NUR356 EXAM 3/ NUR 356 EXAM 3 LATEST
2024/2025 (65 QS AND ANS )MENTAL HEALTH
NURSING //COMPLETE EXAM already GRADED A+
A nurse is teaching a client who has a new prescription for simvastatin. Which of the following
instructions should the nurse include?
A. You should expect brown-colored urine.
B. You should avoid grapefruit.
C. You should monitor for ringing in the ears.
D. You should take the medication in the morning. - CORRECT ANSWER-You should avoid grapefruit
juice.
Rationale: can inhibit the drug metabolizing enzyme CYP3A4 which slows the metabolism of simvastatin.
This can cause an increase in serum simvastatin. Potential adverse effects include elevated liver
enzymes, and rhabdomyolysis.
A nurse is preparing to administer digoxin 0.25mg PO daily. The amount available is digoxin 0.125mg
tablets. How many tablets should the nurse administer? - CORRECT ANSWER-2
A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing
potential drug and food interactions risks and should instruct the client to avoid which of the following?
A. Cabbage
B. Cantaloupe
C. Green Beans
D. White Beans - CORRECT ANSWER-A. Cabbage
Rationale: Cabbage should be limited because it is rich in Vitamin K.
A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following
statements by the nurse indicates an understanding of the teaching?
A. I should increase my intake of potassium rich foods
B. I should expect to have facial swelling when taking this medication.
C. I should take this medication with food.
,D. I should report a cough to my provider. - CORRECT ANSWER-D. I should report a cough to my
provider
.
Rationale: The provider should discontinue the medication for a persistent, irritating cough.
A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is
digoxin 0.125mg tab. The client's current vitals are: blood pressure 144/96, heart rate 54/min,
respirations 18/min, and temperature 98.6F. Which of the following actions should the nurse take?
A. Administer digoxin 0.125mg
B. Administer digoxin 0.25mg
C. Withhold the digoxin dose for elevated blood pressure.
D. Withhold the digoxin dose for decreased pulse rate. - CORRECT ANSWER-D. Withhold the digoxin
for decreased pulse rate.
Rationale: The nurse should withhold the prescribed dose of digoxin as the HR is less than 60/min and
notify the provider.
A client is teaching a client who has a new prescription for hydrochlorothiazide for management of
hypertension. Which of the following instructions should the nurse include?
A. "Take this medication before bedtime."
B. "Monitor for leg cramps."
C. "Avoid grapefruit juice.'
D. "Reduce intake of potassium-rich foods." - CORRECT ANSWER-Hydrochlorothiazide can cause
hypokalemia. The client should monitor for manifestations of hypokalemia, such as fatigue,
tachycardia, leg cramps, and muscle weakness.
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the
nurse,"I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring
anything up". Which of the following actions should the nurse take to help this client with tenacious
bronchial secretions?
A. Maintaining a semi-Fowler's position as often as possible
B. Administering oxygen via nasal cannula at 2L/min
, C. Helping the client select a low-salt diet
D. Encouraging the client to drink 2-3 L of water daily. - CORRECT ANSWER-D. Encouraging the client
to drink 2-3 L of water daily.
Rationale: COPD is a term for two diseases of the respiratory system: chronic bronchitis and emphysema.
Maintaining hydration through the consumption of adequate fluids will help liquefy thick secretions and
facilitate their expectoration.
A nurse is teaching the parents of a child who is starting a metered-dose inhaler (MDI) to treat asthma.
Which of the following information should the nurse include in the teaching?
A. The spacer increases the amount of medication delivered to the oropharynx.
B. The spacer increases the amount of medication delivered to the lungs
C. Inhale rapidly using the spacer with the MDI
D. Cover exhalation slots of the spacer with lips when inhaling. - CORRECT ANSWER-B. The spacer
increases the amount of medication delivered to the lungs
A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but
absent breathe sounds in the bases. The nurse should suspect which of the following postoperative
complications?
A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Arterial thrombus - CORRECT ANSWER-A. Atelectasis
Rationale: - an incomplete alveolar expansion or collapse. Breath sounds are dull or absent over areas of
alveolar collapse.
A nurse is assessing a client who has hypoxia. Which of the following findings should the nurse expect?
