NUR2474 EXAM 4 2026 ACTUAL SCRIPT
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ A prescriber orders filgrastim and the nurse prepares the client
for which potential side effects? SATA. Answer: Bone pain
Headache
◉ Which condition would cause the nurse to withhold a dose of
magnesium hydroxide? Answer: Renal failure
◉ A client begins taking nifedipine, along with metoprolol, to treat
hypertension. Why was metoprolol added to the medication
protocol? Answer: Reduced flushing
◉ A client who takes NSAIDs for arthritis, asks a nurse what other
medication's can be taken to prevent ulcers? The nurse should ask
the provider about which medication is best for this client? Answer:
PPI's (proton pump inhibitors)
◉ A nurse is caring for a client after hip replacement surgery. The
client has been receiving iron replacement therapy for two days, and
the nurse observes. The client stools appear black, the client is pale
,and complains of fatigue, HR 98, RR 20, and BP 100/50. What would
the nurse expect the provider to order? Answer: Stool guaiac
◉ Which statement by the client indicates an understand,
understanding of teaching regarding the side effects of the
verapamil? Answer: I may become constipated, so I should increase
fluids and fiber.
◉ A client who uses an inhaled glucocorticoid for chronic asthma,
calls the nurse to report hoarseness. What is the nurse's best
response? Answer: Ask if the client is rinsing his mouth after each
dose.
◉ A client will begin taking DABIGATRAN to prevent stroke. The
nurse includes what information when teaching the client about
taking DABIGATRAN? Answer: It is important, not to crush, chew, or
open capsules of DABIGATRAN
◉ A pregnant client who is taking ONDANSETRON for morning
sickness tell the nurse she is experiencing headaches and dizziness.
What is the best response? Answer: These are common side effects
of ONDANSETRON
◉ A nurse is caring for an older adult client after hip surgery, and
the client is taking an oral opioid every six hours as needed for pain.
,Which medication with the nurse expect to find on the medication
administration record? Answer: Docusate sodium
◉ A client with epistaxis and history of hemophilia, a is admitted to
the unit and scheduled for replacement therapy. The nurse should
prepare to administer, which medication? Answer: Factor VIII (8)
◉ An older adult client with severe GERD experienced only minimal
relief using histamine to receptors antagonist and the doctor
ordered the addition of OMEPRAZOLE. What should the nurse teach
this client about this new treatment plan? Answer: Lifestyle change
can be as effective as medication therapy.
◉ A patient provider has recommended a bulk forming laxative for
occasional constipation. Which statement by the patient indicates
and understanding of the teaching about this? Answer: I should take
each dose with a full glass of water.
◉ What order would a nurse anticipate for a client who has taken
warfarin for a year and begins taking Carbamazepine? Answer:
Increase the dose of warfarin
◉ What information should the nursing include in discharge
teaching for a client prescribed antacid and cimetidine? Answer:
Take the antacid one hour after the cimetidine.
, ◉ Which of the statements is correct regarding the function of
nitroglycerin? Answer: Promotes vasodilation, which reduces
preload and oxygen demand
◉ A nurse administers angiotensin-converting enzyme inhibitor to a
client who is taking the drug for the first time. What must the nurse
include in the client education? Answer: Instruct the client not to get
up without assistance (dizziness, lightheadedness, and faintness our
strongest after the first dose)
◉ A client receiving warfarin has an INR of 2.7. What is the nurse's
best action before giving the next dose of warfarin? Answer:
Administer warfarin as ordered.
◉ A client has 2+ pitting edema of the lower extremities bilaterally.
