Question 1
A nurse is administering lisinopril to a client. The nurse should monitor the client
for which of the following adverse effects?
A. Hypokalemia
B. Persistent dry cough
C. Hyperglycemia
D. Bradycardia
Answer: B. Persistent dry cough
Rationale: Lisinopril, an ACE inhibitor, can cause a persistent dry cough due to the
accumulation of bradykinin. Hypokalemia (low potassium) is not a typical side
effect; hyperkalemia (high potassium) is more common. Hyperglycemia and
bradycardia are not associated with ACE inhibitors.
Question 2
A client is prescribed warfarin. Which of the following foods should the nurse
instruct the client to limit?
A. Oranges
B. Broccoli
C. Chicken
D. Potatoes
Answer: B. Broccoli
Rationale: Broccoli is high in vitamin K, which can reduce the effectiveness of
warfarin by promoting clotting. Clients should maintain consistent vitamin K intake
to avoid fluctuating INR levels.
Question 3
Which laboratory value should the nurse monitor for a client receiving
furosemide?
A. Hemoglobin
B. Potassium
,C. Platelets
D. Creatinine
Answer: B. Potassium
Rationale: Furosemide, a loop diuretic, can cause hypokalemia due to increased
potassium excretion. Regular monitoring of potassium levels is essential to
prevent complications.
Question 4
A nurse is providing teaching to a client who has been prescribed metoprolol.
Which statement by the client indicates understanding of the teaching?
A. "I should take my medication on an empty stomach."
B. "I need to check my heart rate before taking this medication."
C. "I can stop taking this medication if I feel better."
D. "I need to monitor my blood sugar closely while taking this medication."
Answer: B. "I need to check my heart rate before taking this medication."
Rationale: Metoprolol is a beta-blocker that can cause bradycardia. Clients should
check their pulse and report a heart rate below 60 bpm before taking the
medication. It should not be discontinued abruptly.
Question 5
Which of the following is a priority assessment for a client receiving morphine
for pain?
A. Respiratory rate
B. Heart rate
C. Urinary output
D. Skin integrity
Answer: A. Respiratory rate
Rationale: Morphine, an opioid, can cause respiratory depression. Monitoring the
respiratory rate is a priority to identify potential adverse effects.
, Question 6
A nurse is caring for a client receiving digoxin. The nurse should recognize that
which of the following findings is a sign of digoxin toxicity?
A. Nausea and vomiting
B. Hypertension
C. Tachycardia
D. Peripheral edema
Answer: A. Nausea and vomiting
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and visual
disturbances (e.g., yellow halos). Digoxin toxicity can also cause bradycardia, not
tachycardia.
Question 7
Which of the following is an expected outcome of albuterol therapy in a client
with asthma?
A. Decreased respiratory rate
B. Reduced inflammation in the airways
C. Improved oxygen saturation
D. Decreased production of mucus
Answer: C. Improved oxygen saturation
Rationale: Albuterol is a beta-agonist bronchodilator that relaxes airway muscles,
leading to improved airflow and oxygenation. It does not reduce inflammation;
corticosteroids are used for that purpose.
Question 8
A nurse is teaching a client about the adverse effects of atorvastatin. Which of
the following should the nurse instruct the client to report immediately?
A. Constipation
B. Muscle pain
C. Drowsiness
D. Flushing
A nurse is administering lisinopril to a client. The nurse should monitor the client
for which of the following adverse effects?
A. Hypokalemia
B. Persistent dry cough
C. Hyperglycemia
D. Bradycardia
Answer: B. Persistent dry cough
Rationale: Lisinopril, an ACE inhibitor, can cause a persistent dry cough due to the
accumulation of bradykinin. Hypokalemia (low potassium) is not a typical side
effect; hyperkalemia (high potassium) is more common. Hyperglycemia and
bradycardia are not associated with ACE inhibitors.
Question 2
A client is prescribed warfarin. Which of the following foods should the nurse
instruct the client to limit?
A. Oranges
B. Broccoli
C. Chicken
D. Potatoes
Answer: B. Broccoli
Rationale: Broccoli is high in vitamin K, which can reduce the effectiveness of
warfarin by promoting clotting. Clients should maintain consistent vitamin K intake
to avoid fluctuating INR levels.
Question 3
Which laboratory value should the nurse monitor for a client receiving
furosemide?
A. Hemoglobin
B. Potassium
,C. Platelets
D. Creatinine
Answer: B. Potassium
Rationale: Furosemide, a loop diuretic, can cause hypokalemia due to increased
potassium excretion. Regular monitoring of potassium levels is essential to
prevent complications.
Question 4
A nurse is providing teaching to a client who has been prescribed metoprolol.
Which statement by the client indicates understanding of the teaching?
A. "I should take my medication on an empty stomach."
B. "I need to check my heart rate before taking this medication."
C. "I can stop taking this medication if I feel better."
D. "I need to monitor my blood sugar closely while taking this medication."
Answer: B. "I need to check my heart rate before taking this medication."
Rationale: Metoprolol is a beta-blocker that can cause bradycardia. Clients should
check their pulse and report a heart rate below 60 bpm before taking the
medication. It should not be discontinued abruptly.
Question 5
Which of the following is a priority assessment for a client receiving morphine
for pain?
A. Respiratory rate
B. Heart rate
C. Urinary output
D. Skin integrity
Answer: A. Respiratory rate
Rationale: Morphine, an opioid, can cause respiratory depression. Monitoring the
respiratory rate is a priority to identify potential adverse effects.
, Question 6
A nurse is caring for a client receiving digoxin. The nurse should recognize that
which of the following findings is a sign of digoxin toxicity?
A. Nausea and vomiting
B. Hypertension
C. Tachycardia
D. Peripheral edema
Answer: A. Nausea and vomiting
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and visual
disturbances (e.g., yellow halos). Digoxin toxicity can also cause bradycardia, not
tachycardia.
Question 7
Which of the following is an expected outcome of albuterol therapy in a client
with asthma?
A. Decreased respiratory rate
B. Reduced inflammation in the airways
C. Improved oxygen saturation
D. Decreased production of mucus
Answer: C. Improved oxygen saturation
Rationale: Albuterol is a beta-agonist bronchodilator that relaxes airway muscles,
leading to improved airflow and oxygenation. It does not reduce inflammation;
corticosteroids are used for that purpose.
Question 8
A nurse is teaching a client about the adverse effects of atorvastatin. Which of
the following should the nurse instruct the client to report immediately?
A. Constipation
B. Muscle pain
C. Drowsiness
D. Flushing
