(EXTRACTED FROM ACTUAL EXAM)
Question 1:
Which of the following findings should the nurse identify as an indication of magnesium
toxicity?
A) Hyperactive deep-tendon reflexes
B) Tachycardia
C) Respiratory depression (Correct Answer)
D) Increased urine output
Question 2:
A nurse is preparing to administer packed RBCs to a client. Which of the following actions
should the nurse take first?
A) Obtain the client’s vital signs
B) Check the client's identification number
C) Obtain the blood product from the refrigerator
D) Verify the prescription with another nurse (Correct Answer)
Question 3:
A nurse is caring for a client who has cirrhosis. Which of the following manifestations
should the nurse identify as the priority?
A) Mental confusion (Correct Answer)
B) Spider angiomas
C) Peripheral edema
, D) Jaundice
Question 4:
Which of the following interventions should the nurse include in the plan of care for a
client who has bacterial meningitis?
A) Place the client in a private room under contact precautions
B) Initiate droplet precautions
C) Administer acetaminophen as prescribed (Correct Answer)
D) Restrict oral fluids
Question 5:
A nurse is caring for a client who has a prescription for warfarin. The nurse should
instruct the client to avoid which of the following over-the-counter medications?
A) Calcium carbonate
B) Ibuprofen (Correct Answer)
C) Vitamin B12
D) Diphenhydramine
Question 6:
A client is experiencing a tonic-clonic seizure. Which of the following actions should the
nurse take first?
A) Turn the client onto their side (Correct Answer)
B) Loosen restrictive clothing
C) Protect the client's head
D) Administer oxygen via nasal cannula
Question 7: