Nurs 5338 EXAM 09/30/2026
Nurs 5338 Mod 2 Pretest University Of Texas -
Arlington Questions and Revised Correct Answers
& Rationales () 100% Guarantee Pass|
Guarantee Pass with Detailed Rationales(2026) |
100% Verified |A+ Graded
A client prescribed ephedrine nasal drops 0.5% prn complains of having difficulty falling asleep to the nurse. What
action should the nurse take to minimize the client's insomnia?
JOYCEWWALES 1
, Nurs 5338 EXAM 09/30/2026
a. Administer the dose a few hours before bedtime.
b. Offer the client a sedative with the bedtime dose.
c. Provide warm milk when administering the bedtime dose.
d. Reduce environmental stimuli by closing the client's door. –
Correct Answer :a. Administer the dose a few hours before bedtime.
Rationale:
Administering the dose a few hours before bedtime is effective in minimizing insomnia.
The dosing of heparin intravenous infusion is guided by which laboratory value?
a. Prothrombin time
b. Fibrin split products
c. Platelet count
d. Partial thromboplastin time –
Correct Answer :d. Partial thromboplastin time
Rationale:
Heparin therapy is guided by changes in the partial thromboplastin time (PTT).
An older client is prescribed gentamicin sulfate. Which question should the practical nurse (PN) ask an older
client before beginning treatment?
a. "Are you hard of hearing?"
b. "Have you ever had cancer?"
c. "Do you have diabetes?"
d. "Did you ever have anemia?" - Correct Answer :a. "Are you hard of hearing?"
Rationale:
Complications of gentamicin sulfate therapy include ototoxicity, nephrotoxicity, and neurotoxicity. Determining
and monitoring the client's hearing before initiation of this medication and as the treatment progresses is
important. Peak and trough levels are usually prescribed around the second and third dose.
JOYCEWWALES 2
, Nurs 5338 EXAM 09/30/2026
The health care provider (HCP) recommends the over-the-counter (OTC) expectorant guaifenesin for a client
who has a dry, nonproductive cough and congested nasal passages. The client reports that they usually have a
glass of wine with dinner nightly. Which information should the practical nurse provide to this client?
a. Return to the clinic if they start to cough up thin, watery secretions.
b. Frequent use can cause rebound nasal congestion.
c. Notify the HCP if the cough persists longer than 7 days.
d. Consumption of alcohol will interact with this medication and cause vomiting. –
Correct Answer :c. Notify the HCP if the cough persists longer than 7 days.
Rationale:
A cough that lasts more than 1 week or is accompanied by a fever, rash, or headache may be an indication of
more serious medical condition such as a bacterial infection and should be followed up by the health care
provider. Alcohol and CNS depressants, such as guaifenesin, have a cumulative effect when consumed
concurrently which can be lethal such as respiratory depression. The combination would not likely cause
vomiting. The client needs to be aware of this and advise that alcohol consumption should not be consumed
while taking this medication.
A client has vancomycin intravenous piggybacks (IVPB) prescribed. Which is the crucial aspect of care for this
client?
a. Monitoring the client's laboratory results for increased liver enzymes on a daily basis
b. Besides noting the urine output is less than the intake, report increased creatinine levels
c. The licensed practical/vocational nurse cannot care for a client receiving IVPB medication
d. It is expected that the client experiences tinnitus, headache, dizziness, and hearing loss. –
Correct Answer :b. Besides noting the urine output is less than the intake, report increased creatinine levels
Rationale:
Vancomycin is in the aminoglycoside category and can cause nephrotoxicity, or renal damage. The nurse should
monitor for fluid retention and increasing creatinine levels. This medication is not associated with liver disorders.
The LP/VN can care for a client receiving IVPB medications and should report any abnormal findings. A client
taking an aminoglycoside is at risk of ototoxicity. The nurse should report characteristics of this: tinnitus, hearing
loss, and dizziness.
JOYCEWWALES 3
, Nurs 5338 EXAM 09/30/2026
A client is experiencing an adverse effect of the gastrointestinal stimulant metoclopramide HCL. Which
assessment finding would require immediate intervention by the nurse?
a. Parkinson-like symptoms
b. Inability to see well at night
c. Dizziness when first getting up
d. An unpleasant metallic taste in the mouth –
Correct Answer :a. Parkinson-like symptoms
Rationale:
Metoclopramide HCL blocks dopamine receptors in the brain, which can cause the extrapyramidal symptoms
associated with Parkinson disease. It is not associated with an inability to see well, dizziness, or an unpleasant
metallic taste.
While taking a client's history, the practical nurse (PN) discovers that the client, who takes warfarin daily for atrial
fibrillation, has added a St. John's wort to their daily regime. What recommendation should the PN provide to
this client?
a. You need to discontinue the use of the herb and consult with your health care provider.
b. Cut your warfarin dose in half if you notice an increase of bruising or bleeding from the gums.
c. You should increase your consumption of dark green leafy vegetables and tomatoes.
d. Check your apical pulse daily and withhold the warfarin if your heart rate is below 60 beats/min.
- Correct Answer :a. You need to discontinue the use of the herb and consult with your health care provider.
Rationale:
Use of natural products should be shared with the health care provider, so possible interactions can be
addressed. The St. John's wort may interfere with the effectiveness of the warfarin.
A client status post hip replacement 24 hours ago has been prescribed enoxaparin 30 mg IVP bid × 4 doses.
Which intervention is most important for the practical nurse (PN) to implement?
a. Assess the client's IV site for signs of inflammation.
