcing teaching with a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for
long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone?gi
A.
B.
C.
D.
ThrombosisNSAIDs
Immunosuppressiondisease-modifying anti-rheumatic drugs (DMARDs) can cause immunosuppression and hepatotoxicity
Gastric ulceration
Liver toxicityDMARD, can cause hepatotoxicity
35% of exam takers got this question correct.
Correct Answer:
C. Gastric ulceration(
http://www.nursingtestsbank.store.
@etsy
The nurse should instruct the client to monitor for gastric ulceration as an adverse effect of the long-term use of v. Other adverse effects of
this medication include osteoporosis and adrenal suppression.
421260
35
C.
Question 261 out of 421
A nurse is planning care for a client who has gout and a new prescription for allopurinol. Which of the following actions should the nurse
plan to take?
Instruct the client to increase fluid intake to 2 to 3 L daily
Ensure the client increases vitamin C intakevc
Increase the clients dosage during an acute gout attack(Allopurinol does not relieve acute attacks of gout. nsids )
Explain to the client that a harmless rash can occur during early therapyhypersensitivity that can be life-threatening
an
k
A.
B.
C.
D.
es
t
sB
79% of exam takers got this question correct.
Correct Answer:
A. Instruct the client to increase fluid intake to 2 to 3 L daily
ng
T
The nurse should instruct the client to increase fluid intake to 2 to 3 L daily to prevent the risk of kidney stone formation and renal injury.
A urine output of 2 L per day is required to prevent injury to the kidneys.
421261
si
79
N
23 L2
ur
A.23 L
@
Question 262 out of 421
A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse
should identify that which of the following is the therapeutic effect of this medication?(dobutaminechloride
A.
B.
C.
D.
Improves oxygen saturation rate
Decreases elevated blood pressure
Reduces heart rate
Improves cardiac output
82% of exam takers got this question correct.
Correct Answer:
D. Improves cardiac outputvasopressor
The nurse should identify that dobutamine is a vasopressor that improves cardiac output and hemodynamic status in clients.
421262
82
D.
http://www.nursingtestsbank.store.
@etsy
Question 263 out of 421
A nurse is reinforcing teaching with a client who has chronic asthma and a new prescription for cromolyn. Which of the following
instructions should the nurse include in the teaching?
A.
B.
C.
D.
"Use the inhaler just before exercise.
"The medication's therapeutic effects can take up to several weeks to develop."
"You will shake the medication container for 3 seconds.(nebulizer!! not a metered-dose inhaler, shake )
"You will need to exhale slowly after you inhale.( inhale and exhale normally)
43% of exam takers got this question correct.
Correct Answer:
B. "The medication's therapeutic effects can take up to several weeks to develop."
The nurse should include in the teaching that the therapeutic effects of cromolyn can take up to several weeks to develop.
an
k
421263
43
sB
B.
Buprenorphine(
Tramadolnon-opioid
Hydromorphone
Oxycodoneopioid agonist that is used for the treatment of mild to moderate pain
ur
si
54% of exam takers got this question correct.
Correct Answer:
C. Hydromorphone
ng
T
A.
B.
C.
D.
es
t
Question 264 out of 421
A nurse is caring for a client who is experiencing severe cancer pain. Which of the following medications should the nurse expect the
provider to prescribe?
54
@
421264
N
The nurse should expect the provider to prescribe hydromorphone, an opioid agonist. Hydromorphone is used for the treatment of
moderate to severe pain management in clients who have cancer.
C.
Question 265 out of 421
A nurse is preparing to administer acetaminophen 1 g PO 3 times per day PRN to a client who has a fever. The amount available is
acetaminophen 325 mg/1 tablet. How many tablets should the nurse administer per dose? (Fill in the blank with the numeric value only.
Round to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)
1000mg/x=325/1
325x=1000
x=3 table
http://www.nursingtestsbank.store.
@etsy
Question 266 out of 421
A nurse is caring for a client who is receiving lidocaine for localized pain. The nurse should recognize that which of the following actions
will help prevent systemic toxicity of this medication?(
A.
B.
C.
D.
Applying a heating pad following administration to increase blood flow to the area(
Applying the medication to intact skin
Applying a large amount of the medication at once to avoid frequent reapplication(receive the smallest dose)
Applying the medication to large areas for maximum spread(applied to small areas of localized pain.
84% of exam takers got this question correct.
Correct Answer:
B. Applying the medication to intact skin
Lidocaine applied to broken or irritated skin can increase the risk of systemic absorption.
421266
an
k
84
B.
es
t
Constipation
Tremors
Fatigue
BradycardiaTachycardia, rather than bradycardia
ng
T
A.
B.
C.
D.
sB
Question 267 out of 421
A nurse is collecting data from a client who takes oral theophylline to relieve chronic bronchitis. The nurse should recognize that which of
the following findings indicates toxicity to theophylline?
ur
N
421267
si
65% of exam takers got this question correct.
Correct Answer:
B. Tremors
Theophylline is a xanthine derivative bronchodilator. An early manifestation of toxicity is CNS stimulation, often seen as tremors. Seizures
can occur if blood levels continue to rise.
@
65
B.
Question 268 out of 421
A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the
nurse that the medication has been effective?(atropines
A.
B.
C.
D.
"I feel a little drowsy with this medication."
"I am now drinking much more water."
"I have not had a bowel movement today."
"I no longer feel chest tightness.cns
41% of exam takers got this question correct.
Correct Answer:
C. "I have not had a bowel movement today."
The nurse should identify that diphenoxylate-atropine is an opioid used to treat diarrhea. The therapeutic response of this medication is a
decrease in the frequency of watery stools due to reduced motility of the intestinal lining.
421268
http://www.nursingtestsbank.store.
@etsy
41
C.
Question 269 out of 421
A nurse is preparing to administer azithromycin 150 mg liquid suspension PO every 12 hours to a client. Azithromycin 50 mg/5 mL is
available. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only. Round to the nearest whole
number. Use a leading zero if applicable but do not use a trailing zero.)
150/x=50/5
50x=150x5
x=15ml
Increased urinary outputoliguria
Increased susceptibility to infection
Increased hair losshirsutism rather than hair loss
Increased risk for autoimmune disorderstreatment of autoimmune disorders.
sB
A.
B.
C.
D.
an
k
Question 270 out of 421
A nurse is reinforcing teaching about immunosuppressive medications with a client who had kidney transplant surgery. Which of the
following adverse effects of these medications should the nurse include in the teaching?cyclosporiney
ng
T
es
t
78% of exam takers got this question correct.
Correct Answer:
B. Increased susceptibility to infection
Immunosuppressive medications such as cyclosporine increase the risk of infection. As the medication classification indicates, these
medications impair immunity and adversely affect the client's ability to resist and fight infection.
421270
si
78
ur
B.
A.
B.
C.
D.
@
N
Question 271 out of 421
A nurse is reinforcing teaching with a client who is starting patient-controlled analgesia (PCA) following a procedure. Which of the
following client statements indicates an understanding of the teaching?pcadose
"This method of medication can increase the chances of overdose."
"I should self-administer the medication 1 hour before walking.10mins
"I should expect to receive smaller doses when I am sleeping.larger continuous dose
"This method works by keeping my opioid levels steady."
58% of exam takers got this question correct.
Correct Answer:
D. "This method works by keeping my opioid levels steady."
The nurse should tell the client that a PCA pump is effective for pain control because it delivers a small amount of medication continuously
rather than administering a large amount of medication infrequently.
421271
PCA
58
http://www.nursingtestsbank.store.
@etsy
D.
PCA
Question 272 out of 421
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the following findings should indicate to the nurse
that the treatment is effective?(
A.
B.
C.
D.
Decreased blood glucoseincrease blood glucose levels
Increased potassiuthesismcausing sodium, water retention, and potassium loss.
Increased prostaglandin synthesis budesonide inhibits prostaglandin synthesis
Decreased inflammation
an
k
86% of exam takers got this question correct.
Correct Answer:
D. Decreased inflammation
For a client who has Crohn's disease, a decrease in inflammation of the gastrointestinal lining of the client's large intestine is a therapeutic
effect of taking budesonide. Budesonide is a glucocorticoid that works by suppressing the immune system. Glucocorticoids inhibit the
actions of prostaglandins and leukotrienes.
sB
421272
86
es
t
D.
si
Hypertension
LeukocytosisB and C. Epoetin alfa is a growth factor
Bone painused to stimulate the production of red blood cells in the bone marrow
Neutropenia(
ur
A.
B.
C.
D.
ng
T
Question 273 out of 421
A nurse is reinforcing teaching with a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. The nurse should
instruct the client to report which of the following findings as an adverse effect of epoetin alpha?
@
N
48% of exam takers got this question correct.
Correct Answer:
A. Hypertension
The nurse should instruct the client to report hypertension, which is an adverse effect of epoetin alfa. Other adverse effects can include
headaches, seizures, heart failure, and thromboembolic events related to increased hemoglobin levels.
421273
48
A.
Question 274 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. Which of the following adverse effects can occur
with the abrupt withdrawal of phenytoin?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
Status epilepticus
Bleeding gumsgingival hyperplasia.
Disorientation can alter cognitive function.
Severe nausea(
61% of exam takers got this question correct.
Correct Answer:
A. Status epilepticus
The nurse should reinforce with the client that abruptly discontinuing phenytoin can cause status epilepticus.
421274
61
A.
ng
T
71% of exam takers got this question correct.
Correct Answer:
D. Reduced cramping, aching, and burning neuropathic pain
sB
Reduced cancer-related bone painetidronate
Decreased anxiety and insomniahydroxyzine is an antihistamine
Decreased inflammatory response to cancer tumorsdexamethasone
Reduced cramping, aching, and burning neuropathic pain
es
t
A.
B.
C.
D.
an
k
Question 275 out of 421
A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following
therapeutic effects should the nurse identify for the client when taking this medication?()
si
The nurse should identify that gabapentin is administered to treat neuropathic pain that is sharp and darting. The medication can also
decrease cramping, aching, and burning pain and suppress spontaneous neuronal firing that causes pain.
N
D.
@
71
ur
421275
Question 276 out of 421
A nurse is checking a client who is receiving an IV infusion of telavancin for Streptococcus pyogenes. Which of the following actions
should the nurse perform?
A.
B.
C.
D.
Check to see if the client's urine is blue in color( urine for a foaminess)
Check the client for pruritus
Check for hypertension(hypo
Check for numbness in the limbs
55% of exam takers got this question correct.
Correct Answer:
B. Check the client for pruritus
http://www.nursingtestsbank.store.
@etsy
The nurse should monitor a client who receives telavancin for pruritus, which can occur if the client develops generalized exfoliative
dermatitis from infusing the medication too rapidly. Manifestations of this condition can include flushing, rash, pruritus, urticaria,
tachycardia, and hypotension.
421276
55
B.
A.
B.
C.
D.
Nitroglycerinincrease collateral flow in the ischemic heart.
Aspirin
Morphineimprove hemodynamics by reducing preload.
Metoprololreduce the client's cardiac pain
an
k
Question 277 out of 421
A nurse is collecting data from a client who is experiencing chest pain. Which of the following medications should the nurse expect to
administer to suppress the aggregation of platelets?+
es
t
sB
60% of exam takers got this question correct.
Correct Answer:
B. Aspirin
Aspirin suppresses platelet aggregation, producing an immediate antithrombotic effect. The client should chew the first dose of aspirin to
allow rapid absorption.
ng
T
421277
si
60
Obtain an infusion pump for the RN to regulate the rate of infusion
Plan to have the IV solution bag changed every 48 hours24
Make sure the freshly prepared IV solution has a slight greenish tintlight brown color
Locate an amber plastic bag to cover the medication solution opaque material
@
A.
B.
C.
D.
N
ur
Question 278 out of 421
A nurse is assisting with preparing IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the
nurse take?
67% of exam takers got this question correct.
Correct Answer:
A. Obtain an infusion pump for the RN to regulate the rate of infusion
The nurse should obtain an infusion pump for the RN to use to regulate the rate of the infusion based on the client's weight in the
calculation. Sodium nitroprusside is a potent vasodilator that works faster than any other medication available and is administered as a
continuous IV infusion.
421278
67
A.RN
RN
http://www.nursingtestsbank.store.
@etsy
Question 279 out of 421
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should
the nurse take?(
A.
B.
C.
D.
Use a 22-gauge needle to administer the medication(25)
Inject the medication into a musclesubcutaneously
Massage the site after administering the medication(apply firm pressure to the injection site)
Administer the medication into the client's abdomen
82% of exam takers got this question correct.
Correct Answer:
D. Administer the medication into the client's abdomen
The heparin should be administered into the client's abdomen.
421279
an
k
82
D.
es
t
"I will administer a spray into each nostril daily.alternating nostrils.
"I should expect nasal bleeding for the first week.
"I will need to depress the side arms initially to activate the pump."
"I should expect to take this medication for a short-term course of treatment.(long,salmon)
ng
T
A.
B.
C.
D.
sB
Question 280 out of 421
A nurse is reinforcing teaching with a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon.
Which of the following statements by the client indicates an understanding of the teaching?
C.
26
ur
@
50
N
421280
-
si
50% of exam takers got this question correct.
Correct Answer:
C. "I will need to depress the side arms initially to activate the pump."
The nurse should instruct the client to activate the pump initially by holding the bottle upright and depressing the 2 white side arms
toward the bottle 6 times.
Question 281 out of 421
A nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. The client has a prescription for depot
medroxyprogesterone acetate (DMPA). At which of the following times should the nurse schedule the client to receive the first dose of the
medication?
A.
B.
C.
D.
After 3 months postpartum
At 6 weeks postpartum
Within the first 5 days postpartum
During the first week of the first postpartum menstrual cycle
44% of exam takers got this question correct.
Correct Answer:
B. At 6 weeks postpartum
The nurse should tell the client that the first dose should be administered at 6 weeks postpartum if the client is exclusively breastfeeding
and after ensuring the client is not pregnant.
http://www.nursingtestsbank.store.
