Exam Questions With 100% Complete
Solutions
a nurse is instructing a client on the application of nitroglycerin transdermal patches.
which of the following statements by the client indiciates an understanding of the
teaching - CORRECT ANSWER-I will take the patch off right after my evening meal
a nurse receives a verbal order from the provider to administer morphine 5 mg every 4
hours subQ for sever pain as needed. the nurse should identify which of the following
entries as the correct format doe the medications administration record (MAR) -
CORRECT ANSWER-morphine 5 mg subcut every 4 hr PRN severe pain
a nurse is caring for a client who is taking acetazolamide for chronic open-angle
glaucoma. For which of the following adverse effects should the nurse instruct the client
to monitor and report? - CORRECT ANSWER-tingling fingers
A nurse administers a dose of metformin to client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first? - CORRECT
ANSWER-check the client's blood glucose
A nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium.
The nurse should instruct the client that taking the docusate sodium daily can minimize
which of the following adverse effects of morphine. - CORRECT ANSWER-constipation
A nurse is assessing a client's vital signs prior to the adminstration of PO digoxin. The
client's BP is 144/86 mmHG, heart rate 55/min and respiratory rate is 20/min. The nurse
should withhold the medication and contact the provider for which of the following
findings? - CORRECT ANSWER-heart rate
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of
over 8 hr as prescribed. Which of the following information should the nurse enter as a
, complete documentation of the incident? - CORRECT ANSWER-0.9% sodium chloride
1L IV infused over 4 hr. Vital signs stable, provider notified
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following actions of sucralfate should the
nurse include in the teaching. - CORRECT ANSWER-Forms a protective barrier over
ulcers
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure.
The nurse should identify which of the following findings as an indication of
hypokalemia? - CORRECT ANSWER-Presence of U waves
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. the
nurse should report which of the following findings to the provider as an adverse effect
of the medication? - CORRECT ANSWER-tinnitus
A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take? - CORRECT ANSWER-administer the
medication outside the 5 cm radius of the umbilicus
A nurse at an urgent care clinic is collecting a history from a female client who has a
urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse
should identify that which if the following client statements indicates a contraindication
for administering this medication? - CORRECT ANSWER-I have tendonitis, so I haven't
been able to exercise
A nurse is reviewing the laboratory results for a client who is receiving heparin via
continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the
medication infusion for which of the following client findings? - CORRECT ANSWER-
Platelets 96,000/mm3
A nurse is caring for a client who is in labor. The client is receiving oxytocin by
continuous IV infusion with a maintenance IV solution. The external FHR monitor
indicates late decelerations. Which of the following actions should the nurse take first? -
CORRECT ANSWER-Turn the client to a side-lying position