1. A nurse is caring for a client who is prescribed
lisinopril. Which of the following is a priority adverse
effect to monitor?
A. Dry cough
B. Hyperkalemia
C. Dizziness
D. Angioedema
✅ Correct Answer: D. Angioedema
Rationale: Angioedema is a potentially life-threatening
adverse effect of ACE inhibitors like lisinopril. It involves
swelling of the face, tongue, and airway, which can
obstruct breathing.
2. A client is prescribed warfarin. Which laboratory
test should the nurse monitor to determine the
effectiveness of therapy?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
✅ Correct Answer: B. INR
Rationale: INR (International Normalized Ratio) is the
most accurate measure of warfarin therapy effectiveness.
The therapeutic range is typically 2.0–3.0 for most
indications.
,3. A nurse is teaching a client who is beginning
therapy with furosemide. Which of the following
statements by the client indicates understanding of
the teaching?
A. “I should increase my intake of potassium-rich foods.”
B. “I will take this medication at bedtime.”
C. “I might notice my urine turns orange.”
D. “This medication may cause my blood sugar to drop.”
✅ Correct Answer: A. “I should increase my intake of
potassium-rich foods.”
Rationale: Furosemide is a loop diuretic that can cause
potassium loss. Clients should increase potassium intake
or take supplements if prescribed.
4. A nurse is reviewing medications with a client who
takes metoprolol. Which of the following is a common
side effect?
A. Tachycardia
B. Hypotension
C. Hyperglycemia
D. Insomnia
✅ Correct Answer: B. Hypotension
Rationale: Metoprolol is a beta-blocker that lowers blood
pressure and heart rate. Hypotension and bradycardia are
common side effects.
, 5. A nurse is administering insulin lispro before
breakfast. When should the nurse expect the onset of
action?
A. 1–2 hours
B. 15–30 minutes
C. 3–4 hours
D. 30–60 minutes
✅ Correct Answer: B. 15–30 minutes
Rationale: Insulin lispro is a rapid-acting insulin with an
onset of about 15–30 minutes. It should be given shortly
before meals.
6. A nurse is providing teaching to a client prescribed
nitroglycerin sublingual tablets. Which of the
following instructions should the nurse include?
A. Swallow the tablet whole with a glass of water.
B. Take the tablet at bedtime to prevent chest pain.
C. Take up to 3 doses, 5 minutes apart, if chest pain
persists.
D. Store the tablets in a humid environment.
✅ Correct Answer: C. Take up to 3 doses, 5 minutes
apart, if chest pain persists.
Rationale: Clients should take one tablet every 5 minutes
(up to 3 times) for chest pain. If pain persists after the third
dose, call emergency services.
lisinopril. Which of the following is a priority adverse
effect to monitor?
A. Dry cough
B. Hyperkalemia
C. Dizziness
D. Angioedema
✅ Correct Answer: D. Angioedema
Rationale: Angioedema is a potentially life-threatening
adverse effect of ACE inhibitors like lisinopril. It involves
swelling of the face, tongue, and airway, which can
obstruct breathing.
2. A client is prescribed warfarin. Which laboratory
test should the nurse monitor to determine the
effectiveness of therapy?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
✅ Correct Answer: B. INR
Rationale: INR (International Normalized Ratio) is the
most accurate measure of warfarin therapy effectiveness.
The therapeutic range is typically 2.0–3.0 for most
indications.
,3. A nurse is teaching a client who is beginning
therapy with furosemide. Which of the following
statements by the client indicates understanding of
the teaching?
A. “I should increase my intake of potassium-rich foods.”
B. “I will take this medication at bedtime.”
C. “I might notice my urine turns orange.”
D. “This medication may cause my blood sugar to drop.”
✅ Correct Answer: A. “I should increase my intake of
potassium-rich foods.”
Rationale: Furosemide is a loop diuretic that can cause
potassium loss. Clients should increase potassium intake
or take supplements if prescribed.
4. A nurse is reviewing medications with a client who
takes metoprolol. Which of the following is a common
side effect?
A. Tachycardia
B. Hypotension
C. Hyperglycemia
D. Insomnia
✅ Correct Answer: B. Hypotension
Rationale: Metoprolol is a beta-blocker that lowers blood
pressure and heart rate. Hypotension and bradycardia are
common side effects.
, 5. A nurse is administering insulin lispro before
breakfast. When should the nurse expect the onset of
action?
A. 1–2 hours
B. 15–30 minutes
C. 3–4 hours
D. 30–60 minutes
✅ Correct Answer: B. 15–30 minutes
Rationale: Insulin lispro is a rapid-acting insulin with an
onset of about 15–30 minutes. It should be given shortly
before meals.
6. A nurse is providing teaching to a client prescribed
nitroglycerin sublingual tablets. Which of the
following instructions should the nurse include?
A. Swallow the tablet whole with a glass of water.
B. Take the tablet at bedtime to prevent chest pain.
C. Take up to 3 doses, 5 minutes apart, if chest pain
persists.
D. Store the tablets in a humid environment.
✅ Correct Answer: C. Take up to 3 doses, 5 minutes
apart, if chest pain persists.
Rationale: Clients should take one tablet every 5 minutes
(up to 3 times) for chest pain. If pain persists after the third
dose, call emergency services.