@etsy
421421
DMPA
44
B.6
6
Question 282 out of 421
A nurse is reinforcing teaching with a client about the proper placement of a nitroglycerin patch. Which of the following statements by the
client indicates an understanding of the teaching?(
A.
B.
C.
D.
"I'll apply the patch over areas of my body with little fatty tissue.(
"I can place the patch on any area of my body without hair."
"I'll put the patch on the same site as the previous patch.cant )
"I have to apply the patch directly over my heart.
an
k
74% of exam takers got this question correct.
Correct Answer:
B. "I can place the patch on any area of my body without hair."
A nitroglycerin transdermal patch should be applied to skin that is free from hair because hair creates a physical barrier to absorption.
sB
421282
es
t
74
ng
T
B.
Question 283 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following
statements by the client indicates an understanding of the teaching?(
ur
si
"If I have a strong urge to drink alcohol, I should skip my dose for that day.cant ,avoiding alcohol during this time)
"Even when I'm not drinking alcohol, adverse effects can include seizures.(drowsiness and skin eruptions)
"Medication therapy can begin as soon as I enter the detoxification program.(24
"I should check the labels of my skin-care products, medications, and foods for alcohol.
N
A.
B.
C.
D.
@
66% of exam takers got this question correct.
Correct Answer:
D. "I should check the labels of my skin-care products, medications, and foods for alcohol."
The client should check products for the presence of alcohol when taking disulfiram. The nurse should inform the client that only 7 mL of
alcohol is needed to precipitate adverse effects of the medication. Alcohol can be found in cough syrups, vinegar, and sauces. It might also
be applied to the skin in aftershave, and colognes.
421283
66
D.
7
Question 285 out of 421
A nurse is collecting data from a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the
client indicates an adverse effect of the medication that should be reported to the provider immediately?1st
A.
B.
"I have had occasional constipation."
"I have had some gas."
http://www.nursingtestsbank.store.
C.
D.
@etsy
"My head has been hurting on some days."
"My legs feel weak and achy.
75% of exam takers got this question correct.
Correct Answer:
D. "My legs feel weak and achy.(
When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority finding is muscle pain and
weakness. A serious adverse effect of this medication is muscle injury, which can progress to severe myositis. The client should report any
unusual onset of muscle pain or tenderness to the provider immediately.
421285
75
D.
sB
"Vitamin A supplements are usually prescribed during pregnancy.(Retinol
"Vitamin A can be taken in high doses because it is water-soluble.fat-soluble
"Vitamin A is encouraged for women who have osteoporosis.( vitamin A can cause damage to the bones)
"A deficiency of vitamin A can cause night blindness.
es
t
A.
B.
C.
D.
an
k
Question 286 out of 421
A nurse is reinforcing teaching with a female client about vitamin A supplementation. Which of the following client statements indicates
an understanding of the teaching?(a
ng
T
67% of exam takers got this question correct.
Correct Answer:
D. "A deficiency of vitamin A can cause night blindness."
The nurse should identify that vitamin A is required for dark light adaptation. When a client has a deficiency of vitamin A, night blindness
is often the first sign. As the deficiency continues, other eye conditions can arise such as a dry and thickened conjunctiva and degeneration
of the cornea.
ur
67
si
421286
A
@
N
D.A
AA
Question 288 out of 421
A nurse is reinforcing teaching with a client who has primary adrenal insufficiency (Addison's disease) and a prescription for
hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication?(
A.
B.
C.
D.
"You may need to take a lower dosage when you are ill or experiencing stress.
"Take this medication before going to bed because it will make you tired.(cortisol secretion naturally peak in the morning)
"Carry a supply of pills and a single-use injectable preparation with you at all times."
"You will need to stop this medication before routine procedures such as a colonoscopy.
44% of exam takers got this question correct.
Correct Answer:
C. "Carry a supply of pills and a single-use injectable preparation with you at all times."
The nurse should tell the client to carry an emergency supply of the medication to take during times of unexpected stress. The client should
carry an adequate supply at all times, which should include an injectable preparation plus a supply equal to the regular oral dosage. The
single-use injectable preparation should be administered IM if the client has an emergency and needs an extra dose of the glucocorticoid.
421288
http://www.nursingtestsbank.store.
@etsy
44
C.
Question 289 out of 421
A nurse is collecting data preoperatively from a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for
increased bleeding when the client reports taking which of the following dietary supplements?
A.
B.
C.
D.
Soy
Garlic
Black cohosh
Green tea
sB
an
k
60% of exam takers got this question correct.
Correct Answer:
B. Garlic3g
Many dietary supplements can affect clotting or interact with other medications that affect clotting, increasing the client's risk of bleeding.
Examples of these dietary supplements include garlic, echinacea, feverfew, ginger, glucosamine, and ginkgo biloba. The nurse should notify
the provider immediately about this potential risk.
es
t
421289
ng
T
60
N
ur
"I should take naproxen if I have a headache because aspirin can cause lithium toxicity.(NASIDs,
"I can develop lithium toxicity if I eat foods with lots of sodium. larger amounts of sodium reduces the risk for lithium toxicity
"I can develop lithium toxicity if I experience vomiting or diarrhea."
"I might need to take a daily diuretic along with my lithium to prevent lithium toxicity.Diuretics decrease kidney excretion of lithium
@
A.
B.
C.
D.
si
Question 290 out of 421
A nurse is reinforcing discharge teaching about lithium toxicity with a client who has a new prescription for this medication. Which of the
following statements by the client indicates an understanding of the teaching?
57% of exam takers got this question correct.
Correct Answer:
C. "I can develop lithium toxicity if I experience vomiting or diarrhea."
Vomiting or diarrhea can cause electrolyte imbalances. If serum sodium decreases, lithium is retained by the kidneys, increasing the risk of
lithium toxicity.
421290
57
C.
Question 291 out of 421
A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the
following medications?
A.
Epinephrine treat cardiac arrest and anaphylaxis.
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Nitroglycerin
Lidocaineantidysrhythmic medication
Atropinetreat and manage bradycardia by increasing the heart rate.a
89% of exam takers got this question correct.
Correct Answer:
B. Nitroglycerin
The nurse should anticipate a prescription for nitroglycerin, which is indicated for a client who has unstable angina. Nitroglycerin is an
organic nitrate and a vasodilator that acts by relaxing or preventing spasms in the coronary arteries, thereby decreasing the oxygen demand
of the heart along with ventricular filling.
421291
89
an
k
B.
Question 292 out of 421
A nurse is reinforcing teaching with a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the
following client statements should indicate to the nurse that the teaching was effective?
sB
B.
C.
D.
"I should avoid taking NSAIDs while using this medication.NSAIDs) and aspirin can cause gastric ulcers by inhibiting prostaglandin
synthesis
"Misoprostol is used to treat stress-induced gastric ulcers.prevention not approved for ulcer treatment.
"I should avoid becoming pregnant while taking this medication."
"This medication is also used to treat dysmenorrhea.(adverse effect of dysmenorrhea )
es
t
A.
ng
T
43% of exam takers got this question correct.
Correct Answer:
C. "I should avoid becoming pregnant while taking this medication.
N
@
421292
ur
si
The nurse should identify that misoprostol is contraindicated during pregnancy and is classified as pregnancy risk category X by the Food
and Drug Administration (FDA). It has the potential to stimulate uterine contractions, and the use of misoprostol during pregnancy has
been known to cause partial or complete expulsion of the developing fetus.
43
C.
FDAX
Question 293 out of 421
A nurse is reinforcing teaching with the guardian of a school-aged child about growth hormone therapy. Which of the following statements
should the nurse include in the teaching?
A.
B.
C.
D.
"Your child will grow an extra 4 to 6 inches while receiving hormone therapy.2.54 to 7.62 cm (1 to 3 in)
"Hormone injection therapy will occur for 2 to 3 years.4-6
"Your child will receive hormone injections no more often than 1 to 2 times each week.administered 6 to 7 times each week.
"The hormone injections are administered subcutaneously."
53% of exam takers got this question correct.
Correct Answer:
http://www.nursingtestsbank.store.
@etsy
D. "The hormone injections are administered subcutaneously."
The nurse should include in the teaching that growth hormone therapy is administered subcutaneously, which is the preferred route of
administration since the injections are more painful when administered intramuscularly.
421293
53
D.
57% of exam takers got this question correct.
Correct Answer:
D. Administering a continuous infusion of the dose
sB
Gradually increasing the dose with the dosing interval(
Administering a single loading IM dose(
Using a large fluid-volume IV dose
Administering a continuous infusion of the dose
es
t
A.
B.
C.
D.
an
k
Question 294 out of 421
A nurse is caring for a client who is receiving a medication parenterally. Which of the following techniques should the nurse identify as
effective in reducing fluctuations in plasma medication levels?(imiv
ng
T
By administering a medication by continuous infusion, plasma levels stay nearly constant, thus reducing fluctuations in plasma levels.
421421
si
57
N
ur
D.
@
Question 295 out of 421
A nurse is caring for a client who has osteoporosis and has been taking a vitamin D supplement. The nurse notes that the client reports also
taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D
toxicity?
A.
B.
C.
D.
Hyperkalemiadiuretics
Hypermagnesemiaexcessive amount of magnesium hydroxide
Hypercalcemia
Hypernatremiamineralocorticoids are too highHypernatremia
83% of exam takers got this question correct.
Correct Answer:
C. Hypercalcemia
The nurse should identify that vitamin D increases plasma calcium levels by increasing reabsorption from bone, decreasing excretion by the
kidneys and increasing absorption from the intestines. Clients who take a vitamin D supplement along with a multivitamin daily might be
taking too much calcium.
421295
DD
http://www.nursingtestsbank.store.
@etsy
83
C.
DD
Question 296 out of 421
A nurse is reinforcing teaching about how to take donepezil with a client who was recently diagnosed with early Alzheimer's disease.
Which of the following instructions should the nurse include?
A.
B.
C.
D.
"You should chew the medication thoroughly prior to swallowing.(not to crush, spit, or chew the tablet,)
"You should take this medication late in the evening."
"You should take this medication with food.(cant .gi)
"If you miss taking a dose for a day, take 2 dosses the following day.
an
k
49% of exam takers got this question correct.
Correct Answer:
B. "You should take this medication late in the evening.
The nurse should instruct the client to take donepezil late in the evening, just before going to bed.
421296
sB
49
es
t
B.
B.
C.
D.
The SABA will provide prolonged control of asthma attacks.A. C. Prolonged control of asthma requires the use of a long-acting beta2
agonist (LABA) bronchodilator
SABAs are also available in an oral form.SABAs are only available as inhaled preparations
The SABA will have to be taken with an inhaled glucocorticoid.
Notify the provider if the SABA is needed more than twice per week.
si
A.
ng
T
Question 297 out of 421
A nurse is reinforcing teaching with a client who has asthma and a new prescription for a short-acting beta2 agonist (SABA)
bronchodilator. Which of the following pieces of information should the nurse provide in the teaching?PRN rescue medicationsaba, laba
421297
2SABA
@
N
ur
50% of exam takers got this question correct.
Correct Answer:
D. Notify the provider if the SABA is needed more than twice per week.
SABA bronchodilators are used as a PRN rescue medication to stop an ongoing asthma attack. If the client requires the SABA more than
twice per week, the provider should be notified because a prescription for a long-acting beta2 agonist (LABA) might be required. Using a
SABA more than twice per week can lead to serious adverse effects.
50
D.SABA
SABAPRNSABAbeta2LABASABA
Question 298 out of 421
A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of
the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first?
A. Notify the provider
B. Contact the nursing supervisor
C. Check the client's apical pulse
D. Complete an incident report
87% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
C. Check the client's apical pulse
Caring for this client requires application of the nursing process priority-setting framework. The nurse can use the nursing process to plan
client care and prioritize nursing actions. Each step of the nursing process builds on the previous step, beginning with data collection.
Before the nurse can formulate a plan of action, implement a nursing intervention, or notify a provider about a change in the client's status,
the nurse must first collect adequate data from the client. Collecting additional data will provide the nurse with the knowledge to make an
appropriate decision. Therefore, the first action the nurse should take is to assess the client.
421421
09000.25PO0.125 mg
87
C.
D.
Development of gastric ulcersNSAIDs
Development of milk intolerance
Allergic reactions to the medicationhypersensitivity reaction to an antibiotic such as amoxicillin include pruritus, urticaria,
hypotension, bronchospasm, wheezing, and laryngeal edema.
Alterations in gastrointestinal flora
sB
A.
B.
C.
an
k
Question 299 out of 421
A nurse in a provider's office is collecting data from a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping.
The nurse should recognize that these manifestations occur secondary to which of the following adverse effects?gi
ng
T
es
t
74% of exam takers got this question correct.
Correct Answer:
D. Alterations in gastrointestinal flora
The typical gastrointestinal flora are often destroyed by broad-spectrum antibiotics such as amoxicillin, causing poor digestion and possible
superinfection with other bacteria.
421299
10
si
74
N
ur
D.
A.
B.
C.
D.
@
Question 300 out of 421
A nurse has administered a medication to a client. Which of the following circumstances should the nurse identify as a medication error
that resulted from a performance deficit by the nurse?
A medication safety coordinator was not present.
A verbal prescription was transcribed incorrectly.
A medication with a similar name was dispensed instead of the correct medication.
An intramuscular injection was given instead of a subcutaneous injection.
66% of exam takers got this question correct.
Correct Answer:
D. An intramuscular injection was given instead of a subcutaneous injection.
Performance deficits such as using an improper route of administration for a medication are the most common causes of medication errors
that result from human error. The nurse can effectively reduce medication errors in clinical practice by implementing a safety checklist and
diligently using the rights of medication administration. If the nurse is not following the rights of medication administration, then the
nurse has a performance deficit.
421300
66
http://www.nursingtestsbank.store.
