WITH ACCURATE ANSWERS
A nurse is administering a varicella immunization to a young adult client who did
not receive the immunization as a child. The client asks the nurse if they will need
additional doses of the vaccine. Which of the following responses should the
nurse make?
"You will require a total of three doses about 6 months apart."
"You should return for a second dose in 4 to 8 weeks."
"You can get a booster dose every 10 years."
"You should get another dose in 2 weeks." correct answer "You should return for
a second dose in 4 to 8 weeks."
A nurse is administering ear drops into an adult client's right ear. Which of the
following actions should the nurse take?
Straighten the ear canal by pulling the auricle down and back.
Assist the client into Fowler's position.
Place a cotton ball in the ear canal for 30 min after instilling the drops.
Instill drops holding the dropper 1 cm (0.4 in.) above the ear canal. correct answer
Instill drops holding the dropper 1 cm (0.4 in.) above the ear canal.
A nurse is assisting with the care of a client who has a myasthenia gravis and is
experiencing a cholinergic crisis. Which of the following medications should the
nurse expect the RN to administer?
,Bethanechol
Propranolol
Atropine
Epinephrine correct answer Atropine
A nurse is assisting with the care of a client who has oral benzodiazepine toxicity.
The client has an IV infusing and is nonresponsive. Which of the following
interventions should the nurse anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation correct answer Administering IV
flumazenil
A nurse is caring for a client who has bipolar disorder and a new prescription for
lithium. Which of the following laboratory values should the nurse plan to
monitor for potential adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium correct answer Sodium
, A nurse is caring for a client who has diabetes mellitus. The client received a dose
of regular insulin prior to an episode of vomiting and is now unable to eat. For
which of the following manifestations should the nurse monitor?
Deep respirations
Polyuria
Increased thirst
Confusion correct answer Confusion
A nurse is caring for a client who is 2 days post-operative and is receiving
morphine for acute pain. The nurse should monitor the client for which of the
following manifestations as an adverse effect of this medication?
Urinary frequency
Constipation
Muscle rigidity
Physical dependency correct answer Constipation
A nurse is collecting data about herbal supplement use from a client who has a
new prescription for fluoxetine. The nurse should identify that which of the
following supplements is contraindicated with this medication?
St. John's Wort
Saw Palmetto
Echinacea
Ginkgo biloba correct answer ST. JOHN'S WORT.