Week 1 NU 180 Review Test Bank with Real Exam Questions with Correct Verified
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While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to
another type of anti-infective agent should the nurse ask the client about when taking the nursing
history?
Aminoglycosides
Cephalosporins
Sulfonamides
Tetracyclines - (ANSWER)Cephalosporins.
If a client has a history of being allergic to penicillin (PCN); there is appears to be a cross sensitivity
between penicillins and 1st generation cephalosporins. According to research, there appears to be no
cross sensitivity between PCN and 3rd or 4th generation cephalosporins.
Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client with which
condition?
Shock
Asthma
Hypotension
Heart failure - (ANSWER)Heart failure
Dobutamine is a beta-1 adrenergic agonist that is indicated for short term use in cardiac
decompensation or heart failure related to reduced cardiac contractility due to organic heart disease or
cardiac surgical procedures. On the other hand, alpha and beta adrenergic agonists, such as epinephrine
and dopamine, are sympathomimetics used in the treatment of shock. Other selective beta-2 adrenergic
agonists, such as terbutaline and isoproterenol, are indicated in the treatment of asthma. Although
dobutamine improves cardiac output, it is not used to treat hypotension.
,Week 1 NU 180 Review Test Bank with Real Exam Questions with Correct Verified
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The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in the
immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg
IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest
priority before initiating the PCA pump?
The expiration date on the morphine syringe in the pump
The rate and depth of the client's respirations
The type of anesthesia used during the surgical proedure
The client's subjective and objective signs of pain - (ANSWER)The rate and depth of the client's
respirations
A life-threatening side effect of intravenous administration of morphine sulfate, an opiate narcotic, is
respiratory depression. Prior to the initiation of the PCA pump, the nurse should assess the client's
respirations to obtain a baseline of their respiratory rate and depth. Once the PCA pump is initiated and
if the client's respiratory rate falls below 12 breaths per minute, the PCA pump should be stopped and
the healthcare provider notified immediately.
A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The
nurse knows that which medication would be contraindicated for this client?
Liothyronine (Cytomel) to replace iodine
Furosemide (Lasix) for relief of fluid retention
Pentobarbital sodium (Nembutal Sodium) for sleep
Nitroglycerin (Nitrostat) for angina pain - (ANSWER)Pentobarbital sodium (Nembutal Sodium) for sleep
Persons with myxedema are dangerously hypersensitive to narcotics, barbiturates and anesthetics.
The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client who receives an
angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse implement?
,Week 1 NU 180 Review Test Bank with Real Exam Questions with Correct Verified
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Verify both prescriptions with the healthcare provider
Report the medication interactions to the nurse manager
Hold the ACE inhibitor and give the new prescription
Transcribe and send the prescription to the pharmacy - (ANSWER)Verify both prescriptions with the
healthcare provider
The concomitant use of an angiotensin-converting enzyme (ACE) inhibitor and a potassium-sparing
diuretic such as spironolactone, should be given with caution because the two drugs may interact to
cause an elevation in serum potassium levels. Although the client is currently receiving an ACE inhibitor,
verifying both prescriptions alerts the healthcare provider about the client's medication regimen and
provides the safest action before administering the medication.
Which method of medication administration provides the client with the greatest first-pass effect?
Oral
Sublingual
Intravenous
Subcutaneous - (ANSWER)Oral
The first-pass effect is a pharmacokinetic phenomenon that is related to the drug's metabolism in the
liver. After oral medications are absorbed from the gastrointestinal tract, the drug is carried directly to
the liver via the hepatic portal circulation where hepatic inactivation occurs and reduces the
bioavailability of the drug. Alternative method of administration, such as sublingual, IV, and
subcutaneous routes, avoid this first-pass effect.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom
management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse
to implement prior to administering the first dose?
, Week 1 NU 180 Review Test Bank with Real Exam Questions with Correct Verified
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Review the client's hemoglobin results
Notify the healthcare provider
Inquire about the reaction to sulfa
Record the client's vital signs - (ANSWER)Notify the healthcare provider
Celebrex contains a sulfur molecule, which can lead to an allergic reaction in individuals who are
sensitive to sulfonamides, so the healthcare provider should be notified of the client's allergies.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a
client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes
that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first?
Withhold the scheduled dose
Check the client's apical pulse
Notify the healthcare provider
Repeat the serum potassium level - (ANSWER)Withhold the scheduled dose
The nurse should first withhold the scheduled dose of Cozaar because the client is hyperkalemic (normal
range 3.5 to 5 mEq/l). Although hypokalemia is usually associated with diuretic therapy in heart failure,
hyperkalemia is associated with several heart failure medications, including ARBs. Because hyperkalemia
may lead to cardiac dysrhythmias, the nurse should check the apical pulse for rate and rhythm, and the
blood pressure.
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room. Which
assessment data would indicate that the naloxone has been effective? The client's
Statement that the chest pain is better
Answers/ NU 180 Nursing and Healthcare II Week 1 Review Test Bank Latest
While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to
another type of anti-infective agent should the nurse ask the client about when taking the nursing
history?