@etsy
D.
Question 301 out of 421
A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify that which of the following
medications used for long-term treatment places the client at an increased risk of asthma-related death?
A.
B.
C.
D.
Salmeterol
Fluticasone
Budesonide
Theophylline
an
k
43% of exam takers got this question correct.
Correct Answer:
A. Salmeterol(
The nurse should identify that salmeterol is a long-acting beta2-agonist. When this medication is used alone for the long-term treatment of
asthma, this class of medication increases the client's risk of asthma-related death. To decrease this risk, the client should be prescribed both
a long-acting beta2-agonist along with an inhaled corticosteroid.
421301
sB
43
es
t
2-2
ng
T
Question 302 out of 421
A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL infused over 12 hours. The drop factor of the manual IV tubing is
10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the numeric value only.
Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)
ur
si
QID: 76885
Fill in the Blank
14
@
N
1000 ml/(12hr x 60min ) x 10gtt / 1ml
x=13.8
x=14
Question 303 out of 421
A nurse is reinforcing teaching with a client who has dyspepsia about prescribed antacids. Which of the following statements should the
nurse include in the teaching?(
A.
B.
C.
D.
"Take antacids 1 hour apart from other medications."
"Increase your sodium intake to avoid hyponatremia.Antacids can cause sodium loading
"Avoid combining antacids due to an increased risk of adverse effects.decrease each doseAntacids can cause constipation or diarrhea
"Antacids are taken 3 times daily.(7)
68% of exam takers got this question correct.
Correct Answer:
A. "Take antacids 1 hour apart from other medications."
The nurse should include in the teaching that antacids increase gastric pH, which causes an interference with the absorption of various
medications. To help minimize these interactions, the client should take the antacids at least 1 hour apart from other medications.
421303
http://www.nursingtestsbank.store.
@etsy
68
1
pH1
Question 304 out of 421
A nurse discovers that a client received an incorrect dosage of a morning medication. Which of the following actions should the nurse take
first?
A.
B.
C.
D.
Collect data from the client to determine the clients condition
Report the incident to the nursing supervisorbd
Complete and file a facility incident report
Notify the clients provider of the incident
an
k
86% of exam takers got this question correct.
Correct Answer:
A. Collect data from the client to determine the clients condition
The first action the nurse should take when using the nursing process is to collect data from the client to determine the clients condition
and safety.
sB
421304
es
t
86
ng
T
A.
ur
Reye's syndrome
Visual disturbances
Diabetes mellitus
Wilms' tumor
N
A.
B.
C.
D.
si
Question 305 out of 421
A nurse is reinforcing teaching with a group of new parents about medications. The nurse should include that aspirin is contraindicated in
children who have a viral infection due to the risk of developing which of the following adverse effects?
@
94% of exam takers got this question correct.
Correct Answer:
A. Reye's syndrome
Aspirin should not be given to children or adolescents who have a viral infection such as chickenpox or influenza due to the risk of
developing Reye's syndrome.
421305
94
A.
Question 306 out of 421
A nurse is caring for a client who has developed MRSA in a surgical incision. Which of the following medications should the nurse expect
the provider to prescribe?(mrsa
A.
B.
Ceftriaxone first drug of choice prescribed for salmonella.
Vancomycin
http://www.nursingtestsbank.store.
C.
D.
@etsy
Ketoconazole antifungal medication
Ciprofloxacinfirst drug of choice prescribed for urinary tract infections.
75% of exam takers got this question correct.
Correct Answer:
B. Vancomycin
Vancomycin is the first drug of choice to treat serious methicillin-resistant staphylococcus aureus (MRSA) infections.
421306
MRSA
an
k
75
MRSA
sB
Question 307 out of 421
A nurse is preparing to administer amoxicillin liquid suspension 250 mg PO every 8 hours to an older adult client. The amount available is
amoxicillin 50 mg/mL. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only. Round the
answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)8
es
t
250mg/xml=50mg/1ml
x=5ml
si
Metaxalone
Ferrous sulfate
Spironolactone
Ibuprofen
ur
A.
B.
C.
D.
ng
T
Question 308 out of 421
A nurse is reviewing the medication administration record of a client who has a new prescription for levothyroxine. Which of the
following medications should the nurse identify as needing to be administered 4 hours after levothyroxine administration?
@
N
52% of exam takers got this question correct.
Correct Answer:
B. Ferrous sulfate
The nurse should identify that ferrous sulfate can reduce the absorption of levothyroxine. The nurse should administer levothyroxine in the
morning when the client has an empty stomach and then administer the ferrous sulfate 4 hours later to ensure adequate absorption.
421308
4
52
4
Question 309 out of 421
A nurse is caring for a client who takes gentamicin IM and has a prescription to obtain a blood sample to measure a trough level. At which
of the following times should the nurse should draw the blood sample?
A.
Within 15 minutes prior to the next medication dose
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
3 hours prior to administering a dose
Within 15 minutes following the next medication dose
2 hours after administering a dose
54% of exam takers got this question correct.
Correct Answer:
A. Within 15 minutes prior to the next medication dose15
The nurse should obtain the blood sample for a trough medication level immediately before or within 15 minutes of giving a dose of the
medication, regardless of the route of administration.
421309
IM
54
A.15
15
sB
Body mass index
Height
Weight
Rule of 9s
es
t
A.
B.
C.
D.
an
k
Question 310 out of 421
A nurse is preparing to administer medication to a preschooler. The nurse should use which of the following measurements to calculate the
medication dosage for this client?
ng
T
86% of exam takers got this question correct.
Correct Answer:
C. Weight
The nurse should use the child's weight to calculate the medication dose for this child. Children's doses are generally written in units of
measure per body weight such as mg/kg.
si
421310
N
@
C.
mg / kg
ur
86
Question 311 out of 421
A nurse is reinforcing teaching with a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct
the client to monitor for which of the following adverse effects of this medication?(Anti-inflammatory.treat ulcerative colitis and
rheumatoid arthritis.)
A.
B.
C.
D.
Arthralgia
Constipation(bloody diarrhea.)
Stomatitis(.cause anemia and agranulocytosis.)
Sedation(can turn urine and skin an orange-yellow color.)
42% of exam takers got this question correct.
Correct Answer:
A. Arthralgia (
Sulfasalazine can cause nausea, vomiting, and arthralgia.
421311
42
http://www.nursingtestsbank.store.
@etsy
A.
Question 312 out of 421
A nurse is reinforcing teaching with a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin.
Which of the following statements by the client indicates the need for further teaching?(
A.
B.
C.
D.
"If phenazopyridine upsets my stomach, I can take it with meals.
"Phenazopyridine will relieve my discomfort, but ciprofloxacin will get rid of the infection."
"I need to drink 2 liters of fluid per day while I am taking ciprofloxacin."
"I should notify my provider immediately if my urine turns orange.
an
k
52% of exam takers got this question correct.
Correct Answer:
D. "I should notify my provider immediately if my urine turns orange.
Phenazopyridine is a urinary tract analgesic used to relieve pain and burning during urination. The medication can cause the client's urine
to turn a reddish-orange color. Although this coloration can stain clothing, this finding does not need to be reported to the provider.
421312
sB
52
es
t
D.
Liver function
Electrolyte levels
Thyroid function
Platelet count
si
A.
B.
C.
D.
ng
T
Question 313 out of 421
A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse
should instruct the newly licensed nurse to monitor which of the following laboratory tests?
421313
@
N
ur
75% of exam takers got this question correct.
Correct Answer:
A. Liver function(
Gemfibrozil reduces triglycerides by decreasing the liver's uptake of fatty acids. It can cause liver toxicity; therefore, the nurse should
monitor the client's liver function.
75
A.
Question 314 out of 421
A nurse is preparing to administer magnesium hydroxide 1.5 oz PO to a client who has constipation. How many mL should the nurse
administer? (Fill in the blank with the numeric value only.)
1.5x30=45ml
Question 315 out of 421
The nurse is assessing a client who has been taking linezolid to treat a Staphylococcus aureus infection. Which of the following findings
should the nurse report to the provider?
A.
Nausea
http://www.nursingtestsbank.store.
B.
C.
D.
@etsy
Headaches
Paresthesias
Insomnia
74% of exam takers got this question correct.
Correct Answer:
C. Paresthesias
Although these reactions are rare, some clients who take linezolid develop irreversible peripheral neuropathy and reversible optic
neuropathy. The nurse should report this finding to the provider because it might warrant switching the client to another antibiotic.
421315
74
C.
sB
C.
D.
"This medication is for short-term use only.(long-term)
"You should eat a low-residual diet while taking this medication.(dietary bulk and fiber should be increased.Low-Residue Diet? It
limits high-fiber foods )
"Mix this medication with water and follow with an additional glass of liquid."
"The medication's adverse effects of stomach cramps and nausea will go away in time.(not to use laxatives, including psyllium, if
abdominal pain, nausea, vomiting, or a fever occurs)
es
t
A.
B.
an
k
Question 316 out of 421
A nurse is reinforcing teaching with a client who has chronic constipation and a new prescription for psyllium. Which of the following
instructions should the nurse provide?
ng
T
58% of exam takers got this question correct.
Correct Answer:
C. "Mix this medication with water and follow with an additional glass of liquid."
The nurse should direct the client to administer the medication mixed with a full glass of water or juice followed by an additional glass of
liquid. The client should also be instructed to increase the intake of fluids to help decrease constipation.
ur
@
C.
N
58
si
421316
Question 317 out of 421
A nurse is preparing to administer desmopressin 0.3 mcg/kg in 0.9% sodium chloride 50 mL IV over 30 minutes to a client who weighs 154
lb. How many mcg of medication should the client receive? (Fill in the blank with the numeric value only. Round the answer to the nearest
whole number. Use a leading zero if applicable but do not use a trailing zero.)
(154lb/1mcg) x (1kg/2.2lb) x (0.3mcg/1kg)
=46.2/2.2
=21mcg
Question 318 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for sertraline. The client asks the nurse if he should continue to
take St. Johns wort for depression. Which of the following instructions should the nurse give the client?
A.
B.
C.
D.
Take the medication and herbal supplement together
Stop taking the herbal supplement while taking the medication
Take the herbal supplement and the medication at least 2 hours apart
Take an antacid with both the herbal supplement and the medication
http://www.nursingtestsbank.store.
@etsy
82% of exam takers got this question correct.
Correct Answer:
B. Stop taking the herbal supplement while taking the medication
Taking the antidepressant sertraline and the herbal supplement St. Johns wort together puts the client at risk for serotonin syndrome.(
421318
82
B.
Question 319 out of 421
A nurse working in the emergency department is admitting a client who has a gastric ulcer and gastrointestinal (GI) bleeding. Which of the
following factors in the client's medical history should the nurse report to the provider?(
Arthritis treated with ibuprofen every 8 hours as needed
Previous tobacco smoking with cessation 5 years ago
Negative H. pylori breath test 1 year prior
Prescribed bismuth subsalicylate as needed for GI upset
an
k
A.
B.
C.
D.
es
t
sB
75% of exam takers got this question correct.
Correct Answer:
A. Arthritis treated with ibuprofen every 8 hours as needednsaid)
The nurse should identify that ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs can cause gastrointestinal bleeding and
are contraindicated for clients who have ulcer disease. NSAIDs inhibit prostaglandin secretion, which decreases blood flow in the GI tract
and decreases bicarbonate and mucus secretion. This environment promotes the secretion of gastric acid and needs to be reported to the
provider.
ng
T
421319
75
ur
si
A.8
NSAID
A.
B.
C.
D.
@
N
Question 320 out of 421
A nurse is caring for a client who has a pseudomonas infection and a new prescription for ticarcillin-clavulanate. Which of the following
should the nurse collect before administering this medication?(linIndications of superinfectionSuperinfections are caused by drug-resistant microbes
Peak and trough medication levelsPeak and trough levels are not monitored for penicillin antibiotics
Baseline BUN and creatinine
History of allergy to aminoglycoside antibioticsTicarcillin-clavulanate does not have cross-sensitivity with aminoglycoside antibiotics
43% of exam takers got this question correct.
Correct Answer:
C. Baseline BUN and creatinine
Ticarcillin-clavulanate is a penicillin antibiotic and is excreted by the kidneys. Therefore, any renal impairment could result in a toxic level
of the medication. The nurse should assess the clients baseline BUN and creatinine levels and monitor these values throughout therapy.
421320
43
BUN
-BUN
http://www.nursingtestsbank.store.
@etsy
Question 321 out of 421
A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of
the following conditions should the nurse identify as a contraindication to administering this medication?
A.
B.
C.
D.
Gestational diabetes
Past cesarean delivery
Preeclampsia
Genital herpes
45% of exam takers got this question correct.
Correct Answer:
B. Past cesarean delivery
Misoprostol is used for cervical ripening and induction of labor. It causes a higher incidence of uterine tachysystole. Therefore, it is
contraindicated in clients who have a history of major uterine surgery or cesarean delivery with past pregnancies because of the risk of
uterine rupture.
an
k
421321
45
sB
B.
Prednisoneused for lifelong glucocorticoid replacement therapy for adrenal insufficiency
Cosyntropin
DexamethasoneCushings syndrome
KetoconazoleCushing's syndromeonly as an adjunct to surgery or radiation therapy.
ng
T
A.
B.
C.
D.
es
t
Question 322 out of 421
A nurse is caring for a client who has a suspected adrenal insufficiency. Which of the following medications should the nurse anticipate the
provider using to determine the presence of adrenal insufficiency?
421322
@
N
ur
si
41% of exam takers got this question correct.
Correct Answer:
B. Cosyntropin
The nurse should expect the provider to use cosyntropin to determine if the client has adrenal insufficiency. The client is monitored after
the provider injects cosyntropin to see if the cortisol level rises above 20 mcg/dL. If the adrenal response causes the cortisol level to elevate,
the response is considered to be within the expected reference range. If the cortisol level does not elevate, the provider should determine
that the client has adrenal insufficiency.
