1|Page
NURS 321 Final Exam | Comprehensive Medical-Surgical
Nursing and Pharmacology Review
A nurse is preparing to administer a scheduled dose of lactulose to a
client who reports abdominal cramping. What is the nurse's priority
action?
Assess bowel sounds, abdominal distention, and stool pattern.
A client taking lactulose asks why the nurse is listening to their
abdomen before giving the medication. What is the best response?
I'm checking to see if your bowels are working properly
Which statement by a nursing student about lactulose requires further
teaching?
If the client has abdominal bloating, I'll give the medication without
assessing first.
A nurse is caring for a client receiving lactulose. Which finding requires
further assessment before administering the next dose?
Abdominal distention and cramping.
,2|Page
A nurse teaches a client about taking lactulose at home. Which client
statement indicates correct understanding?
I'll drink enough fluids while taking lactulose.
A nurse is teaching a client how to take omeprazole at home. Which
statement by the client indicates correct understanding?
"I'll take it before breakfast."
A client asks why omeprazole should be taken before meals. What is the
nurse's best response?
It works best when stomach acid production is about to increase.
Which client statement requires further teaching about omeprazole?
"I'll stop taking it as soon as my symptoms improve."
, 3|Page
A nurse observes a client crushing an omeprazole capsule before taking
it. What should the nurse do first?
Explain that crushing the capsule can reduce how well the medication
works.
A client says, "I took one dose of omeprazole, but my heartburn is still
there." What is the nurse's best response?
"Omeprazole takes time to work, so continue taking it as prescribed."
A nurse is preparing to administer rifaximin to a client with diarrhea.
Which assessment finding should cause the nurse to hold the
medication and notify the health care provider?
bloody stool and a fever
A nurse is caring for a client experiencing an exacerbation of Crohn's
disease. Which medication should the nurse anticipate administering?
Mesalamine
NURS 321 Final Exam | Comprehensive Medical-Surgical
Nursing and Pharmacology Review
A nurse is preparing to administer a scheduled dose of lactulose to a
client who reports abdominal cramping. What is the nurse's priority
action?
Assess bowel sounds, abdominal distention, and stool pattern.
A client taking lactulose asks why the nurse is listening to their
abdomen before giving the medication. What is the best response?
I'm checking to see if your bowels are working properly
Which statement by a nursing student about lactulose requires further
teaching?
If the client has abdominal bloating, I'll give the medication without
assessing first.
A nurse is caring for a client receiving lactulose. Which finding requires
further assessment before administering the next dose?
Abdominal distention and cramping.
,2|Page
A nurse teaches a client about taking lactulose at home. Which client
statement indicates correct understanding?
I'll drink enough fluids while taking lactulose.
A nurse is teaching a client how to take omeprazole at home. Which
statement by the client indicates correct understanding?
"I'll take it before breakfast."
A client asks why omeprazole should be taken before meals. What is the
nurse's best response?
It works best when stomach acid production is about to increase.
Which client statement requires further teaching about omeprazole?
"I'll stop taking it as soon as my symptoms improve."
, 3|Page
A nurse observes a client crushing an omeprazole capsule before taking
it. What should the nurse do first?
Explain that crushing the capsule can reduce how well the medication
works.
A client says, "I took one dose of omeprazole, but my heartburn is still
there." What is the nurse's best response?
"Omeprazole takes time to work, so continue taking it as prescribed."
A nurse is preparing to administer rifaximin to a client with diarrhea.
Which assessment finding should cause the nurse to hold the
medication and notify the health care provider?
bloody stool and a fever
A nurse is caring for a client experiencing an exacerbation of Crohn's
disease. Which medication should the nurse anticipate administering?
Mesalamine
