EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Passpoint 5 Exam Questions With
Correct Answers
Phenytoin - answer✔✔Dilantin
Anticonvulsant
The nurse instructs a client who is taking iron supplements that:
iron supplements should be taken on an empty stomach.
a daily bulk laxative such as psyllium hydrophilic mucilloid should be avoided.
the stools will become darker.
liquid iron supplements will not discolor teeth. - answer✔✔the stools will become darker.
Explanation:
Iron supplements will darken the stools. Iron supplements should not be taken on an empty
stomach because they can cause gastric irritation. Iron is constipating, and a daily bulk-forming
laxative should be started prophylactically. A straw should be used when taking liquid iron to
avoid discoloring the teeth.
A client with chest pain doesn't respond to nitroglycerin. When he's admitted to the emergency
department, the health care team obtains an electrocardiogram and administers I.V. morphine.
The physician also considers administering alteplase. This thrombolytic agent must be
administered how soon after onset of myocardial infarction (MI) symptoms?
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Within 6 hours
Within 12 hours
Within 24 to 48 hours
Within 5 to 7 days - answer✔✔Within 6 hours
Explanation:
For the best chance of salvaging the client's myocardium, a thrombolytic agent must be
administered within 6 hours after onset of chest pain or other signs or symptoms of MI. Sudden
death is most likely to occur within the first 24 hours after an MI. Physicians initiate I.V. heparin
therapy after administration of a thrombolytic agent; it usually continues for 5 to 7 days.
Which over-the-counter medications should the nurse tell the mother of a child with hemophilia
to avoid using? aspirin magnesium hydroxide acetaminophen multivitamin capsules -
answer✔✔aspirin
Explanation:
Aspirin inhibits platelet aggregation, prolongs bleeding time, and inhibits prothrombin synthesis.
It is, therefore, contraindicated for a child with hemophilia.
Acetaminophen is the recommended alternative for analgesic and antipyretic purposes.
Magnesium hydroxide and multivitamin capsules have no effect on bleeding and are not
contraindicated for a child with hemophilia.
Which statement indicates that the client needs further teaching about taking medication to
control cancer pain?
"I should take my medication around-the-clock to control my pain."
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
"I should skip doses periodically so I do not get hooked on my drugs."
"It is okay to take my pain medication even if I am not having any pain."
"I should contact the oncology nurse if my pain is not effectively controlled." - answer✔✔I
should skip doses periodically so I do not get hooked on my drugs."
Explanation:
The client should not skip his dosages of pain medication to prevent addiction. Clients with
cancer pain do not become psychologically dependent on the medication and should not fear
becoming addicted. The nurse should allow the client and family members to verbalize their
concerns about drug addiction.
Which of the following statements indicates that a client understands discharge instructions
about propranolol?
"I will assess my heart rate before I take my medication."
"I will not take this medication if I see yellow halos around lights."
"I will take this medication in the morning."
"I will take this medication whenever I feel anxious." - answer✔✔"I will assess my heart rate
before I take my medication."
Explanation:
The therapeutic effect of propranolol is to lower the heart rate. Generally, clients should assess
and call their healthcare provider if their heart rate drops below 55 beats per minute. Yellow
halos indicate digoxin toxicity. The time of day when this medication is taken does not matter.
Propranolol is not used as a taken-as-needed medication for anxiety.
A nurse preparing to administer a scheduled dose of phenytoin intravenous (IV) push verifies
that the client has a patent venous access site in the right hand with an infusion of dextrose
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
solution at a rate of 50 mL/hour. In addition to following the rights of medication administration,
which of the following actions will the nurse take to give this drug safely? Select all that apply.
Calculate the IV rate.
Stop the IV infusion and flush with saline.
Initiate a new IV site in the forearm.
Dilute the drug with sterile water.
Monitor for diarrhea. - answer✔✔Calculate the IV rate.
Initiate a new IV site in the forearm.
Dilute the drug with sterile water.
Explanation:
The rights of medication administration include giving the right drug and dosage to the right
client at the right time through the right route. In addition, there are specific actions needed to
safely administer certain medications. Phenytoin must be diluted in saline or sterile water
because it will precipitate in dextrose solution. It will also cause hypotension and circulatory
collapse if administered too quickly, thus a slow push rate is needed. Hand-vein access should be
avoided to prevent discoloration.
Preciptate - answer✔✔a solid that forms and settles out of a liquid mixture
A female client is diagnosed with primary herpes genitalis. Which instruction should the nurse
provide?
"Apply one applicator of terconazole intravaginally at bedtime for 7 days."
"Apply one applicator of tioconazole intravaginally at bedtime for 7 days."
