LCDC ONLINE PRACTICE EXAMINATION
TEST BANK SOLVED QUESTIONS AND
COMPLETE ANSWERS
●● A nurse is teaching a client about cyclobenzaprine. Which of the
following client statements should indicate to the nurse that the teaching
is effective?
A. "I will have increased saliva production"
B. "I will continue taking the education before discontinuing it"
C. "I will taper off the medication before discontinuing it"
D. "I will report any urinary incontinence"
Answer: C. "I will taper off the medication before discontinuing it"
THE CLIENT SHOULD TAPER OFF CYCLOBENZAPRINE
BEFORE DISCONTINUING IT TO PREVENT ABSTINENCE
SYNDROME OR REBOUND INSOMNIA
●● A nurse is assessing a client 1 hr after administering morphine for
pain. The nurse should identify which of the following findings as the
best indication that the morphine has been effective?
A. the client's vital signs are within normal limits
B. the client has not requested additional medication
C. the client is resting comfortably with eyes closed
D. the client rates pain as 3 on a scale from 0 to 10
,Answer: D. the client rates pain as 3 on a scale from 0 to 10
THE CLIENT'S DESCRIPTION OF THE PAIN IS THE MOST
ACCURATE ASSESSMENT OF PAIN
●● A nurse is assessing a client after administering a second dose of
cefazolin IV. The nurse notes the client has anxiety, hypotension, and
dyspnea. Which of the following medications should the nurse
administer first?
A. diphenhydramine
B. albuterol inhaler
C. epinephrine
D. prednisone
Answer: C. epinephrine
ACCORDING T EVIDENCE-BASED PRACTICE, THE NURSE
SHOULD ADMINISTER EPINEPHRINE FIRST TO INDUCE
VASCOCONSTRICTION AND BRONCHODILATION DURING
ANAPHYLAXIS
●● A nurse is providing teaching to a client who is begin taking
oxybutynin for urinary incontinence. Which of the following adverse
effects should the nurse include in the teaching?
A. dry mouth
B. tinnitus
C. blurred vision
,D. bradycardia
E. dry eyes
Answer: A. dry mouth
C. blurred vision
E. dry eyes
●● A nurse is preparing to administer PO sodium polystyrene sulfonate
to a client who has hyperkalemia. Which of the following actions should
the nurse plan to take?
A. hold the client's other oral medications for 8 hr post administration
B. inform the client that this medication can turn stool a light tan color
C. keep the client's solution in the refrigerator for up to 72 hr
D. monitor the client for constipation
Answer: D. monitor the client for constipation
THE NURSE SHOULD MONITOR THE CLIENT FOR THE
ADVERSE EFFECT OF CONSTIPATION AND REPORT IT TO THE
PROVIDER BECAUSE THIS CAN LEAD TO FECAL IMPACTION
●● A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?
A. administer the medication outside the 5-cm (2-in) radius of the
umbilicus
B. aspirate for blood return before injecting
C. rub vigorously after the injection to promote absorption
, D. place a pressure dressing on the injection site to prevent bleeding
Answer: A. administer the medication outside the 5-cm (2-in) radius of
the umbilicus
THE NURSE SHOULD ADMINISTER THE HEPARIN BY
SUBCUTANEOUS INJECTION TO THE ABDOMEN IN AN AREA
THAT IS ABOVE THE ILIAC CREST AND AT LEAST 5 CM (2 IN)
AWAY FROM THE UMBILICUS.
●● A nurse is teaching a client who is to begin taking tamoxifen for the
treatment of breast cancer. Which of the following adverse effects
should the nurse include in the teaching?
A. hot flashes
B. urinary retention
C. constipation
D. bradycardia
Answer: A. hot flashes
THE ESTROGEN RECEPTOR BLOCKING ACTION OF
TAMOXIFEN COMMONLY RESULTS IN THE ADVERSE EFFECT
OF HOT FLASHES
●● A nurse is reviewing the laboratory results of a client who is taking
digoxin for heart failure. Which of the following result should the nurse
report to the provider?
