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GRADED A+ 2025 – 2026
C. Data Collection - DETAILED ANSWER-A nurse is caring for a client who has multiple medication
allergies. During which of the following steps of the nursing process should the nurse identify the
client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - DETAILED ANSWER-A nurse is caring for a client and realizes
after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of
the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take
first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - DETAILED ANSWER-A nurse is preparing to administer medication to a client. Which of
the following abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
,EC = enteric coated, XR = extended release, SL = sublingually - DETAILED ANSWER-A nurse is
reviewing the medication administration record of a client who has impaired swallowing. The
nurse should crush the medication when administering which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis.
It is a second generation cephalosporin. - DETAILED ANSWER-A nurse is caring for a client who is
receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a postoperative infection.
Which of the following manifestations should the nurse monitor for as an adverse effect of the
medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - DETAILED ANSWER-A nurse is assisting with the care of a client who is
postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for
meperidine. Which of the following routes of administration will deliver the medication with the
shortest time of onset?
A. oral
B. Intravenous C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - DETAILED ANSWER-nurse is
monitoring a client with pneumonia who has received penicillin G intramuscularly.
Which of the following findings should the nurse plan to evaluate first?
, A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
c. hepatic toxicity - DETAILED ANSWER-A nurse is reviewing the laboratory results of a client who
is taking a medication and notes that the client's blood tests show an elevated level of the
enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should
recognize that these findings are potential indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - DETAILED ANSWER-A nurse is reviewing the laboratory data
for a client who has Alzheimer's disease and a new prescription for memantine. The nurse should
identify that which of the following findings increases the risk for reduced clearance of the
medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
5 mL - DETAILED ANSWER-A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a
school-aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL.
How many mL should the nurse administer? (Round your answer to the nearest tenth. Use a
leading zero if applicable but do not use a trailing zero.)