SAUNDERS FUNDAMENTALS MEDICATIONS 4
2026 PRACTICE TEST SHEET FULL SOLUTIONS
CORRECT ANSWERS GUARANTEED PASS
◉ The nurse has a prescription to give a first dose of
hydrochlorothiazide (HCTZ) to an assigned client. The nurse should
question the prescription if the client had a history of allergy to
which item?
Answer: Sulfa drugs
◉ A client is being treated for acute heart failure with intravenously
administered bumetanide. The vital signs are as follows: blood
pressure, 100/60 mm Hg; pulse, 96 beats per minute; and
respirations, 24 breaths per minute. After the initial dose, which is
the priority assessment?
Answer: Monitoring blood pressure
◉ The nurse is asked to assist in preparing a heparin sodium
infusion for a client with a diagnosis of thrombophlebitis. Which
items should the nurse have available for this procedure?
Select all that apply
Answer: -Protamine sulfate
-Intravenous tubing
,-Intravenous infusion controller
-Intravenous insertion equipment
◉ The nurse has completed client teaching about heart failure and
prescribed medications that include digoxin (Lanoxin) and
furosemide (Lasix). The nurse documents that the teaching goals
have been met if the client states knowing to report which
symptom?
Answer: Weight gain of 2 to 3 pounds in a few days
◉ A client is being discharged to home following recovery from an
anterior myocardial infarction with recurrent angina. The client will
be taking diltiazem (Cardizem), isosorbide dinitrate (Isordil), and
nitroglycerin (Nitrostat) sublingually as needed, and the nurse
reinforces information to the client about the medications. Which
statement by the client indicates a need for further teaching about
the medications?
Answer: "I should notify my doctor immediately if I experience
headaches with any of these medications."
◉ A client with diabetes mellitus who has been controlled with daily
insulin has been placed on atenolol (Tenormin) for the control of
angina pectoris. Because of the effects of atenolol, the nurse
determines that which is the most reliable indicator of
hypoglycemia?
Answer: Low blood glucose level
, ◉ A client is on nicotinic acid (niacin) for hyperlipidemia, and the
nurse reinforces instructions to the client about the medication.
Which statement by the client indicates an understanding of the
instructions?
Answer: "Ibuprofen (Motrin IB) taken 30 minutes before the
nicotinic acid should decrease the flushing."
◉ The nurse is planning to administer amlodipine (Norvasc) to a
client. The nurse should plan to check which before giving the
medication?
Answer: Blood pressure and heart rate
◉ A client is receiving a continuous intravenous (IV) infusion of
heparin in the treatment of deep vein thrombosis. The nurse is told
that the client's activated partial thromboplastin time (aPTT) level is
65 seconds and that the client's baseline before the initiation of
therapy was 30 seconds. The nurse identifies these results as
characteristic of which description?
Answer: Within the therapeutic range
◉ The nurse notes that a client is being treated with nesiritide
(Natrecor). The nurse should expect this client to be experiencing
which disorder?
Answer: Heart failure
2026 PRACTICE TEST SHEET FULL SOLUTIONS
CORRECT ANSWERS GUARANTEED PASS
◉ The nurse has a prescription to give a first dose of
hydrochlorothiazide (HCTZ) to an assigned client. The nurse should
question the prescription if the client had a history of allergy to
which item?
Answer: Sulfa drugs
◉ A client is being treated for acute heart failure with intravenously
administered bumetanide. The vital signs are as follows: blood
pressure, 100/60 mm Hg; pulse, 96 beats per minute; and
respirations, 24 breaths per minute. After the initial dose, which is
the priority assessment?
Answer: Monitoring blood pressure
◉ The nurse is asked to assist in preparing a heparin sodium
infusion for a client with a diagnosis of thrombophlebitis. Which
items should the nurse have available for this procedure?
Select all that apply
Answer: -Protamine sulfate
-Intravenous tubing
,-Intravenous infusion controller
-Intravenous insertion equipment
◉ The nurse has completed client teaching about heart failure and
prescribed medications that include digoxin (Lanoxin) and
furosemide (Lasix). The nurse documents that the teaching goals
have been met if the client states knowing to report which
symptom?
Answer: Weight gain of 2 to 3 pounds in a few days
◉ A client is being discharged to home following recovery from an
anterior myocardial infarction with recurrent angina. The client will
be taking diltiazem (Cardizem), isosorbide dinitrate (Isordil), and
nitroglycerin (Nitrostat) sublingually as needed, and the nurse
reinforces information to the client about the medications. Which
statement by the client indicates a need for further teaching about
the medications?
Answer: "I should notify my doctor immediately if I experience
headaches with any of these medications."
◉ A client with diabetes mellitus who has been controlled with daily
insulin has been placed on atenolol (Tenormin) for the control of
angina pectoris. Because of the effects of atenolol, the nurse
determines that which is the most reliable indicator of
hypoglycemia?
Answer: Low blood glucose level
, ◉ A client is on nicotinic acid (niacin) for hyperlipidemia, and the
nurse reinforces instructions to the client about the medication.
Which statement by the client indicates an understanding of the
instructions?
Answer: "Ibuprofen (Motrin IB) taken 30 minutes before the
nicotinic acid should decrease the flushing."
◉ The nurse is planning to administer amlodipine (Norvasc) to a
client. The nurse should plan to check which before giving the
medication?
Answer: Blood pressure and heart rate
◉ A client is receiving a continuous intravenous (IV) infusion of
heparin in the treatment of deep vein thrombosis. The nurse is told
that the client's activated partial thromboplastin time (aPTT) level is
65 seconds and that the client's baseline before the initiation of
therapy was 30 seconds. The nurse identifies these results as
characteristic of which description?
Answer: Within the therapeutic range
◉ The nurse notes that a client is being treated with nesiritide
(Natrecor). The nurse should expect this client to be experiencing
which disorder?
Answer: Heart failure
