1. A nurse is administering morphine to a postoperative client. Which of the following is
the most important to assess before giving this medication?
A) Blood pressure
B) Respiratory rate
C) Heart rate
D) Temperature
Answer: B) Respiratory rate
Rationale: Morphine is an opioid analgesic that can cause respiratory depression. It is important
to assess the client’s respiratory rate before administering the medication.
2. A client is prescribed warfarin. Which of the following laboratory tests should the nurse
monitor?
A) Hemoglobin
B) INR
C) Platelet count
D) Liver function tests
Answer: B) INR
Rationale: Warfarin affects clotting factors, so monitoring the International Normalized Ratio
(INR) is necessary to ensure therapeutic anticoagulation.
3. A nurse is teaching a client about using a metered-dose inhaler (MDI). Which of the
following instructions should the nurse include?
A) “Exhale deeply before using the inhaler.”
B) “Use the inhaler immediately after taking a deep breath.”
C) “Shake the inhaler only once before use.”
D) “Wait 1 minute between puffs of the inhaler.”
Answer: D) “Wait 1 minute between puffs of the inhaler.”
Rationale: It is important to wait 1 minute between inhalations to allow the medication to take
full effect and reduce the risk of side effects.
4. A client is receiving digoxin. Which of the following should the nurse assess before
administering the medication?
,A) Serum potassium levels
B) Blood glucose levels
C) Serum sodium levels
D) Serum creatinine levels
Answer: A) Serum potassium levels
Rationale: Digoxin can cause toxicity if potassium levels are low. Therefore, potassium levels
should be monitored before administration.
5. A nurse is caring for a client who is receiving gentamicin. The nurse should monitor for
which of the following adverse effects?
A) Ototoxicity
B) Hypertension
C) Weight loss
D) Hepatotoxicity
Answer: A) Ototoxicity
Rationale: Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity (hearing loss or
balance issues) as a significant adverse effect.
6. A client is prescribed acetaminophen for pain. Which of the following statements by the
client indicates a need for further teaching?
A) “I should not take more than 4 grams per day.”
B) “I can take acetaminophen with alcohol if I want to.”
C) “I need to check the labels of combination products for acetaminophen.”
D) “I should notify my doctor if I notice yellowing of my skin.”
Answer: B) “I can take acetaminophen with alcohol if I want to.”
Rationale: Taking acetaminophen with alcohol can increase the risk of liver damage. Clients
should avoid alcohol while taking this medication.
7. A nurse is caring for a client who is receiving furosemide. The nurse should monitor the
client for which of the following electrolyte imbalances?
A) Hyperkalemia
B) Hypercalcemia
C) Hypokalemia
D) Hypernatremia
, Answer: C) Hypokalemia
Rationale: Furosemide is a loop diuretic that can lead to the loss of potassium, resulting in
hypokalemia.
8. A nurse is caring for a client who is prescribed insulin glargine. The nurse should expect
the onset of action to be:
A) 30 minutes
B) 1 hour
C) 2 hours
D) 4 hours
Answer: B) 1 hour
Rationale: Insulin glargine has an onset of action of about 1 hour, and it has a long duration of
action.
9. A client is prescribed prednisone. The nurse should monitor for which of the following
side effects?
A) Hypotension
B) Hyperglycemia
C) Weight loss
D) Diarrhea
Answer: B) Hyperglycemia
Rationale: Prednisone is a corticosteroid, and it can increase blood glucose levels, leading to
hyperglycemia.
10. A nurse is caring for a client who is receiving a high dose of prednisone. The nurse
should be particularly concerned about the client developing which of the following?
A) Peptic ulcer disease
B) Hypothyroidism
C) Anemia
D) Hypokalemia
Answer: A) Peptic ulcer disease
Rationale: High doses of prednisone can increase the risk of developing peptic ulcers due to its
effects on gastric mucosa.
the most important to assess before giving this medication?
A) Blood pressure
B) Respiratory rate
C) Heart rate
D) Temperature
Answer: B) Respiratory rate
Rationale: Morphine is an opioid analgesic that can cause respiratory depression. It is important
to assess the client’s respiratory rate before administering the medication.
2. A client is prescribed warfarin. Which of the following laboratory tests should the nurse
monitor?
A) Hemoglobin
B) INR
C) Platelet count
D) Liver function tests
Answer: B) INR
Rationale: Warfarin affects clotting factors, so monitoring the International Normalized Ratio
(INR) is necessary to ensure therapeutic anticoagulation.
3. A nurse is teaching a client about using a metered-dose inhaler (MDI). Which of the
following instructions should the nurse include?
A) “Exhale deeply before using the inhaler.”
B) “Use the inhaler immediately after taking a deep breath.”
C) “Shake the inhaler only once before use.”
D) “Wait 1 minute between puffs of the inhaler.”
Answer: D) “Wait 1 minute between puffs of the inhaler.”
Rationale: It is important to wait 1 minute between inhalations to allow the medication to take
full effect and reduce the risk of side effects.
4. A client is receiving digoxin. Which of the following should the nurse assess before
administering the medication?
,A) Serum potassium levels
B) Blood glucose levels
C) Serum sodium levels
D) Serum creatinine levels
Answer: A) Serum potassium levels
Rationale: Digoxin can cause toxicity if potassium levels are low. Therefore, potassium levels
should be monitored before administration.
5. A nurse is caring for a client who is receiving gentamicin. The nurse should monitor for
which of the following adverse effects?
A) Ototoxicity
B) Hypertension
C) Weight loss
D) Hepatotoxicity
Answer: A) Ototoxicity
Rationale: Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity (hearing loss or
balance issues) as a significant adverse effect.
6. A client is prescribed acetaminophen for pain. Which of the following statements by the
client indicates a need for further teaching?
A) “I should not take more than 4 grams per day.”
B) “I can take acetaminophen with alcohol if I want to.”
C) “I need to check the labels of combination products for acetaminophen.”
D) “I should notify my doctor if I notice yellowing of my skin.”
Answer: B) “I can take acetaminophen with alcohol if I want to.”
Rationale: Taking acetaminophen with alcohol can increase the risk of liver damage. Clients
should avoid alcohol while taking this medication.
7. A nurse is caring for a client who is receiving furosemide. The nurse should monitor the
client for which of the following electrolyte imbalances?
A) Hyperkalemia
B) Hypercalcemia
C) Hypokalemia
D) Hypernatremia
, Answer: C) Hypokalemia
Rationale: Furosemide is a loop diuretic that can lead to the loss of potassium, resulting in
hypokalemia.
8. A nurse is caring for a client who is prescribed insulin glargine. The nurse should expect
the onset of action to be:
A) 30 minutes
B) 1 hour
C) 2 hours
D) 4 hours
Answer: B) 1 hour
Rationale: Insulin glargine has an onset of action of about 1 hour, and it has a long duration of
action.
9. A client is prescribed prednisone. The nurse should monitor for which of the following
side effects?
A) Hypotension
B) Hyperglycemia
C) Weight loss
D) Diarrhea
Answer: B) Hyperglycemia
Rationale: Prednisone is a corticosteroid, and it can increase blood glucose levels, leading to
hyperglycemia.
10. A nurse is caring for a client who is receiving a high dose of prednisone. The nurse
should be particularly concerned about the client developing which of the following?
A) Peptic ulcer disease
B) Hypothyroidism
C) Anemia
D) Hypokalemia
Answer: A) Peptic ulcer disease
Rationale: High doses of prednisone can increase the risk of developing peptic ulcers due to its
effects on gastric mucosa.