41
B.
20 mcg / dL
Question 323 out of 421
A nurse is caring for a client with Alzheimer's disease who has a new prescription for memantine. Which of the following laboratory results
should the nurse identify as increasing the client's risk for decreased clearance of the medication?
A.
B.
C.
D.
Alanine aminotransferase (ALT) 30 units/L
Creatinine clearance 35 mL/min
HbA1c 5%
BMI 31
71% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
B. Creatinine clearance 35 mL/min(87 to 139 mL/min)
Creatinine clearance is an estimate of the glomerular filtration rate and the kidney's ability to filter waste. A creatinine clearance of 35
mL/min indicates moderate renal impairment. The kidneys excrete memantine, and decreased clearance occurs with moderate renal
impairment.
• Creatinine clearance expected reference range of 87 to 139 mL/min
• HbA1c within the expected reference range of 4 to 5.9%
• Alanine aminotransferase (ALT) expected reference range of 4 to 36 international units/L.
421323
71
an
k
B.35 mL / min
35 mL / min
"I'll use a safety razor to shave each day."
"I'll be sure to eat lots of spinach.(
"I'll avoid contact sports like football."
"I'll take ibuprofen if I get a headache.nasid
es
t
A.
B.
C.
D.
sB
Question 324 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements indicates that the
client understands the instructions?(
ng
T
57% of exam takers got this question correct.
Correct Answer:
C. "I'll avoid contact sports like football."
The most common adverse effect of anticoagulants is bleeding. Therefore, the client should avoid any activities that have a high risk of
causing injury such as contact sports.
ur
si
421324
N
57
@
C.
Question 325 out of 421
A nurse is preparing to administer an initial dose of zileuton to a client for asthma prophylaxis. For which of the following manifestations
should the nurse monitor as a potential adverse reaction?
A.
B.
C.
D.
Hallucinations
Blurred vision
Palpitations
Discolored urine
38% of exam takers got this question correct.
Correct Answer:
A. Hallucinations(
Leukotriene modifiers such as zileuton can cause adverse neuropsychiatric effects like hallucinations, unusual dreams, agitation, anxiety,
and suicidal thinking. The nurse should report this adverse effect so the provider can consider switching the client to a different
medication.
http://www.nursingtestsbank.store.
@etsy
421325
38
A.
Question 326 out of 421
A nurse is assisting with the care of a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a
prescription from the provider for which of the following medications for this procedure?
Amlodipine treat hypertension or angina pectoris.
Diltiazem
Nifedipine(hypertension or angina pectoris)
Lidocaine(treat ventricular dysrhythmias)
an
k
A.
B.
C.
D.
sB
52% of exam takers got this question correct.
Correct Answer:
B. Diltiazem (arrhythmiasdysrhythmias )
es
t
The nurse should anticipate a prescription for diltiazem, which blocks calcium channels in the heart and blood vessels, thereby lowering
blood pressure. Also, it is an antiarrhythmic medication that is used during cardioversion to treat atrial fibrillation.
421326
ng
T
52
si
B.
High doses of water-soluble vitamins enhance their therapeutic actions.
High doses of water-soluble vitamins can have adverse effects.
High doses of vitamin supplements are restricted to use during pregnancy.(a)
Tolerance might develop, resulting in increased vitamin needs.(
@
A.
B.
C.
D.
N
ur
Question 327 out of 421
A nurse in a provider's office is reviewing the medication history of a client. The client asks the nurse if she should begin taking high-dose
vitamins as she ages. Which of the following pieces of information should the nurse provide about high doses of vitamin supplements?
69% of exam takers got this question correct.
Correct Answer:
B. High doses of water-soluble vitamins can have adverse effects.
High doses of vitamins can harm the body. Any vitamin supplements consumed should not exceed the recommended dietary allowance.
Elevated levels of vitamin A can increase the risk of developing osteoporosis and cause birth defects when taken during pregnancy.
Excessive intake of beta-carotene can increase the risk of lung cancer in clients who smoke. In addition, increased doses of vitamin E can
increase the risk of death in clients who have chronic illnesses.
421327
69
B.
A-E
http://www.nursingtestsbank.store.
@etsy
Question 328 out of 421
A nurse is collecting data from a client who has a Clostridium difficile infection and is receiving vancomycin via intermittent IV bolus over
60 minutes. The nurse should document the absence of which of the following conditions as a positive response to this slowed
administration rate?(
A.
B.
C.
D.
Red man syndrome
Thrombophlebitischange the infusion site frequently
Renal failureserum creatinine level increase 50%,decreased dose of vancomycin
Ototoxicityavoid the administration with other ototoxic drugs
54% of exam takers got this question correct.
Correct Answer:
A. Red man syndrome.
an
k
To decrease the risk of the client developing red man syndrome (a combination of flushing, rash, pruritus, urticaria, tachycardia, and
hypotension), the nurse should infuse vancomycin over a period of 60 minutes or longer.
421328
60
sB
54
es
t
A.
60
si
Monthly glucose testing will be required while on this medication.medication does not affect glucose levels,
Store the medication at room temperature.(keep the medication in the refrigerator)
Do not receive live vaccines while on this medication.
Take the medication at bedtime mixed with a full glass of water.(administered subcutaneously either weekly or every other week )
ur
A.
B.
C.
D.
ng
T
Question 329 out of 421
A nurse in a providers office is reinforcing teaching with a client who has psoriatic arthritis and a new prescription for adalimumab. Which
of the following instructions should the nurse provide about treatment with adalimumab?
@
N
52% of exam takers got this question correct.
Correct Answer:
C. Do not receive live vaccines while on this medication.
The nurse should instruct the client that vaccinations with live viruses should not be received while on adalimumab. The medication can
cause neutropenia, which will suppress the immune system. The client should be instructed to protect against and monitor for infections
while on the medication.
421329
52
C.
Question 330 out of 421
A nurse is assisting with the care of a client who has been in the PACU for more than 1 hour. He has a respiratory rate of 9/min and is
difficult to arouse. The nurse should expect a prescription for which of the following medications?pacu,
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
Pentazocinerelieve pain.
Naloxone
Naltrexonealcohol use disorder
Butorphanolrelieve pain
74% of exam takers got this question correct.
Correct Answer:
B. Naloxone
The nurse should expect a prescription for naloxone. This medication displaces opiate medications from receptor sites, reversing the
respiratory depression, sedation, and analgesia that opiates cause.
421330
PACU19 / min
an
k
74
Weight loss
Hypotension
Lethargy
Osteoporosis
es
t
A.
B.
C.
D.
sB
Question 331 out of 421
A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of
Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?(
ng
T
59% of exam takers got this question correct.
Correct Answer:
D. Osteoporosis
Long-term use of steroid medications such as glucocorticoid medication can inhibit bone growth and result in the adverse effect of
osteoporosis with long-term treatment.
ur
si
Question 331 out of 421
A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of
Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?
@
N
59% of exam takers got this question correct.
Correct Answer:
D. Osteoporosis
Long-term use of steroid medications such as glucocorticoid medication can inhibit bone growth and result in the adverse effect of
osteoporosis with long-term treatment.
421331
59
D.
Question 332 out of 421
A nurse is preparing to administer lactated Ringer's (LR) 700 mL IV infused over 24 hours to a pediatric client. The drop factor of the
manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the
numeric value only. Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)
(700ml/(24x60)) x 60 gtt/1ml
=29 gtt/ml
http://www.nursingtestsbank.store.
@etsy
Question 333 out of 421
A nurse is assigned to care for several clients who are postoperative. The nurse should identify that the client taking which of the following
medications is at risk for delayed wound healing?(
A.
B.
C.
D.
Nifedipine to treat hypertensioncause dermatitis and urticaria.
Prednisone to treat persistent arthritis exacerbations
Albuterol to treat asthmanot cause.
Chlorpromazine to treat schizophreniacan cause dermatitis and eczema.
77% of exam takers got this question correct.
Correct Answer:
B. Prednisone to treat persistent arthritis exacerbations
Prednisone is a corticosteroid that is associated with delayed wound healing. Clients who have arthritis often require high doses of
prednisone to help resolve exacerbations.
421333
an
k
77
B.
C.
D.
Acts with a partial agonist molecule to block receptors fullypartial agonist and a full agonist together
Temporarily occupies receptors instead of other competitive molecules(Competitive antagonists compete with agonists for the same
receptor sites.,)
Blocks receptors and prevents them from activating with a regulatory moleculeAgonists activate receptors to produce the expected
effects
Binds to receptors and mimics regulatory molecules
ng
T
A.
B.
es
t
sB
Question 334 out of 421
A nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of
medication?agonist
65
@
421334
N
ur
si
65% of exam takers got this question correct.
Correct Answer:
D. Binds to receptors and mimics regulatory molecules(bindblockcompetitive
Full agonist medications act by binding to receptors and mimicking the actions of the body's regulatory molecules. Agonists activate
receptors to produce the expected effects. Hormones are an example of agonists.
D.
Question 335 out of 421
A nurse is reinforcing teaching with a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the
following statements should the nurse include in the teaching?semi pose .
A.
B.
C.
D.
"You can take ibuprofen for headaches while taking this medication.NSAIDs can decrease the efficacy of this medication
"You may experience increased swelling in your lower extremities while taking this medication.reduce the client's swelling and
edema.
"You should eat foods that are high in potassium while taking this medication."
"You should take this medication at bedtime. avoid taking furosemide at bedtime
78% of exam takers got this question correct.
Correct Answer:
C. "You should eat foods that are high in potassium while taking this medication."
http://www.nursingtestsbank.store.
@etsy
The nurse should instruct this client who has a prescription for furosemide to consume foods that are high in potassium. Furosemide is a
high-ceiling loop diuretic that depletes potassium, sodium, chloride, magnesium, and water.
421335
78
C.
Question 336 out of 421
A nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which of the following findings should indicate to
the nurse that the client is experiencing an adverse effect of the medication?(
BP 132/84 mmHg(hypotension)
Blood glucose 106 mg/dL(hyperglycemia)
Decreased deep tendon reflexes(early manifestation of elevated magnesium levels)
Maternal heart rate >120/min
an
k
A.
B.
C.
D.
es
t
sB
58% of exam takers got this question correct.
Correct Answer:
D. Maternal heart rate >120/min
A client who is receiving terbutaline can experience tachycardia, which poses a significant risk to the mother. Therefore, when the
maternal heart rate exceeds 120/min, the medication should be stopped. Adverse effects result from activating beta1 receptors as well as
beta2 receptors.
421336
ng
T
58
D.> 120 / min
120 / min12
N
Diplopia
Dizziness
Rash
Headaches
@
A.
B.
C.
D.
ur
si
Question 337 out of 421
A nurse is reinforcing teaching with the parents of a child who has a new prescription of lamotrigine for a seizure disorder. The nurse
should instruct the parents that which of the following adverse effects is the priority to report to the provider?
44% of exam takers got this question correct.
Correct Answer:
C. Rash(adverse effect
The nurse should apply the safety and risk reduction priority-setting framework, which assigns priority to the factor or situation posing the
greatest safety risk to the client. When there are several risks to client safety, the risk posing the greatest threat is the highest priority. The
nurse should use Maslows hierarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which risk poses
the greatest threat to the client.
421337
44
C.
MaslowABC/
Question 338 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist. Which of the following should the nurse
identify as the expected outcome of this medication?SABAsabalaba
A.
B.
C.
D.
Reduces the frequency of attacksLABA long-term control agents
Reverses bronchospasm
Prevents inflammationinhaled corticosteroids
Decreases chronic manifestationsinhaled corticosteroids and long-acting inhaled beta2-agonists.
73% of exam takers got this question correct.
Correct Answer:
B. Reverses bronchospasm(reversessabalaba
The nurse should identify that the expected outcome of a short-acting beta2-agonist is reversal of bronchospasm. Short-acting beta2agonists bind to beta2-adrenergic receptors in the lungs, resulting in relaxation of bronchial smooth muscles.
421338
2
an
k
73
B.
222
si
88% of exam takers got this question correct.
Correct Answer:
D. Liver enzymes
es
t
Hematocrit (anemia)
High-density lipoproteins (HDL) (cholesterol screening)
Pancreatic enzymes (
Liver enzymes
ng
T
A.
B.
C.
D.
sB
Question 339 out of 421
A nurse is planning care for a client who took an overdose of acetaminophen. Which of the following laboratory values should the nurse
plan to monitor for adverse effects of the overdose?(
@
421339
N
ur
The nurse should monitor the liver enzymes alanine transaminase (ALT) and aspartate transaminase (AST) for indication of liver injury.
Acetaminophen overdose can cause severe liver injury as high doses of the medication produce a toxic metabolite. It takes 42 to 72 hours
after ingestion for indications of liver failure to appear.
88
D.
ALTAST4272
Question 340 out of 421
A nurse is assisting with the administration of an IV injection to a client. For which of the following reasons should the nurse inject the
medication slowly?
A.
B.
C.
D.
To reduce toxicity risk
To improve absorption pattern
To prevent medication dilution(
To protect against embolism
54% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
A. To reduce toxicity risk( reduce the risk for toxicity to the central nervous system (CNS))
Prior to injecting an IV medication, the nurse should plan to infuse the medication slowly over 1 minute to reduce the risk for toxicity to
the central nervous system (CNS). Manifestations of CNS toxicity can become evident as soon as 15 seconds after initiating the injection. If
the injection is done slowly, only a small amount of the total dose will have been administered when manifestations of toxicity appear. If
the nurse is able to discontinue the administration immediately, adverse effects can be much less severe than if the entire dose had been
given quickly.
421340
54
A.
an
k
1CNS15CNS
es
t
Thinned pulmonary secretions that are retained in the airways(mucolytic agents )
Slowed progression of pulmonary damage
Potentiated action of bronchodilator therapy(does not potentiate the action of bronchodilators.)
