NEWEST EXAM ALL IN ONE DOCUMENT 400 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY
GRADED A+
A nurse is providing teaching to a client who is taking
bupropion as an aid to quit smoking. Which of the following
findings should the nurse identify as an adverse effect of the
medication? - ...ANSWER...Insomnia
A nurse is assessing a client who has schizophrenia and is
taking haloperidol. The nurse should report which of the
following findings to the provider as a manifestation of
neuroleptic malignant syndrome (NMS)? -
...ANSWER...Temp of 39.7 C (103.5 F)
A nurse is caring for a client who is in labor. The client is
receiving oxytocin by continuous IV infusion with a
maintenance IV solution. The external FHR monitor indicates
late decelerations. Which of the following actions should the
nurse take first? - ...ANSWER...Turn the client to a side-lying
position.
A nurse is teaching a group of unit nurses about medication
reconciliation. Which of the following information should the
nurse include in the teaching? - ...ANSWER...A transition in
care requires the nurse to conduct medication reconciliation.
,A nurse in an emergency department is caring for a client who
has myasthenia gravis and is in a cholinergic crisis. Which of
the following medications should the nurse plan to
administer? - ...ANSWER...Atropine
A nurse on the acute care unit is caring for a client who is
receiving gentamicin IV. The nurse should report which of the
following findings to the provider as an adverse effect of the
medication? - ...ANSWER...Tinnitus
A nurse is teaching a client who is to begin taking tamoxifen
for the treatment of breast cancer. Which of the following
adverse effects should the nurse include in the teaching? -
...ANSWER...Hot flashes
A nurse is caring for a client who is experiencing acute
alcohol withdrawal. For which of the following client
outcomes should the nurse administer chlordiazepoxide? -
...ANSWER...Prevent delirium tremens
A nurse in an urgent care clinic is collecting data from a
female client who has a urinary tract infection. The nurse
anticipates a prescription for ciprofloxacin. The nurse should
identify that which of the following client statements indicates
a contraindication for administering this medication? -
...ANSWER...."I have tendonitis, so I haven't been able to
exercise."
A nurse is collecting a medication history from a client who
has a new prescription for lithium. The nurse should identify
that the client should discontinue which of the following over-
the counter medications? - ...ANSWER...Ibuprofen
,A nurse is preparing to administer a scheduled antibiotic at
0800 to a client and discovers the antibiotic is not present in
the client's medication drawer. The nurse should identify that
administration of the medication can occur at which of the
following time periods without requiring an incident report? -
...ANSWER...0830
A nurse is teaching a client about the use of risedronate for the
treatment of osteoporosis. The nurse should identify which of
the following statements as an indication that the client
understands the teaching? - ...ANSWER...I should sit up for
30 min after taking the risedronate
A nurse is caring for a client who is receiving heparin therapy
via continuous IV infusion to treat a pulmonary embolism.
Which of the following findings should the nurse identify as
an adverse effect of the medication and report to the provider?
- ...ANSWER...Blood in the urine
A nurse is developing a teaching plan for a client who has a
new prescription for simvastatin. Which of the following
instructions should the nurse include in the teaching plan
(SATA)? - ...ANSWER...Report muscle pain to the provider
Avoid taking the medication with grapefruit juice
Expect therapy with this medication to be lifelong
A nurse is caring for a 20-year-old female client who has a
prescription for isotretinoin for severe nodulocystic acne
vulgaris. Before the client can obtain a refill, the nurse should
advice the client that which of the following tests is required?
- ...ANSWER...Pregnancy test
, A nurse is planning care for a client who is prescribed
metoclopramide following bowel surgery. For which of the
following adverse effects should the nurse monitor? -
...ANSWER...Sedation
A nurse is providing teaching to a client who has a
prescription for ergotamine sublingual to treat migraine
headaches. Which of the following information should the
nurse include in her instructions? - ...ANSWER...Take one
tablet at onset of migraine.
A nurse is preparing to administer heparin subcutaneously to a
client. Which of the following actions should the nurse plan to
take? - ...ANSWER...Administer the medication outside the 5-
cm (2 in) radius of the umbilicus
A nurse is caring for a client who is taking acetazolamide for
chronic open-angle glaucoma. For which of the following
adverse effects should the nurse instruct the client to monitor
and report? - ...ANSWER...Tingling of fingers
A nurse is preparing to administer medication to a client who
has gout. The nurse discovers that an error was made during
the previous shift and the client received atenolol instead of
allopurinol. Which of the following actions should the nurse
take first? - ...ANSWER...Obtain the client's BP
A nurse is preparing to administer PO sodium polystyrene
sulfonate to a client who has hyperkalemia. Which of the
following actions should the nurse plan to take? -
...ANSWER...Monitor the client for constipation