A nurse is caring for four clients who have Peptic Ulcer Disease. The nurse should
recognize Misoprostol is contraindicated for which of the following clients?
A. A client who is pregnant
B. A client who has osteoarthritis
C. A client who has a kidney stone
D. A client who has a urinary tract infection - CORRECT ANSWERS-A (misoprostol can
induce labor and is contraindicated in pregnancy.)
A nurse is providing a client who has Peptic Ulcer Disease with instructions about
managing his condition. Which of the following instructions should the nurse include?
(Select all that apply.)
A. "Eat a bedtime snack."
B. "Drink decaffeinated coffee"
C. "Low-dose aspirin therapy should be avoided."
D. "Seek measures to reduce stress."
E. "Avoid smoking." - CORRECT ANSWERS-d, e
(D. Reducing stress is beneficial for healing of the ulcer and prevention of
complications.
E. Smoking inhibits healing of the ulcer.)
A nurse is caring for a client who received Prochlorperazine 4 hr ago. The client reports
spasms of his face. The nurse should anticipate a prescription for which of the following
medications?
A.Fomepizole
B.Naloxone
C.Phytonadione
D.Diphenhydramine - CORRECT ANSWERS-D (An adverse effect of prochlorperazine
is acute dystonia, which is evidenced by spasms of the muscles in the face, neck, and
tongue. Diphenhydramine is used to suppress extrapyramidal effects of
prochlorperazin)
A nurse is planning to administer Ondansetron IV for an older adult client who has a
history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for
cancer. For which of the following adverse effects of ondansetron should the nurse
monitor? (Select all that apply.)
A. Headache
1|Page
,B. Diarrhea
C. Shortened PR interval
D. Hyperglycemia
E. Prolonged QT interval - CORRECT ANSWERS-a, b, e
(A.headache is a common adverse effect of ondansetron.
B. Diarrhea or constipation are both adverse effects of ondansetron
E. A prolonged QT interval is a possible adverse effect of ondansetron that can lead to
torsades de pointes, a serious dysrhythmia.)
A nurse is providing instructions about the use of laxatives to a client who has heart
failure. The nurse should tell the client he should avoid which of the following laxatives?
A. Sodium phosphate
B. Psyllium
C. Bisacodyl
D. Polyethylene glycol - CORRECT ANSWERS-A (Typically, clients who have heart
failure
are on a sodium-restricted diet. Absorption of sodium from sodium phosphate causes
fluid retention and is contraindicated for clients who have heart failure.)
A nurse is caring for a client who has Diabetes and is experiencing Nausea due to
Gastroparesis. The nurse should anticipate a prescription for which of the following
medications?
A. Lubiprostone
B. Metoclopramide
C. Bisacodyl
D. Loperamide - CORRECT ANSWERS-B (Metoclopramide is a dopamine antagonist
that is used to treat nausea and also increases gastric motility. It can relieve the bloating
and nausea of diabetic gastroparesis.)
A nurse is providing information about Probiotic supplements to a male client. Which of
the following information should the nurse include? (Select all that apply.)
A. "Probiotics are micro-organisms that are normally found in the GI tract."
B. "Probiotics are used to treat Clostridium difficile."
C. "Probiotics are used to treat benign prostatic hyperplasia."
D. "You can experience bloating while taking probiotic supplements."
E. "If you are prescribed an antibiotic, you should take it at the same time you take your
probiotic supplement." - CORRECT ANSWERS-a, b, d
(A. Probiotics consist of lactobacilli, bifidobacteria, and Saccharomyces boulardii, which
normally are found in the digestive tract.
B. Probiotics are used to treat a number of GI
2|Page
, conditions, including irritable bowel syndrome, diarrhea associated with Clostridium
difficile, and ulcerative colitis
D. Flatulence and bloating are adverse
effects of probiotic supplements.)
A nurse is teaching a client who has Anemia and a new prescription for a liquid Iron
supplement. Which of the following information should the nurse include in the
teaching? (Select all that apply.)
A. "Add foods that are high in fiber to your diet."
B. "Rinse your mouth after taking the medication."
C. "Expect stools to be green or black in color."
D. "Take the medication with a glass of milk."
E. "Add red meat to your diet." - CORRECT ANSWERS-a, b, c, e
(A. Foods high in fiber can prevent constipation,
which can occur when taking iron supplements.
B. Iron supplements can stain teeth when taken in a liquid
form. The client should rinse orally after taking the medication.
C. Dark green or black stools can occur when taking
iron supplements. The client should anticipate this effect.
E. Red meats are high in iron and recommended for a client to improve anemia when
taken concurrently with iron supplements.)
A nurse is caring for a client who has increased liver enzymes and is taking herbal
supplements. Which of the following herbal supplements should the nurse report to the
provider?
A. Glucosamine
B. Saw palmetto
C. Kava
D. St. John's wort - CORRECT ANSWERS-C (Chronic use or high doses of kava can
cause liver damage, including severe liver failure)
A nurse is evaluating a group of clients at a health fair to identify the need for folic acid
therapy. Which of the following clients require folic acid therapy? (Select all that apply.)
A.12-year-old child who has iron deficiency anemia
B.24-year-old female who has no health problems
C.44-year-old male who has hypertension
D.55-year-old female who has alcohol use disorder
E.35-year-old male who has type 2 diabetes mellitus - CORRECT ANSWERS-b, d
3|Page
recognize Misoprostol is contraindicated for which of the following clients?
