1. A nurse is administering warfarin to a client. Which of the following
laboratory tests should the nurse monitor to assess the effectiveness of the
medication?
A) Platelet count
B) Prothrombin time (PT)
C) Activated partial thromboplastin time (aPTT)
D) International normalized ratio (INR)
Answer: D) International normalized ratio (INR)
Rationale: Warfarin is an anticoagulant, and the INR is a standardized method for monitoring
the effectiveness of warfarin therapy. PT is also monitored, but the INR is more precise for
warfarin use.
2. A nurse is teaching a client about taking oral digoxin. The nurse should
instruct the client to report which of the following signs and symptoms, which
could indicate digoxin toxicity?
A) Blurred vision
B) Weight loss
C) Tinnitus
D) Constipation
Answer: A) Blurred vision
Rationale: Blurred vision, along with yellow or green halos around objects, is a classic symptom
of digoxin toxicity.
3. A nurse is caring for a client receiving a dose of morphine. Which of the
following assessments is the nurse’s priority before administering this
medication?
A) Blood pressure
B) Respiratory rate
C) Temperature
D) Electrolyte levels
Answer: B) Respiratory rate
Rationale: Morphine can depress respiratory function, so it is important to monitor the client's
respiratory rate closely before administration.
,4. A nurse is teaching a client who has a new prescription for an angiotensin-
converting enzyme (ACE) inhibitor. The nurse should instruct the client to
report which of the following adverse effects?
A) Tinnitus
B) Swelling of the face
C) Dizziness when standing up
D) Pounding headaches
Answer: B) Swelling of the face
Rationale: ACE inhibitors can cause angioedema, which is swelling of the face, lips, tongue, or
throat and can be life-threatening if it obstructs the airway.
5. A nurse is preparing to administer a first dose of lisinopril to a client. The
nurse should be aware that the client is at risk for which of the following adverse
effects?
A) Hyperkalemia
B) Hypokalemia
C) Hypoglycemia
D) Hypertension
Answer: A) Hyperkalemia
Rationale: ACE inhibitors like lisinopril can increase potassium levels, leading to hyperkalemia.
6. A nurse is caring for a client receiving furosemide (Lasix). Which of the
following laboratory results should the nurse assess to evaluate the client’s
response to therapy?
A) Blood glucose level
B) Serum potassium level
C) Serum calcium level
D) BUN and creatinine levels
Answer: B) Serum potassium level
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, so monitoring serum
potassium is crucial.
, 7. A nurse is caring for a client who has been prescribed a new antibiotic. Which
of the following assessments is the priority to determine whether the client is
experiencing an allergic reaction?
A) Urine output
B) Respiratory rate
C) Skin integrity
D) Blood pressure
Answer: B) Respiratory rate
Rationale: An allergic reaction may cause respiratory distress, including wheezing, shortness of
breath, and tachypnea. This is the priority assessment.
8. A nurse is preparing to administer an opioid analgesic to a client. Which of the
following interventions is a priority?
A) Instruct the client to increase fluid intake
B) Check the client’s blood pressure
C) Assess for a history of opioid addiction
D) Monitor the client for respiratory depression
Answer: D) Monitor the client for respiratory depression
Rationale: Opioids, including analgesics, can cause respiratory depression, which can be life-
threatening. Monitoring for respiratory depression is a priority.
9. A client is prescribed atorvastatin for hyperlipidemia. The nurse should
inform the client about which of the following potential adverse effects?
A) Bradycardia
B) Muscle pain
C) Weight gain
D) Increased appetite
Answer: B) Muscle pain
Rationale: Statins like atorvastatin can cause myopathy, which presents as muscle pain,
tenderness, or weakness.
laboratory tests should the nurse monitor to assess the effectiveness of the
medication?
A) Platelet count
B) Prothrombin time (PT)
C) Activated partial thromboplastin time (aPTT)
D) International normalized ratio (INR)
Answer: D) International normalized ratio (INR)
Rationale: Warfarin is an anticoagulant, and the INR is a standardized method for monitoring
the effectiveness of warfarin therapy. PT is also monitored, but the INR is more precise for
warfarin use.
2. A nurse is teaching a client about taking oral digoxin. The nurse should
instruct the client to report which of the following signs and symptoms, which
could indicate digoxin toxicity?
A) Blurred vision
B) Weight loss
C) Tinnitus
D) Constipation
Answer: A) Blurred vision
Rationale: Blurred vision, along with yellow or green halos around objects, is a classic symptom
of digoxin toxicity.
3. A nurse is caring for a client receiving a dose of morphine. Which of the
following assessments is the nurse’s priority before administering this
medication?
A) Blood pressure
B) Respiratory rate
C) Temperature
D) Electrolyte levels
Answer: B) Respiratory rate
Rationale: Morphine can depress respiratory function, so it is important to monitor the client's
respiratory rate closely before administration.
,4. A nurse is teaching a client who has a new prescription for an angiotensin-
converting enzyme (ACE) inhibitor. The nurse should instruct the client to
report which of the following adverse effects?
A) Tinnitus
B) Swelling of the face
C) Dizziness when standing up
D) Pounding headaches
Answer: B) Swelling of the face
Rationale: ACE inhibitors can cause angioedema, which is swelling of the face, lips, tongue, or
throat and can be life-threatening if it obstructs the airway.
5. A nurse is preparing to administer a first dose of lisinopril to a client. The
nurse should be aware that the client is at risk for which of the following adverse
effects?
A) Hyperkalemia
B) Hypokalemia
C) Hypoglycemia
D) Hypertension
Answer: A) Hyperkalemia
Rationale: ACE inhibitors like lisinopril can increase potassium levels, leading to hyperkalemia.
6. A nurse is caring for a client receiving furosemide (Lasix). Which of the
following laboratory results should the nurse assess to evaluate the client’s
response to therapy?
A) Blood glucose level
B) Serum potassium level
C) Serum calcium level
D) BUN and creatinine levels
Answer: B) Serum potassium level
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, so monitoring serum
potassium is crucial.
, 7. A nurse is caring for a client who has been prescribed a new antibiotic. Which
of the following assessments is the priority to determine whether the client is
experiencing an allergic reaction?
A) Urine output
B) Respiratory rate
C) Skin integrity
D) Blood pressure
Answer: B) Respiratory rate
Rationale: An allergic reaction may cause respiratory distress, including wheezing, shortness of
breath, and tachypnea. This is the priority assessment.
8. A nurse is preparing to administer an opioid analgesic to a client. Which of the
following interventions is a priority?
A) Instruct the client to increase fluid intake
B) Check the client’s blood pressure
C) Assess for a history of opioid addiction
D) Monitor the client for respiratory depression
Answer: D) Monitor the client for respiratory depression
Rationale: Opioids, including analgesics, can cause respiratory depression, which can be life-
threatening. Monitoring for respiratory depression is a priority.
9. A client is prescribed atorvastatin for hyperlipidemia. The nurse should
inform the client about which of the following potential adverse effects?
A) Bradycardia
B) Muscle pain
C) Weight gain
D) Increased appetite
Answer: B) Muscle pain
Rationale: Statins like atorvastatin can cause myopathy, which presents as muscle pain,
tenderness, or weakness.
