NUR 352 Final Exam Study Guide
Questions and Answers 2024
The nurse is preparing to administer morning medications to four clients. Which client
has the greatest risk of medication toxicity?
A. A 74 year old client prescribed four medications for hypertension.
B. A 52 year old client with renal failure on hemodialysis.
C. A 67 year old client receiving three medications that are highly protein bound.
D. A 38 year old client with a serum albumin level of 6.2 g/dL. - Correct Ans-A 67 year
old client receiving three medications that are highly protein bound.
Which reported statement by the client is of greatest concern when taking a medication
to treat glaucoma?
A.
"After starting brimonidine, I began experiencing dry mouth."
B.
"I noticed the color of my eyes is becoming darker brown after starting the latanoprost."
C.
"I was taking dorzolamide and developed conjunctivitis."
D.
"I am experiencing sensitivity to light while taking timolol." - Correct Ans-C.
"I was taking dorzolamide and developed conjunctivitis."
A nurse is caring for a client with challenges in memory recall. The client is being
treated with a N-methyl-D-aspartate (NMDA) receptor antagonist medication. Which
disease is part of the client's history?
A.
Seizure disorder
B.
Parkinson disease
C.
Multiple sclerosis
D.
Alzheimer disease - Correct Ans-D.
Alzheimer disease
The nurse has administered the prescribed dose of an analgesic medication to a client.
When considering the nursing process, what is the nurse's next responsibility to the
client?
A.
,Evaluating effectiveness of therapy
B.
Updating the plan of care as needed
C.
Assessing vital signs
D.
Planning non-medication interventions - Correct Ans-Evaluating effectiveness of therapy
A client has been prescribed diphenhydramine 500 mg for the treatment of a mild
allergic reaction. After reviewing a drug reference manual, hte nurse identifies that the
dose is incorrect. What is the priority action by the nurse at this time?
A.
Assess the client for signs of anaphylaxis.
B.
Hold the medication and notify the prescriber.
C.
Contact the pharmacist to double-check the dose parameters.
D.
Administer the recommended dose as listed in the drug reference manual. - Correct
Ans-Hold the medication and notify the prescriber.
A client with schizophrenia is starting clozapine therapy. Which information is highest
priority to include in client teaching?
A.
The client should have periodic fasting glucose levels drawn.
B.
The client should monitor for weight gain and adhere to a healthy diet.
C.
The client must have regular white blood cell count (WBC) levels drawn.
D.
The client should report fine hand tremors to the health care provider. - Correct Ans-The
client must have regular white blood cell count (WBC) levels drawn.
Which laboratory value for a client who has recently been prescribed misoprostol for
peptic ulcer disease would require immediate action by the nurse?
A.
Hemoglobin 10.2 mg/dL
B.
Serum sodium 133 mEq/dL
C.
Arterial pH 7.46
D.
,Hma chorionic gonadotropin 30 mlU/mL - Correct Ans-Hma chorionic gonadotropin 30
mlU/mL
A nurse is preparing to administer interferon beta-1b to the client with multiple sclerosis.
Which nursing intervention is performed prior to the administration of the medicaiton?
A.
Administer acetaminophen or ibuprofen as prescribed.
B.
Complete a full set of vital signs.
C.
Perform a depression survey.
D.
Assess laboratory values such as complete blood count and liver function tests. -
Correct Ans-Administer acetaminophen or ibuprofen as prescribed.
A client with major depressive disorder is prescribed phenelzine by a provider. Which
client teaching is the highest priority?
A.
Phenelzine interacts with many foods and medications.
B.
Continue taking phenelzine even after mood improves.
C.
Phenelzine's full therapeutic effect may take 6 to 8 weeks.
D.
Phenelzine may cause insomnia and some sexual side effects - Correct Ans-Phenelzine
interacts with many foods and medications.
A nurse is reviewing a client's most recent hemoglobin A1c level of 8.7%. What
instruction will the nurse provide to the client based upon this finding?
A.
"The lab value can be altered significantly since you were not fasting. We should repeat
the test in 2 weeks."
B.