Auscultation of the lungs revealed by bibasilar crackles and a serum
potassium level of 6 mEq/L. Which diuretic agent would the nurse
clarify with the prescriber? Answer: SPIRONOLATONE (potassium
sparing diuretic)
◉ Which statement by a client indicates an understanding of the
teaching regarding nitroglycerin? Answer: If I take nitroglycerin
before exhaustion, I can reduce the chance of anginal attack
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ A prescriber orders filgrastim and the nurse prepares the client
for which potential side effects? SATA. Answer: Bone pain
Headache
◉ Which condition would cause the nurse to withhold a dose of
magnesium hydroxide? Answer: Renal failure
◉ A client begins taking nifedipine, along with metoprolol, to treat
hypertension. Why was metoprolol added to the medication
protocol? Answer: Reduced flushing
◉ A client who takes NSAIDs for arthritis, asks a nurse what other
medication's can be taken to prevent ulcers? The nurse should ask
the provider about which medication is best for this client? Answer:
PPI's (proton pump inhibitors)
◉ A nurse is caring for a client after hip replacement surgery. The
client has been receiving iron replacement therapy for two days, and
the nurse observes. The client stools appear black, the client is pale
,and complains of fatigue, HR 98, RR 20, and BP 100/50. What would
the nurse expect the provider to order? Answer: Stool guaiac
◉ Which statement by the client indicates an understand,
understanding of teaching regarding the side effects of the
verapamil? Answer: I may become constipated, so I should increase
fluids and fiber.
◉ A client who uses an inhaled glucocorticoid for chronic asthma,
calls the nurse to report hoarseness. What is the nurse's best
response? Answer: Ask if the client is rinsing his mouth after each
dose.
◉ A client will begin taking DABIGATRAN to prevent stroke. The
nurse includes what information when teaching the client about
taking DABIGATRAN? Answer: It is important, not to crush, chew, or
open capsules of DABIGATRAN
◉ A pregnant client who is taking ONDANSETRON for morning
sickness tell the nurse she is experiencing headaches and dizziness.
What is the best response? Answer: These are common side effects
of ONDANSETRON
◉ A nurse is caring for an older adult client after hip surgery, and
the client is taking an oral opioid every six hours as needed for pain.
,Which medication with the nurse expect to find on the medication
administration record? Answer: Docusate sodium
◉ A client with epistaxis and history of hemophilia, a is admitted to
the unit and scheduled for replacement therapy. The nurse should
prepare to administer, which medication? Answer: Factor VIII (8)
◉ An older adult client with severe GERD experienced only minimal
relief using histamine to receptors antagonist and the doctor
ordered the addition of OMEPRAZOLE. What should the nurse teach
this client about this new treatment plan? Answer: Lifestyle change
can be as effective as medication therapy.
◉ A patient provider has recommended a bulk forming laxative for
occasional constipation. Which statement by the patient indicates
and understanding of the teaching about this? Answer: I should take
each dose with a full glass of water.
◉ What order would a nurse anticipate for a client who has taken
warfarin for a year and begins taking Carbamazepine? Answer:
Increase the dose of warfarin
◉ What information should the nursing include in discharge
teaching for a client prescribed antacid and cimetidine? Answer:
Take the antacid one hour after the cimetidine.
, ◉ Which of the statements is correct regarding the function of
nitroglycerin? Answer: Promotes vasodilation, which reduces
preload and oxygen demand
◉ A nurse administers angiotensin-converting enzyme inhibitor to a
client who is taking the drug for the first time. What must the nurse
include in the client education? Answer: Instruct the client not to get
up without assistance (dizziness, lightheadedness, and faintness our
strongest after the first dose)
◉ A client receiving warfarin has an INR of 2.7. What is the nurse's
best action before giving the next dose of warfarin? Answer:
Administer warfarin as ordered.
◉ A client has 2+ pitting edema of the lower extremities bilaterally.
Auscultation of the lungs revealed by bibasilar crackles and a serum
potassium level of 6 mEq/L. Which diuretic agent would the nurse
clarify with the prescriber? Answer: SPIRONOLATONE (potassium
sparing diuretic)
◉ Which statement by a client indicates an understanding of the
teaching regarding nitroglycerin? Answer: If I take nitroglycerin
before exhaustion, I can reduce the chance of anginal attack
