2025 EXAM ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
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A nurse is assessing a client who is receiving IV
vancomycin. The nurse notes a flushing of the neck and
tachycardia. Which of the following actions should the
nurse take? - ....ANSWER...Decrease the infusion rate
on the IV.
A nurse is caring for a client who is prescribed
diphenhydramine to relieve pruritus. The client asks the
nurse how he can minimize the daytime sedation he is
experiencing. Which of the following responses should
the nurse give? - ....ANSWER..."Take most of the daily
dose at bedtime."
A nurse is assessing a client prior to the administration
of morphine. The nurse should recognize that which of
,the following assessments is the priority? -
....ANSWER...Respiratory rate
A nurse is taking a health history of a client who reports
occasionally taking several over-the-counter
medications, including an H2 receptor antagonist
(H2RA). Which of the following outcomes indicates the
H2RA is therapeutic? - ....ANSWER...Relief of
heartburn
A nurse is caring for a client who has a bacterial
infection and is receiving gentamicin. Which of the
following actions should the nurse take to minimize the
risk of an adverse effect of the medication? -
....ANSWER...Monitor the serum medication levels.
A nurse is providing teaching to a client who has asthma
and a new prescription for inhaled beclomethasone.
Which of the following instructions should the nurse
provide? - ....ANSWER...Rinse the mouth after
administration.
A nurse is teaching a client who has a new prescription
for aspirin to treat rheumatoid arthritis. The nurse
should include to monitor for which of the following
, adverse effects of this medication? -
....ANSWER...Bleeding
A nurse is teaching a client who has asthma about how
to use an albuterol inhaler. Which of the following
actions by the client indicates an understanding of the
teaching? - ....ANSWER...The client holds his breath for
10 seconds after inhaling the medication.
A nurse is reviewing a client's admission record. The
nurse notes that there are prescriptions for several
medications. Which of the following factors should the
nurse recognize is of primary consideration when
determining the schedule of administration? -
....ANSWER...Specific characteristics of the
medications
A hospice nurse is caring for a client who has terminal
cancer and takes PO morphine for pain relief. The client
reports that he had to increase the dose of morphine this
week to obtain pain relief. Which of the following
scenarios should the nurse document as the explanation
for this situation? - ....ANSWER...The client has
developed a tolerance to the medication.