Page 1 of 293
REX-PN PRACTICE EXAM QUESTION BANK |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Mrs. Estevan, 73 years old, has been recently prescribed an oral
antihypertensive medication. What should the nurse do when
administering this drug?
A. Measure her blood pressure just before giving her the drug
B. Withhold the medication when her diastolic BP is less than 80
mmHg.
C. Assess the effectiveness of the drug 15 minutes after
administration
D. Ensure her medication is administered with meals - ✔✔✔ Correct
Answer > Answer: A. Measure her blood pressure just before giving
her the drug
- BP should be assessed prior to administering any medication
that alters bloodpressure
The nurse is collecting data from a client, diagnosed with
schizophrenia who is being re-admitted to the mental health unit.
,Page 2 of 293
The client's thought processes, and behaviors have been
managed for several months with fluphenazine (Prolixin®).
Which data should the nurse obtain first when taking the history?
A. Exposure to hot temperatures
B. Stressors in the home
C. Alcohol use, with amount and frequency
D. Medication compliance - ✔✔✔ Correct Answer > Answer: D.
Medication compliance
Fluphenazine is a typical antipsychotic medication used to
manage the findings associated with schizophrenia, including
hallucinations, delusions, and hostility. Compliance with daily
doses is critical and requires initial investigation. The keywords
in this question are "re-admitted" and "schizophrenia." The
question being asked is "what data to collect first," and because
all the information in the options would be collected, the task is
to decide which options is the priority. Note that only one option
focuses on "medication." Think and ask: Is the client having
symptoms? Is the client taking the medication?
A client with chronic obstructive pulmonary disease (COPD) and
a history of coronary artery disease receive an IV drip of
aminophylline. Which finding would require immediate
intervention?
,Page 3 of 293
A. Flushing and headache
B. Changes in blood pressure and respirations
C. Increased heart rate and sweating
D. Restlessness and palpitations - ✔✔✔ Correct Answer > Answer: D.
Restlessness and palpitations
Aminophylline is a bronchodilator. Dosing needs to be
individualized (based on body weight) so that the maximum
benefit is obtained with minimal risk of adverse reactions. Side
effects include nervousness, restlessness, headaches, and
palpitations. Muscle twitching or nausea are associated with
toxicity of this medication.
The health care provider orders an osmotic diuretic for a client
diagnosed with a traumatic brain injury (TBI). Why is this
medication ordered?
A. Reduce pulmonary edema
B. Prevent electrolyte imbalance
C. Reduce intracranial pressure
D. Prevent seizures - ✔✔✔ Correct Answer > Answer: C. Reduce
intracranial pressure
, Page 4 of 293
Osmotic diuretics, such as mannitol, are used to reduce
intracranial or intraocular pressure. Osmotic diuretics reduce the
amount of water normally reabsorbed by the renal tubules and
loop of Henle, so urinary output is increased. Osmotic diuretics
can cause excessive loss of water and electrolytes, which can
lead to serious electrolyte imbalances. In addition to water
intoxication and dehydration, adverse reactions of osmotic
diuretics include pulmonary edema and circulatory overload.
Anticonvulsants prevent seizures.
The nurse is caring for an older client who had a large volume of
intravenous solution infused rapidly. What findings should the
nurse now anticipate?
A. Lowered blood pressure, thready pulse, hypoventilation
B. Lethargy, tachycardia, diaphoresis
C. Edema, fluctuating blood pressure, glucosuria
D. Elevated blood pressure, bounding pulse, dyspnea - ✔✔✔ Correct
Answer > Answer: D. Elevated blood pressure, bounding pulse,
dyspnea
Early findings of fluid volume excess include elevated blood
pressure, bounding pulse, and dyspnea. Severe fluid volume
overload leads to heart failure and pulmonary edema.
Sometimes, when you are dealing with options that contain a
series on each line, it helps to compare each item in the series
REX-PN PRACTICE EXAM QUESTION BANK |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Mrs. Estevan, 73 years old, has been recently prescribed an oral
antihypertensive medication. What should the nurse do when
administering this drug?
A. Measure her blood pressure just before giving her the drug
B. Withhold the medication when her diastolic BP is less than 80
mmHg.
C. Assess the effectiveness of the drug 15 minutes after
administration
D. Ensure her medication is administered with meals - ✔✔✔ Correct
Answer > Answer: A. Measure her blood pressure just before giving
her the drug
- BP should be assessed prior to administering any medication
that alters bloodpressure
The nurse is collecting data from a client, diagnosed with
schizophrenia who is being re-admitted to the mental health unit.
,Page 2 of 293
The client's thought processes, and behaviors have been
managed for several months with fluphenazine (Prolixin®).
Which data should the nurse obtain first when taking the history?
A. Exposure to hot temperatures
B. Stressors in the home
C. Alcohol use, with amount and frequency
D. Medication compliance - ✔✔✔ Correct Answer > Answer: D.
Medication compliance
Fluphenazine is a typical antipsychotic medication used to
manage the findings associated with schizophrenia, including
hallucinations, delusions, and hostility. Compliance with daily
doses is critical and requires initial investigation. The keywords
in this question are "re-admitted" and "schizophrenia." The
question being asked is "what data to collect first," and because
all the information in the options would be collected, the task is
to decide which options is the priority. Note that only one option
focuses on "medication." Think and ask: Is the client having
symptoms? Is the client taking the medication?
A client with chronic obstructive pulmonary disease (COPD) and
a history of coronary artery disease receive an IV drip of
aminophylline. Which finding would require immediate
intervention?
,Page 3 of 293
A. Flushing and headache
B. Changes in blood pressure and respirations
C. Increased heart rate and sweating
D. Restlessness and palpitations - ✔✔✔ Correct Answer > Answer: D.
Restlessness and palpitations
Aminophylline is a bronchodilator. Dosing needs to be
individualized (based on body weight) so that the maximum
benefit is obtained with minimal risk of adverse reactions. Side
effects include nervousness, restlessness, headaches, and
palpitations. Muscle twitching or nausea are associated with
toxicity of this medication.
The health care provider orders an osmotic diuretic for a client
diagnosed with a traumatic brain injury (TBI). Why is this
medication ordered?
A. Reduce pulmonary edema
B. Prevent electrolyte imbalance
C. Reduce intracranial pressure
D. Prevent seizures - ✔✔✔ Correct Answer > Answer: C. Reduce
intracranial pressure
, Page 4 of 293
Osmotic diuretics, such as mannitol, are used to reduce
intracranial or intraocular pressure. Osmotic diuretics reduce the
amount of water normally reabsorbed by the renal tubules and
loop of Henle, so urinary output is increased. Osmotic diuretics
can cause excessive loss of water and electrolytes, which can
lead to serious electrolyte imbalances. In addition to water
intoxication and dehydration, adverse reactions of osmotic
diuretics include pulmonary edema and circulatory overload.
Anticonvulsants prevent seizures.
The nurse is caring for an older client who had a large volume of
intravenous solution infused rapidly. What findings should the
nurse now anticipate?
A. Lowered blood pressure, thready pulse, hypoventilation
B. Lethargy, tachycardia, diaphoresis
C. Edema, fluctuating blood pressure, glucosuria
D. Elevated blood pressure, bounding pulse, dyspnea - ✔✔✔ Correct
Answer > Answer: D. Elevated blood pressure, bounding pulse,
dyspnea
Early findings of fluid volume excess include elevated blood
pressure, bounding pulse, and dyspnea. Severe fluid volume
overload leads to heart failure and pulmonary edema.
Sometimes, when you are dealing with options that contain a
series on each line, it helps to compare each item in the series
