QUESTION AND ANSWERS
TheTnurseTisTcaringTforTaTclientTwhoThasTtakenTatenololTforT2Tyears.TTheThealthcareTproviderTrece
ntlyTchangedTtheTmedicationTtoTenalaprilTtoTmanageTtheTclient'sTbloodTpressure.TWhichTinstructi
onTshouldTtheTnurseTprovideTtheTclientTregardingTtheTnewTmedication?
A. TakeTtheTmedicationTatTbedtime.
B. ReportTpresenceTofTincreasedTbruising.
C. CheckTpulseTbeforeTtakingTmedication.
D. RiseTslowlyTwhenTgettingToutTofTbedTorTchair.T-
TD.TRiseTslowlyTwhenTgettingToutTofTbedTorTchair.
ATfemaleTclientTcallsTtheTclinicTandTtalksTwithTtheTnurseTtoTinquireTaboutTaTpossibleTreactionTafte
rTtakingTamoxicillinTforT5Tdays.TSheTreportsThavingTvaginalTdiscomfort,Titching,TandTaTwhiteTdisc
harge.TTheTnurseTshouldTdiscussTwhichTactionTwithTtheTclient?
A. DiscontinueTtheTantibioticTbecauseToriginalTsymptomsThaveTsubsided.
B. ContinueTtakingTmedicationTuntilTfinishedTuntilTtheTsymptomsTsubside.
C. ConsultTwithThealthcareTproviderTaboutTanotherTtreatmentTforTthisTeffect.
D. UseTanTover-the-counterT(OTC)TvaginalTwashTtoTflushToutTtheTsecretions.T-
TC.TConsultTwithThealthcareTproviderTaboutTanotherTtreatmentTforTthisTeffect.
TheTnurseTisTmakingTearlyTmorningTroundsTonTaTgroupTofTclientsTwhenTaTclientTbeginsTexhibiting
TsymptomsTofTanTacuteTasthmaTattack.TTheTnurseTadministersTaTPRNTprescriptionTforTaTBetaT2Tre
ceptorTagonistTagent.TWhichTclientTresponseTshouldTtheTnurseTexpect?
A. Tachycardia.
B. IncreasedTbloodTpressure.
C. RapidTresolutionTofTwheezing.
D. ImprovedTpulseToximetryTvalues.
E. ReduceTfeverTairwayTinflammation.T-TC,TD
ATclientTprescribedTatenololThasTaTbloodTpressureTofT120/68TmmHg,TdisplayingTaTsinus
bradycardiaTwithTaTrateTofT58Tbeats/minute,TandTaTP-
RTintervalTofT0.24.TWhichTactionTshouldTtheTnurseTtake?
A. LowerTtheTheadTofTtheTbedTandTassessTtheTclientTforTorthostaticTvitalTsignTchanges.
B. GiveTtheTmedicationTasTprescribedTandTcontinueTtoTmonitorTtheTclient.
C. PrepareTtoTadministerTatropineTsulfateTIVTpush.
,D. HoldTtheTprescribedTdoseTandTcontactTtheThealthcareTprovider.T-
TB.TGiveTtheTmedicationTasTprescribedTandTcontinueTtoTmonitorTtheTclient.
TheTnurseTisTpreparingTtheT0900TdoseTofTlosartanT(Cozaar),TanTangiotensinTIITreceptorTblockerT(
ARB),TforTaTclientTwithThypertensionTandTheartTfailure.TTheTnurseTreviewsTtheTclient'sTlaboratory
TresultsTandTnotesTthatTtheTclient'sTserumTpotassiumTlevelTisT5.9TmEq/L.TWhichTactionTshouldTthe
TnurseTtakeTfirst?
A. WithholdTtheTscheduledTdose.
B. CheckTtheTclient'sTapicalTpulse.
C. NotifyTtheThealthcareTprovider.
D. RepeatTtheTserumTpotassiumTlevel.T-TA.TWithholdTtheTscheduledTdose.
UponTadmissionTtoTtheTemergencyTcenter,TanTadultTclientTwithTacuteTstatusTasthmaticusTisTprescr
ibedTthisTseriesTofTmedications.TInTwhichTorderTshouldTtheTnurseTadministerTtheTprescribedTmedic
ations?T(ArrangeTfromTfirstTtoTlast.)T-T1.TAlbuterolT(Proventil)Tpuffs.
