GRADE A Q& A
nurse is reinforcing teaching with a client who experiences migraine headaches and
has a new prescription for sumatriptan. The nurse should Instruct the client to report
which of the following manifestations to the provider as an adverse effect of this
medication? - (CORRECT ANSWER)chest tightness
A nurse is caring for a client who has a 10-year history of alcohol use disorder and is
experiencing acute alcohol withdrawal. The nurse should identify which of the
following interventions as the priority? - (CORRECT ANSWER)implement seizure
precautions
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO
daily. The nurse should instruct the client to monitor for which of the following
adverse effects of this medication? - (CORRECT ANSWER)dry cough
A nurse is caring for a client who has genital herpes. Which of the following
medications should the nurse expect to administer? - (CORRECT
ANSWER)acyclovir
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about
adverse effects of metformin. The nurse should instruct the client to monitor for
which of the following findings as manifestations of lactic acidosis? (Select all that
apply.) - (CORRECT ANSWER)muscle pain
hyperventilation
dizziness
A nurse in a provider's office is reviewing the immunization records of a 12-month-
old infant who is immunocompromised. Which of the following vaccines should the
nurse identify as contraindicated for this client? - (CORRECT ANSWER)MMR
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is
learning to self-administer NPH insulin. Which of the following client actions indicates
an understanding of the teaching? - (CORRECT ANSWER)THE CLIENT WIPES
THE CAP WITH alcohol wipes prior to filling the syringe
nurse is caring for a client who is having an acute asthma attack. Which of the
following medications should the nurse administer first? - (CORRECT
ANSWER)albuterol
A nurse is collecting data from a client who received a morphine IV for pain relief.
Which of the following findings is the nurse's priority to report to the provider -
(CORRECT ANSWER)respiratory rate of 11
A nurse is caring for a client who has a new prescription for risperidone to manage
schizophrenia. Which of the following laboratory tests should the nurse plan to obtain
prior to administering the first dose? - (CORRECT ANSWER)fasting blood glucose
level
nurse is performing the third check before administering hydromorphone to a client.
After opening the unit-dose packet, the client tells the nurse they do not want to take
, the medication now. Which of the following actions should the nurse take? -
(CORRECT ANSWER)dispose of medication with a 2nd nurse witnessing
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr
ago. Which of the following adverse reactions is the priority finding to report to the
provider? - (CORRECT ANSWER)respiratory depression
nurse is caring for a client who has schizophrenia and is to start therapy with
risperidone. For which of the following manifestations should the nurse monitor to
determine whether the treatment is effective? - (CORRECT ANSWER)improved
social interaction
A nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-
age child who weighs 44 lb. Available is phenobarbital elixir 20 mg/5 mL. How many
ml should the nurse plan to administer per dose? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.) -
(CORRECT ANSWER)15ml
A nurse is reviewing a client's medical history before administering hydromorphone
for postoperative pain. The nurse should notify the provider of which of the following
findings before administering this medication? - (CORRECT ANSWER)benign
prostatic hyperplasia
nurse erroneously administered zolpidem to the wrong client. Which of the following
actions should the nurse take? - (CORRECT ANSWER)document the notification of
the clients provider
A nurse is reinforcing discharge teaching with a client who has a prescription for a
metered-dose inhaler (MDI). Which of the following information should the nurse
include in the teaching? - (CORRECT ANSWER)take a slow deep breath lasting 3-5
seconds after releasing the medication
A nurse is caring for a client who has kidney failure and has been taking epoetin.