A. A client who is pregnant
B. A client who has osteoarthritis
C. A client who has a kidney stone
D. A client who has a urinary tract infection - CORRECT ANSWERS-A (misoprostol can
induce labor and is contraindicated in pregnancy.)
A nurse is providing a client who has Peptic Ulcer Disease with instructions about
managing his condition. Which of the following instructions should the nurse include?
(Select all that apply.)
A. "Eat a bedtime snack."
B. "Drink decaffeinated coffee"
C. "Low-dose aspirin therapy should be avoided."
D. "Seek measures to reduce stress."
E. "Avoid smoking." - CORRECT ANSWERS-d, e
(D. Reducing stress is beneficial for healing of the ulcer and prevention of
complications.
E. Smoking inhibits healing of the ulcer.)
A nurse is caring for a client who received Prochlorperazine 4 hr ago. The client reports
spasms of his face. The nurse should anticipate a prescription for which of the following
medications?
A.Fomepizole
B.Naloxone
C.Phytonadione
D.Diphenhydramine - CORRECT ANSWERS-D (An adverse effect of prochlorperazine
is acute dystonia, which is evidenced by spasms of the muscles in the face, neck, and
tongue. Diphenhydramine is used to suppress extrapyramidal effects of
prochlorperazin)
A nurse is planning to administer Ondansetron IV for an older adult client who has a
history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for
cancer. For which of the following adverse effects of ondansetron should the nurse
monitor? (Select all that apply.)
A. Headache
1|Page
,B. Diarrhea
C. Shortened PR interval
D. Hyperglycemia
E. Prolonged QT interval - CORRECT ANSWERS-a, b, e
(A.headache is a common adverse effect of ondansetron.
B. Diarrhea or constipation are both adverse effects of ondansetron
E. A prolonged QT interval is a possible adverse effect of ondansetron that can lead to
torsades de pointes, a serious dysrhythmia.)
A nurse is providing instructions about the use of laxatives to a client who has heart
failure. The nurse should tell the client he should avoid which of the following laxatives?
A. Sodium phosphate
B. Psyllium
C. Bisacodyl
D. Polyethylene glycol - CORRECT ANSWERS-A (Typically, clients who have heart
failure
are on a sodium-restricted diet. Absorption of sodium from sodium phosphate causes
fluid retention and is contraindicated for clients who have heart failure.)
A nurse is caring for a client who has Diabetes and is experiencing Nausea due to
Gastroparesis. The nurse should anticipate a prescription for which of the following
medications?
A. Lubiprostone
B. Metoclopramide
C. Bisacodyl
D. Loperamide - CORRECT ANSWERS-B (Metoclopramide is a dopamine antagonist
that is used to treat nausea and also increases gastric motility. It can relieve the bloating
and nausea of diabetic gastroparesis.)
A nurse is providing information about Probiotic supplements to a male client. Which of
the following information should the nurse include? (Select all that apply.)
A. "Probiotics are micro-organisms that are normally found in the GI tract."
B. "Probiotics are used to treat Clostridium difficile."
C. "Probiotics are used to treat benign prostatic hyperplasia."
D. "You can experience bloating while taking probiotic supplements."
E. "If you are prescribed an antibiotic, you should take it at the same time you take your
probiotic supplement." - CORRECT ANSWERS-a, b, d
(A. Probiotics consist of lactobacilli, bifidobacteria, and Saccharomyces boulardii, which
normally are found in the digestive tract.
B. Probiotics are used to treat a number of GI
2|Page
, conditions, including irritable bowel syndrome, diarrhea associated with Clostridium
difficile, and ulcerative colitis
D. Flatulence and bloating are adverse
effects of probiotic supplements.)
A nurse is teaching a client who has Anemia and a new prescription for a liquid Iron
supplement. Which of the following information should the nurse include in the
teaching? (Select all that apply.)
A. "Add foods that are high in fiber to your diet."
B. "Rinse your mouth after taking the medication."
C. "Expect stools to be green or black in color."
D. "Take the medication with a glass of milk."
E. "Add red meat to your diet." - CORRECT ANSWERS-a, b, c, e
(A. Foods high in fiber can prevent constipation,
which can occur when taking iron supplements.
B. Iron supplements can stain teeth when taken in a liquid
form. The client should rinse orally after taking the medication.
C. Dark green or black stools can occur when taking
iron supplements. The client should anticipate this effect.
E. Red meats are high in iron and recommended for a client to improve anemia when
taken concurrently with iron supplements.)
A nurse is caring for a client who has increased liver enzymes and is taking herbal
supplements. Which of the following herbal supplements should the nurse report to the
provider?
A. Glucosamine
B. Saw palmetto
C. Kava
D. St. John's wort - CORRECT ANSWERS-C (Chronic use or high doses of kava can
cause liver damage, including severe liver failure)
A nurse is evaluating a group of clients at a health fair to identify the need for folic acid
therapy. Which of the following clients require folic acid therapy? (Select all that apply.)
A.12-year-old child who has iron deficiency anemia
B.24-year-old female who has no health problems
C.44-year-old male who has hypertension
D.55-year-old female who has alcohol use disorder
E.35-year-old male who has type 2 diabetes mellitus - CORRECT ANSWERS-b, d
3|Page
