NURS 126 Practice Assessment B questions with
verified answers
A charge nurse is supervising a newly licensed nurse care for a client
who is receiving a transfusion of packed RBC. The nurse suspects a
possible hemolytic reaction. After stopping the blood transfusion,
which of the following actions by the new nurse requires intervention
by the charge nurse? Ans✓✓✓ The nurse starts the transfusion of
another unit of blood product.
A client is teaching a client who has a new prescription for
hydrochlorothiazide for management of hypertension. Which of the
following instructions should the nurse include? Ans✓✓✓ "Monitor for
leg cramps."
A nurse in a provider's clinic is assessing a client who has cancer and a
prescription for methotrexate PO. Which of the following actions
should the nurse take when the client reports bleeding gums?
Ans✓✓✓ Check the value of the client's current platelet count.
A nurse in the emergency department is caring for a client who took 3
nitroglycerin tablets sublingually for chest pain. The client reports relief
from the chest pain but now he is experiencing a headache. Which of
the following statements should the nurse make? Ans✓✓✓ "A
headache is an expected adverse effect of the medication."
, A nurse is assessing a client who has heart failure and is prescribed
furosemide. Which of the following findings is an adverse effect of this
medication? Ans✓✓✓ Leg cramps
A nurse is assessing a client who is receiving a continuous IV infusion of
dopamine. Which of the following findings should the nurse recognize
as a therapeutic effect? Ans✓✓✓ Increased urine output
A nurse is assessing a client who is receiving a unit of packed RBCs. The
client appears flushed and reports low-back pain. Which of the
following actions is the nurse's priority? Ans✓✓✓ Stop the transfusion.
A nurse is caring for a client who has a new prescription for
propranolol. The nurse should monitor the client for which of the
following adverse reactions to this medication? Ans✓✓✓ Postural
hypotension
A nurse is caring for a client who has a prescription for digoxin 0.25 mg
PO daily. The amount available is digoxin 0.125 mg tab. The client's
current vital signs are: blood pressure 144/96, heart rate 54/min,
respirations 18/min, and temperature 98.6° F. Which of the following
actions should the nurse take? Ans✓✓✓ Withhold the digoxin dose for
decreased pulse rate.
A nurse is caring for a client who has bipolar disorder and has been
taking lithium for 1 year. Before administering the medication, the
verified answers
A charge nurse is supervising a newly licensed nurse care for a client
who is receiving a transfusion of packed RBC. The nurse suspects a
possible hemolytic reaction. After stopping the blood transfusion,
which of the following actions by the new nurse requires intervention
by the charge nurse? Ans✓✓✓ The nurse starts the transfusion of
another unit of blood product.
A client is teaching a client who has a new prescription for
hydrochlorothiazide for management of hypertension. Which of the
following instructions should the nurse include? Ans✓✓✓ "Monitor for
leg cramps."
A nurse in a provider's clinic is assessing a client who has cancer and a
prescription for methotrexate PO. Which of the following actions
should the nurse take when the client reports bleeding gums?
Ans✓✓✓ Check the value of the client's current platelet count.
A nurse in the emergency department is caring for a client who took 3
nitroglycerin tablets sublingually for chest pain. The client reports relief
from the chest pain but now he is experiencing a headache. Which of
the following statements should the nurse make? Ans✓✓✓ "A
headache is an expected adverse effect of the medication."
, A nurse is assessing a client who has heart failure and is prescribed
furosemide. Which of the following findings is an adverse effect of this
medication? Ans✓✓✓ Leg cramps
A nurse is assessing a client who is receiving a continuous IV infusion of
dopamine. Which of the following findings should the nurse recognize
as a therapeutic effect? Ans✓✓✓ Increased urine output
A nurse is assessing a client who is receiving a unit of packed RBCs. The
client appears flushed and reports low-back pain. Which of the
following actions is the nurse's priority? Ans✓✓✓ Stop the transfusion.
A nurse is caring for a client who has a new prescription for
propranolol. The nurse should monitor the client for which of the
following adverse reactions to this medication? Ans✓✓✓ Postural
hypotension
A nurse is caring for a client who has a prescription for digoxin 0.25 mg
PO daily. The amount available is digoxin 0.125 mg tab. The client's
current vital signs are: blood pressure 144/96, heart rate 54/min,
respirations 18/min, and temperature 98.6° F. Which of the following
actions should the nurse take? Ans✓✓✓ Withhold the digoxin dose for
decreased pulse rate.
A nurse is caring for a client who has bipolar disorder and has been
taking lithium for 1 year. Before administering the medication, the
