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Comprehensive test bank for AA/Envoy
Customer Service Agent (CSA) Training, featuring
accurate and up-to-date questions with verified
answers based on airline procedures and service
protocols.
Enalapril maleate (Vasotec) is prescribed for a
hospitalized client. Which assessment does the nurse
perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the
last 24 hours - .....ANSWER ...✔✔ A. Checking the
client's blood pressure
Rationale: Enalapril maleate is an angiotensin-converting
enzyme (ACE) inhibitor used to treat hypertension. One
common side effect is postural hypotension. Therefore
the nurse would check the client's blood pressure
immediately before administering each dose. Checking
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the client's peripheral pulses, the results of the most
recent potassium level, and the intake and output for the
previous 24 hours are not specifically associated with
this mediation.
A client is scheduled to undergo an upper
gastrointestinal (GI) series, and the licensed practical
nurse reinforces instructions to the client about the test.
Which statement by the client indicates a need for
further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before
the test and give myself a Fleet enema on the morning
of the test."
D. "I need to take a laxative after the test is completed,
because the liquid that I'll have to drink for the test can
be constipating." - .....ANSWER ...✔✔ C. "I need to
drink citrate of magnesia the night before the test and
give myself a Fleet enema on the morning of the test."
Rationale: An upper GI series involves visualization of
the esophagus, duodenum, and upper jejunum by means
of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered
in a flavored milkshake. Films are taken at intervals
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during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that
NPO status must be maintained for 8 hours before the
test. After an upper GI series, the client is prescribed a
laxative to hasten elimination of the barium. Barium that
remains in the colon may become hard and difficult to
expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that
the physician is off for the night and will be available in
the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call
physician
C. Withhold the medication until the physician can be
reached in the morning
D. Administer the medication but consult the physician
when he becomes available - .....ANSWER ...✔✔ B.
Ask the answering service to contact the on-call
physician
Rationale: The nurse has a duty to protect the client from
harm. A nurse who believes that a physician's
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prescription may be in error is responsible for clarifying
the prescription before carrying it out. Therefore the
nurse would not administer the medication; instead, the
nurse would withhold the medication until the dose can
be clarified. The nurse would not wait until the next
morning to obtain clarification. It is premature to call the
nursing supervisor.
An emergency department (ED) nurse is monitoring a
client with suspected acute myocardial infarction (MI)
who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks the
client's carotid pulse, and determines that the PVCs are
not resulting in perfusion. The appropriate action by the
nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an
MI - .....ANSWER ...✔✔ B. Asking the ED physician to
check the client
Rationale: PVCs are a result of increased irritability of
ventricular cells. Peripheral pulses may be absent or
diminished with the PVCs themselves because the
Comprehensive test bank for AA/Envoy
Customer Service Agent (CSA) Training, featuring
accurate and up-to-date questions with verified
answers based on airline procedures and service
protocols.
Enalapril maleate (Vasotec) is prescribed for a
hospitalized client. Which assessment does the nurse
perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the
last 24 hours - .....ANSWER ...✔✔ A. Checking the
client's blood pressure
Rationale: Enalapril maleate is an angiotensin-converting
enzyme (ACE) inhibitor used to treat hypertension. One
common side effect is postural hypotension. Therefore
the nurse would check the client's blood pressure
immediately before administering each dose. Checking
,2|Page
the client's peripheral pulses, the results of the most
recent potassium level, and the intake and output for the
previous 24 hours are not specifically associated with
this mediation.
A client is scheduled to undergo an upper
gastrointestinal (GI) series, and the licensed practical
nurse reinforces instructions to the client about the test.
Which statement by the client indicates a need for
further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before
the test and give myself a Fleet enema on the morning
of the test."
D. "I need to take a laxative after the test is completed,
because the liquid that I'll have to drink for the test can
be constipating." - .....ANSWER ...✔✔ C. "I need to
drink citrate of magnesia the night before the test and
give myself a Fleet enema on the morning of the test."
Rationale: An upper GI series involves visualization of
the esophagus, duodenum, and upper jejunum by means
of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered
in a flavored milkshake. Films are taken at intervals
,3|Page
during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that
NPO status must be maintained for 8 hours before the
test. After an upper GI series, the client is prescribed a
laxative to hasten elimination of the barium. Barium that
remains in the colon may become hard and difficult to
expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that
the physician is off for the night and will be available in
the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call
physician
C. Withhold the medication until the physician can be
reached in the morning
D. Administer the medication but consult the physician
when he becomes available - .....ANSWER ...✔✔ B.
Ask the answering service to contact the on-call
physician
Rationale: The nurse has a duty to protect the client from
harm. A nurse who believes that a physician's
, 4|Page
prescription may be in error is responsible for clarifying
the prescription before carrying it out. Therefore the
nurse would not administer the medication; instead, the
nurse would withhold the medication until the dose can
be clarified. The nurse would not wait until the next
morning to obtain clarification. It is premature to call the
nursing supervisor.
An emergency department (ED) nurse is monitoring a
client with suspected acute myocardial infarction (MI)
who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks the
client's carotid pulse, and determines that the PVCs are
not resulting in perfusion. The appropriate action by the
nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an
MI - .....ANSWER ...✔✔ B. Asking the ED physician to
check the client
Rationale: PVCs are a result of increased irritability of
ventricular cells. Peripheral pulses may be absent or
diminished with the PVCs themselves because the
