Question 1
A nurse is monitoring a client taking digoxin. Which of the following findings
indicates the client is experiencing digoxin toxicity?
A. Bradycardia
B. Hypertension
C. Blurred vision with yellow halos
D. Polyuria
Answer: C. Blurred vision with yellow halos
Rationale: Digoxin toxicity often presents with visual disturbances such as blurred
vision and yellow halos around lights. Other symptoms include gastrointestinal
disturbances and bradycardia.
Question 2
Which of the following laboratory results should the nurse monitor in a client
receiving furosemide?
A. Blood glucose
B. Serum potassium
C. Serum creatinine
D. Platelet count
Answer: B. Serum potassium
Rationale: Furosemide is a loop diuretic that can cause potassium loss, leading to
hypokalemia. Monitoring serum potassium is essential to prevent complications.
Question 3
A client is prescribed lisinopril. What should the nurse include when teaching
about this medication?
A. "You may experience a persistent cough."
B. "Take the medication with food to prevent nausea."
C. "Avoid high-potassium foods."
D. "This medication can cause drowsiness."
,Answer: A. "You may experience a persistent cough."
Rationale: A common side effect of ACE inhibitors like lisinopril is a dry, persistent
cough due to increased bradykinin levels.
Question 4
A client taking warfarin has an INR of 5.2. Which of the following actions should
the nurse take?
A. Administer the next dose as scheduled.
B. Administer vitamin K as prescribed.
C. Encourage the client to eat more leafy greens.
D. Increase the client’s dose of warfarin.
Answer: B. Administer vitamin K as prescribed.
Rationale: An INR of 5.2 is above the therapeutic range, increasing the risk of
bleeding. Vitamin K reverses the effects of warfarin and reduces bleeding risk.
Question 5
A client receiving morphine for pain reports severe nausea. What should the
nurse do first?
A. Reduce the dose of morphine.
B. Administer an antiemetic as prescribed.
C. Stop the morphine infusion.
D. Notify the provider immediately.
Answer: B. Administer an antiemetic as prescribed.
Rationale: Nausea is a common side effect of opioids like morphine.
Administering an antiemetic can alleviate this symptom without interrupting pain
management.
Question 6
Which of the following instructions should the nurse give to a client prescribed
tetracycline?
, A. "Take this medication with milk."
B. "Avoid taking this medication before bed."
C. "Take the medication with antacids if you have stomach upset."
D. "Avoid direct sunlight while taking this medication."
Answer: D. "Avoid direct sunlight while taking this medication."
Rationale: Tetracycline can cause photosensitivity. Clients should avoid prolonged
sun exposure and use sunscreen.
Question 7
A client is prescribed propranolol for hypertension. Which of the following
conditions in the client’s history is a contraindication to this medication?
A. Diabetes mellitus
B. Asthma
C. Hyperlipidemia
D. Chronic kidney disease
Answer: B. Asthma
Rationale: Propranolol is a non-selective beta-blocker that can cause
bronchoconstriction, making it contraindicated in clients with asthma.
Question 8
A client receiving vancomycin develops flushing, pruritus, and hypotension.
What should the nurse suspect?
A. Anaphylaxis
B. Red man syndrome
C. Stevens-Johnson syndrome
D. Toxic epidermal necrolysis
Answer: B. Red man syndrome
Rationale: Red man syndrome is a histamine reaction associated with rapid
infusion of vancomycin. The infusion rate should be slowed to prevent these
symptoms.
A nurse is monitoring a client taking digoxin. Which of the following findings
indicates the client is experiencing digoxin toxicity?
A. Bradycardia
B. Hypertension
C. Blurred vision with yellow halos
D. Polyuria
Answer: C. Blurred vision with yellow halos
Rationale: Digoxin toxicity often presents with visual disturbances such as blurred
vision and yellow halos around lights. Other symptoms include gastrointestinal
disturbances and bradycardia.
Question 2
Which of the following laboratory results should the nurse monitor in a client
receiving furosemide?
A. Blood glucose
B. Serum potassium
C. Serum creatinine
D. Platelet count
Answer: B. Serum potassium
Rationale: Furosemide is a loop diuretic that can cause potassium loss, leading to
hypokalemia. Monitoring serum potassium is essential to prevent complications.
Question 3
A client is prescribed lisinopril. What should the nurse include when teaching
about this medication?
A. "You may experience a persistent cough."
B. "Take the medication with food to prevent nausea."
C. "Avoid high-potassium foods."
D. "This medication can cause drowsiness."
,Answer: A. "You may experience a persistent cough."
Rationale: A common side effect of ACE inhibitors like lisinopril is a dry, persistent
cough due to increased bradykinin levels.
Question 4
A client taking warfarin has an INR of 5.2. Which of the following actions should
the nurse take?
A. Administer the next dose as scheduled.
B. Administer vitamin K as prescribed.
C. Encourage the client to eat more leafy greens.
D. Increase the client’s dose of warfarin.
Answer: B. Administer vitamin K as prescribed.
Rationale: An INR of 5.2 is above the therapeutic range, increasing the risk of
bleeding. Vitamin K reverses the effects of warfarin and reduces bleeding risk.
Question 5
A client receiving morphine for pain reports severe nausea. What should the
nurse do first?
A. Reduce the dose of morphine.
B. Administer an antiemetic as prescribed.
C. Stop the morphine infusion.
D. Notify the provider immediately.
Answer: B. Administer an antiemetic as prescribed.
Rationale: Nausea is a common side effect of opioids like morphine.
Administering an antiemetic can alleviate this symptom without interrupting pain
management.
Question 6
Which of the following instructions should the nurse give to a client prescribed
tetracycline?
, A. "Take this medication with milk."
B. "Avoid taking this medication before bed."
C. "Take the medication with antacids if you have stomach upset."
D. "Avoid direct sunlight while taking this medication."
Answer: D. "Avoid direct sunlight while taking this medication."
Rationale: Tetracycline can cause photosensitivity. Clients should avoid prolonged
sun exposure and use sunscreen.
Question 7
A client is prescribed propranolol for hypertension. Which of the following
conditions in the client’s history is a contraindication to this medication?
A. Diabetes mellitus
B. Asthma
C. Hyperlipidemia
D. Chronic kidney disease
Answer: B. Asthma
Rationale: Propranolol is a non-selective beta-blocker that can cause
bronchoconstriction, making it contraindicated in clients with asthma.
Question 8
A client receiving vancomycin develops flushing, pruritus, and hypotension.
What should the nurse suspect?
A. Anaphylaxis
B. Red man syndrome
C. Stevens-Johnson syndrome
D. Toxic epidermal necrolysis
Answer: B. Red man syndrome
Rationale: Red man syndrome is a histamine reaction associated with rapid
infusion of vancomycin. The infusion rate should be slowed to prevent these
symptoms.
