Exam Questions & Answers Complete
Solution
A nurse is caring for a male client in an outpatient psychiatric clinic. Which of the following
statements indicates the client understands the reinforcement of teaching? - ANS ✔ - - Its expected
that this medication will make me really thirsty
- Switching to a shot increases my risk for developing a shuffling walk.
-This medication might cause me to gain weight
-I should avoid eating smoked meats and hard cheeses while on this medication
PARTIALLY CORRECT
A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which
of the following findings should the nurse withhold the exenatide dose and notify the provider
immediately? - ANS ✔ - Abdominal pain
A nurse is assisting with the care of a client who has a methicillin-resistant staphylococcus aureus
(MRSA) infection and is receiving vancomycin via infusion. Which of the following changes in the
client's condition should the nurse identify as the priority finding to report to the provider? - ANS ✔ -
Hypotension
A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking
metoprolol. The nurse should instruct the nurse to report which of the following manifestations to
the provider as an adverse effect of this medication? - ANS ✔ - peripheral edema
A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection.
The nurse should monitor the client for which of the following manifestations as an adverse effect of
the medication? - ANS ✔ - diarrhea
A nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-age who weighs
44 lb. Availible is phenobarbital elixer 20mg/5 ml. How many ml should the nurse plan to administer
per dose? - ANS ✔ - 15 ml
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,A nurse is reinforcing teaching about nitroglycerin transdermal patches with a client who has a
history of angina. Which of the following statements by the client indicates understanding of the
instructions? - ANS ✔ - i will take my patch off every evening just before going to bed
A nurse is assisting in the care of an older adult client in a skilled nursing facility. Which of the
following complications is the client at risk for developing? - ANS ✔ - -Dry mouth
-photophobia
-tachycardia
-blurred vision
A nurse on a medical-surgical unit is assisting in the care of a client who is post-op following left knee
arthroplasty. Complete the following sentence. - ANS ✔ - The nurse should first administer
oxycodone, then culture surgical wound
A nurse is assisting in the care of a client in a provider’s office. Drag words from the choices below to
fill in each blank in the following sentence. - ANS ✔ - the nurse is evaluating the client's data
collection findings at the following visit, the clients Blood pressure and heart rate require follow-up
by the provider.
A nurse is assisting in the care of an adult client on a post surgical unit. Drage 1 condition and 1 client
finding to fill in each blank in the following sentence. - ANS ✔ - The nurse is reinforcing teaching to
the client about adverse effects of their discharge medications. The nurse should reinforce with the
client that they are at risk for developing osteoporosis due to their stool softener medication
-Attached is the rational, that is obviously incorrect and I'm not sure what the correct answer is.
A nurse is assisting with collecting data for a client who is in preterm labor and is recieving
magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse
identify as an indication as an indication of magnesium toxicity? - ANS ✔ - hyporeflexia
A nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2
months to treat Graves' disease. Which of the following findings should the nurse recognize as an
indication that the medication is effective? - ANS ✔ - Pulse 82/min
A nurse is reinforcing teaching with a client who has a new prescription for B12 intranasal to treat
malabsorption syndrome. Which of the following instructions should the nurse include in the
teaching? - ANS ✔ - Massage your nose gently after medication administration
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,A nurse is reinforcing teaching with the parent of a preschooler who has otisis media. The child has
had a low-grade fever and irritability for 2 days. Which of the following instructions should the nurse
include in the teaching? - ANS ✔ - Give acetaminophen as needed for discomfort and fever.
A nurse is assisting in the care of a client who has genital herpes. Which of the following medications
should the nurse expect to administer? - ANS ✔ - Acyclovir
A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the
client takes fluoxetine. The nurse should notify the provider that the combination of these
medications will place the client at risk for which of the following adverse effects? - ANS ✔ - Tremors
A nurse erroneously administered zolpidem to the wrong client. Which of the following actions
should the nurse take? - ANS ✔ - Document the notification of the client's provider
A nurse is monitoring a client who is receiving a transfusion of packed rbcs. The clients temp
increases to 39.1 C (102.4 F). Which of the following actions should the nurse take first? - ANS ✔ -
Stop the transfusion
A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which of
the following statements by the client indicates an understanding of the teaching? - ANS ✔ - i should
ensure that the insulin is clear prior to drawing it up.
A nurse is collecting data from a client who has parkinson's disease and is taking
levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect
of this medication - ANS ✔ - dark urine
A nurse is caring for a client who has TB and will begin taking isoniazid. Which of the following
actions should the nurse take? - ANS ✔ - determine the clients daily alcohol intake
A nurse is reviewing the MAR of a client who has history of Stevens-Johnson syndrome when taking
sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as
contraindicated for this client? - ANS ✔ - furosemide
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, A nurse is collecting data from a client who has angina and a new prescription for sublingual
nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of
this medication? - ANS ✔ - headache
A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The
nurse should monitor for which of the following adverse effects of this medication? - ANS ✔ -
hyperkalemia
A nurse is preparing to administer a PRN medication to a group of clients. Which of the following
clients should the nurse administer medication to first? - ANS ✔ - a client who is attending post-op
physical therapy and requests pain medication
A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse
should instruct the client that which of the following is an expected outcome of this medication. -
ANS ✔ - dilates bronchioles
A nurse is collecting data from the parent of an 11 year old who has previously recieved all
immunizations in accordance with the CDC recommended immunization schedule. Which of the
following immunizations should the nurse plan to administer to a child at this age? - ANS ✔ - Human
papilloma virus (HPV)
A nurse is reinforcing teaching with a client who has type 1 diabetes and is learning to self
administer NPH insulin. Which of the following client actions indicates an understanding of the
teaching? - ANS ✔ - the client wipes the cap with alcohol prior to filling the syringe
A nurse is reinforcing teaching with a client who has type 2 diabetes about adverse effects of
metformin. The nurse should instruct the client to monitor for which of the following findings as
manifestations of lactic acidosis? - ANS ✔ - -Muscle pain
-Hyperventilation
-dizziness
A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription
for clozapine. The nurse should include in the plan to monitor the client for which of the following
adverse effects of this medication? - ANS ✔ - agranulocytosis
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