Decreased risk of fevers associated with CF(high-dose ibuprofen is not used to treat fevers for clients who have CFCF.)
ng
T
A.
B.
C.
D.
sB
Question 341 out of 421
A nurse is caring for an adolescent who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should
identify that which of the following is an expected outcome for the client receiving this medication?
B.
CFNSAID CF
N
41
@
421341
CF
ur
si
41% of exam takers got this question correct.
Correct Answer:
B. Slowed progression of pulmonary damage
The nurse should identify that clients who have CF are prescribed high-dose Ibuprofen, which is an NSAID, to slow the progression of
pulmonary damage by suppressing the inflammatory response that causes pulmonary damage. CF is a genetic disorder that primarily affects
the lungs, pancreas, and sweat glands.
Question 342 out of 421
A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to
treat which of the following conditions?
A.
B.
C.
D.
Raynaud's phenomenon
Migraine headaches
Ulcerative colitis
Anemia
71% of exam takers got this question correct.
Correct Answer:
B. Migraine headaches(
Ergotamine prevents or stops migraine headaches by blocking alpha-adrenergic receptors in the cranial peripheral vascular smooth muscle,
which causes vasoconstriction of dilated cerebral blood vessels.
http://www.nursingtestsbank.store.
@etsy
421342
71
B.
Question 343 out of 421
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for
which of the following medications?
A.
B.
C.
D.
Naproxen
Pegloticasebd
Probenecid
Allopurinolbchronic tophaceous gout
an
k
35% of exam takers got this question correct.
Correct Answer:
A. Naproxen
The nurse should anticipate that the provider will prescribe an NSAID such as naproxen. This type of medication is recommended as the
first choice of treatment for relieving the manifestations of an acute gout attack.
sB
421343
es
t
35
ng
T
NSAID
Question 344 out of 421
A nurse in a provider's office is reinforcing teaching for a client who has type 2 diabetes mellitus and a new prescription for dulaglutide.
Which of the following instructions should the nurse include?
ur
si
Administer the medication once daily at any time. administered once weekly by subcutaneous injection.
Swallow the medication whole.Dulaglutide is single-dose pen or single-dose prefilled syringe
Use this medication instead of insulin.(Dulaglutide is not a substitute for insulin.mixed together;)
Nausea is an adverse effect that decreases over time.
N
A.
B.
C.
D.
@
43% of exam takers got this question correct.
Correct Answer:
D. Nausea is an adverse effect that decreases over time.
Dulaglutide is a glucagon-like peptide 1 receptor agonist that is used for the treatment of type 2 diabetes mellitus. The most common
adverse effect is nausea that usually decreases over time. Pancreatitis is another adverse effect. The client should be instructed to notify the
provider if abdominal pain and nausea with vomiting occur.
421344
2dulaglutide
43
D.
12
Question 345 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-agonist combination drypowdered inhaler (DPI) for maintenance therapy. The nurse should identify that which of the following is a disadvantage of this
medication?(dpidpi
A.
B.
C.
D.
Restricted dosage flexibility
Complicated delivery device(DPI is an easy-to-use device)
Serious systemic effects( Systemic effects are mild or not)
Limited efficacy over time(DPI is effective for long-term use )
42% of exam takers got this question correct.
Correct Answer:
A. Restricted dosage flexibility( dose cannot be adjusted.)
The nurse should identify that a disadvantage of an inhaled glucocorticoid and a long-acting beta2-agonist being combined is that the
dosages of these medications are fixed, so the dose cannot be adjusted.
421345
2DPI
an
k
42
A.
2
"Youll need to take this medication for the rest of your life to prevent recurrence.6-9mo
"Your provider will monitor your liver function while you are taking this medication."
"Limit your alcohol intake to 2 drinks per day. avoid alcohol
"You should take this medication with a meal to increase absorption.(empty stomach)
ng
T
A.
B.
C.
D.
es
t
sB
Question 346 out of 421
A nurse is reinforcing teaching with a client who has tuberculosis and a prescription for isoniazid. Which of the following instructions
should the nurse include?
si
82% of exam takers got this question correct.
Correct Answer:
B. "Your provider will monitor your liver function while you are taking this medication."
The provider will monitor the clients liver function while taking isoniazid due to the risk of hepatotoxicity.
N
ur
421346
@
82
B.
Question 347 out of 421
A nurse is preparing to administer an enteral tube feeding through an NG tube at 250 mL over 4 hours. The nurse should set the pump to
deliver how many mL/hr? (Fill in the blank with the numeric value only. Round the answer to the nearest whole number. Use a leading
zero if applicable but do not use a trailing zero.)
250 ml/4hr=xml/1hr
x=63 ml/1hr
Question 348 out of 421
A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse
anticipate administering to treat atrial fibrillation?
E.
F.
G.
Atropinetreat symptomatic bradycardia
Diltiazem
Epinephrine severe allergic reactions, and cardiac arrest
http://www.nursingtestsbank.store.
H.
@etsy
Phenytoinventricular dysrhythmias, and neuropathic pain
55% of exam takers got this question correct.
Correct Answer:
B. Diltiazemlitia illat
Diltiazem, a calcium channel blocker, is used to slow the ventricular rate in atrial fibrillation or flutter. Diltiazem is also prescribed to treat
hypertension, angina, and other supraventricular tachyarrhythmias.
421348
55
B.
NaproxenNSAID
Nifedipine calcium channel blocker hypertension and angina
Naloxone
Nebivololbeta blocker, hypertension)
es
t
84% of exam takers got this question correct.
Correct Answer:
C. Naloxoneopioid antagonist
sB
A.
B.
C.
D.
an
k
Question 349 out of 421
A nurse is collecting data on a client who is postoperative and received a dose of morphine 15 minutes ago. The client now has a respiratory
rate of 8/min and is unresponsive. Which of the following medications should the nurse prepare to administer?
ng
T
The nurse should prepare to administer naloxone, an opioid antagonist. Naloxone will reverse the over-sedation and respiratory depression
the client is experiencing. However, with too large a dose the analgesia of the morphine will also be reversed, causing the client to
experience postoperative pain again.
@
N
ur
84
si
421349
158 / min
Question 350 out of 421
A nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump.
Which of the following actions by the newly licensed nurse requires intervention?
A.
B.
C.
D.
Reinforcing to the client how to administer a PCA dose prior to a dressing change(
Providing increased fluids while the client is using the PCA pump
Informing the client's partner that only the client should administer the PCA doses
Maintaining the client on bed rest while the PCA pump is in use
48% of exam takers got this question correct.
Correct Answer:
D. Maintaining the client on bed rest while the PCA pump is in use
Use of a PCA pump does not prevent ambulation following surgery. Early ambulation should be encouraged. The nurse should instruct the
client to sit at the side of the bed prior to standing to reduce the risk of orthostatic hypotension and falls.
421350
PCA
http://www.nursingtestsbank.store.
@etsy
48
D.PCA
PCA
Question 351 out of 421
A nurse is caring for a client who is taking glucocorticoids. The nurse should monitor the client for which of the following manifestations
as an adverse effect of this medication?
A.
B.
C.
D.
Weight loss
Peptic ulcer
Hyperkalemia(hypo. )
Diplopiavisual complications such as cataracts and glaucoma.
an
k
46% of exam takers got this question correct.
Correct Answer:
B. Peptic ulcer
The nurse should monitor a client who is taking glucocorticoids for peptic ulcer disease due to irritation of the gastric mucosa. The nurse
should check the client's stool periodically for occult blood and instruct the client to contact the provider if any black or tarry stools are
noted.
sB
421351
es
t
46
B.
D.
si
ur
B.
C.
"You should take the medication on an empty stomach to increase absorption.take baclofen with milk or food to minimize gastric
irritation.
"You can stop taking the medication once your back spasms disappear.(discontinued gradually over a period of at least 2 weeks..d
"You can expect to experience urinary frequency when you first start taking this medication.urinary retention is an adverse effect of
baclofen
"You should change positions slowly while taking this medication."
N
A.
ng
T
Question 352 out of 421
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following
pieces of information should the nurse include?(
@
73% of exam takers got this question correct.
Correct Answer:
D. "You should change positions slowly while taking this medication."
Dizziness and hypotension are adverse effects of this medication. The nurse should advise the client to change positions slowly to minimize
orthostatic hypotension.
421352
PO
73
D.
Question 353 out of 421
A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following adverse effects
should the nurse monitor?
A.
B.
Orthostatic hypotension
Diarrheaconstipation
http://www.nursingtestsbank.store.
C.
D.
@etsy
Urinary frequencyUrinary retention, not urinary frequency
Bradycardia tachycardia
66% of exam takers got this question correct.
Correct Answer:
A. Orthostatic hypotension
Orthostatic hypotension is an adverse effect of chlorpromazine. Other adverse effects include palpitations, tachycardia, constipation,
sedation, and photosensitivity.
421353
66
A.
pit
sB
Glomerular filtration rate (GFR) <60
Alanine aminotransferase (ALT) 82 units/L
Anorexia and weakness
Varicose veins in the lower extremitiesvenous insufficiency.
es
t
A.
B.
C.
D.
an
k
Question 354 out of 421
A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings
should the nurse identify as an adverse effect of long-term use of this medication?sone,
ng
T
47% of exam takers got this question correct.
Correct Answer:
C. Anorexia and weakness
The nurse should identify adrenal insufficiency as an adverse effect of the long-term use of an inhaled corticosteroid such as fluticasone.
Manifestations can include anorexia, weakness, nausea, hypotension, and hypoglycemia.
si
421354
ur
47
@
N
C.
Question 355 out of 421
A charge nurse is reinforcing teaching with a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl
patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication?
A.
B.
C.
D.
A client who is opioid-tolerant
A client who has difficulty swallowing(difficulty swallowing should be prescribed another form of pain medication)
A client who has severe intermittent pain(severe, persistent pain,)
A client who is postoperative following abdominal surgery(less powerful analgesic
41% of exam takers got this question correct.
Correct Answer:
A. A client who is opioid-tolerant
The charge nurse should include in the teaching that a client who is opioid tolerant can be prescribed a fentanyl patch to manage pain.
421355
http://www.nursingtestsbank.store.
@etsy
41
A.
Question 356 out of 421
A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following findings in
the client's record should the nurse identify as a contraindication for the use of this medication?
A.
B.
C.
D.
Diabetes mellitus
Current use of nitroglycerine to treat heart failure
Eyeglasses for presbyopianonarteritic ischemic optic neuropathy
Osteoarthritis(
an
k
78% of exam takers got this question correct.
Correct Answer:
B. Current use of nitroglycerine to treat heart failure
Taking any nitrates such as nitroglycerin is a contraindication for sildenafil, a medication that treats erectile dysfunction. Taking it
concurrently with nitrates can cause life-threatening hypotension.
sB
421356
sil
es
t
78
B.
ur
si
Potentiative interaction
Detrimental inhibitory interaction
Increased adverse reaction
Toxicity-reducing inhibitory interactionSome medications reduce the effects of or block the action of another
N
A.
B.
C.
D.
ng
T
Question 357 out of 421
A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder.
The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible
explanation for this change?
@
50% of exam takers got this question correct.
Correct Answer:
B. Detrimental inhibitory interaction
A detrimental inhibitory interaction can occur with the concurrent use of propranolol and albuterol. When a client takes propranolol and
albuterol together, propranolol can interfere with albuterol's therapeutic effects.
421357
50
B.
Question 358 out of 421
A nurse is reinforcing teaching with a client who is about to start taking propylthiouracil to treat hyperthyroidism. Which of the following
statements should the nurse identify as an indication that the teaching has been effective?
A.
B.
C.
"I will need laboratory tests to check my liver function."
"I should take this medication once daily.(multiple times each day )
"If I get a rash, I am probably having an allergic reaction.(
http://www.nursingtestsbank.store.
D.
@etsy
"If I have difficulty sleeping, it is probably because of this medication."
51% of exam takers got this question correct.
Correct Answer:
A. "I will need laboratory tests to check my liver function."
Propylthiouracil is hepatotoxic and can cause severe liver injury. The nurse should instruct the client to report dark urine and yellowing of
the eyes, which can indicate an injury to the liver.
421358
an
k
51
"You should dilute this medication in water and drink it through a straw."
"You might notice your stool turning dark orange in color while taking this medication.stool can become dark green or black in color
"A fever and stomach pain are common during the first few days of taking this medication.(overdose)
"Taking this medication with an antacid can help decrease stomach upset.(
es
t
A.
B.
C.
D.
sB
Question 359 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for ferrous sulfate syrup to treat iron-deficiency anemia. Which of
the following statements should the nurse make?
ng
T
59% of exam takers got this question correct.
Correct Answer:
A. "You should dilute this medication in water and drink it through a straw."
59
N
@
421359
ur
si
The nurse should reinforce with the client that ferrous sulfate can stain the teeth. For this reason, it is best to dilute liquid ferrous sulfate in
a full glass of water or juice and take the medication through a straw. Drops can also be administered to the back of the throat.
Question 360 out of 421
A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse
should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain?
A.
B.
C.
D.
Meperidineopioid agonist
Buprenorphineopioid agonist-antagonist
MethadoneMethadone is administered for detoxification
Fentanyl
62% of exam takers got this question correct.
Correct Answer:
D. Fentanyl
http://www.nursingtestsbank.store.
@etsy
The nurse should expect a prescription for fentanyl transmucosal (nasal spray) to treat breakthrough pain. Fentanyl is an opioid agonist
with a rapid onset and a duration of 2 to 4 hours. Fentanyl should not interfere with the client's long-term opioid medication but should
relieve breakthrough pain.
421360
62
D.
24
Question 361 out of 421
A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an
improvement in which of the following conditions as a result of this medication?
Gouty arthritis
Dehydration
Diabetes insipidus
Hypokalemia
an
k
A.
B.
C.
D.
es
t
sB
45% of exam takers got this question correct.