Aminoglycosides
Cephalosporins
Sulfonamides
Tetracyclines - (ANSWER)Cephalosporins.
If a client has a history of being allergic to penicillin (PCN); there is appears to be a cross sensitivity
between penicillins and 1st generation cephalosporins. According to research, there appears to be no
cross sensitivity between PCN and 3rd or 4th generation cephalosporins.
Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client with which
condition?
Shock
Asthma
Hypotension
Heart failure - (ANSWER)Heart failure
Dobutamine is a beta-1 adrenergic agonist that is indicated for short term use in cardiac
decompensation or heart failure related to reduced cardiac contractility due to organic heart disease or
cardiac surgical procedures. On the other hand, alpha and beta adrenergic agonists, such as epinephrine
and dopamine, are sympathomimetics used in the treatment of shock. Other selective beta-2 adrenergic
agonists, such as terbutaline and isoproterenol, are indicated in the treatment of asthma. Although
dobutamine improves cardiac output, it is not used to treat hypotension.
,Week 1 NU 180 Review Test Bank with Real Exam Questions with Correct Verified
Answers/ NU 180 Nursing and Healthcare II Week 1 Review Test Bank Latest
The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in the
immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg
IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest
priority before initiating the PCA pump?
The expiration date on the morphine syringe in the pump
The rate and depth of the client's respirations
The type of anesthesia used during the surgical proedure
The client's subjective and objective signs of pain - (ANSWER)The rate and depth of the client's
respirations
A life-threatening side effect of intravenous administration of morphine sulfate, an opiate narcotic, is
respiratory depression. Prior to the initiation of the PCA pump, the nurse should assess the client's
respirations to obtain a baseline of their respiratory rate and depth. Once the PCA pump is initiated and
if the client's respiratory rate falls below 12 breaths per minute, the PCA pump should be stopped and
the healthcare provider notified immediately.
A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The
nurse knows that which medication would be contraindicated for this client?
Liothyronine (Cytomel) to replace iodine
Furosemide (Lasix) for relief of fluid retention
Pentobarbital sodium (Nembutal Sodium) for sleep
Nitroglycerin (Nitrostat) for angina pain - (ANSWER)Pentobarbital sodium (Nembutal Sodium) for sleep
Persons with myxedema are dangerously hypersensitive to narcotics, barbiturates and anesthetics.
The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client who receives an
angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse implement?
,Week 1 NU 180 Review Test Bank with Real Exam Questions with Correct Verified
Answers/ NU 180 Nursing and Healthcare II Week 1 Review Test Bank Latest
Verify both prescriptions with the healthcare provider
Report the medication interactions to the nurse manager
Hold the ACE inhibitor and give the new prescription
Transcribe and send the prescription to the pharmacy - (ANSWER)Verify both prescriptions with the
healthcare provider
The concomitant use of an angiotensin-converting enzyme (ACE) inhibitor and a potassium-sparing
diuretic such as spironolactone, should be given with caution because the two drugs may interact to
cause an elevation in serum potassium levels. Although the client is currently receiving an ACE inhibitor,
verifying both prescriptions alerts the healthcare provider about the client's medication regimen and
provides the safest action before administering the medication.
Which method of medication administration provides the client with the greatest first-pass effect?
Oral
Sublingual
Intravenous
Subcutaneous - (ANSWER)Oral
The first-pass effect is a pharmacokinetic phenomenon that is related to the drug's metabolism in the
liver. After oral medications are absorbed from the gastrointestinal tract, the drug is carried directly to
the liver via the hepatic portal circulation where hepatic inactivation occurs and reduces the
bioavailability of the drug. Alternative method of administration, such as sublingual, IV, and
subcutaneous routes, avoid this first-pass effect.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom
management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse
to implement prior to administering the first dose?
, Week 1 NU 180 Review Test Bank with Real Exam Questions with Correct Verified
Answers/ NU 180 Nursing and Healthcare II Week 1 Review Test Bank Latest
Review the client's hemoglobin results
Notify the healthcare provider
Inquire about the reaction to sulfa
Record the client's vital signs - (ANSWER)Notify the healthcare provider
Celebrex contains a sulfur molecule, which can lead to an allergic reaction in individuals who are
sensitive to sulfonamides, so the healthcare provider should be notified of the client's allergies.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a
client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes
that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first?
Withhold the scheduled dose
Check the client's apical pulse
Notify the healthcare provider
Repeat the serum potassium level - (ANSWER)Withhold the scheduled dose
The nurse should first withhold the scheduled dose of Cozaar because the client is hyperkalemic (normal
range 3.5 to 5 mEq/l). Although hypokalemia is usually associated with diuretic therapy in heart failure,
hyperkalemia is associated with several heart failure medications, including ARBs. Because hyperkalemia
may lead to cardiac dysrhythmias, the nurse should check the apical pulse for rate and rhythm, and the
blood pressure.
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room. Which
assessment data would indicate that the naloxone has been effective? The client's
Statement that the chest pain is better
