COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
1. A nurse is assessing a client who has cystic fibrosis. Which of the following pieces of
information indicates a therapeutic response to pancreatic enzyme replacement?: The client is
having 1-2 bowel movements per day.
2. A nurse is monitoring a client who is receiving phenytoin IV for the treat- ment of status
epilepticus. Which of the following findings should the nurse identify as an adverse effect of
the medication?: Cardiac dysrhythmias
3. A nurse is caring for a client who has tuberculosis and is taking rifampin. Which of the
following client statements should indicate to the nurse that the
client is experiencing an adverse effect of the medication?: "I have noticed myurine is orange
in color"
4. A nurse is providing teaching to a group of new parents about medications.The nurse should
include that aspirin is contraindicated for children who havea viral infection due to the risk of
developing which of the following adverse effects?: Reye's syndrome
5. A nurse is caring for a client who has a prescription for a QT interval medication. Which
of the following conditions should the nurse identify as anadverse effect of this medication?:
Bradycardia
6. A nurse is teaching a client about a new prescription for extended-releaseoxycodone for
pain management. Which of the following statements should the nurse include in the
teaching?: Swallow this medication whole.
7. A nurse is administering insulin glulisine 10 units subcutaneously at 0730to an adolescent
client who has type 1 diabetes mellitus. The nurse should anticipate the onset of action of the
insulin at which of the following times?: -0745
8. A nurse is assessing an infant who is scheduled to receive the rotavirus vaccine. Which of
the following criteria should the nurse identify as a potentialcontraindication for administering
this vaccine?: The infant has a history of intussusception
,9. A nurse is caring for a client who has unstable angina. The nurse should anticipate a
prescription from the provider for which of the following medications?: Nitroglycerine
10. A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler
for many years. Which of the following findings should the nurse identify as an adverse effect
of long-term use of this medication?: - Anorexia and weakness
11. A nurse working in the ED is admitting a client who has a gastric ulcer and GI bleeding.
Which of the following factors in the client's hx should the nurse report to the provider?:
Arthritis treated with ibuprofen every 8 hours as needed.
12. A nurse is assessing a client who is receiving a continuous morphine IV infusion and
finds the client's respiratory rate has decreased from 20/min to 12/min. Which of the following
actions should the nurse take?: Slow the rate ofthe infusion
13. A nurse is teaching the parent of a child who has severe reactive airway disease about
glucocorticoid therapy. The parent asks why her child has to inhale the medication instread of
taking it orally. Which of the following piecesof information should the nurse provide to the
parent?: Oral glucocorticoids aremore likely to slow linear growth in children
14. A nurse is teaching a client with type 2 diabetes about self-administrationof a new
prescription for acarbose. Which of the following pieces of information should the nurse
include in the teaching?: tell the client to take the medication with food
15. A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has a mask-like facial expression and is experiencing involuntary
tremors. Which of the following medicationsshould the nurse anticipate administering?:
Amantadine
16. A nurse is assessing a child who has acute lymphocytic leukemia and is receiving
vincristine sulfate. Which of the following is the nurse's priority?: -Paresthesia
17. A nurse is providing teaching to a female client who has a new prescriptionof pravastatin to
treat hyperlipidemia. Which of the following pieces of information should the nurse include in
the teaching?: Pravastatin can be taken withgrapefruit juice
18. A nurse is planning to administer diltiazem via IV bolus to a client who has atrial
fibrillation. When assessing the client, the nurse should recognize that which of the following
findings is a contraindication to administration ofdiltiazem?: Hypotension
,19. A nurse is caring for a client who developed hypoglycemia following an insulin
injection. The client is conscious and responds appropriately toverbal stimuli. Which of the
following medications should the nurse plan toadminister first?: Oral glucose tablet
20. A nurse in a provider's office is assess a client who has been taking amoxicillin for 10
days and reports diarrhea and cramping. The nurse shouldrecognize that these manifestations
occur secondary to which of the followingAE?: alterations in GI flora
21. A nurse in a provider's office is assessing a client who has been taking feverfew. Which
of the following statements by the client indicates a therapeutic effect of the supplement?: "I
am having fewer migraine headaches since Istarted taking feverfew"
22. A nurse is providing teaching for a client who has received a liver trans- plant and has a
prescription to transition from cyclosporine to tacrolimus. Which of the following instructions
should the nurse include in the teaching?-
: "Stop taking the cyclosporine for 24 hr and then begin taking the tacrolimus"
23. A nurse manager is instructing a newly licensed nurse about the routes of medication
administration. Which of the following routes involves medication absorption through the
mucous membranes under the tongue?: Sublingual
24. A nurse is teaching a client who has primary adrenal insufficiency (Addi- son's disease)
and a prescription for hydrocortisone. Which of the following statements should the nurse
include in the teaching about this medication?: - "Carry a supply of pills and a single-use
injectable preparation with you at all times."
25. A nurse is administering a client's first dose of sucralfate. Which of the following
explanations should the nurse provide about the action of sucralfate?: "Sucralfate forms a gel-
like substance that protects ulcers"
26. A nurse is teaching a client who has persistent cancer pain about the AEof opioids. Which
of the following statements should the nurse include in theteaching?: "Physical dependence is
not the same as addiction."
27. A nurse is providing discharge teaching to a client who has a bacterial infection about AE
of imipenem to report to the provider. Which of the followingpieces of information should the
, nurse include?: "Seizures can occur with thismedication."
28. A nurse has administered a medication to a client. Which of the followingcircumstances
should the nurse identify as a medication error that resulted from a performance deficit by the
nurse?: An IM injection was given instead of asubcutaneous injection.
29. A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula
for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic
effects of epoetin alfa should the nurseinclude in the teaching?: Promotes RBC production
30. A nurse is caring for a client who is taking acarbose to treat type 2 diabetes. For which of the
following AE of this medication should the nurse monitor theclient?: Diarrhea
31. A nurse is teaching a client who has a new prescription for enteric-coatedaspirin as stroke
prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated
medication. Which of the following responses should the nurse give?: "Enteric-coated
medications cause less gastric irritation"
32. A nurse is teaching a client who has a new prescription for warfarin. Which of the following
statements should the nurse identify as an indication that the client understands the
instructions?: "I'll avoid contact sports like football"
33. A nurse in a provider's office is assessing a client who reports taking a dietary supplement
to reduce hot flashes related to menopause. Which of the following supplements should the
nurse expect the client to reporttaking?: Black cohosh
34. A nurse is teaching a female client who has a new prescription for miso- prostol to treat
PUD. Which of the following client statements should indicate
to the nurse that the teaching was effective?: "I should avoid becoming pregnant while taking
this medication."
35. A nurse is assessing a client who was recently admitted and has a hx of al- cohol use
disorder. The client displays ataxia, an altered LOC, and nystagmus. Which of the following
medications should the nurse anticipate administeringto the client?: Parenteral thiamine
36. A nurse is caring for a client who has asthma and requires long-term treatment. The nurse
should identify that which of the following medicationsused for long-term treatment places
the client at an increased risk for asth- ma-related death?: Salmeterol
37. A nurse is caring for a client who has a vitamin K deficiency. Which of thefollowing
manifestations should the nurse expect?: Excessive bruising
38. A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg
daily. The client reports taking extra doses to promote weight loss. Which of the following
findings should indicate to the nurse thatthe client is dehydrated?: Urine specific gravity 1.035
39. A nurse is teaching a newly licensed nurse about caring for a client who is receiving
PCA. Which of the following actions by the newly licensed nurseindicates an understanding of
the teaching?: Having a second nurse check thePCA setting.