1. A nurse is caring for a client who is prescribed a thiazide
diuretic. The nurse should monitor the client for which of the
following adverse effects?
A. Hyperkalemia
B. Hypoglycemia
C. Hypercalcemia
D. Hypokalemia
Answer: d) Hypokalemia
Rationale: Thiazide diuretics can lead to potassium loss,
which can result in hypokalemia. The nurse should monitor
potassium levels and supplement as necessary.
2. A client is receiving levothyroxine for hypothyroidism.
Which of the following findings is the most indicative that the
medication dose is too high?
A. Weight gain
B. Increased appetite
C. Increased energy
D. Cold intolerance
Answer: c) Increased energy
Rationale: Too high a dose of levothyroxine can lead to
symptoms of hyperthyroidism, such as increased energy,
nervousness, and tachycardia.
3. A nurse is administering vancomycin to a client. The
nurse should administer the medication slowly to avoid
which of the following adverse effects?
A. Cardiac arrhythmias
B. Red man syndrome
C. Hypertension
,D. Seizures
Answer: b) Red man syndrome
Rationale: Administering vancomycin too quickly can cause
red man syndrome, characterized by a red rash,
hypotension, and flushing.
4. A nurse is teaching a client about the use of ibuprofen for
pain management. Which of the following instructions
should the nurse include?
A. "Take the medication with an empty stomach for faster
absorption."
B. "Take the medication with food or milk to reduce stomach
irritation."
C. "Avoid drinking fluids while taking this medication."
D. "Increase your fluid intake to 1-2 liters per day."
Answer: b) "Take the medication with food or milk to reduce
stomach irritation."
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs)
like ibuprofen can cause gastric irritation, so it is
recommended to take them with food or milk.
5. A nurse is administering an opioid analgesic to a
postoperative client. Which of the following should be
included in the nurse’s assessment before administration?
A. Bowel sounds
B. Respiratory rate
C. Blood pressure
D. Heart rate
Answer: b) Respiratory rate
Rationale: Opioids can depress the respiratory system, so it
is essential to assess the client’s respiratory rate before
administration.
, 6. A nurse is caring for a client receiving enalapril. Which of
the following should be monitored regularly?
A. Blood pressure
B. Blood glucose level
C. Respiratory rate
D. Serum calcium
Answer: a) Blood pressure
Rationale: Enalapril is an ACE inhibitor, primarily used for
hypertension management. Blood pressure should be
closely monitored to ensure the medication is effective.
7. A nurse is preparing to administer a dose of naloxone to a
client with opioid overdose. Which of the following actions
should the nurse take?
A. Monitor the client for respiratory depression after
administration.
B. Administer the drug subcutaneously for faster action.
C. Administer naloxone only if the client is unresponsive to
pain stimuli.
D. Monitor for an increased heart rate as a sign of
effectiveness.
Answer: a) Monitor the client for respiratory depression
after administration.
Rationale: Naloxone is an opioid antagonist used to reverse
opioid toxicity. After administration, the nurse should
monitor the client for signs of respiratory depression and
the need for additional doses.
8. A nurse is caring for a client who has just received a dose
of methylprednisolone. The nurse should monitor the client
for which of the following adverse effects?
diuretic. The nurse should monitor the client for which of the
following adverse effects?
A. Hyperkalemia
B. Hypoglycemia
C. Hypercalcemia
D. Hypokalemia
Answer: d) Hypokalemia
Rationale: Thiazide diuretics can lead to potassium loss,
which can result in hypokalemia. The nurse should monitor
potassium levels and supplement as necessary.
2. A client is receiving levothyroxine for hypothyroidism.
Which of the following findings is the most indicative that the
medication dose is too high?
A. Weight gain
B. Increased appetite
C. Increased energy
D. Cold intolerance
Answer: c) Increased energy
Rationale: Too high a dose of levothyroxine can lead to
symptoms of hyperthyroidism, such as increased energy,
nervousness, and tachycardia.
3. A nurse is administering vancomycin to a client. The
nurse should administer the medication slowly to avoid
which of the following adverse effects?
A. Cardiac arrhythmias
B. Red man syndrome
C. Hypertension
,D. Seizures
Answer: b) Red man syndrome
Rationale: Administering vancomycin too quickly can cause
red man syndrome, characterized by a red rash,
hypotension, and flushing.
4. A nurse is teaching a client about the use of ibuprofen for
pain management. Which of the following instructions
should the nurse include?
A. "Take the medication with an empty stomach for faster
absorption."
B. "Take the medication with food or milk to reduce stomach
irritation."
C. "Avoid drinking fluids while taking this medication."
D. "Increase your fluid intake to 1-2 liters per day."
Answer: b) "Take the medication with food or milk to reduce
stomach irritation."
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs)
like ibuprofen can cause gastric irritation, so it is
recommended to take them with food or milk.
5. A nurse is administering an opioid analgesic to a
postoperative client. Which of the following should be
included in the nurse’s assessment before administration?
A. Bowel sounds
B. Respiratory rate
C. Blood pressure
D. Heart rate
Answer: b) Respiratory rate
Rationale: Opioids can depress the respiratory system, so it
is essential to assess the client’s respiratory rate before
administration.
, 6. A nurse is caring for a client receiving enalapril. Which of
the following should be monitored regularly?
A. Blood pressure
B. Blood glucose level
C. Respiratory rate
D. Serum calcium
Answer: a) Blood pressure
Rationale: Enalapril is an ACE inhibitor, primarily used for
hypertension management. Blood pressure should be
closely monitored to ensure the medication is effective.
7. A nurse is preparing to administer a dose of naloxone to a
client with opioid overdose. Which of the following actions
should the nurse take?
A. Monitor the client for respiratory depression after
administration.
B. Administer the drug subcutaneously for faster action.
C. Administer naloxone only if the client is unresponsive to
pain stimuli.
D. Monitor for an increased heart rate as a sign of
effectiveness.
Answer: a) Monitor the client for respiratory depression
after administration.
Rationale: Naloxone is an opioid antagonist used to reverse
opioid toxicity. After administration, the nurse should
monitor the client for signs of respiratory depression and
the need for additional doses.
8. A nurse is caring for a client who has just received a dose
of methylprednisolone. The nurse should monitor the client
for which of the following adverse effects?
