Exam (3 Different Version Exam) with NGN
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A nurse is preparing to administer a scheduled dose of warfarin to a client. Which
of the following laboratory tests should the nurse review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - Correct Answer- A. PT
A nurse is caring for a group of clients. Which of the following situations requires
an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late.
- Correct Answer- C. A client receives their insulin 1 hour before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse notes that the
client's respiratory rate is 8/min. The nurse should identify that which of the
following is the pathophysiology for the client's respiratory rate?
A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
,C. Oxycodone causes central nervous system depression.
D. Oxycodone inhibits prostaglandin synthesis.
- Correct Answer- C. Oxycodone causes central nervous system depression.
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml-
via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is
I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many
gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
- Correct Answer- 50gtt/min
A nurse is preparing to transcribe a prescription for a client that reads "ondansetron
8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription
should the nurse clarify with the provider?
A. Dose
B. Route
C. Frequency
D. Reason - Correct Answer- D. Reason
1. A nurse is caring for a client who has a prescription for nifedipine. Which of the
following findings should the nurse assess prior to administration of the
medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation
,- Correct Answer- A. Blood pressure
A nurse is providing teaching to a client who has a new prescription for
carbamazepine for the treatment of seizures. The nurse should instruct the client to
monitor for which of the following adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea
- Correct Answer- A. Blurred vision
A nurse is reviewing the laboratory data of a client who is receiving filgrastim.
Which of the following laboratory values should the nurse monitor to evaluate the
effectiveness of the treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count - Correct Answer- D. WBC count
A nurse is caring for a client who is receiving parenteral nutrition and identifies
that the client has hypoglycemia. Which of the following actions should the nurse
take?
A. Discontinue the infusion.
B. Administer IV dextrose.
, C. Warm formula to room temperature.
D. Obtain arterial blood gases.
- Correct Answer- B. Administer IV dextrose.
A nurse is assessing a client who has septic shock and is receiving dopamine by
continuous IV infusion. Which of the following findings indicates that the nurse
should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation - Correct Answer- B. Hypotension
A nurse is caring for a client who is taking warfarin and reports taking several new
herbal supplements. The nurse should identify which of the following supplements
is contraindicated for concurrent use with warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics
- Correct Answer- A. Ginkgo biloba
A nurse is assessing a client with hypertension who is receiving propranolol.
Which of the following findings requires the nurse's intervention?
A. Heart rate of 56/min