Transition to Practice EXAM 2
(updated) questions n answers rated
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A client with asthma receives a prescription for high blood pressure during a clinic visit. Which
prescription should the nurse anticipate the client to receive that is least likely to exacerbate
asthma?
A. pindolol
B. cartelol
C. metoprolol
D. propranolol - correct answer ✔✔ C
A male client who has been taking propranolol for 18 months tells the nurse that the health
care provider discontinued the medication because his blood pressure has been normal for the
past three months. Which instruction should the nurse provide?
A. report any uncomfortable symptoms after stopping the medication
B. stop the medication and keep an accurate record of blood pressure
C. ask the health care provider about tapering the drug dose over the next week
D. obtain another antihypertensive prescription to avoid withdrawal symptoms - correct answer
✔✔ C
A client who is taking clonidine reports drowsiness. Which additional assessment should the
nurse make?
A. How long has the client been taking the medication?
,B. Does the client use any tobacco products?
C. Has the client experienced constipation recently?
D. Did the client miss any doses of the medication? - correct answer ✔✔ A
The nurse is preparing to administer atropine to a client who is scheduled for a
cholecystectomy. The client asks the nurse to explain the reason for the prescribed medication.
What response is best for the nurse to provide?
A. provide a more rapid induction of anesthesia
B. decrease the risk of bradycardia during surgery
C. induce relaxation before induction of anesthesia
D. minimize the amount of analgesia needed postoperatively - correct answer ✔✔ B
An 80-year-old client is given morphine sulfate for postoperative pain. Which concomitant
medication should the nurse question that poses a potential development of urinary retention
in this geriatric client?
A. insulin
B. antacids
C. tricyclic antidepressants
D. nonsteroidal antiinflammatory agents - correct answer ✔✔ C
A client with osteoarthritis is given a new prescription for a nonsteroidal antiinflammatory drug
(NSAID). The client asks the nurse, "How is this medication different from the acetaminophen I
have been taking?" Which information about the therapeutic action of NSAIDs should the nurse
provide?
A. are less expensive
,B. provide antiinflammatory response
C. cause gastrointestinal bleeding
D. increase hepatotoxic effects - correct answer ✔✔ B
A client with cancer has a history of alcohol abuse and is taking acetaminophen for pain. Which
organ function is most important for the nurse to monitor?
A. liver
B. kidney
C. sensory
D. cardiorespiratory - correct answer ✔✔ A
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a
scheduled dose of verapamil for a client with atrial flutter. Which action should the nurse
implement?
A. administer the dose as prescribed
B. withhold the drug and notify the health care provider
C. give intravenous calcium gluconate
D. recheck the vital signs in 30 minutes and then administer the dose - correct answer ✔✔ A
A client is admitted to the hospital with a diagnosis of type 2 diabetes mellitus and influenza.
Which categories of illness should the nurse develop goals for the client's plan of care?
A. two acute illnesses
B. two chronic illnesses
C. one chronic and one acute illness
, D. one acute and one infectious illness - correct answer ✔✔ C
Following an emergency cesarean delivery, the nurse encourages the new mother to breastfeed
her newborn. The client asks why she should breastfeed now. Which information should the
nurse provide?
A. initiate the lactate process
B. prevent neonatal hypoglycemia
C. stimulate contraction of the uterus
D. facilitate maternal-infant bonding - correct answer ✔✔ C
Which intervention should the nurse include in the plan of care for a female client with severe
postpartum depression who is admitted to the inpatient psychiatric unit?
A. full rooming-in for the infant and mother
B. restrict visitors who irritate the client
C. supervised and guided visits with the infant
D. daily visits with her significant other - correct answer ✔✔ C
A 16-year-old male client is admitted to the hospital after falling off a bike and sustaining a
fractured bone. The health care provider explains the surgery needed to immobilize the
fracture. Which action should be implemented to obtain a valid informed consent?
A. instruct the client sign the consent before giving medications
B. obtain the permission of the custodial parent for the surgery
C. obtain the signature of the client's stepfather for the surgery
D. notify the non-custodial parent to also sign a consent form - correct answer ✔✔ B
(updated) questions n answers rated
A+
A client with asthma receives a prescription for high blood pressure during a clinic visit. Which
prescription should the nurse anticipate the client to receive that is least likely to exacerbate
asthma?
