1. A nurse is teaching a client about the use of furosemide
for heart failure. The nurse should include which of the
following instructions?
A. "Take this medication in the evening to prevent nocturia."
B. "Increase your potassium intake while taking this
medication."
C. "This medication can be stopped abruptly once your
symptoms improve."
D. "Limit your fluid intake while taking this medication."
Answer: b) "Increase your potassium intake while taking
this medication."
Rationale: Furosemide is a loop diuretic that can cause
potassium loss, so it is important to increase potassium
intake or consider potassium supplementation.
2. 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.
3. 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.
4. A nurse is teaching a client with glaucoma about the use
of latanoprost. The nurse should include which of the
following instructions?
A. "This medication will increase the amount of fluid in your
eyes."
B. "You may experience an increase in eye pigmentation."
C. "This medication may cause blurred vision."
D. "You should avoid sunlight while using this medication."
Answer: b) "You may experience an increase in eye
pigmentation."
Rationale: Latanoprost, a prostaglandin analog, may cause
darkening of the iris (increased pigmentation) and should be
used cautiously in patients with lighter eye colors.
5. A nurse is teaching a client who is prescribed a beta-
blocker for hypertension. Which of the following statements
indicates the need for further teaching?
A. "I should monitor my heart rate regularly."
B. "I can stop taking this medication if I feel tired."
, C. "I may feel lightheaded when I stand up."
D. "I should avoid getting up too quickly."
Answer: b) "I can stop taking this medication if I feel tired."
Rationale: Beta-blockers should not be stopped abruptly, as
this can cause rebound hypertension. The client should be
instructed to follow the provider's guidance on tapering the
medication.
6. 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.
7. A nurse is preparing to administer morphine to a client for
pain management. Which of the following assessments
should the nurse prioritize before administration?
A. Blood glucose level
B. Respiratory rate
C. Liver function tests
D. Kidney function tests
Answer: b) Respiratory rate
Rationale: Opioids like morphine can cause respiratory
depression, so it is crucial to assess the client's respiratory
rate prior to administration.
for heart failure. The nurse should include which of the
following instructions?
A. "Take this medication in the evening to prevent nocturia."
B. "Increase your potassium intake while taking this
medication."
C. "This medication can be stopped abruptly once your
symptoms improve."
D. "Limit your fluid intake while taking this medication."
Answer: b) "Increase your potassium intake while taking
this medication."
Rationale: Furosemide is a loop diuretic that can cause
potassium loss, so it is important to increase potassium
intake or consider potassium supplementation.
2. 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.
3. 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.
4. A nurse is teaching a client with glaucoma about the use
of latanoprost. The nurse should include which of the
following instructions?
A. "This medication will increase the amount of fluid in your
eyes."
B. "You may experience an increase in eye pigmentation."
C. "This medication may cause blurred vision."
D. "You should avoid sunlight while using this medication."
Answer: b) "You may experience an increase in eye
pigmentation."
Rationale: Latanoprost, a prostaglandin analog, may cause
darkening of the iris (increased pigmentation) and should be
used cautiously in patients with lighter eye colors.
5. A nurse is teaching a client who is prescribed a beta-
blocker for hypertension. Which of the following statements
indicates the need for further teaching?
A. "I should monitor my heart rate regularly."
B. "I can stop taking this medication if I feel tired."
, C. "I may feel lightheaded when I stand up."
D. "I should avoid getting up too quickly."
Answer: b) "I can stop taking this medication if I feel tired."
Rationale: Beta-blockers should not be stopped abruptly, as
this can cause rebound hypertension. The client should be
instructed to follow the provider's guidance on tapering the
medication.
6. 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.
7. A nurse is preparing to administer morphine to a client for
pain management. Which of the following assessments
should the nurse prioritize before administration?
A. Blood glucose level
B. Respiratory rate
C. Liver function tests
D. Kidney function tests
Answer: b) Respiratory rate
Rationale: Opioids like morphine can cause respiratory
depression, so it is crucial to assess the client's respiratory
rate prior to administration.