Correct Answer:
C. Diabetes insipidushypertension
A thiazide diuretic such as HCTZ is administered to treat diabetes insipidus. Diabetes insipidus is a condition in which there is an
overproduction of urine. Thiazides reduce urine production by 30% to 50%.
361421
HCTZ
ng
T
45
C.
HCTZ3050
N
Gelatin
Milk
Eggs
Peanuts
@
A.
B.
C.
D.
ur
si
Question 362 out of 421
A nurse is preparing to administer the varicella vaccine to a 12-month-old infant. The nurse asks the infant's guardian if the infant has any
allergies. Which of the following allergies is a contraindication to the infant receiving the vaccine?
57% of exam takers got this question correct.
Correct Answer:
A. Gelatin
An allergy to gelatin is a contraindication to receiving the varicella vaccine; therefore, the nurse should contact the infant's provider.
421362
12
57
Question 363 out of 421
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin via a transdermal patch. Which of the following
client statements indicates an understanding of the teaching?
9
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
"I need to wear the patch continuously for it to be effective.(worn for 12 to 14 hours each day and removed at night )
"I will stop using the patch immediately if it gives me a headache.(headache is a common adverse effect)
"I should change the patch whenever I have chest pain.(
"I need to rotate the location of my patch every few days.
57% of exam takers got this question correct.
Correct Answer:
D. "I need to rotate the location of my patch every few days."
The nitroglycerin patch should be rotated to different hairless areas of the body every few days to avoid local skin irritation.
421363
57
D.
sB
"You can lie down 15 minutes after taking this medication.(sitting or upright position for 30 minutes after taking this medication)
"Take this medication on an empty stomach."
"Crush this medication to improve absorption.(not to crush, chew, or suck on the tablet.a c)
"Avoid taking antacids or supplements that contain calcium while taking this medication.(Etidronate,Reduced cancer-related bone
pain)
ng
T
45% of exam takers got this question correct.
Correct Answer:
B. "Take this medication on an empty stomach.(30
es
t
A.
B.
C.
D.
an
k
Question 364 out of 421
A nurse is reinforcing teaching with a client who is postmenopausal and has a prescription for alendronate. Which of the following
statements should the nurse include in the teaching?(Risk for esophagitis
si
The nurse should instruct the client to avoid taking alendronate with food or liquids other than water because it can decrease absorption.
The client should only take this medication with water 30 minutes before breakfast.
30
N
B.
@
45
ur
421364
Question 365 out of 421
A nurse is collecting data from a client who is to start taking bethanechol for urinary retention. Which of the following findings should the
nurse identify as a contraindication for taking this medication?
A.
B.
C.
D.
Heart rate 64/min
Blood pressure 112/70 mmHg
Respiratory rate 18/min
Temperature 37.9C (100.2F)
43% of exam takers got this question correct.
Correct Answer:
B. Blood pressure 112/70 mmHg
http://www.nursingtestsbank.store.
@etsy
The nurse should identify that a blood pressure of 112/70 mmHg is below the expected reference range of 120/80 mmHg. Bethanechol can
cause hypotension and bradycardia due to vasodilation. The medication is contraindicated in clients who have a low blood pressure or a low
cardiac output.
421365
43
112/70 mmHg
112/70 mmHg120/80 mmHg
Question 366 out of 421
A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse
should instruct the client to monitor for which of the following adverse effects?(
Gingival ulcerations(
Orthostatic hypotension
Stress fractures
Weight loss (risk for weight gain.)
an
k
A.
B.
C.
D.
es
t
sB
59% of exam takers got this question correct.
Correct Answer:
C. Stress fractures
Prednisone can cause demineralization of the bones and can lead to osteoporosis and stress fractures.
ng
T
421366
59
si
C.
"I should take this medication when I experience active symptoms. taking this medication daily as prescribed
"I should take this medication before bedtime."
"This medication may cause excess salivation.(dry mouth, blurred vision, urinary retention, and constipation. NOT excess salivation )
"I might experience weight loss while taking this medication.(weight gain)
@
A.
B.
C.
D.
N
ur
Question 367 out of 421
A nurse is teaching a client who has a new prescription for amitriptyline to treat depression. Which of the following client statements
indicates an understanding of the teaching?
62% of exam takers got this question correct.
Correct Answer:
B. "I should take this medication before bedtime."
The nurse should instruct the client that an adverse effect of amitriptyline is sedation. The nurse should instruct the client to take the
medication at bedtime to minimize sedation during waking hours while promoting sleep.
421367
62
B.
Question 368 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is contributing to the plan of care for a client who is receiving phenytoin to treat seizures. Which of the following
recommendations should the nurse make to counteract potential adverse effects of the medication?
A.
B.
C.
D.
Administer an antidiarrheal agent to the client as needed
Encourage the client to increase dietary intake of foods high in potassium
Reinforce teaching with the client about how to perform gum massage
Offer hard candy for the client to suckxerostomia (dry mouth)
45% of exam takers got this question correct.
Correct Answer:
C. Reinforce teaching with the client about how to perform gum massage
Phenytoin can cause gingival hyperplasia (overgrowth of gum tissue). The nurse should instruct the client about proper brushing and
flossing techniques as well as gum massage to decrease the risk of damage and discomfort.
an
k
421368
45
es
t
sB
C.
Heart rate 106/min
Dry skin (b d
Oral temperature 36.8C (98.2F)
Lethargy
si
A.
B.
C.
D.
ng
T
Question 369 out of 421
A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should
the nurse identify as an indication that the client requires intervention?
421369
@
N
ur
58% of exam takers got this question correct.
Correct Answer:
A. Heart rate 106/min (100
Tachycardia can be a manifestation of hyperthyroidism, possibly due to excessive hormone replacement. The client might require a lower
dosage of levothyroxine.
58
A.106 / min
Question 370 out of 421
A nurse is collecting data from a client who has type 2 diabetes mellitus and is taking metformin. Which of the following findings should
indicate to the nurse that the medication is having a therapeutic effect?
A.
B.
C.
D.
Tachycardia a d
Fasting blood glucose level of 118 mg/dL70-110
Glycosylated hemoglobin (HbA1c) of 6.8%
Increased appetite
57% of exam takers got this question correct.
Correct Answer:
http://www.nursingtestsbank.store.
@etsy
C. Glycosylated hemoglobin (HbA1c) of 6.8%
The nurse should identify that an HbA1c level of 6.8% is within the expected reference range of less than 7%, indicating the medication is
having a therapeutic effect.
421370
2
57
HbA1c6.8
6.8HbA1c7
Amenorrhea
Weight gain
Depression
Acne
sB
A.
B.
C.
D.
an
k
Question 371 out of 421
A nurse is assisting in teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral
contraceptive (OC). Which of the following findings should the nurse include in the teaching as an indication of progestin deficiency?(
ng
T
es
t
60% of exam takers got this question correct.
Correct Answer:
A. Amenorrhea
A client who takes a combination OC and has a progestin deficiency can have amenorrhea. Increasing the OC dose of progestin can result
in a more regular menstrual cycle.
ur
60
si
421371
OC
OCOC
@
N
A.
Question 372 out of 421
A nurse is reinforcing discharge teaching with a client who has venous thrombosis and a prescription for warfarin. Which of the following
instructions should the nurse include in the teaching?
A.
B.
C.
D.
Take ibuprofen as needed for headaches or other minor painsnasid
Carry a medical alert ID card
Report to the laboratory weekly to have blood drawn for aPTT(PT and INR,apptheparin
Increase intake of dark green vegetableskwarfarin
64% of exam takers got this question correct.
Correct Answer:
B. Carry a medical alert ID card
A client who is taking warfarin is at increased risk of bleeding. In an emergency, medical personnel must be aware of the client's
medication history.
421372
http://www.nursingtestsbank.store.
@etsy
64
B.
Question 373 out of 421
A nurse is reviewing the medical record of a client who is experiencing an acute migraine attack and has a new prescription for
sumatriptan. Which of the following findings indicates a contraindication to the administration of this medication?(
A.
B.
C.
D.
History of uncontrolled hypertension
Currently taking metformin for type 2 diabetes mellitus
Currently taking an oral contraceptive
History of recurrent urinary tract infections(
an
k
69% of exam takers got this question correct.
Correct Answer:
A. History of uncontrolled hypertension
Sumatriptan can cause coronary vasospasm; therefore, it is contraindicated for a client who has a history of a myocardial infarction, heart
disease, or uncontrolled hypertension.
es
t
sB
• contraindication is
• Ischemic heart disease
• coronary artery disease
• uncontrolled hypertension
• other types of heart disease.
ng
T
421373
69
si
A.
"This medication is more effective when taken on an empty stomach.(
"You should take this medication with an antacid for pain control.(60
"This medication is less effective for people who smoke."
"You should expect to experience dizziness when taking this medication. adverse effectreport!!)
@
A.
B.
C.
D.
N
ur
Question 374 out of 421
A nurse is reinforcing teaching with a client who has a prescription for ranitidine to treat a gastric ulcer. Which of the following statements
should the nurse include in the teaching?dineding)
44% of exam takers got this question correct.
Correct Answer:
C. "This medication is less effective for people who smoke."
The nurse should reinforce with the client that smoking interferes with the effectiveness of ranitidine. If a client taking ranitidine smokes,
the nurse should encourage the client to quit smoking or, if unable quit, to avoid smoking after the last dose of the day.
421374
44
C.
Question 375 out of 421
http://www.nursingtestsbank.store.
@etsy
A nurse is caring for a client who has dry mouth resulting from radiation therapy and a new prescription for oral pilocarpine. The nurse
should identify a potential incompatibility with which of the following medications?
A.
B.
C.
D.
Metoprolol
Calcium carbonate
Ceftriaxone
Metoclopramide
45% of exam takers got this question correct.
Correct Answer:
A.
Metoprolol
The nurse should identify that taking a beta blocker such as metoprolol with oral pilocarpine can increase the risk of cardiovascular adverse
reactions like conduction disturbances.
an
k
421375
45
sB
A.
ng
T
"I might have a sore throat that will go away after a few days.ACE inhibitors like captopril can cause severe neutropeniareport!!
"I will take this medication with food to avoid an upset stomach.( take captopril either 1 hour before meals or 2 hours after meals.)
"I might feel dizzy at times while taking this medication."
"I will take ibuprofen if I get a fever while taking this medication.(NSAIDs such as ibuprofen can interfere with the effects of
captopril)
si
A.
B.
C.
D.
es
t
Question 376 out of 421
A nurse is reinforcing teaching with a client about a new prescription for captopril to treat hypertension. Which of the following client
statements indicates an understanding of the teaching?
N
ur
61% of exam takers got this question correct.
Correct Answer:
C. "I might feel dizzy at times while taking this medication.(
421376
@
Hypotension and dizziness are potential adverse effects of this medication. The nurse should monitor the client's blood pressure and
instruct the client to change positions slowly.
61
C.
Question 377 out of 421
A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates to the nurse that the client is
experiencing an adverse effect of the medication?(
A.
B.
C.
D.
Hypotensionhypertension
Weight loss
Hypokalemia
Anorexiaincreased appetite and nausea
54% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
C. Hypokalemia(
• adverse effect
• Hypokalemia(
• hypertension
• weight gainincreased retention of sodium and water
• increased appetite and nausea ,NOT anorexia
The nurse should identify that hypokalemia is an adverse effect of fludrocortisone due to excessive sodium and water retention, resulting in
the loss of excessive amounts of potassium.
421377
an
k
54
es
t
Fasting blood glucose 95 mg/dL 70 to 110 mg/dL
Triglycerides 135 mg/dL 35 to 160 mg/dL.
Total cholesterol 175 mg/dL less than 200 mg/dL.
Absolute neutrophil count 1,200 mm^3
ng
T
A.
B.
C.
D.
sB
Question 378 out of 421
A nurse is reviewing the laboratory data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the
following findings as a potential adverse effect of the medication?
ur
si
69% of exam takers got this question correct.
Correct Answer:
D. Absolute neutrophil count 1,200 mm^32,500 to 8,000/mm^3.
The nurse should identify that an absolute neutrophil count of 1,200/mm^3 is less than the expected reference range of 2,500 to
8,000/mm^3. An adverse effect of clozapine can include agranulocytosis, which is a life-threatening conditioning in which WBCs
(including neutrophils) are severely decreased.
@
69
N
421378
D.1200 mm ^ 3
1200 / mm ^ 32500-8000 / mm ^ 3
Question 379 out of 421
A nurse is collecting data from a client who has a new diagnosis of fibromyalgia. Which of the following medications should the nurse
expect the provider to prescribe?
A.
B.
C.
D.
Pregabalin
IbuprofenNSAIDs
Phenelzineantidepressants
Baclofenmultiple sclerosis
46% of exam takers got this question correct.
Correct Answer:
A. Pregabalin
Pregabalin is 1 of 3 anticonvulsant medications specifically approved for the treatment of fibromyalgia. Pregabalin treats fibromyalgia pain
by inhibiting neurotransmitter release. The medication has several adverse effects such as dizziness, sleepiness, blurred vision, weight gain,
http://www.nursingtestsbank.store.
@etsy
altered thinking, headache, peripheral edema, and dry mouth. Other medications approved for the treatment of fibromyalgia include the
antidepressants duloxetine and milnacipran.
421379
46
A.
Pregabalin3
Question 380 out of 421
A nurse is caring for a client who is taking streptomycin. Which of the following medications should the nurse identify as increasing the
risk of developing ototoxicity when taken with streptomycin?
Cefoxitin(.)
Furosemide
Naproxencd
Amphotericin B
an
k
A.
B.
C.
D.
es
t
sB
56% of exam takers got this question correct.
Correct Answer:
B. Furosemide
Furosemide, a high-ceiling (loop) diuretic, increases the risk of developing ototoxicity when taken with streptomycin, an aminoglycoside.
ng
T
380380
56
si
B.
D.
"I should let my doctor know if I have yellowing of my eyes."
