Answers
AznurseziszassessingzazclientzwhoziszreceivingzChloramphenicolz(Chloromycetin).zWhichzo
fzthezfollowingzfindingsziszanzadversezeffectzofzthiszmedication?
A.zEcchymosis
B.zOtotoxicy
C.zHyertension
D.zAnxietyz-zans✔✔A
Aznurseziszcaringzforzazclientzwhozisztozreceivez1,500zmLzofz0.9%zsodiumzchlorideIVzoverz8
zhours.zTheznursezplansztozusezIVztubingzwithzazdropzfactorzofz10zgtt/mL.Howzmanyzgtt/
minzofzIVzfluidzshouldzthezclientzreceive?
z(Roundzyourzanswerztotheznearestzwholeznumber).
A.z20gtt/min
B.z70gtt/min
C.z31gtt/min
D.z40gtt/minz-zans✔✔C
Aznurseziszadmittingzazclientztozazlong-
termzcarezfacility.zWhilezreconcilingzthezmedicationzprescribedzatzhomezwithzthosezprescri
bedzinzthezfacility,ztheznursezdiscoverszazdiscrepancyzinzthezdosages.zWhichzactionzshoul
dztheznurseztake?
A.zClarifyzthezmedicationzdosageszwithzthezprovider.
B.zChangezthezprescribedzmedicationzdosagesztozreconcilezthezdiscrepancy
C.zContactzthezpharmacistzregardingzthezdosagezdiscrepancies
D.zAskzazfamilyzmemberztozverifyzthezmedicationzdosagesz-zans✔✔A
Aznurseziszcaringzforzazclientzwhoziszreceivingzazfentanylztransdermalzsystem(Duragesic).z
Whatziszimportantztozdocumentzinzthezclient'szrecord?
A.zfluidzintake
B.zSkinzintegrity
C.zRespiratoryzrate
D.zPulsezratez-zans✔✔C
, Aznurseziszcaringzforzazclientzwhozhaszacutezanginazandzhaszazprescriptionzforznitroglyceri
n.zWhichzofzthezfollowingziszanzappropriatezinterventionzforztheznurseztoztakezwhenzadmini
steringzthiszmedication?
A.zMassageztheznitroglycerinzointmentzcompletelyzintozthezskin.
B.zReplaceztheznitroglycerinztransdermalzpatchzeveryz4zhours.
C.zAdministerzazsustainedznitroglycerinztabletzorally.
D.zAdministerzaznitroglycerinztabletzsublinguallyzeveryz5minutes.z-zans✔✔D
Aznurseziszpreparingztozadministerzinfliximabz(Remicade)ztozazclientzwhozhaszrheumatoidz
arthritis.zTheznursezshouldzwatchzthezpatientzforzwhichzofzthezfollowingzadversezeffects?
z(Selectzallzthatzapply.)
A.zBradycardia
B.zJaundice
C.zPolyuria
D.zUrtipenia
E.zFeverz-zans✔✔BzDzE
AznurseziszprovidingzteachingztozazclientzwhozwaszrecentlyzdiagnosedzaszHIVzpositive.zTh
ezclientziszbeginningzmedicationztherapyzwithzzidovudinez(Retrovir).zWhichzofzthezfollowin
gzstatementszshouldztheznursezincludezinzthezteaching.z(Selectzallzthatzapply.)z
A.zMustzbeztakenzwithzotherzretroviralzmedicines.
B.zHaszfewzadversezeffectsz
C.zCureszanzHIVzinfectionz
D.zPreventszyouzfromztransmittingzthezHIVzinfection
E.zIncreaseszCD4+zcellzcountz-zans✔✔AzBzE
Aznurseziszassessingzazschoolzagezclientzwhoziszexperiencingzseizurezactivityzandziszpresc
ribedzdiazepamz(Valium)zIV.zTheznursezshouldzshouldzclarifyzthezorderzifzthezclientziszrecei
vingzazcontinuouszinfusionzofzwhichzofzthezfollowingzIV:z
A.zLactatedzRingerszsolutionz
B.z0.9%zSodiumzchloridezwithz100zunitszofzregularzinsulinzC.z0.9%zsodiumzchloride
D.z0.9%zSodiumzchloridezwithz20zmEqzofzpotassiumzchloridez-zans✔✔A
Aznurseziszassessingzazclientzwhozisztakingzenalaprilz(Vasotec)zforzcongestivezheartzfailure
.zWhichzofzthezfollowingzindicateszanzexpectedzfinding?z
A.zActivityztolerance
B.zOrthostaticzhypotension
C.zLosszofzstrengthz
D.zIncreasezinzbloodzpressurez-zans✔✔B
AzchildzwithzcerebralzpalsyziszprescribedzBaclofenz(Lioresal).zWhichzofzthezfollowingzthera
peuticzeffectszshouldztheznursezmonitor?z
A.zIncreasedzurinezoutputz
B.zIncreasedzenergyz