2026/2027
A nurse is providing education about a new prescription for nitroglycerin for a client who is
diagnosed with angina. Which of the following statements by the client indicate a further need
for teaching?
"I'll make sure that the medication container is kept tightly sealed."
"I'm lucky I have a prescription plan that allows me to buy pills in bulk quantities."
"I'll keep my pills in the medicine cabinet when I'm home."
"I'll go to the emergency room if my chest pain doesn't go away." - Answers "I'm lucky I have a
prescription plan that allows me to buy pills in bulk quantities."
In this item, you need nursing knowledge related to the proper administration and storage of
nitroglycerin. Based on an understanding of this information, you can identify which option
describes a statement by the patient that does not reflect accurate understanding of the
medication. This is a negatively worded item that asks you to select the option that indicates
the patient needs further teaching. You will learn more about negatively worded items in Module
4. This item requires foundational thinking because you have to recall knowledge related to the
administration and storage of nitroglycerin. This statement by the client indicates a need for
further teaching. Buying nitroglycerin in bulk quantities is not a safe practice. The chemical
instability of the medication allows it to lose effectiveness over time. While some nitroglycerin
tablets have a shelf life of 24 months, NitroQuick retains its effectiveness for only 8 to 10
months. Because of the shortened shelf life, the client should not buy the medication in bulk
quantities, and the client should be instructed to date the bottle when it is first opened.
A nurse is caring for a client who is diagnosed with anemia. Which of the following skin color
variations is caused by the reduced amount of oxyhemoglobin?
Cyanosis
Jaundice
Erythema
Pallor - Answers Pallor
In this item, you need nursing knowledge related to oxyhemoglobin and its effect on skin color.
Based on an understanding of these two concepts, you can identify indicators of decreased
oxyhemoglobin. This item requires critical thinking because you have to analyze the findings in
, relation to the expected color of the skin when there is a decreased level of oxyhemoglobin in
the blood. Oxyhemoglobin is the combined state of oxygen that is to be delivered to peripheral
tissues with the hemoglobin molecule that will carry it. In clients who have anemia, the RBCs are
reduced, by function or in number, to the point that peripheral tissues are not receiving adequate
oxygen because of a decreased amount of circulating oxyhemoglobin. The reduced oxygen
supply to the tissues causes changes to the client's skin color. Pallor is caused by a reduced
amount of oxyhemoglobin. Pallor is a decrease in the coloring of the peripheral tissues that is
caused by an overall reduction in the blood flow or by a decrease in the number of RBCs that
contain oxyhemoglobin, which reduces the visibility of oxyhemoglobin.
A nurse is caring for a client who is diagnosed with a UTI and is prescribed ciprofloxacin (Cipro)
250mg PO two times dail. The amount available is 100mg/tablet. How many tablets should the
nurse administer each dose> - Answers 2.5 Tablets
A nurse is collecting nutritional data on an older adult client. Which of the following finding is
suggestive of a healthy nutritional status?
Spongy gums that are receding
Fissures at eyelid corners
Easily plucked hair
Deep reddish-colored tongue - Answers Deep reddish-colored tongue
A nur
In this item, you need nursing knowledge of clinical findings that are associated with healthy
nutrition. Based on an understanding of this information, you can identify which option
describes an expected finding in clients who are properly nourished. This item requires
foundational thinking because you only need to recall knowledge related to expected clinical
findings. Deep reddish-colored tongue is suggestive of a healthy nutritional status. The tongue
should be a healthy pink to a deep, reddish color with surface papillae present, without swelling
or lesions.
A nurse is caring for a client who is receiving intermittent enteral tube feedings and having
diarrhea after each feeding. Which of the following actions should the nurse take in an attempt
to prevent diarrhea after subsequent feedings?
Chill formula prior to administration.
Verify feeding tube placement.