"This medication will stop my liver from making cholesterol.(blocking the absorption of cholesterol in the intestinal tract )
"I should expect to experience some bruising when I begin this medication.(adverse effects of ezetimibe can include myopathy,
hepatitis, pancreatitis, and thrombocytopenia.)
"I will take this medication at the same time as my gemfibrozil."
@
A.
B.
C.
N
ur
Question 381 out of 421
A nurse is reinforcing teaching with a client who has a new ezetimibe prescription for hyperlipidemia. Which of the following client
statements should indicate to the nurse that the teaching was effective?
67% of exam takers got this question correct.
Correct Answer:
A. "I should let my doctor know if I have yellowing of my eyes."
The nurse should include in the teaching that jaundice can be an adverse effect of ezetimibe as a result of hepatitis. The client should notify
the provider if this occurs.
421381
67
http://www.nursingtestsbank.store.
@etsy
Question 382 out of 421
A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child who weighs 44 pounds. The amount available is
albuterol syrup 2 mg/5 mL. How many mL should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if
applicable but do not use a trailing zero.)
QID: 78434
Fill in the Blank
5
(44 lb/1ml) x (1kg/2.2lb) x (0.1mg/1kg)x (5ml/2mg)
=22/4.4
=5 mL
Green leafy vegetablesvk, warfarin
Grapefruit juice
Garlic(
Salt substitutesACE inhibitors for hypertension should avoid salt substitutes.Salt substitutes can contain high levels of potassium
sB
A.
B.
C.
D.
an
k
Question 383 out of 421
A nurse is reinforcing teaching with a client who has atrial fibrillation and a new prescription for amiodarone. Which of the following
items should the nurse instruct the client to avoid while taking this medication?
es
t
72% of exam takers got this question correct.
Correct Answer:
B. Grapefruit juice
ng
T
The nurse should instruct the client to avoid grapefruit juice while taking amiodarone. Grapefruit juice can prevent amiodarone from being
metabolized in the gastrointestinal tract, increasing the risk of toxicity.
B
N
@
72%
ur
si
383
Question 384 out of 421
A nurse is preparing to administer cefixime 4 mg/kg PO twice daily to a preschooler who weighs 31 lb. How many milligrams should the
nurse administer with each dose? (Fill in the blank with the numeric value only. Round the answer to the nearest whole. Use a leading zero
if applicable but do not use a trailing zero.)
QID: 76900
Fill in the Blank
56
(31lb/ 1mg) x (1kg/2.2lb)x (4mg/1kg)
http://www.nursingtestsbank.store.
@etsy
=56 mg
Question 385 out of 421
A nurse is caring for a client who takes a combination oral contraceptive (OC). Which of the following findings should indicate to the nurse
that the client is experiencing a deficiency of estrogen in the OC?
A.
B.
C.
D.
Mid-cycle breakthrough bleeding or spotting
Breast tendernessexcess amount of estrogen
Migraine headachesexcess amount of estrogen
Nausea excess amount of estrogen
71% of exam takers got this question correct.
Correct Answer:
A. Mid-cycle breakthrough bleeding or spotting
If a client has mid-cycle breakthrough bleeding or spotting while taking a combination OC, the nurse should recognize that the OC is
deficient in the amount of estrogen for the client.
an
k
421385
OCOC
71
sB
A.
OCOC
D.
"I should apply this patch behind my ear."
"This patch should be replaced every 7 days.72hrs
"Before putting on my patch, I should wipe the area with an alcohol swab.(clean the area with soap and water and allow to dry
completely)
"I can use a second patch if a single patch is not effective.One patch should be applied at a time
N
ur
si
65% of exam takers got this question correct.
Correct Answer:
A. "I should apply this patch behind my ear."
ng
T
A.
B.
C.
es
t
Question 386 out of 421
A nurse is reinforcing teaching with a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of
the following client statements should indicate to the nurse that the teaching has been effective?
421386
pol
@
The nurse should identify that scopolamine patches should be applied behind the ear.
65
pol
Question 387 out of 421
A nurse is caring for a client who has benign prostatic hyperplasia and a new prescription for doxazosin. Which of the following
manifestations should the nurse monitor for as an adverse effect of doxazosin?(
A.
B.
C.
D.
Seizuresdizziness, headaches, depression, and drowsiness.
Tachycardiabctachy
Bronchodilation
Hypotension
http://www.nursingtestsbank.store.
@etsy
55% of exam takers got this question correct.
Correct Answer:
D. Hypotension
Nonselective alpha1-adrenergic antagonists such as doxazosin block sympathetic receptors in the blood vessels as well as receptors in the
bladder. These agents promote vasodilation, which can cause decreased blood pressure.
421387
55
D.
1Question 388 out of 421
A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to
the nurse the need to withhold the client's next dose of morphine?
The client reports an inability to void.
The client's respiratory rate is 10/min.
The client has hypoactive bowel sounds.
The client has vomited once in the last 4 hours.
an
k
A.
B.
C.
D.
es
t
sB
93% of exam takers got this question correct.
Correct Answer:
B. The client's respiratory rate is 10/min.abc)
The nurse should identify that morphine can cause respiratory depression. Therefore, if the client's respiratory rate is less than 12/min, the
nurse should withhold the next dose of morphine and notify the provider.
ng
T
421388
93
si
B.10 / min
12 / min
"Swallow this medication whole."
"Take this medication before meals and at bedtime.(prescribed once every 12 hours and not PRN)
"Constipation decreases with continued use.(cause chronic constipation)
"Avoid taking other supplemental analgesics with this medication.(can)
@
A.
B.
C.
D.
N
ur
Question 389 out of 421
A nurse is teaching a client about a new prescription for extended-release oxycodone for pain management. Which of the following
statements should the nurse include in the teaching?
73% of exam takers got this question correct.
Correct Answer:
A. "Swallow this medication whole."
The nurse should tell the client that extended-release oxycodone is a long-acting opioid medication and should not be cut in half or crushed
to prevent immediate absorption of the entire dose. This medication should be swallowed whole and is administered every 12 hours.
421389
73
12
http://www.nursingtestsbank.store.
@etsy
Question 390 out of 421
A nurse is preparing to administer metoclopramide 10 mg IM to a client who is postoperative and nauseated. The amount available is
metoclopramide 5 mg/1 mL. How many mL should the nurse administer? (Fill in the blank with the numeric value only. Round to the
nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)
QID: 76914
Fill in the Blank
2
10/x=5/1
x=2
Question 391 out of 421
A nurse is reinforcing teaching about preventing systemic toxicity with a client who is using topical lidocaine. Which of the following
pieces of information should the nurse include about the application of topical lidocaine?(
Apply a dressing after covering the affected areas with topical lidocaineavoid applying a dressing after covering the affected areas
Apply topical lidocaine to affected areas that are intact
Apply topical lidocaine in a thick layer to affected areas(thin)
Apply topical lidocaine frequently to large affected areas(small)
an
k
A.
B.
C.
D.
sB
76% of exam takers got this question correct.
Correct Answer:
B. Apply topical lidocaine to affected areas that are intact
es
t
The nurse should tell the client to apply topical lidocaine to skin that is intact rather than blistered, broken, or irritated to prevent a large
amount of medication from being absorbed and to decrease the risk of systemic toxicity.
ng
T
421391
76
ur
si
B.
A.
B.
C.
D.
@
N
Question 392 out of 421
A nurse is reinforcing teaching with a client about the adverse effects of omeprazole. Which of the following client statements indicates an
understanding of the teaching?(ppippippi
"If I experience severe diarrhea, I will call my doctor."
"Pneumonia is associated with long-term use of this medication.c diff
"I will need to take this medication with food.(before)
"I should take vitamin B12 while using this medication.(can cause a deficiency in magnesium)
55% of exam takers got this question correct.
Correct Answer:
A. "If I experience severe diarrhea, I will call my doctor."
Clients who experience diarrhea while taking omeprazole or other proton pump inhibitors (PPIs) should report this finding to the provider
immediately. Omeprazole and other PPIs are associated with a dose-related increase in the risk of infection with Clostridium difficile,
which is a bacterium that can cause severe diarrhea.
392421
55
http://www.nursingtestsbank.store.
@etsy
PPIPPI
Question 393 out of 421
A nurse is reinforcing teaching with a client who is taking levothyroxine to treat hypothyroidism and has a new prescription for a calcium
supplement. Which of the following pieces of information should the nurse include in the teaching?
A.
B.
C.
D.
The calcium supplement will enhance the effect of the levothyroxine.
The calcium supplement will accelerate the metabolism of the levothyroxine.(
Take the medications together at 1700 for greatest effect.(
Take the calcium supplement 4 hours apart from taking the levothyroxine.
65% of exam takers got this question correct.
Correct Answer:
D. Take the calcium supplement 4 hours apart from taking the levothyroxine.levothyroxine4
Levothyroxine should be taken first thing in the morning on an empty stomach, and the calcium supplement should be taken at least 4
hours later. Food or supplements containing iron, magnesium, or zinc also bind to levothyroxine and prevent complete absorption of the
medication.(
an
k
421393
65
sB
D.4
4
"Ginkgo biloba will probably interfere with the effectiveness of his other medications."
"You should ask his provider if ginkgo biloba is safe."
"Ginkgo biloba is most effective in the later stages of Alzheimers disease.(
"People who have Alzheimer's disease should adhere to the medication regimen their provider prescribes.
si
A.
B.
C.
D.
ng
T
es
t
Question 394 out of 421
A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimers disease. The
client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse
provide?3g
421394
@
N
ur
56% of exam takers got this question correct.
Correct Answer:
A. "Ginkgo biloba will probably interfere with the effectiveness of his other medications."
Some experts believe that ginkgo biloba can delay the mental deterioration of Alzheimers disease if taken in the early stages. Research,
however, has not demonstrated this; more importantly, ginkgo biloba increases the client's risk for bleeding when taken with warfarin.
56
Question 395 out of 421
A nurse is preparing to administer levothyroxine 12.5 mcg PO daily to a client who has hypothyroidism. Levothyroxine 25 mcg/1 tablet is
available. How many tablets should the nurse administer per dose? (Fill in the blank with the numeric value only. Round the answer to the
nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)
12.5/x=25/1
25x=12.5
x=0.5
http://www.nursingtestsbank.store.
@etsy
Question 396 out of 421
A nurse in a provider's office is collecting data from a client who has been taking black cohosh. Which of the following statements by the
client indicates a therapeutic effect from the supplement?
74% of exam takers got this question correct.
Correct Answer:
B. "I am having fewer hot flashes now that I am taking black cohosh."
Black cohosh is used for treating symptoms of menopause such as hot flashes, vaginal dryness, irritability, and night sweats.
421396
74
an
k
B.
es
t
sB
Question 396 out of 421
A nurse in a provider's office is collecting data from a client who has been taking black cohosh. Which of the following statements by the
client indicates a therapeutic effect from the supplement?
A. "I have not had a cold since I started taking black cohosh.Echinacea
B. "I am having fewer hot flashes now that I am taking black cohosh."
C. "My memory has improved since I started taking black cohosh.Ginkgo biloba
D. "My urinary tract infection has cleared up since I started taking black cohosh.Cranberry juice
ng
T
74% of exam takers got this question correct.
Correct Answer:
B. "I am having fewer hot flashes now that I am taking black cohosh.(
si
Black cohosh is used for treating symptoms of menopause such as hot flashes, vaginal dryness, irritability, and night sweats.
B.
N
@
74
ur
421396
Question 397 out of 421
A nurse is caring for a client who has a vitamin K deficiency. Which of the following manifestations should the nurse expect?vk
A.
B.
C.
D.
Irregular bone formation( d)
Abnormal movements(e)
Blurred vision(a)
Excessive bruising
75% of exam takers got this question correct.
Correct Answer:
D. Excessive bruising
The nurse should identify that excessive bruising can indicate bleeding under the skin. Vitamin K is needed by clotting factors to coagulate
the blood. Therefore, a client who has a deficiency in vitamin K is at risk for excessive bruising and bleeding.
http://www.nursingtestsbank.store.
@etsy
421397
K
75
D.
KK
Question 398 out of 421
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following
statements should the nurse include in the teaching?(
an
k
"The effects of the insulin lispro can last for 8 to 12 hours.3-6
"Administer insulin lispro 30 to 60 minutes before eating.15
"Insulin lispro has an onset of about 15 minutes."
"This insulin can be given as a continuous intravenous bolus.insulin lispro subcutaneously or by using an insulin pump
63% of exam takers got this question correct.
Correct Answer:
C. "Insulin lispro has an onset of about 15 minutes."
es
t
Insulin lispro is a rapid-acting insulin and has an onset of 15 to 30 minutes.
sB
A.
B.
C.
D.
ng
T
421398
2
63
si
C.15
ur
1530
A.
B.
C.
D.
@
N
Question 399 out of 421
A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the
following responses should the nurse make?
"You will find that all antihistamines cause sedation.(
"You should avoid taking the antihistamine with food.
"The effects of sedation will occur with each dose.(
"You should try antihistamines with non-sedative effects.
72% of exam takers got this question correct.
Correct Answer:
D. "You should try antihistamines with non-sedative effects."
The nurse should tell the client to try second-generation antihistamines that have no sedative effect, as these are large molecules with low
lipid solubility that cannot cross the blood-brain barrier. Diphenhydramine is a first-generation antihistamine and has a common adverse
effect of sedation.
421399
72
D.
http://www.nursingtestsbank.store.
@etsy
Question 400 out of 421
A nurse is caring for a client who has been receiving gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding
at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously?(15
A.
B.
C.
D.
0600
0630
0645
0730
58% of exam takers got this question correct.
Correct Answer:
C. 0645
Lispro is a rapid-acting insulin with an onset of 15 minutes. The nurse should administer the insulin dose 15 minutes prior to the feeding.
421400
0700
an
k
58
0645
Lispro1515
es
t
"Report persistent diarrhea to the provider."