"This result indicates that your diabetes is not well controlled. Your provider may adjust
your medication regimen."
C.
"This test is not a diagnostic measurement of diabetes, rather it is a guide for
medication dosing."
D.
"Your hemoglobin A1c lab value is normal, and no further action needs to be taken." -
Correct Ans-"This result indicates that your diabetes is not well controlled. Your provider
may adjust your medication regimen."
, The nurse is preparing to administer etanercept to a client with rheumatoid arthritis.
Which assessment finding(s) would alert the nurse to potential contraindications to this
medication?
A.
Bilateral crackles in the lung bases
B.
2+ pitting edema of the right lower extremity
C.
Platelet count of 135,000 x 103/mcgL
D.
A tuberculin skin test with induration measuring 10 mm
E.
Hyperactive bowel sounds in all four abdominal quadrants - Correct Ans-Bilateral
crackles in the lung bases
A tuberculin skin test with induration measuring 10 mm
A client with an extensive cardiac history is prescribed omeprazole. The nurse reviews
the medication history and the client is also prescribed clopidogrel, metoprolol, and
furosemide. Which instructions should the nurse provide to the client regarding the
medications.
A.
"Furosemide is taken in the morning, and the metoprolol is taken at night."
B.
"Clopidogrel should be taken 12 hours apart from the omeprazole."
C.
"Clopidogrel, metoprolol, and furosemide can be taken together, but the omeprazole
needs to be taken 4 hours after the other medications."
D.
"Take all the medications with food in the morning." - Correct Ans-"Clopidogrel should
be taken 12 hours apart from the omeprazole."
A client who was prescribed nitrofurantoin for a urinary tract infection 1 week ago calls
to report the symptoms have returned. What is the most appropriate response by the
nurse?
A.
"You need to restart the antibiotic since your symptoms are back."
B.
"Did you complete the full course of antibiotic as directed?"
C.
"It is common for symptoms to return after completing the antibiotic."
D.
"It is likely that you have another infection. Do you have a fever?" - Correct Ans-"Did
you complete the full course of antibiotic as directed?"
Questions and Answers 2024
The nurse is preparing to administer morning medications to four clients. Which client
has the greatest risk of medication toxicity?
A. A 74 year old client prescribed four medications for hypertension.
B. A 52 year old client with renal failure on hemodialysis.
C. A 67 year old client receiving three medications that are highly protein bound.
D. A 38 year old client with a serum albumin level of 6.2 g/dL. - Correct Ans-A 67 year
old client receiving three medications that are highly protein bound.
Which reported statement by the client is of greatest concern when taking a medication
to treat glaucoma?
A.
"After starting brimonidine, I began experiencing dry mouth."
B.
"I noticed the color of my eyes is becoming darker brown after starting the latanoprost."
C.
"I was taking dorzolamide and developed conjunctivitis."
D.
"I am experiencing sensitivity to light while taking timolol." - Correct Ans-C.
"I was taking dorzolamide and developed conjunctivitis."
A nurse is caring for a client with challenges in memory recall. The client is being
treated with a N-methyl-D-aspartate (NMDA) receptor antagonist medication. Which
disease is part of the client's history?
A.
Seizure disorder
B.
Parkinson disease
C.
Multiple sclerosis
D.
Alzheimer disease - Correct Ans-D.
Alzheimer disease
The nurse has administered the prescribed dose of an analgesic medication to a client.
When considering the nursing process, what is the nurse's next responsibility to the
client?
A.
,Evaluating effectiveness of therapy
B.
Updating the plan of care as needed
C.
Assessing vital signs
D.
Planning non-medication interventions - Correct Ans-Evaluating effectiveness of therapy
A client has been prescribed diphenhydramine 500 mg for the treatment of a mild
allergic reaction. After reviewing a drug reference manual, hte nurse identifies that the
dose is incorrect. What is the priority action by the nurse at this time?
A.
Assess the client for signs of anaphylaxis.
B.
Hold the medication and notify the prescriber.
C.
Contact the pharmacist to double-check the dose parameters.
D.
