Exam Success Guide | Graded A+
1. A nurse is planning to administer digoxin to a client who has heart failure.
Which of the following laboratory results is the priority for the nurse to review
prior to administering the medication?
hemoglobin
potassium
blood urea nitrogen
creatinine
2. In a scenario where a patient refuses to take their prescribed medication,
what steps should the nurse take to ensure patient safety and compliance?
The nurse should insist on administering the medication immediately.
The nurse should assess the patient's understanding, address any
concerns, and provide information about the medication's benefits.
The nurse should document the refusal and leave the patient alone.
The nurse should wait until the patient is more agreeable before
discussing the medication.
3. Describe how an increased neutrophil count reflects the effectiveness of
filgrastim therapy.
An increased neutrophil count suggests that the patient's immune
system is weakening.
An increased neutrophil count shows that the patient is experiencing
fewer side effects from the medication.
An increased neutrophil count means that the patient is no longer at
risk for infection.
, An increased neutrophil count indicates that the filgrastim is
effectively stimulating the bone marrow to produce more
neutrophils, which helps in fighting infections.
4. What is a common adverse effect associated with the use of bupropion?
Seizures
Weight gain
Nausea
Drowsiness
5. A nurse is providing teaching to a client who is to begin taking oxybutynin for
urinary incontinence. Which of the following symptoms should the nurse tell
the client to expect?
dry mouth
bradycardia
diarrhea
blurred vision
photophobia
6. Describe the role of acetylcysteine in the treatment of acetaminophen
overdose.
Acetylcysteine neutralizes acetaminophen directly in the bloodstream.
Acetylcysteine is used to induce vomiting in cases of overdose.
Acetylcysteine acts as an antidote by replenishing glutathione
levels, which helps to detoxify the harmful metabolites of
acetaminophen.
, Acetylcysteine provides pain relief from acetaminophen toxicity.
7. If a patient receiving IV furosemide shows U waves on their ECG, what
nursing intervention should be prioritized?
Monitor blood pressure closely
Schedule a follow-up ECG in one week
Increase the furosemide dosage
Administer potassium supplements
8. What is the primary adverse effect of morphine that docusate sodium helps
to minimize?
Respiratory depression
Drowsiness
Nausea
Constipation
9. Which over-the-counter medication should a client discontinue when
prescribed lithium?
Laxatives
Cough suppressants
Antacids
NSAIDs
10. What is the primary action of sucralfate in the treatment of peptic ulcer
disease?
It reduces stomach acid production.
, k 0 It forms a protective barrier over the ulcer.
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k 0 It increases gastric motility.
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k 0 It neutralizes stomach acid.
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11. What is a common adverse effect associated with heparin therapy that a
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nurse should monitor?
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k 0 Nausea
k 0 Constipation
k 0 Bleeding
k 0 Headache
12. A nurse is caring for a client who overdosed on morphine and has a
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respiratory rate of 6/min. which of the following medications should the
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nurse plantoadminister?
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k 0 protamine
k 0 naloxone
k 0 flumazenil
k 0 epinephrine
13. Why is a pain rating of 3 on a scale from 0 to 10 considered an effective
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indication ofmorphine's efficacy?
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k 0 It suggests the client is able to perform physical activities.
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k 0 It indicates a significant reduction in pain from a higher level.
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k 0 It shows that the client is not experiencing side effects.
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k 0 It means the client is fully awake and alert.
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