N u r s i n g 1 1 3 E x a m # 2 R ev i e w B l u e p r i n t _ K e y M e d i c a t i o n s & D o s a g e s
| Questions and Answers | Latest Update
1. A nurse is caring for a client who received naloxone for opioid overdose. Which finding
requires immediate intervention?
A. Sweating and yawning
B. Increased respiratory rate
C. Sudden return of pain
D. Respiratory rate of 6/min
2. A client taking fluoxetine reports confusion, agitation, and muscle rigidity. Which condition
should the nurse suspect?
A. Hypertensive crisis
B. Neuroleptic malignant syndrome
C. Serotonin syndrome
D. Lithium toxicity
3. Which statement by a client taking disulfiram indicates a need for further teaching?
A. "I’ll avoid using mouthwash with alcohol."
B. "I can drink alcohol again after 12 hours of stopping this drug."
C. "I'll read labels on food and medications."
D. "This medication will help me maintain sobriety."
4. A nurse is assessing a client taking lithium carbonate. Which of the following is an early sign
of lithium toxicity?
A. Fine hand tremors
B. Severe hypotension
C. Diarrhea and muscle weakness
D. Seizures
5. A nurse is reinforcing teaching with a client prescribed alprazolam. Which instruction should
be included?
A. "You can drive once the medication takes effect."
B. "Stop the medication immediately if you feel sleepy."
C. "Avoid alcohol while taking this medication."
D. "Take on an empty stomach to improve absorption."
, 6. Which of the following is an expected finding in a client receiving lorazepam?
A. Hypertension
B. Tachypnea
C. Sedation
D. Increased alertness
7. Which of the following adverse effects should a nurse monitor for in a client taking
chlorpromazine?
A. Dry mouth
B. Constipation
C. Photosensitivity
D. Shuffling gait and tremors
8. A nurse is calculating the IV flow rate. The provider orders 1,000 mL of 0.9% NS to infuse
over 8 hours. The drop factor is 10 gtt/mL. What is the correct flow rate in gtt/min?
A. 12 gtt/min
B. 21 gtt/min
C. 30 gtt/min
D. 50 gtt/min
9. A client is prescribed phenytoin. Which instruction should the nurse include in client teaching?
A. "Increase fiber intake to avoid constipation."
B. "Brush and floss regularly to prevent gum overgrowth."
C. "You may stop the drug once seizures are controlled."
D. "Take aspirin for headaches while on phenytoin."
10. Which of the following should the nurse recognize as a therapeutic effect of
levodopa/carbidopa?
A. Improved mood
B. Decreased tremors
C. Increased urine output
D. Reduced visual hallucinations
11. A client missed one dose of her combination oral contraceptive. What should the nurse
advise?
A. Stop the pack and start over
B. Take two pills the next day
| Questions and Answers | Latest Update
1. A nurse is caring for a client who received naloxone for opioid overdose. Which finding
requires immediate intervention?
A. Sweating and yawning
B. Increased respiratory rate
C. Sudden return of pain
D. Respiratory rate of 6/min
2. A client taking fluoxetine reports confusion, agitation, and muscle rigidity. Which condition
should the nurse suspect?
A. Hypertensive crisis
B. Neuroleptic malignant syndrome
C. Serotonin syndrome
D. Lithium toxicity
3. Which statement by a client taking disulfiram indicates a need for further teaching?
A. "I’ll avoid using mouthwash with alcohol."
B. "I can drink alcohol again after 12 hours of stopping this drug."
C. "I'll read labels on food and medications."
D. "This medication will help me maintain sobriety."
4. A nurse is assessing a client taking lithium carbonate. Which of the following is an early sign
of lithium toxicity?
A. Fine hand tremors
B. Severe hypotension
C. Diarrhea and muscle weakness
D. Seizures
5. A nurse is reinforcing teaching with a client prescribed alprazolam. Which instruction should
be included?
A. "You can drive once the medication takes effect."
B. "Stop the medication immediately if you feel sleepy."
C. "Avoid alcohol while taking this medication."
D. "Take on an empty stomach to improve absorption."
, 6. Which of the following is an expected finding in a client receiving lorazepam?
A. Hypertension
B. Tachypnea
C. Sedation
D. Increased alertness
7. Which of the following adverse effects should a nurse monitor for in a client taking
chlorpromazine?
A. Dry mouth
B. Constipation
C. Photosensitivity
D. Shuffling gait and tremors
8. A nurse is calculating the IV flow rate. The provider orders 1,000 mL of 0.9% NS to infuse
over 8 hours. The drop factor is 10 gtt/mL. What is the correct flow rate in gtt/min?
A. 12 gtt/min
B. 21 gtt/min
C. 30 gtt/min
D. 50 gtt/min
9. A client is prescribed phenytoin. Which instruction should the nurse include in client teaching?
A. "Increase fiber intake to avoid constipation."
B. "Brush and floss regularly to prevent gum overgrowth."
C. "You may stop the drug once seizures are controlled."
D. "Take aspirin for headaches while on phenytoin."
10. Which of the following should the nurse recognize as a therapeutic effect of
levodopa/carbidopa?
A. Improved mood
B. Decreased tremors
C. Increased urine output
D. Reduced visual hallucinations
11. A client missed one dose of her combination oral contraceptive. What should the nurse
advise?
A. Stop the pack and start over
B. Take two pills the next day