Passpoint 5 Exam Questions With
Correct Answers
Phenytoin - answer✔✔Dilantin
Anticonvulsant
The nurse instructs a client who is taking iron supplements that:
iron supplements should be taken on an empty stomach.
a daily bulk laxative such as psyllium hydrophilic mucilloid should be avoided.
the stools will become darker.
liquid iron supplements will not discolor teeth. - answer✔✔the stools will become darker.
Explanation:
Iron supplements will darken the stools. Iron supplements should not be taken on an empty
stomach because they can cause gastric irritation. Iron is constipating, and a daily bulk-forming
laxative should be started prophylactically. A straw should be used when taking liquid iron to
avoid discoloring the teeth.
A client with chest pain doesn't respond to nitroglycerin. When he's admitted to the emergency
department, the health care team obtains an electrocardiogram and administers I.V. morphine.
The physician also considers administering alteplase. This thrombolytic agent must be
administered how soon after onset of myocardial infarction (MI) symptoms?
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Within 6 hours
Within 12 hours
Within 24 to 48 hours
Within 5 to 7 days - answer✔✔Within 6 hours
Explanation:
For the best chance of salvaging the client's myocardium, a thrombolytic agent must be
administered within 6 hours after onset of chest pain or other signs or symptoms of MI. Sudden
death is most likely to occur within the first 24 hours after an MI. Physicians initiate I.V. heparin
therapy after administration of a thrombolytic agent; it usually continues for 5 to 7 days.
Which over-the-counter medications should the nurse tell the mother of a child with hemophilia
to avoid using? aspirin magnesium hydroxide acetaminophen multivitamin capsules -
answer✔✔aspirin
Explanation:
Aspirin inhibits platelet aggregation, prolongs bleeding time, and inhibits prothrombin synthesis.
It is, therefore, contraindicated for a child with hemophilia.
Acetaminophen is the recommended alternative for analgesic and antipyretic purposes.
Magnesium hydroxide and multivitamin capsules have no effect on bleeding and are not
contraindicated for a child with hemophilia.
Which statement indicates that the client needs further teaching about taking medication to
control cancer pain?
"I should take my medication around-the-clock to control my pain."
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
"I should skip doses periodically so I do not get hooked on my drugs."
"It is okay to take my pain medication even if I am not having any pain."
"I should contact the oncology nurse if my pain is not effectively controlled." - answer✔✔I
should skip doses periodically so I do not get hooked on my drugs."
Explanation:
The client should not skip his dosages of pain medication to prevent addiction. Clients with
cancer pain do not become psychologically dependent on the medication and should not fear
becoming addicted. The nurse should allow the client and family members to verbalize their
concerns about drug addiction.
Which of the following statements indicates that a client understands discharge instructions
about propranolol?
"I will assess my heart rate before I take my medication."
"I will not take this medication if I see yellow halos around lights."
"I will take this medication in the morning."
"I will take this medication whenever I feel anxious." - answer✔✔"I will assess my heart rate
before I take my medication."
Explanation:
The therapeutic effect of propranolol is to lower the heart rate. Generally, clients should assess
and call their healthcare provider if their heart rate drops below 55 beats per minute. Yellow
halos indicate digoxin toxicity. The time of day when this medication is taken does not matter.
Propranolol is not used as a taken-as-needed medication for anxiety.
A nurse preparing to administer a scheduled dose of phenytoin intravenous (IV) push verifies
that the client has a patent venous access site in the right hand with an infusion of dextrose
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
solution at a rate of 50 mL/hour. In addition to following the rights of medication administration,
which of the following actions will the nurse take to give this drug safely? Select all that apply.
Calculate the IV rate.
Stop the IV infusion and flush with saline.
Initiate a new IV site in the forearm.
Dilute the drug with sterile water.
Monitor for diarrhea. - answer✔✔Calculate the IV rate.
Initiate a new IV site in the forearm.
Dilute the drug with sterile water.
Explanation:
The rights of medication administration include giving the right drug and dosage to the right
client at the right time through the right route. In addition, there are specific actions needed to
safely administer certain medications. Phenytoin must be diluted in saline or sterile water
because it will precipitate in dextrose solution. It will also cause hypotension and circulatory
collapse if administered too quickly, thus a slow push rate is needed. Hand-vein access should be
avoided to prevent discoloration.
Preciptate - answer✔✔a solid that forms and settles out of a liquid mixture
A female client is diagnosed with primary herpes genitalis. Which instruction should the nurse
provide?
"Apply one applicator of terconazole intravaginally at bedtime for 7 days."
"Apply one applicator of tioconazole intravaginally at bedtime for 7 days."