JOYCEWWALES 4
Nurs 5338 Mod 2 Pretest University Of Texas -
Arlington Questions and Revised Correct Answers
& Rationales () 100% Guarantee Pass|
Guarantee Pass with Detailed Rationales(2026) |
100% Verified |A+ Graded
A client prescribed ephedrine nasal drops 0.5% prn complains of having difficulty falling asleep to the nurse. What
action should the nurse take to minimize the client's insomnia?
JOYCEWWALES 1
, Nurs 5338 EXAM 09/30/2026
a. Administer the dose a few hours before bedtime.
b. Offer the client a sedative with the bedtime dose.
c. Provide warm milk when administering the bedtime dose.
d. Reduce environmental stimuli by closing the client's door. –
Correct Answer :a. Administer the dose a few hours before bedtime.
Rationale:
Administering the dose a few hours before bedtime is effective in minimizing insomnia.
The dosing of heparin intravenous infusion is guided by which laboratory value?
a. Prothrombin time
b. Fibrin split products
c. Platelet count
d. Partial thromboplastin time –
Correct Answer :d. Partial thromboplastin time
Rationale:
Heparin therapy is guided by changes in the partial thromboplastin time (PTT).
An older client is prescribed gentamicin sulfate. Which question should the practical nurse (PN) ask an older
client before beginning treatment?
a. "Are you hard of hearing?"
b. "Have you ever had cancer?"
c. "Do you have diabetes?"
d. "Did you ever have anemia?" - Correct Answer :a. "Are you hard of hearing?"
Rationale:
Complications of gentamicin sulfate therapy include ototoxicity, nephrotoxicity, and neurotoxicity. Determining
and monitoring the client's hearing before initiation of this medication and as the treatment progresses is
important. Peak and trough levels are usually prescribed around the second and third dose.
JOYCEWWALES 2
, Nurs 5338 EXAM 09/30/2026
The health care provider (HCP) recommends the over-the-counter (OTC) expectorant guaifenesin for a client
who has a dry, nonproductive cough and congested nasal passages. The client reports that they usually have a
glass of wine with dinner nightly. Which information should the practical nurse provide to this client?
a. Return to the clinic if they start to cough up thin, watery secretions.
b. Frequent use can cause rebound nasal congestion.
c. Notify the HCP if the cough persists longer than 7 days.
d. Consumption of alcohol will interact with this medication and cause vomiting. –
Correct Answer :c. Notify the HCP if the cough persists longer than 7 days.
Rationale:
A cough that lasts more than 1 week or is accompanied by a fever, rash, or headache may be an indication of
more serious medical condition such as a bacterial infection and should be followed up by the health care
provider. Alcohol and CNS depressants, such as guaifenesin, have a cumulative effect when consumed
concurrently which can be lethal such as respiratory depression. The combination would not likely cause
vomiting. The client needs to be aware of this and advise that alcohol consumption should not be consumed
while taking this medication.
A client has vancomycin intravenous piggybacks (IVPB) prescribed. Which is the crucial aspect of care for this
client?
a. Monitoring the client's laboratory results for increased liver enzymes on a daily basis
b. Besides noting the urine output is less than the intake, report increased creatinine levels
c. The licensed practical/vocational nurse cannot care for a client receiving IVPB medication
d. It is expected that the client experiences tinnitus, headache, dizziness, and hearing loss. –
Correct Answer :b. Besides noting the urine output is less than the intake, report increased creatinine levels
Rationale:
Vancomycin is in the aminoglycoside category and can cause nephrotoxicity, or renal damage. The nurse should
monitor for fluid retention and increasing creatinine levels. This medication is not associated with liver disorders.
The LP/VN can care for a client receiving IVPB medications and should report any abnormal findings. A client
taking an aminoglycoside is at risk of ototoxicity. The nurse should report characteristics of this: tinnitus, hearing
loss, and dizziness.
JOYCEWWALES 3
, Nurs 5338 EXAM 09/30/2026
A client is experiencing an adverse effect of the gastrointestinal stimulant metoclopramide HCL. Which
assessment finding would require immediate intervention by the nurse?
a. Parkinson-like symptoms
b. Inability to see well at night
c. Dizziness when first getting up
d. An unpleasant metallic taste in the mouth –
Correct Answer :a. Parkinson-like symptoms
Rationale:
Metoclopramide HCL blocks dopamine receptors in the brain, which can cause the extrapyramidal symptoms
associated with Parkinson disease. It is not associated with an inability to see well, dizziness, or an unpleasant
metallic taste.
While taking a client's history, the practical nurse (PN) discovers that the client, who takes warfarin daily for atrial
fibrillation, has added a St. John's wort to their daily regime. What recommendation should the PN provide to
this client?
a. You need to discontinue the use of the herb and consult with your health care provider.
b. Cut your warfarin dose in half if you notice an increase of bruising or bleeding from the gums.
c. You should increase your consumption of dark green leafy vegetables and tomatoes.
d. Check your apical pulse daily and withhold the warfarin if your heart rate is below 60 beats/min.
- Correct Answer :a. You need to discontinue the use of the herb and consult with your health care provider.
Rationale:
Use of natural products should be shared with the health care provider, so possible interactions can be
addressed. The St. John's wort may interfere with the effectiveness of the warfarin.
A client status post hip replacement 24 hours ago has been prescribed enoxaparin 30 mg IVP bid × 4 doses.
Which intervention is most important for the practical nurse (PN) to implement?
a. Assess the client's IV site for signs of inflammation.
JOYCEWWALES 4
