SET 2
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1. NGN-Style (Case Scenario)
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A client with Parkinson’s disease (PD) has been prescribed
Levodopa/Carbidopa. Current vitals:
• Day 1: T 97.2°F (36.2°C), HR 74/min, BP 118/68 mm Hg
• Day 7: T 98.4°F (36.9°C), HR 86/min, RR 18/min, BP 98/66 mm Hg
Which of the following statements should the nurse include when teaching
the client about Levodopa/Carbidopa? (Select all that apply.)
A. “If you eat a high-protein meal, it can reduce the effectiveness of this
medication.”
B. “You can experience vivid nightmares while taking this medication.”
C. “You may notice your urine becomes lighter in color.”
D. “This medication can cause nausea, so take it with a meal.”
E. “You may feel lightheaded or dizzy.”
F. “You may initially notice an increase in voluntary movements.”
Correct Answers: A, B, C, D, E, F
Rationale:
• High-protein meals can interfere with Levodopa absorption (A).
,• Vivid nightmares may occur (B).
• Changes in urine color are commonly taught to clients (the prescription
insert often mentions darkening, but follow the teaching outline provided)
(C).
• Taking the medication with food can help reduce GI upset (D).
• Orthostatic hypotension or lightheadedness is a notable side effect (E).
• Some clients experience increased or dyskinetic movements initially (F).
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2.
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A nurse is preparing to administer a scheduled dose of warfarin to a client.
Which of the following laboratory tests should the nurse review prior to
administration?
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. Prothrombin time (PT) / INR
D. Bleeding time
Correct Answer: C
Rationale: PT/INR is the primary test to monitor warfarin therapy.
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3.
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A nurse is caring for a group of clients. Which of the following situations
requires completion of an incident report?
A. A client receives an IV antibiotic 15 minutes late.
B. A client refuses their morning medication.
C. A client receives insulin 1 hour earlier than scheduled.
D. A client requests pain medication 30 minutes before the next dose is
due.
Correct Answer: C
Rationale: Administering insulin more than the scheduled time pose risks of
hypoglycemia and is a deviation from standards that requires an incident
report.
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4.
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, A client who is receiving oxycodone has a respiratory rate of 8/min. Which
of the following explanations is the best pathophysiologic cause for this
finding?
A. Oxycodone causes peripheral vasodilation.
B. Oxycodone stimulates the cough reflex.
C. Oxycodone decreases intracranial pressure.
D. Oxycodone causes depression of the central nervous system.
Correct Answer: D
Rationale: Opioids suppress the CNS, leading to a decreased respiratory
drive.
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5.
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A nurse is transcribing a prescription that reads: “Ondansetron 8 mg by
mouth every 12 hours PRN.” Which of the following parts of the prescription
should the nurse clarify with the provider?
A. Dose
B. Frequency
C. Route
D. Indication
───────────────────────────────────────────────
─────────
1. NGN-Style (Case Scenario)
───────────────────────────────────────────────
─────────
A client with Parkinson’s disease (PD) has been prescribed
Levodopa/Carbidopa. Current vitals:
• Day 1: T 97.2°F (36.2°C), HR 74/min, BP 118/68 mm Hg
• Day 7: T 98.4°F (36.9°C), HR 86/min, RR 18/min, BP 98/66 mm Hg
Which of the following statements should the nurse include when teaching
the client about Levodopa/Carbidopa? (Select all that apply.)
A. “If you eat a high-protein meal, it can reduce the effectiveness of this
medication.”
B. “You can experience vivid nightmares while taking this medication.”
C. “You may notice your urine becomes lighter in color.”
D. “This medication can cause nausea, so take it with a meal.”
E. “You may feel lightheaded or dizzy.”
F. “You may initially notice an increase in voluntary movements.”
Correct Answers: A, B, C, D, E, F
Rationale:
• High-protein meals can interfere with Levodopa absorption (A).
,• Vivid nightmares may occur (B).
• Changes in urine color are commonly taught to clients (the prescription
insert often mentions darkening, but follow the teaching outline provided)
(C).
• Taking the medication with food can help reduce GI upset (D).
• Orthostatic hypotension or lightheadedness is a notable side effect (E).
• Some clients experience increased or dyskinetic movements initially (F).
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2.
───────────────────────────────────────────────
─────────
A nurse is preparing to administer a scheduled dose of warfarin to a client.
Which of the following laboratory tests should the nurse review prior to
administration?
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. Prothrombin time (PT) / INR
D. Bleeding time
Correct Answer: C
Rationale: PT/INR is the primary test to monitor warfarin therapy.
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─────────
3.
───────────────────────────────────────────────
─────────
A nurse is caring for a group of clients. Which of the following situations
requires completion of an incident report?
A. A client receives an IV antibiotic 15 minutes late.
B. A client refuses their morning medication.
C. A client receives insulin 1 hour earlier than scheduled.
D. A client requests pain medication 30 minutes before the next dose is
due.
Correct Answer: C
Rationale: Administering insulin more than the scheduled time pose risks of
hypoglycemia and is a deviation from standards that requires an incident
report.
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─────────
4.
───────────────────────────────────────────────
─────────
, A client who is receiving oxycodone has a respiratory rate of 8/min. Which
of the following explanations is the best pathophysiologic cause for this
finding?
A. Oxycodone causes peripheral vasodilation.
B. Oxycodone stimulates the cough reflex.
C. Oxycodone decreases intracranial pressure.
D. Oxycodone causes depression of the central nervous system.
Correct Answer: D
Rationale: Opioids suppress the CNS, leading to a decreased respiratory
drive.
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5.
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─────────
A nurse is transcribing a prescription that reads: “Ondansetron 8 mg by
mouth every 12 hours PRN.” Which of the following parts of the prescription
should the nurse clarify with the provider?
A. Dose
B. Frequency
C. Route
D. Indication