Administer the recommended dose as listed in the drug reference manual. - Correct
Ans-Hold the medication and notify the prescriber.
A client with schizophrenia is starting clozapine therapy. Which information is highest
priority to include in client teaching?
A.
The client should have periodic fasting glucose levels drawn.
B.
The client should monitor for weight gain and adhere to a healthy diet.
C.
The client must have regular white blood cell count (WBC) levels drawn.
D.
The client should report fine hand tremors to the health care provider. - Correct Ans-The
client must have regular white blood cell count (WBC) levels drawn.
Which laboratory value for a client who has recently been prescribed misoprostol for
peptic ulcer disease would require immediate action by the nurse?
A.
Hemoglobin 10.2 mg/dL
B.
Serum sodium 133 mEq/dL
C.
Arterial pH 7.46
D.
,Hma chorionic gonadotropin 30 mlU/mL - Correct Ans-Hma chorionic gonadotropin 30
mlU/mL
A nurse is preparing to administer interferon beta-1b to the client with multiple sclerosis.
Which nursing intervention is performed prior to the administration of the medicaiton?
A.
Administer acetaminophen or ibuprofen as prescribed.
B.
Complete a full set of vital signs.
C.
Perform a depression survey.
D.
Assess laboratory values such as complete blood count and liver function tests. -
Correct Ans-Administer acetaminophen or ibuprofen as prescribed.
A client with major depressive disorder is prescribed phenelzine by a provider. Which
client teaching is the highest priority?
A.
Phenelzine interacts with many foods and medications.
B.
Continue taking phenelzine even after mood improves.
C.
Phenelzine's full therapeutic effect may take 6 to 8 weeks.
D.
Phenelzine may cause insomnia and some sexual side effects - Correct Ans-Phenelzine
interacts with many foods and medications.
A nurse is reviewing a client's most recent hemoglobin A1c level of 8.7%. What
instruction will the nurse provide to the client based upon this finding?
A.
"The lab value can be altered significantly since you were not fasting. We should repeat
the test in 2 weeks."
B.
"This result indicates that your diabetes is not well controlled. Your provider may adjust
your medication regimen."
C.
"This test is not a diagnostic measurement of diabetes, rather it is a guide for
medication dosing."
D.
"Your hemoglobin A1c lab value is normal, and no further action needs to be taken." -
Correct Ans-"This result indicates that your diabetes is not well controlled. Your provider
may adjust your medication regimen."
, The nurse is preparing to administer etanercept to a client with rheumatoid arthritis.
Which assessment finding(s) would alert the nurse to potential contraindications to this
medication?
A.
Bilateral crackles in the lung bases
B.
2+ pitting edema of the right lower extremity
C.
Platelet count of 135,000 x 103/mcgL
D.
A tuberculin skin test with induration measuring 10 mm
E.
Hyperactive bowel sounds in all four abdominal quadrants - Correct Ans-Bilateral
crackles in the lung bases
A tuberculin skin test with induration measuring 10 mm
A client with an extensive cardiac history is prescribed omeprazole. The nurse reviews
the medication history and the client is also prescribed clopidogrel, metoprolol, and
furosemide. Which instructions should the nurse provide to the client regarding the
medications.
A.
"Furosemide is taken in the morning, and the metoprolol is taken at night."
B.
"Clopidogrel should be taken 12 hours apart from the omeprazole."
C.
"Clopidogrel, metoprolol, and furosemide can be taken together, but the omeprazole
needs to be taken 4 hours after the other medications."
D.
"Take all the medications with food in the morning." - Correct Ans-"Clopidogrel should
be taken 12 hours apart from the omeprazole."
A client who was prescribed nitrofurantoin for a urinary tract infection 1 week ago calls
to report the symptoms have returned. What is the most appropriate response by the
nurse?
A.
"You need to restart the antibiotic since your symptoms are back."
B.
"Did you complete the full course of antibiotic as directed?"
C.
"It is common for symptoms to return after completing the antibiotic."
D.
"It is likely that you have another infection. Do you have a fever?" - Correct Ans-"Did
you complete the full course of antibiotic as directed?"
