PRACTICE QUESTIONS WITH ANSWERS GRADED A+
A client is caring for a client who develops an anaphylactic reaction
to IV administration. After assessing the client's respiratory status
and stopping the medication infusion. Which of the following
actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM
- ANSWER-d. Administer epinephrine IM.
A client who has active tuberculosis and is taking rifampin reports
that his urine and sweat have developed a red tinge. Which of the
following actions should the nurse take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis
- ANSWER-c. Document this as an expected finding.
A home health nurse is visiting a client who has heart failure and a
prescription for furosemide. The nurse identifies that the client has
gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the
following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain
,- ANSWER-c. Determine medication adherence by the client.
A nurse accidentally administers the medication metformin instead
of metoprolol to a client. Which of the following actions should the
nurse take?
a. Monitor the client's thyroid function levels
b. Collect the client's uric acid level
c. Obtain the client's HDL level
d. Check the client's glucose level
- ANSWER-d. Check the client's glucose level.
A nurse is administering 4 mg of hydromorphone to a client by
mouth every 4 hr. The medication is provided as hydromorphone 8
mg per tablet. Which of the following actions is appropriate for the
nurse to take?
a. Return the remaining medication to the facility's pharmacy
b. Store the remaining half of the pill in the automated medication
dispensing system
c. Place the remaining half of the pill in the unit dose packaged.
Dispose of the remaining medication while another nurse observes
- ANSWER-d. Dispose of the remaining medication while another
nurse observes.
A nurse is administering naloxone to a client who has developed an
adverse reaction to morphine. The nurse should identify which of
the following findings is a therapeutic effect of naloxone.
a. Decreased nausea
b. Increased pain relief
c. Decreased blood pressure
d. Increased respiratory rate
- ANSWER-d. Increased respiratory rate.
, A nurse is assessing a client after administering phenytoin IV bolus
for a seizure. Which of the following should the nurse identify as an
adverse effect of this medication?
a. Hypoglycemia
b. Bradycardia
c. Red man syndrome
d. Hypotension
- ANSWER-d. Hypotension.
A nurse is assessing a client following the administration of
ondansetron (Zofran). Which of the following findings should
indicate to the nurse that the ondansetron has been effective?
a. Client reports a decrease in pain
b. Client reports a decrease in nausea
c. Client reports a decrease in coughing
d. Client reports a decrease in diarrhea
- ANSWER-b. The client reports a decrease in nausea.
A nurse is assessing a client who has been taking digoxin and ......
which of the following findings to the nurse indicates this client has
developed digoxin toxicity?
a. Ringing in the ears
b. Hyperkalemia
c. Blurred vision
d. hypertension
- ANSWER-c. Blurred vision.
A nurse is assessing a client who received a dinoprostone gel to
stimulate cervical ripening. Which of the following is the nurse's
priority?