©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Hurst Practice Exam 2 Questions and
Answers 100% Solved
A client has been prescribed vancomycin 1 gram IV every 12 hours for the
treatment of methicillin-resistant staphylococcus aureus (MRSA). Which
action by a new nurse when administering this medication would require
intervention by the charge nurse? - ✔✔This dose of medication should be
delivered over at least 60 minutes to prevent hypotension and ototoxicity.
The nurse is caring for a client taking benazepril. Which symptoms would
be important for the nurse to report to the primary healthcare provider? -
✔✔Weight gain of 5 pounds in one week is a s/s of an adverse effect of
ACE inhibitor use. Weight gain is a sign of fluid retention.
Angioedema is an adverse effect of ACE inhibitors and can be life
threatening. This should be reported immediately to the healthcare
provider.
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
The potassium level is too high. Hyperkalemia is an adverse effect of an
ACE inhibitor and needs to be reported.
The nurse is caring for a client taking spironolactone. Which dietary change
should the nurse teach the client to make when starting treatment with this
medication? - ✔✔Spironolactone is a potassium sparing diuretic. Salt
substitutes have potassium instead of sodium and should be avoided.
When assessing a client, the nurse finds that in response to painful stimuli
the upper extremities exhibit flexion of the arm, wrist, and fingers with
adduction of the limb, while the lower extremity exhibits extension, internal
rotation, and plantar flexion. How would the nurse accurately document this
finding? - ✔✔This describes decorticate posturing because they are
moving towards the core of the body.
Decerebrate posturing - ✔✔when the client is stimulated, and teeth clench
and the arms are stiffly extended, adducted, and hyperpronated.
The legs are stiffly extended with plantar flexion of the feet. Abnormal
extension occurs with lesions in the area of the brain stem.
A client being treated for osteoporosis with alendronate reports
experiencing slight heartburn after taking the medicine. What should the
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
nurse suggest to reduce this side effect? - ✔✔Increased heartburn can be
reduced or prevented by drinking plenty of water, sitting upright following
the administration of the medication, and avoiding sucking on the tablet.
What precautions should be taken with computer monitors that display
client health information to ensure client's confidentiality? - ✔✔2. Have the
screen placed facing away from any visitor or client care area where
information could be viewed by unauthorized persons.
The nurse receives new healthcare provider prescriptions on a client
diagnosed with Addison's disease. Which prescriptions should the nurse
recognize as being inappropriately written and requiring clarification from
the prescriber? - ✔✔Use "daily" or "every day". QD is an unapproved
abbreviation.
T.I.W. stands for three times a week; however, it is an unapproved
abbreviation. Use "three times a week".
The client has just returned from electroconvulsive therapy (ECT) and is
very drowsy. What is the position of choice for the nurse to place the client
in until full consciousness is regained? - ✔✔When someone is very
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
sedated and not fully conscious, we want them on their side so the airway
remains open and the secretions can drain.
A client is hospitalized because of severe malnutrition related to anorexia
nervosa. What is the most important goal for this client? - ✔✔Until
appropriate weight is gained, the client continues to be at risk for major
health complications including hypotension, cardiac arrhythmias, poor
muscle tone, increased risk for infection, abnormal liver function, and
damaged kidneys.
A client comes to the clinic reporting palpitations, as well as nausea and
vomiting while taking metronidazole. The nurse notes that the client is
flushed and has a heart rate of 118 bpm. Based on this information, what is
the most important question for the nurse to ask the client? - ✔✔Flushing,
nausea and vomiting, palpitations, tachycardia, psychosis are signs of
disulfiram-type reaction seen when using products containing alcohol
(cologne, after shave lotion, or path splashes) or ingesting alcohol products
while taking metronidazole.