Which of the following is a therapeutic effect of this medication? - (CORRECT
ANSWER)increased Hgb
A nurse is reinforcing teaching with a client who has a new prescription for vitamin
B12 intranasal to treat malabsorption syndrome. Which of the following instructions
should the nurse include in the teaching? - (CORRECT ANSWER)massage your
nose gently
A nurse is collecting data from a client who has hyperthyroidism and a new
prescription for propylthiouracil. The nurse should monitor the client
for which of the following manifestations as an adverse effect of this medication? -
(CORRECT ANSWER)sore throat
A nurse is collecting data from a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following findings should the nurse identify as
an adverse effect of this medication? - (CORRECT ANSWER)drowsiness
nurse is reinforcing teaching with a client who experiences migraine headaches and
has a new prescription for sumatriptan. The nurse should Instruct the client to report
which of the following manifestations to the provider as an adverse effect of this
medication? - (CORRECT ANSWER)chest tightness
A nurse is caring for a client who has a 10-year history of alcohol use disorder and is
experiencing acute alcohol withdrawal. The nurse should identify which of the
following interventions as the priority? - (CORRECT ANSWER)implement seizure
precautions
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO
daily. The nurse should instruct the client to monitor for which of the following
adverse effects of this medication? - (CORRECT ANSWER)dry cough
A nurse is caring for a client who has genital herpes. Which of the following
medications should the nurse expect to administer? - (CORRECT
ANSWER)acyclovir
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about
adverse effects of metformin. The nurse should instruct the client to monitor for
which of the following findings as manifestations of lactic acidosis? (Select all that
apply.) - (CORRECT ANSWER)muscle pain
hyperventilation
dizziness
A nurse in a provider's office is reviewing the immunization records of a 12-month-
old infant who is immunocompromised. Which of the following vaccines should the
nurse identify as contraindicated for this client? - (CORRECT ANSWER)MMR
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is
learning to self-administer NPH insulin. Which of the following client actions indicates
an understanding of the teaching? - (CORRECT ANSWER)THE CLIENT WIPES
THE CAP WITH alcohol wipes prior to filling the syringe
nurse is caring for a client who is having an acute asthma attack. Which of the
following medications should the nurse administer first? - (CORRECT
ANSWER)albuterol
A nurse is collecting data from a client who received a morphine IV for pain relief.
Which of the following findings is the nurse's priority to report to the provider -
(CORRECT ANSWER)respiratory rate of 11
A nurse is caring for a client who has a new prescription for risperidone to manage
schizophrenia. Which of the following laboratory tests should the nurse plan to obtain
prior to administering the first dose? - (CORRECT ANSWER)fasting blood glucose
level
nurse is performing the third check before administering hydromorphone to a client.
After opening the unit-dose packet, the client tells the nurse they do not want to take
, the medication now. Which of the following actions should the nurse take? -
(CORRECT ANSWER)dispose of medication with a 2nd nurse witnessing
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr
ago. Which of the following adverse reactions is the priority finding to report to the
provider? - (CORRECT ANSWER)respiratory depression
nurse is caring for a client who has schizophrenia and is to start therapy with
risperidone. For which of the following manifestations should the nurse monitor to
determine whether the treatment is effective? - (CORRECT ANSWER)improved
social interaction
A nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-
age child who weighs 44 lb. Available is phenobarbital elixir 20 mg/5 mL. How many
ml should the nurse plan to administer per dose? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.) -
(CORRECT ANSWER)15ml
A nurse is reviewing a client's medical history before administering hydromorphone
for postoperative pain. The nurse should notify the provider of which of the following
findings before administering this medication? - (CORRECT ANSWER)benign
prostatic hyperplasia
nurse erroneously administered zolpidem to the wrong client. Which of the following
actions should the nurse take? - (CORRECT ANSWER)document the notification of
the clients provider
A nurse is reinforcing discharge teaching with a client who has a prescription for a
metered-dose inhaler (MDI). Which of the following information should the nurse
include in the teaching? - (CORRECT ANSWER)take a slow deep breath lasting 3-5
seconds after releasing the medication
A nurse is caring for a client who has kidney failure and has been taking epoetin.
Which of the following is a therapeutic effect of this medication? - (CORRECT
ANSWER)increased Hgb
A nurse is reinforcing teaching with a client who has a new prescription for vitamin
B12 intranasal to treat malabsorption syndrome. Which of the following instructions
should the nurse include in the teaching? - (CORRECT ANSWER)massage your
nose gently
A nurse is collecting data from a client who has hyperthyroidism and a new
prescription for propylthiouracil. The nurse should monitor the client
for which of the following manifestations as an adverse effect of this medication? -
(CORRECT ANSWER)sore throat
A nurse is collecting data from a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following findings should the nurse identify as
an adverse effect of this medication? - (CORRECT ANSWER)drowsiness
