D441 OBJECTIVE ASSESSMENT (OA) |
COMPREHENSIVE STUDY GUIDE,
PRACTICE QUESTIONS & EXAM
REVIEW
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every
12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in
dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump
to deliver how many mL/hr? (Enter numerical value only.)
200…..ANSWER
A client with anemia secondary to chronic kidney disease (CKD) started a
prescription for epoetin alfa two months ago. Which client finding best indicates
that the medication is effective?
Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
,D. Hemoglobin level
.
D. Hemoglobin level…..ANSWER
The nurse administers naloxone to a client with opioid-induced respiratory
depression. One hour later, nursing assessment reveals that the client has a
respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be
aroused. Which action should the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
A. Administer a second dose of naloxone. …..ANSWER
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a
strong iodine solution, for a client with hyperthyroidism. How should the nurse
schedule the administration of these medications?
A. Offer both drugs together with a meal.
,B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
D. Administer iodine one hour before PTU. …..ANSWER
The nurse is assessing a client who was recently diagnosed with Parkinson's
disease and is taking carbidopa-levodopa. The client is concerned that the
medication is not working. Which intervention should the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
B. Explore what the client means by the drug "is not working." …..ANSWER
, A client who is taking dextroamphetamine-amphetamine extended-release tablets
for attention deficit hyperactivity disorder (ADHD), reports about having difficulty
sleeping at night. Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
. Determine what time the dose is taken. …..ANSWER
A client receives a prescription for allopurinol. Which information provided by the
client requires additional instruction by the nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
D. Double the dose if a dose is missed. …..ANSWER
COMPREHENSIVE STUDY GUIDE,
PRACTICE QUESTIONS & EXAM
REVIEW
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every
12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in
dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump
to deliver how many mL/hr? (Enter numerical value only.)
200…..ANSWER
A client with anemia secondary to chronic kidney disease (CKD) started a
prescription for epoetin alfa two months ago. Which client finding best indicates
that the medication is effective?
Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
,D. Hemoglobin level
.
D. Hemoglobin level…..ANSWER
The nurse administers naloxone to a client with opioid-induced respiratory
depression. One hour later, nursing assessment reveals that the client has a
respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be
aroused. Which action should the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
A. Administer a second dose of naloxone. …..ANSWER
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a
strong iodine solution, for a client with hyperthyroidism. How should the nurse
schedule the administration of these medications?
A. Offer both drugs together with a meal.
,B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
D. Administer iodine one hour before PTU. …..ANSWER
The nurse is assessing a client who was recently diagnosed with Parkinson's
disease and is taking carbidopa-levodopa. The client is concerned that the
medication is not working. Which intervention should the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
B. Explore what the client means by the drug "is not working." …..ANSWER
, A client who is taking dextroamphetamine-amphetamine extended-release tablets
for attention deficit hyperactivity disorder (ADHD), reports about having difficulty
sleeping at night. Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
. Determine what time the dose is taken. …..ANSWER
A client receives a prescription for allopurinol. Which information provided by the
client requires additional instruction by the nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
D. Double the dose if a dose is missed. …..ANSWER