A. pindolol
B. cartelol
C. metoprolol
D. propranolol - correct answer ✔✔ C
A male client who has been taking propranolol for 18 months tells the nurse that the health
care provider discontinued the medication because his blood pressure has been normal for the
past three months. Which instruction should the nurse provide?
A. report any uncomfortable symptoms after stopping the medication
B. stop the medication and keep an accurate record of blood pressure
C. ask the health care provider about tapering the drug dose over the next week
D. obtain another antihypertensive prescription to avoid withdrawal symptoms - correct answer
✔✔ C
A client who is taking clonidine reports drowsiness. Which additional assessment should the
nurse make?
A. How long has the client been taking the medication?
,B. Does the client use any tobacco products?
C. Has the client experienced constipation recently?
D. Did the client miss any doses of the medication? - correct answer ✔✔ A
The nurse is preparing to administer atropine to a client who is scheduled for a
cholecystectomy. The client asks the nurse to explain the reason for the prescribed medication.
What response is best for the nurse to provide?
A. provide a more rapid induction of anesthesia
B. decrease the risk of bradycardia during surgery
C. induce relaxation before induction of anesthesia
D. minimize the amount of analgesia needed postoperatively - correct answer ✔✔ B
An 80-year-old client is given morphine sulfate for postoperative pain. Which concomitant
medication should the nurse question that poses a potential development of urinary retention
in this geriatric client?
A. insulin
B. antacids
C. tricyclic antidepressants
D. nonsteroidal antiinflammatory agents - correct answer ✔✔ C
A client with osteoarthritis is given a new prescription for a nonsteroidal antiinflammatory drug
(NSAID). The client asks the nurse, "How is this medication different from the acetaminophen I
have been taking?" Which information about the therapeutic action of NSAIDs should the nurse
provide?
A. are less expensive
,B. provide antiinflammatory response
C. cause gastrointestinal bleeding
D. increase hepatotoxic effects - correct answer ✔✔ B
A client with cancer has a history of alcohol abuse and is taking acetaminophen for pain. Which
organ function is most important for the nurse to monitor?
A. liver
B. kidney
C. sensory
D. cardiorespiratory - correct answer ✔✔ A
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a
scheduled dose of verapamil for a client with atrial flutter. Which action should the nurse
implement?
A. administer the dose as prescribed
B. withhold the drug and notify the health care provider
C. give intravenous calcium gluconate
D. recheck the vital signs in 30 minutes and then administer the dose - correct answer ✔✔ A
A client is admitted to the hospital with a diagnosis of type 2 diabetes mellitus and influenza.
Which categories of illness should the nurse develop goals for the client's plan of care?
A. two acute illnesses
B. two chronic illnesses
C. one chronic and one acute illness
, D. one acute and one infectious illness - correct answer ✔✔ C
Following an emergency cesarean delivery, the nurse encourages the new mother to breastfeed
her newborn. The client asks why she should breastfeed now. Which information should the
nurse provide?
A. initiate the lactate process
B. prevent neonatal hypoglycemia
C. stimulate contraction of the uterus
D. facilitate maternal-infant bonding - correct answer ✔✔ C
Which intervention should the nurse include in the plan of care for a female client with severe
postpartum depression who is admitted to the inpatient psychiatric unit?
A. full rooming-in for the infant and mother
B. restrict visitors who irritate the client
C. supervised and guided visits with the infant
D. daily visits with her significant other - correct answer ✔✔ C
A 16-year-old male client is admitted to the hospital after falling off a bike and sustaining a
fractured bone. The health care provider explains the surgery needed to immobilize the
fracture. Which action should be implemented to obtain a valid informed consent?
A. instruct the client sign the consent before giving medications
B. obtain the permission of the custodial parent for the surgery
C. obtain the signature of the client's stepfather for the surgery
D. notify the non-custodial parent to also sign a consent form - correct answer ✔✔ B
