Practice 2023 B Exam With
All Questions And Correct
Answers 2025 Latest Update
A nurse administered digoxin immune Fab to a client who received the
incorrect dose of digoxin over a period of 3 days. The nurse should identify
that which of the following findings indicates the antidote was effective?
- sinus rhythm
- a decrease in the platelet count
- an increase in the alanine transaminase (ALT) level
- deep tendon reflexes 2+ - ✔✔✔ANSWER-sinus rhythm
,Digoxin immune Fab is administered to a client who is experiencing severe
digoxin toxicity. Dysrhythmias are a life-threatening adverse effect of digoxin
toxicity. Therefore, the return of the client's heart to sinus rhythm indicates a
therapeutic response to the antidote, digoxin immune Fab.
A nurse administers ceftazidime to a client who has a severe penicillin allergy.
The nurse should identify which of the following client findings as an
indication that she should complete an incident report?
- The client reports shortness of breath.
- the client is also taking lisinopril.
- the client's pulse rate is 60/min.
- the client's WBC count is 14,000/mm3 (5,000 to 10,000/mm3). -
✔✔✔ANSWER-The client reports shortness of breath.
a severe penicillin allergy is a contraindication for taking ceftazidime, a
cephalosporin antibiotic, due to the potential for cross-sensitivity. shortness
of breath can indicate the client is developing anaphylaxis.
A nurse at a clinic is providing follow - up care to a client who is taking
fluoxetine for depression. Which of the following findings should the nurse
identify as an adverse effect of the medication?
-tingling toes
-absence of dreams
-sexual dysfunction
,-pica - ✔✔✔ANSWER-sexual dysfunction
sexual dysfunction, including a decreased libido, impotence, and delayed
orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs
in about 70% of clients who take this SSRI antidepressant.
A nurse in an emergency department is caring for a client who has heroin
toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate
of 6/min. Which of the following medications should the nurse plan to
administer?
-Methadone
-Naloxone
-Diazepam
-Bupropion - ✔✔✔ANSWER-Naloxone
the nurse should administer naloxone, an opioid antagonist, to a client who
has heroin toxicity to reverse the respiratory depressive effects of heroin.
however, the nurse should not administer naloxone too quickly because
naloxone can cause hypertension, tachycardia, nausea, vomiting, and might
cause the client to enter a state of opioid withdrawal.
A nurse in an emergency department is caring for a client whose family
reports the client has taken large amounts of diazepam. Which of the
following medications should the nurse anticipate administering?
A. Ondansetron
B. Magnesium sulfate
, C. Flumazenil
D. Protamine sulfate - ✔✔✔ANSWER-C. Flumazenil
the nurse should anticipate administering flumazenil, an antidote used to
reverse benzodiazepines such as diazepam.
A nurse is administering baclofen for a client who has a spinal cord injury.
Which of the following should the nurse document as a therapeutic outcome?
A. Increase in seizure threshold.
B. Decrease in flexor and extensor spasticity.
C. Increase in cognitive function.
D. Decrease in paralysis of the extremities. - ✔✔✔ANSWER-B. Decrease in
flexor and extensor spasticity.
a client who has a spinal cord injury and takes baclofen can experience a
decrease in the frequency and severity of muscle spasms and in flexor and
extensor spasticity.
A nurse is administering cefotetan via intermittent IV bolus to a client who
suddenly develops dyspnea and widespread hives. Which of the following
actions should the nurse take first?
- administer epinephrine 0.5 mL via IV bolus.
- Discontinue the medication IV infusion.
- elevate the client's legs above the level of the heart.