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X. X. X.
1. A nurse is caring for a client who is to receive 1,500 mL 31gtt/min
X. X. X. X. X. X. X. X. X. X. X. X.
of0.9%sodiumchlorideIVover8hours.Thenurse plans
X
. X
. X
. X
. X
. X
. X
. X
. X
. X
. X.
to use IV tubing with a drop factor of 10gtt/mL. How
X. X. X. X. X. X. X. X. X. X. X.
manygtt/minofIVfluidshouldtheclientreceive? (Round
X
. X
. X
. X
. X
. X
. X
. X
. X
. X.
your answer to the nearest whole number).
X. X. X. X. X. X. X.
2. A nurse is assessing a client who is receiving chlo-
X. X. X. X. X. X. X. X. X. Ecchymosis
ramphenicol (Chloromycetin).Which of the following
X. X. X
. X. X. X.
findings is an adverse effect of this medication? (ad-
X. X. X. X. X. X. X. X. X.
verse affect is thrombocytopenia)
X. X. X. X.
Ecchymosis
Ototoxicity
X.
Hypertension
X.
Anxiety
X.
3. A nurse is admitting a client to a long-term care fa-
X. X. X. X. X. X. X. X. X. X. 1) clarify the med
X. X. X.
cility.While reconciling the medication prescribed at
X. X
. X. X. X. X. X. dose with the
X. X. X.
home with those prescribed in the facility, the nurse
X. X. X. X. X. X. X. X. X. provider
X.
discoversadiscrepancyinthedosages.Whichaction
X. X
. X
. X
. X
. X
. X
. X
.
should the nurse take?
X. X. X. X.
1) clarify the med dose with the provider X. X. X. X. X. X.
2) Change the prescribed medication dosages to rec- X. X. X. X. X. X.
oncile the discrepancy 3) Contact the pharmacist re-
X. X. X. X. X. X. X. X.
garding the dosage discrepancies
X. X. X. X.
4) Ask a family member to verify the medication
X. X. X. X. X. X. X. X.
dosages
X.
4. A nurse is caring for a client who is receiving a fen-
X. X. X. X. X. X. X. X. X. X. X. Respiratory rate X.
tanyl transdermal system (Duragesic).What is impor-
X. X. X. X. X
. X. X.
tant to document in the client's record?
X. X. X. X. X. X. X.
Fluidintake
Skinintegrity
X. X
.
Respiratoryrate X
.
Pulse rate
X. X.
5.
X. X.
, ATI B proctored X. X.
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X. X. X.
A nurse is caring for a client who has acute angina and
X. X. X. X. X. X. X. X. X. X. X. Administer a ni- X. X.
has a prescription for nitroglycerin.Which of the
X. X. X. X. X. X
. X. X. troglycerin tablet
X. X.
following is an appropriate intervention for the nurse to
X. X. X. X. X. X. X. X. X. sublinguallyevery
X. X.
take when administering this medication?
X. X. X. X. X. 5minutes
X.
Massage the nitroglycerin ointment completely into the X. X. X. X. X. X.
skin.
X.
Replace the nitroglycerin transdermal patch every X. X. X. X. X.
4hours.
X.
Administer a sustained nitroglycerin tabletorally. X. X. X. X.
Administer a nitroglycerin tablet sublingually every
X. X. X. X. X. X.
5minutes
X.
6. A nurse is preparing to administer infliximab (Rem-
X. X. X. X. X. X. X. Jaundice
icade) to a client who hasrheumatoid arthritis.The
X. X. X. X. X. X. X. X
. Urtipeni
X.
nurse should watch the patient for which of the fol-
X. X. X. X. X. X. X. X. X. X. a Fever
X.
lowing adverse effects?(Select all that apply.)
X. X. X. X. X. X.
Jaundice
Polyuria
X.
Urtipenia
X.
Fever
X.
7. A nurse is providing teaching to a client who was
X. X. X. X. X. X. X. X. X. Must be taken with
X. X. X.
recentlydiagnosedasHIVpositive.Theclientisbegin-
X. X
. X
. X
. X
. X
. X
. X
. otheretroviral
X
. X
.
ning medication therapy with zidovudine (Retrovir).
X. X. X. X. X. X. medications
X.
Which of thefollowing statements should the nurse
X. X. X. X. X. X. X. Hasfewadverse
X
. X
.
include in the teaching. (Select all thatapply.)
X. X. X. X. X. X. X. effects
X.
Increases CD4
X. X.
Must be taken with otherr etroviral medicines Has
X. X. X. X. X. X. X. and cell count
X. X. X.
few adverse effects
X. X. X.
Cures an HIVinfection X. X.
Prevents you from transmitting the HIVinfection X. X. X. X. X.
Increases CD4+ cell count
X. X. X. X.
8. A nurse is assessing a school age client who is ex-
X. X. X. X. X. X. X. X. X. X. LactatedRingers X
.
periencingseizureactivityandisprescribed diazepam
X. X. X. X. X. X. solution
X.
(Valium) IV.The nurse should should clarify the order if
X. X. X
. X. X. X. X. X. X. X.
the clientisreceivinga continuousinfusionofwhich
X. X. X. X. X. X. X. X.
X. X.
, ATI B proctored X. X.
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X. X. X.
of the followingIV:
X. X.
Lactated Ringers solution X. X.
0.9%Sodium chloride with100 units of regularinsulin
X. X. X. X. X. X. X.
0.9% sodiumchloride
X. X.
0.9%Sodiumchloridewith20 mEqofpotassiumchlo-
X. X. X. X. X. X. X. X.
ride
X.
9. A nurse is assessing a client who is taking enalapril
X. X. X. X. X. X. X. X. X. Orthostatichy-X
.
(Vasotec) for congestive heartfailure.Which of the fol-
X. X. X. X. X
. X. X. X. potension
X.
lowing indicates an expected finding?
X. X. X. X. X.
Activity tolerance X.
Orthostatichypotension
X. X
.
Loss of strength
X. X. X.
Increase in blood pressure X. X. X.
10. A child with cerebral palsy is prescribed Baclofen
X. X. X. X. X. X. X. Decreased spacity
X.
(Lioresol).Whichof thefollowing therapeutic effects
X. X
. X. X. X. X.
should the nursemonitor?
X. X. X.
Increasedurineoutput X. X.
Increased energy
X. X.
Decreased anxiety
X. X.
Decreased spacity
X. X.
11. Clinical findings of a client who has a prescription for X. X. X. X. X. X. X. X. X. Lithiumlevel
X
.
lithium carbonate (Lithobid).For which reasons
X. X. X. X. X. 2.5mEq/L
X.
should the nurse withhold the medication and notify
X. X. X. X. X. X. X. X.
theprovider?
X.
Lithium level 1.0mEq/ L X. X. X.
Potassium at 3.7mEq/L
X. X. X.
Sodium at 143mEq/L
X. X. X.
Lithium level 2.5mEq/L
X. X. X.
12. The nurse is caring for a client who has tuberculo- sis
X. X. X. X. X. X. X. X. X. X. ESD rate
X.
and is being treated withcombination medication
X. X. X. X. X. X.
therapy.Totesttheeffectivenessofthetreatment,the
X. X
. X
. X
. X
. X
. X
. X
. X
.
nurseshouldperiodicallymonitorwhichofthe follow-
X. X. X. X. X. X. X.
X. X.