Antibiotic: take metronidazole on an empty stomach
What should a community health nurse include when planning a
presentation on prevention and early detection of colon cancer? - ✔✔A diet
Hurst Practice Exam 2 Questions and
Answers 100% Solved
A client has been prescribed vancomycin 1 gram IV every 12 hours for the
treatment of methicillin-resistant staphylococcus aureus (MRSA). Which
action by a new nurse when administering this medication would require
intervention by the charge nurse? - ✔✔This dose of medication should be
delivered over at least 60 minutes to prevent hypotension and ototoxicity.
The nurse is caring for a client taking benazepril. Which symptoms would
be important for the nurse to report to the primary healthcare provider? -
✔✔Weight gain of 5 pounds in one week is a s/s of an adverse effect of
ACE inhibitor use. Weight gain is a sign of fluid retention.
Angioedema is an adverse effect of ACE inhibitors and can be life
threatening. This should be reported immediately to the healthcare
provider.
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
The potassium level is too high. Hyperkalemia is an adverse effect of an
ACE inhibitor and needs to be reported.
The nurse is caring for a client taking spironolactone. Which dietary change
should the nurse teach the client to make when starting treatment with this
medication? - ✔✔Spironolactone is a potassium sparing diuretic. Salt
substitutes have potassium instead of sodium and should be avoided.
When assessing a client, the nurse finds that in response to painful stimuli
the upper extremities exhibit flexion of the arm, wrist, and fingers with
adduction of the limb, while the lower extremity exhibits extension, internal
rotation, and plantar flexion. How would the nurse accurately document this
finding? - ✔✔This describes decorticate posturing because they are
moving towards the core of the body.
Decerebrate posturing - ✔✔when the client is stimulated, and teeth clench
and the arms are stiffly extended, adducted, and hyperpronated.
The legs are stiffly extended with plantar flexion of the feet. Abnormal
extension occurs with lesions in the area of the brain stem.
A client being treated for osteoporosis with alendronate reports
experiencing slight heartburn after taking the medicine. What should the
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
nurse suggest to reduce this side effect? - ✔✔Increased heartburn can be
reduced or prevented by drinking plenty of water, sitting upright following
the administration of the medication, and avoiding sucking on the tablet.
What precautions should be taken with computer monitors that display
client health information to ensure client's confidentiality? - ✔✔2. Have the
screen placed facing away from any visitor or client care area where
information could be viewed by unauthorized persons.
The nurse receives new healthcare provider prescriptions on a client
diagnosed with Addison's disease. Which prescriptions should the nurse
recognize as being inappropriately written and requiring clarification from
the prescriber? - ✔✔Use "daily" or "every day". QD is an unapproved
abbreviation.
T.I.W. stands for three times a week; however, it is an unapproved
abbreviation. Use "three times a week".
The client has just returned from electroconvulsive therapy (ECT) and is
very drowsy. What is the position of choice for the nurse to place the client
in until full consciousness is regained? - ✔✔When someone is very
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
sedated and not fully conscious, we want them on their side so the airway
remains open and the secretions can drain.
A client is hospitalized because of severe malnutrition related to anorexia
nervosa. What is the most important goal for this client? - ✔✔Until
appropriate weight is gained, the client continues to be at risk for major
health complications including hypotension, cardiac arrhythmias, poor
muscle tone, increased risk for infection, abnormal liver function, and
damaged kidneys.
A client comes to the clinic reporting palpitations, as well as nausea and
vomiting while taking metronidazole. The nurse notes that the client is
flushed and has a heart rate of 118 bpm. Based on this information, what is
the most important question for the nurse to ask the client? - ✔✔Flushing,
nausea and vomiting, palpitations, tachycardia, psychosis are signs of
disulfiram-type reaction seen when using products containing alcohol
(cologne, after shave lotion, or path splashes) or ingesting alcohol products
while taking metronidazole.
Antibiotic: take metronidazole on an empty stomach
What should a community health nurse include when planning a
presentation on prevention and early detection of colon cancer? - ✔✔A diet