A. calcium level 9.2 mg/dL
B. magnesium level 1.6 mEq/L
TEST BANK SOLVED QUESTIONS AND
COMPLETE ANSWERS
●● A nurse is teaching a client about cyclobenzaprine. Which of the
following client statements should indicate to the nurse that the teaching
is effective?
A. "I will have increased saliva production"
B. "I will continue taking the education before discontinuing it"
C. "I will taper off the medication before discontinuing it"
D. "I will report any urinary incontinence"
Answer: C. "I will taper off the medication before discontinuing it"
THE CLIENT SHOULD TAPER OFF CYCLOBENZAPRINE
BEFORE DISCONTINUING IT TO PREVENT ABSTINENCE
SYNDROME OR REBOUND INSOMNIA
●● A nurse is assessing a client 1 hr after administering morphine for
pain. The nurse should identify which of the following findings as the
best indication that the morphine has been effective?
A. the client's vital signs are within normal limits
B. the client has not requested additional medication
C. the client is resting comfortably with eyes closed
D. the client rates pain as 3 on a scale from 0 to 10
,Answer: D. the client rates pain as 3 on a scale from 0 to 10
THE CLIENT'S DESCRIPTION OF THE PAIN IS THE MOST
ACCURATE ASSESSMENT OF PAIN
●● A nurse is assessing a client after administering a second dose of
cefazolin IV. The nurse notes the client has anxiety, hypotension, and
dyspnea. Which of the following medications should the nurse
administer first?
A. diphenhydramine
B. albuterol inhaler
C. epinephrine
D. prednisone
Answer: C. epinephrine
ACCORDING T EVIDENCE-BASED PRACTICE, THE NURSE
SHOULD ADMINISTER EPINEPHRINE FIRST TO INDUCE
VASCOCONSTRICTION AND BRONCHODILATION DURING
ANAPHYLAXIS
●● A nurse is providing teaching to a client who is begin taking
oxybutynin for urinary incontinence. Which of the following adverse
effects should the nurse include in the teaching?
A. dry mouth
B. tinnitus
C. blurred vision
,D. bradycardia
E. dry eyes
Answer: A. dry mouth
C. blurred vision
E. dry eyes
●● A nurse is preparing to administer PO sodium polystyrene sulfonate
to a client who has hyperkalemia. Which of the following actions should
the nurse plan to take?
A. hold the client's other oral medications for 8 hr post administration
B. inform the client that this medication can turn stool a light tan color
C. keep the client's solution in the refrigerator for up to 72 hr
D. monitor the client for constipation
Answer: D. monitor the client for constipation
THE NURSE SHOULD MONITOR THE CLIENT FOR THE
ADVERSE EFFECT OF CONSTIPATION AND REPORT IT TO THE
PROVIDER BECAUSE THIS CAN LEAD TO FECAL IMPACTION
●● A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?
A. administer the medication outside the 5-cm (2-in) radius of the
umbilicus
B. aspirate for blood return before injecting
C. rub vigorously after the injection to promote absorption
, D. place a pressure dressing on the injection site to prevent bleeding
Answer: A. administer the medication outside the 5-cm (2-in) radius of
the umbilicus
THE NURSE SHOULD ADMINISTER THE HEPARIN BY
SUBCUTANEOUS INJECTION TO THE ABDOMEN IN AN AREA
THAT IS ABOVE THE ILIAC CREST AND AT LEAST 5 CM (2 IN)
AWAY FROM THE UMBILICUS.
●● A nurse is teaching a client who is to begin taking tamoxifen for the
treatment of breast cancer. Which of the following adverse effects
should the nurse include in the teaching?
A. hot flashes
B. urinary retention
C. constipation
D. bradycardia
Answer: A. hot flashes
THE ESTROGEN RECEPTOR BLOCKING ACTION OF
TAMOXIFEN COMMONLY RESULTS IN THE ADVERSE EFFECT
OF HOT FLASHES
●● A nurse is reviewing the laboratory results of a client who is taking
digoxin for heart failure. Which of the following result should the nurse
report to the provider?
A. calcium level 9.2 mg/dL
B. magnesium level 1.6 mEq/L