"Take this medication with a full glass of milk.avoidempty stomach and with 240 mL (8 oz) of water
"Some people who take erythromycin experience vision loss.cause hearing loss
"Antacids will reduce the extent of absorption of this medication.azithromycinnot erythromycin)
si
55% of exam takers got this question correct.
Correct Answer:
A. "Report persistent diarrhea to the provider.
ng
T
A.
B.
C.
D.
sB
Question 401 out of 421
A nurse is reinforcing teaching with a client who has urethritis and a new prescription for oral erythromycin. Which of the following
statements should the nurse include in the teaching?(gi
55
@
421401
N
ur
Although gastrointestinal disturbances are the most common adverse effects of erythromycin, clients should report persistent or severe
gastrointestinal reactions to the provider. Erythromycin can cause superinfection of the bowel because it destroys some sensitive flora in
the gastrointestinal system.
Question 402 out of 421
A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 400 mL IV to an older adult client over 8 hours. The nurse should
set the IV pump to deliver how many mL/hr? (Fill in the blank with the numeric value only. Round the answer to the nearest whole
number. Use a leading zero if applicable but do not use a trailing zero.)(over 8hr
400/8=x/1
x=50ml
Question 403 out of 421
A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the following ocular effects should the nurse
expect?
http://www.nursingtestsbank.store.
A.
B.
C.
D.
@etsy
Decreased intraocular pressure
Blocked growth of new blood vessels( treatment of age-related macular degeneration.)
Paralysis of accommodation(atropine. prevents the eye from focusing for near vision )
Mydriasis(Mydriatic medications are used for ophthalmic procedures.
79% of exam takers got this question correct.
Correct Answer:
A. Decreased intraocular pressure
Brimonidine is an alpha-2 adrenergic agonist used for the long-term treatment of open-angle glaucoma. It decreases intraocular pressure by
reducing aqueous humor production.
421403
79
an
k
A.
-2
Assessing the client's vital signs every 6 hours(2-4HRS)
Instructing the client's family to press the PCA button when the client is asleep(client's family not to press the PCA button )
Asking a second nurse to check the PCA setting
Administering the PCA through a free-flow infusion system (PCA flow-controlled)
es
t
A.
B.
C.
D.
sB
Question 404 out of 421
A nurse is reinforcing teaching with a newly licensed nurse about the care of a client who is receiving patient-controlled analgesia (PCA).
Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?
ng
T
64% of exam takers got this question correct.
Correct Answer:
C. Asking a second nurse to check the PCA setting
The nurse should have a second nurse check the PCA settings to ensure the correct amount of medication is being administered to the
client.
C.PCA
PCA
@
64
N
ur
si
421404
PCA
Question 405 out of 421
A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The
nurse should identify that the provider has prescribed these medications for which of the following reasons?
A.
B.
C.
D.
Long-term use to reduce the risk of breast cancerProgestin estrogen increases the risk
Short-term use to stimulate the endometrium(counterbalance stimulate the endometrium)
Long-term use to prevent osteoporosis
Short-term use to control urogenital atrophy
41% of exam takers got this question correct.
Correct Answer:
D. Short-term use to control urogenital atrophy
The nurse should identify that estrogen, along with progestin, can be prescribed for a client who is experiencing menopause for hormonal
therapy (HT). The use of short-term HT can assist with managing the manifestations of menopause like urogenital atrophy.
421405
http://www.nursingtestsbank.store.
@etsy
41
D.
HTHT
Question 406 out of 421
A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the
nurse that the client is experiencing an adverse effect of this medication?
A.
B.
C.
D.
Severe leg crampsTeriparatide
Urinary frequencyDenosumab
Jaw painZoledronate
Sudden onset of dyspnea
an
k
46% of exam takers got this question correct.
Correct Answer:
D. Sudden onset of dyspnea
The nurse should identify that raloxifene is a selective estrogen receptor modulator (SERM), which can have estrogenic effects in some
tissues and anti-estrogenic effect in other tissues. Clients who are taking raloxifene have an increased risk of thromboembolic events such as
deep-vein thrombosis, pulmonary embolism, or stroke. Therefore, the nurse should notify the provider if the client is experiencing this
adverse effect of raloxifene.
sB
421406
es
t
46
ng
T
D.
SERM
Question 407 out of 421
A nurse manager is instructing a newly licensed nurse about routes of medication administration. Which of the following routes involves
medication absorption through the mucous membranes under the tongue?
ur
si
Oral
Topical
Parenteral
Sublingual
N
A.
B.
C.
D.
@
94% of exam takers got this question correct.
Correct Answer:
D. Sublingual
Absorption through the sublingual route occurs by placing the medication under the tongue.
421407
94
D.
Question 408 out of 421
A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following findings as an adverse
effect of selegiline and notify the provider?Mild symptoms of Parkinson's
A.
B.
C.
D.
Bruisingibuprofen
Drowsiness
CoughingACE inhibitor
ConstipationDiarrhea
http://www.nursingtestsbank.store.
@etsy
43% of exam takers got this question correct.
Correct Answer:
B. Drowsiness
Drowsiness can be an adverse effect of selegiline, which can also be a manifestation of serotonin syndrome. The nurse should notify the
provider of this finding immediately.
421408
43
5-
sB
an
k
Question 409 out of 421
A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following
medications should the nurse identify as being incompatible with theophylline?
A.
Cromolynmast cell stabilizer
B. Albuterolbeta2-agonist
C. Zafirlukast
D. Methylprednisoloneoral glucocorticoid
ng
T
es
t
43% of exam takers got this question correct.
Correct Answer:
C. Zafirlukastantagonist
The nurse should identify that zafirlukast is a leukotriene receptor antagonist prescribed for asthma maintenance. Concurrent use of
zafirlukast along with theophylline suppresses the metabolism of theophylline, which can lead to toxicity. Therefore, another medication
should be used.
421409
ur
si
43
@
N
Question 411 out of 421
A nurse is collecting data from a client who has been taken esomeprazole. Which of the following reports by the client indicates a
therapeutic response to the medication?
A. "My scalp is no longer itching since I started this medication."
B. "I am experiencing much less reflux since taking this medication."
C. "I am no longer having leg cramps at night."
D. "I havent had a migraine headache since I started this medication."
76% of exam takers got this question correct.
Correct Answer:
B. "I am experiencing much less reflux since taking this medication.
The nurse should identify a report of less gastric reflux as a therapeutic effect of esomeprazole. Esomeprazole is a proton pump inhibitor
(PPI) that is used for the treatment of GERD, duodenal and gastric ulcers, and erosive esophagitis. PPIs decrease the production of acid
secretion and are the drug of choice for treating GERD.
421411
76
http://www.nursingtestsbank.store.
@etsy
B.
PPIGERD PPIGERD
Question 412 out of 421
A nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. The nurse should identify
that which of the following findings is a contraindication to receiving this medication?
A.
B.
C.
D.
High cholesterol levels
Liver disease
Family history of ovarian cancerCombination oral contraceptives protect against ovarian cancer.
Client report of hypermenorrheaexcessive bleeding during menses can be corrected by a combination oral contraceptive.
an
k
43% of exam takers got this question correct.
Correct Answer:
B. Liver disease
The nurse should identify that liver disease or abnormal liver function is a contraindication to receiving a combination oral contraceptive.
Therefore, the nurse should notify the client's provider. Other contraindications include thrombophlebitis or breast cancer.
sB
421412
43
es
t
B.
si
Alternate injections between the abdomen and the thighuse the same general area
Shake the vial before withdrawing the dosageroll the vial between the palms, not shake it.
Rotate injection sites within the same area
Discard the vial if the insulin is cloudyNPH insulin is a cloudy suspension
ur
A.
B.
C.
D.
ng
T
Question 413 out of 421
A nurse is reinforcing teaching about self-administration of NPH insulin with a client who has type 2 diabetes mellitus. Which of the
following instructions should the nurse include?
421413
2NPH
@
N
54% of exam takers got this question correct.
Correct Answer:
C. Rotate injection sites within the same area
To prevent lipodystrophy, the client should rotate injection sites, making them about 2.5 cm (1 in) apart, within the same anatomical area.
54
C.
2.51
Question 414 out of 421
A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which of the following
findings should the nurse identify as a contraindication to the client receiving this medication?
A.
B.
C.
D.
Psoriatic arthritis
Hepatitis B virus
Ulcerative colitis
Ankylosing spondylitis
50% of exam takers got this question correct.
http://www.nursingtestsbank.store.
@etsy
Correct Answer:
B. Hepatitis B virus
The nurse should identify that infliximab is a tumor necrosis factor (TNF) antibody medication that is used to reduce the disease
manifestations and to delay disease progression. Infliximab has immunosuppressant properties that can increase the risk of infection. Clients
who have an active or chronic infection such as hepatitis B virus should not take infliximab.
421414
50
TNF
sB
BID
TID
QID
Q8h(
es
t
A.
B.
C.
D.
an
k
Question 415 out of 421
A nurse is preparing to administer medication to a client. Which of the following abbreviations indicates the greatest frequency of
medication administration?
ng
T
74% of exam takers got this question correct.
Correct Answer:
C. QID
The abbreviation "QID" indicates the medication should be administered 4 times per day, which is the greatest frequency of the options
provided.
si
421415
N
C.QID
QID4
ur
74
@
Question 416 out of 421
A nurse is collecting data from a client who has taken methimazole for a thyroid disorder over the past month. Which of the following
findings demonstrates an expected response to methimazole?
A.
B.
C.
D.
Decreased body temperature
Increased pulse rate
Weight loss of 3 lb (1.4 kg)
Increased urine output
50% of exam takers got this question correct.
Correct Answer:
A. Decreased body temperature(bc
Methimazole inhibits thyroid production for clients with hyperthyroidism. Increased body temperature with warm, moist skin is a
manifestation of hyperthyroidism; therefore, a decreased body temperature is an expected response to the medication. Other findings
demonstrating the effectiveness of the medication include a decreased pulse rate and a decreased metabolic rate, which allows the client to
maintain a healthy body weight.
421416
http://www.nursingtestsbank.store.
@etsy
50
A.
Question 417 out of 421
A nurse is teaching a client who has a new diagnosis of angina and has a prescription for isosorbide mononitrate 10 mg PO twice daily.
Which of the following client statements indicates an understanding of the teaching?
A.
B.
C.
D.
"I can take my second dose of medication no later than 9:00 PM.(19:00)
"I should change positions slowly when getting out of bed."
"If I miss a dose, I should double the next dose."
"I should notify my provider if I experience a headache while taking this medication.(common adverse effect)
an
k
84% of exam takers got this question correct.
Correct Answer:
B. "I should change positions slowly when getting out of bed."
The nurse should identify that isosorbide mononitrate is an antianginal medication that produces vasodilation. Therefore, this medication
can cause orthostatic hypotension. Clients should change positions slowly upon rising to minimize the effects of orthostatic hypotension.
sB
421417
10 mg PO
es
t
84
B.
si
ng
T
Question 418 out of 421
A nurse is assisting with the administration of cefepime 1 g in 5% dextrose in water (D5W) 50 mL over 30 minutes to a client who has
pneumonia. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many
gtt/min? (Fill in the blank with the numeric value only. Round to the nearest whole number. Use a leading zero if applicable but do not use
a trailing zero.)
@
(50ml/30min) x (15gtt/1ml)
=25
N
ur
67% of exam takers got this question correct.
Correct Answer:
25
Question 419 out of 421
A nurse is reinforcing teaching with a client who has diabetes mellitus about a new prescription for pioglitazone. Which of the following
statements should the nurse include in the teaching?
A.
B.
C.
D.
"Monitor for hypoglycemia 6 hours after taking the medication.2-4
"This medication cannot be taken if you have a sulfa allergy.it is not a sulfa-based medication.
"This medication can be taken when using insulin."
"This medication is effective for people with type 1 diabetes mellitus.(type 2 diabetes mellitus, not type 1 diabetes mellitus.)
45% of exam takers got this question correct.
Correct Answer:
C. "This medication can be taken when using insulin."
The client can take pioglitazone when using insulin because pioglitazone increases the cellular response to insulin, and insulin is needed in
order for the medication to be effective.
421419
http://www.nursingtestsbank.store.
@etsy
45
C.
Question 420 out of 421
A nurse is caring for a client who takes sulfasalazine twice daily for rheumatoid arthritis. Which of the following values should the nurse
review prior to the administration of the medication?
A.
B.
C.
D.
RespirationsSulfasalazine does not affect respirations.
Serum creatinine level(does not have nephrotoxic properties.)
Blood pressure(does not affect blood pressure)
Complete blood count
sB
an
k
42% of exam takers got this question correct.
Correct Answer:
D. Complete blood count
The nurse should identify that sulfasalazine can cause bone marrow suppression, which can lead to agranulocytosis, hemolytic anemia, and
macrocytic anemia. As a result, the client's complete blood count should be periodically monitored, and the nurse should review it prior to
administering this medication.
es
t
421420
42
ng
T
D.
N
It reduces the number of immunoglobulin E (IgE) molecules on mast cells.
It stabilizes the cellular membrane of mast cells.(mast cell stabilizers)
It decreases the synthesis and release of inflammatory mediators.(mechanism of action of glucocorticoids)
It relaxes the smooth muscles by blocking adenosine receptors.(blocking adenosine receptors is the mechanism of action of
methylxanthines.)
@
A.
B.
C.
D.
ur
si
Question 421 out of 421
A charge nurse is reinforcing teaching with a newly licensed nurse about a client who has severe allergy-related asthma and a new
prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medication's
mechanism of action?
44% of exam takers got this question correct.
Correct Answer:
A. It reduces the number of immunoglobulin E (IgE) molecules on mast cells.
The charge nurse should include in the teaching that the mechanism of action of omalizumab reduces the number of IgE molecules on mast
cells. This limits the ability of allergens to trigger immune mediators that cause bronchospasm.
421421
44
A.EIgE
IgE