2024/2025 (65 QS AND ANS )MENTAL HEALTH
NURSING //COMPLETE EXAM already GRADED A+
A nurse is teaching a client who has a new prescription for simvastatin. Which of the following
instructions should the nurse include?
A. You should expect brown-colored urine.
B. You should avoid grapefruit.
C. You should monitor for ringing in the ears.
D. You should take the medication in the morning. - CORRECT ANSWER-You should avoid grapefruit
juice.
Rationale: can inhibit the drug metabolizing enzyme CYP3A4 which slows the metabolism of simvastatin.
This can cause an increase in serum simvastatin. Potential adverse effects include elevated liver
enzymes, and rhabdomyolysis.
A nurse is preparing to administer digoxin 0.25mg PO daily. The amount available is digoxin 0.125mg
tablets. How many tablets should the nurse administer? - CORRECT ANSWER-2
A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing
potential drug and food interactions risks and should instruct the client to avoid which of the following?
A. Cabbage
B. Cantaloupe
C. Green Beans
D. White Beans - CORRECT ANSWER-A. Cabbage
Rationale: Cabbage should be limited because it is rich in Vitamin K.
A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following
statements by the nurse indicates an understanding of the teaching?
A. I should increase my intake of potassium rich foods
B. I should expect to have facial swelling when taking this medication.
C. I should take this medication with food.
,D. I should report a cough to my provider. - CORRECT ANSWER-D. I should report a cough to my
provider
.
Rationale: The provider should discontinue the medication for a persistent, irritating cough.
A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is
digoxin 0.125mg tab. The client's current vitals are: blood pressure 144/96, heart rate 54/min,
respirations 18/min, and temperature 98.6F. Which of the following actions should the nurse take?
A. Administer digoxin 0.125mg
B. Administer digoxin 0.25mg
C. Withhold the digoxin dose for elevated blood pressure.
D. Withhold the digoxin dose for decreased pulse rate. - CORRECT ANSWER-D. Withhold the digoxin
for decreased pulse rate.
Rationale: The nurse should withhold the prescribed dose of digoxin as the HR is less than 60/min and
notify the provider.
A client is teaching a client who has a new prescription for hydrochlorothiazide for management of
hypertension. Which of the following instructions should the nurse include?
A. "Take this medication before bedtime."
B. "Monitor for leg cramps."
C. "Avoid grapefruit juice.'
D. "Reduce intake of potassium-rich foods." - CORRECT ANSWER-Hydrochlorothiazide can cause
hypokalemia. The client should monitor for manifestations of hypokalemia, such as fatigue,
tachycardia, leg cramps, and muscle weakness.
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the
nurse,"I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring
anything up". Which of the following actions should the nurse take to help this client with tenacious
bronchial secretions?
A. Maintaining a semi-Fowler's position as often as possible
B. Administering oxygen via nasal cannula at 2L/min
, C. Helping the client select a low-salt diet
D. Encouraging the client to drink 2-3 L of water daily. - CORRECT ANSWER-D. Encouraging the client
to drink 2-3 L of water daily.
Rationale: COPD is a term for two diseases of the respiratory system: chronic bronchitis and emphysema.
Maintaining hydration through the consumption of adequate fluids will help liquefy thick secretions and
facilitate their expectoration.
A nurse is teaching the parents of a child who is starting a metered-dose inhaler (MDI) to treat asthma.
Which of the following information should the nurse include in the teaching?
A. The spacer increases the amount of medication delivered to the oropharynx.
B. The spacer increases the amount of medication delivered to the lungs
C. Inhale rapidly using the spacer with the MDI
D. Cover exhalation slots of the spacer with lips when inhaling. - CORRECT ANSWER-B. The spacer
increases the amount of medication delivered to the lungs
A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but
absent breathe sounds in the bases. The nurse should suspect which of the following postoperative
complications?
A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Arterial thrombus - CORRECT ANSWER-A. Atelectasis
Rationale: - an incomplete alveolar expansion or collapse. Breath sounds are dull or absent over areas of
alveolar collapse.
A nurse is assessing a client who has hypoxia. Which of the following findings should the nurse expect?
