COMPLETE (2025) EXAM Questions and Answers (Verified
Answers) (Latest Update 2025) Graded A+
1. A nurse is administering morphine to a client for postoperative pain. Which assessment
finding requires immediate intervention?
A. Mild nausea
B. Respiratory rate of 8/min
C. Drowsiness
D. Constipation
Rationale: Morphine can cause respiratory depression. A respiratory rate below 10/min is
critical and requires immediate action.
2. Which lab value should the nurse monitor for a client taking warfarin?
A. INR
B. Potassium
C. Hemoglobin A1c
D. BUN
Rationale: INR (International Normalized Ratio) measures the effectiveness of warfarin and risk
for bleeding.
3. A client is prescribed digoxin. Which symptom indicates digoxin toxicity?
A. Constipation
B. Visual disturbances, such as yellow halos
C. Bradycardia only
D. Hypertension
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and visual disturbances like
yellow halos.
4. A client is prescribed furosemide. Which electrolyte imbalance is the nurse most
concerned about?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
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D. Hypercalcemia
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Rationale: Furosemide, a loop diuretic, can cause potassium loss, leading to hypokalemia.
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, 5. Which instruction should the nurse provide for a client taking atorvastatin?
A. Take with grapefruit juice
B. Report muscle pain or weakness
C. Increase vitamin K intake
D. Take on an empty stomach
Rationale: Statins can cause muscle injury (myopathy or rhabdomyolysis); clients should report
unexplained muscle pain.
6. A client is prescribed albuterol for asthma. Which finding indicates a therapeutic effect?
A. Increased wheezing
B. Decreased shortness of breath
C. Hypotension
D. Bradycardia
Rationale: Albuterol is a bronchodilator that improves airflow and reduces respiratory distress.
7. Which adverse effect should the nurse monitor for in a client taking lithium?
A. Tremors
B. Bradycardia
C. Constipation
D. Hypoglycemia
Rationale: Fine tremors are an early sign of lithium toxicity; monitoring levels and symptoms is
essential.
8. A client taking insulin lispro should be instructed to:
A. Administer 30–45 minutes before meals
B. Administer immediately before meals
C. Take only once daily
D. Administer at bedtime
Rationale: Rapid-acting insulin (lispro) is taken immediately before meals to control
postprandial glucose.
9. Which medication is used to treat anaphylaxis?
A. Diphenhydramine
B. Epinephrine
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C. Albuterol
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