JERSEY COLLEGE MEDSURG 1 UPDATED
ACTUAL EXAM QUESTIONS SOLVED
ALREADY GRADED A PLUS
◉ crackers and tossed salad. Answer: A hospitalized client is started
on phenalzine for the tx of depression. The nurse should instruct the
client that which foods are acceptable to consume while taking this
medication? SATA
-figs
-yogurt
-crackers
-aged cheese
-tossed salad
-oatmeal raisin cookies
◉ white blood cell count. Answer: A client with schizophrenia has
been started on medication therapy with clozapine. The nurse should
assess the results of which laboratory study to monitor for adverse
effects from this medication?
◉ avoid alcohol while taking this medication. Answer: A client is
scheduled for discharge and will be taking phenobarbital for an
extended period. The nurse would place the highest priority on
teaching the client which point that directly relates to client safety?
,◉ constipation. Answer: Side effect of oxazepam:
◉ get up slowly when changing positions
avoid sunlight
2nd generation/atypical anti-psychotic. Answer: Discharge
instructions for a patient taking risperidone?
◉ 2-3 weeks
TCA - trycyclic antidepressant. Answer: The nurse is teaching a client
who is being started on imipramine about the medication. The nurse
should inform the client to expect maximum desired effects at which
time period following initiation of the medication?
◉ tardive dyskinesia. Answer: The nurse notes that the client with
schizophrenia and receiving an antipsychotic medication is moving
her mouth, protruding her tongue, and grimacing as she watches
television. The nurse determines that the client is experiencing which
medication complication?
◉ GI dysfunction
CNS dysfunction
Sleeplessness and/or drowsiness during day
SSRI. Answer: The nurse is performing a follow up teaching session
with a client discharged one month ago. The client is taking fluoxetine
(Prozac). Which information would be important for the nurse to
, obtain during this client visit regarding the side and adverse effects of
this medication?
◉ rapid heartbeat or anxiety. Answer: A client who has been taking
busprione for 1 month returns to the clinic for a follow up assessment.
The nurse determines that the medication is effective if the absence of
which manifestation has occurred?
◉ toxic. Answer: A client taking lithium reports vomiting, abdominal
pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level
is 2.5 mEq/L. The nurse plans the care based on which representation
of this level?
◉ < 0.4 to 1 mEq/L. Answer: Therapeutic level of lithium?
◉ frequent hand washing with hot, soapy water.
TCA used to treat OCD. Answer: A client gives the home health nurse
a bottle of clomipramine. The nurse notes that the medication has not
been taken by the client in 2 months. Which behavior observed in the
client would validate noncompliance with this medication?
◉ seizures. Answer: Excessive amounts of bupropion (Wellbutrin)
can cause ________?
◉ the death of a loved one. Answer: Example of a situational crisis?
-witnessing a murder
-the death of a loved one
ACTUAL EXAM QUESTIONS SOLVED
ALREADY GRADED A PLUS
◉ crackers and tossed salad. Answer: A hospitalized client is started
on phenalzine for the tx of depression. The nurse should instruct the
client that which foods are acceptable to consume while taking this
medication? SATA
-figs
-yogurt
-crackers
-aged cheese
-tossed salad
-oatmeal raisin cookies
◉ white blood cell count. Answer: A client with schizophrenia has
been started on medication therapy with clozapine. The nurse should
assess the results of which laboratory study to monitor for adverse
effects from this medication?
◉ avoid alcohol while taking this medication. Answer: A client is
scheduled for discharge and will be taking phenobarbital for an
extended period. The nurse would place the highest priority on
teaching the client which point that directly relates to client safety?
,◉ constipation. Answer: Side effect of oxazepam:
◉ get up slowly when changing positions
avoid sunlight
2nd generation/atypical anti-psychotic. Answer: Discharge
instructions for a patient taking risperidone?
◉ 2-3 weeks
TCA - trycyclic antidepressant. Answer: The nurse is teaching a client
who is being started on imipramine about the medication. The nurse
should inform the client to expect maximum desired effects at which
time period following initiation of the medication?
◉ tardive dyskinesia. Answer: The nurse notes that the client with
schizophrenia and receiving an antipsychotic medication is moving
her mouth, protruding her tongue, and grimacing as she watches
television. The nurse determines that the client is experiencing which
medication complication?
◉ GI dysfunction
CNS dysfunction
Sleeplessness and/or drowsiness during day
SSRI. Answer: The nurse is performing a follow up teaching session
with a client discharged one month ago. The client is taking fluoxetine
(Prozac). Which information would be important for the nurse to
, obtain during this client visit regarding the side and adverse effects of
this medication?
◉ rapid heartbeat or anxiety. Answer: A client who has been taking
busprione for 1 month returns to the clinic for a follow up assessment.
The nurse determines that the medication is effective if the absence of
which manifestation has occurred?
◉ toxic. Answer: A client taking lithium reports vomiting, abdominal
pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level
is 2.5 mEq/L. The nurse plans the care based on which representation
of this level?
◉ < 0.4 to 1 mEq/L. Answer: Therapeutic level of lithium?
◉ frequent hand washing with hot, soapy water.
TCA used to treat OCD. Answer: A client gives the home health nurse
a bottle of clomipramine. The nurse notes that the medication has not
been taken by the client in 2 months. Which behavior observed in the
client would validate noncompliance with this medication?
◉ seizures. Answer: Excessive amounts of bupropion (Wellbutrin)
can cause ________?
◉ the death of a loved one. Answer: Example of a situational crisis?
-witnessing a murder
-the death of a loved one