2. SalmeterolT(SereventTDiskus).
3. PrednisoneT(Deltasone)Torally.
4. GentamicinT(Garamycin)TIM.
AnTadultTclientTisTgivenTaTprescriptionTforTaTscopolamineTpatchT(TransdermTScop)TtoTpreve
ntTmotionTsicknessTwhileTonTaTcruise.TWhichTinformationTshouldTtheTnurseTprovideTtoTtheTcl
ient?
A. ApplyTtheTpatchTatTleastT4ThoursTpriorTtoTdeparture.
B. ChangeTtheTpatchTeveryTotherTdayTwhileTonTtheTcruise.
C. PlaceTtheTpatchTonTaThairlessTareaTatTtheTbaseTofTtheTskull.
D. DrinkTnoTmoreTthanT2TalcoholicTdrinksTduringTtheTcruise.T-
TA.TApplyTtheTpatchTatTleastT4ThoursTpriorTtoTdeparture.
ATclientTwithTgiardiasisTisTtakingTmetronidazoleT(Flagyl)T2TgramsTPO.TWhichTinformationTshoul
dTtheTnurseTincludeTinTtheTclient'sTinstruction?
A. NotifyTtheTclinicTofTanyTchangesTinTtheTcolorTofTurine.
B. AvoidToverexposureTtoTtheTsun.
C. StopTtheTmedicationTafterTtheTdiarrheaTresolves.
D. TakeTtheTmedicationTwithTfood.T-TD.TTakeTtheTmedicationTwithTfood.
ATfemaleTclientTwithTrheumatoidTarthritisTtakesTibuprofenT(Motrin)T600TmgTPOT4TtimesTaTday.TT
oTpreventTgastrointestinalTbleeding,TmisoprostolT(Cytotec)T100TmcgTPOTisTprescribed.TWhichTin
formationTisTmostTimportantTforTtheTnurseTtoTincludeTinTclientTteaching?
, A. UseTcontraceptionTduringTintercourse.
B. EnsureTtheTCytotecTisTtakenTonTanTemptyTstomach.
C. EncourageToralTfluidTintakeTtoTpreventTconstipation.
D. TakeTCytotecT30TminutesTpriorTtoTMotrin.T-TA.TUseTcontraceptionTduringTintercourse.
ATclientTwithTosteoarthritisTreceivesTaTnewTprescriptionTforTcelecoxibT(Celebrex)TorallyTforTsym
ptomTmanagement.TTheTnurseTnotesTtheTclientTisTallergicTtoTsulfa.TWhichTactionTisTmostTimporta
ntTforTtheTnurseTtoTimplementTpriorTtoTadministeringTtheTfirstTdose?
A. ReviewTtheTclient'sThemoglobinTresults.
B. NotifyTtheThealthcareTprovider.
C. InquireTaboutTtheTreactionTtoTsulfa.
D. RecordTtheTclient'sTvitalTsigns.T-TB.TNotifyTtheThealthcareTprovider.
ATclientTisTadmittedTtoTtheThospitalTforTaTnewTonsetTofTsupraventricularTtachycardiaT(SVT)Tand
TisTprescribedTdigoxin.TForTwhichTlaboratoryTfindingTshouldTtheTnurseTnotifyTtheThealthcareTpro
viderTimmediately?
A. PotassiumTlevelTofT3.1TmEq/L.
B. SodiumTlevelTofT132TmEq/L.
C. CalciumTlevelTofT8.6Tmg/dL.
D. MagnesiumTlevelTofT1.2TmEq/L.T-TA.TPotassiumTlevelTofT3.1TmEq/L.
TheTnurseTisTtranscribingTaTnewTprescriptionTforTspironolactoneT(Aldactone)TforTaTclientTw
hoTreceivesTanTangiotensin-
convertingTenzymeT(ACE)Tinhibitor.TWhichTactionTshouldTtheTnurseTimplement?
A. VerifyTbothTprescriptionsTwithTtheThealthcareTprovider.
B. ReportTtheTmedicationTinteractionsTtoTtheTnurseTmanager.
C. HoldTtheTACETinhibitorTandTgiveTtheTnewTprescription.
D. TranscribeTandTsendTtheTprescriptionTtoTtheTpharmacy.T-
TA.TVerifyTbothTprescriptionsTwithTtheThealthcareTprovider.
TheTnurseTadmitsTaTclientTwithTtumor-
inducedTspinalTcordTcompression.TWhichTmedicationTshouldTtheTnurseTanticipateTtoTbeTprescribe
dTtoTofferTtheTbestTpalliativeTtreatmentTforTthisTclient?
A. MorphineTsulfate.
B. Ibuprofen.
C. Amitriptyline.