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 nurse is administering levodopa to a client with
Parkinson's disease. The nurse should monitor for which of
the following side effects?
A. Muscle rigidity
B. Orthostatic hypotension
C. Tachycardia
D. Sedation
Answer: b) Orthostatic hypotension
Rationale: Levodopa can cause orthostatic hypotension, a
drop in blood pressure when moving from sitting or lying
down to standing.
3. A nurse is teaching a client about the use of lorazepam
for anxiety. Which of the following instructions should the
nurse include?
A. "You can drive while taking this medication."
B. "Avoid alcohol while taking this medication."
C. "This medication is not habit-forming."
,D. "You should take the medication on an empty stomach."
Answer: b) "Avoid alcohol while taking this medication."
Rationale: Lorazepam is a benzodiazepine that can have
enhanced sedative effects when taken with alcohol, leading
to increased risk of respiratory depression and drowsiness.
4. A nurse is administering a dose of phenytoin to a client
with seizures. The nurse should monitor the client for which
of the following adverse effects?
A. Gingival hyperplasia
B. Weight loss
C. Tremors
D. Hypoglycemia
Answer: a) Gingival hyperplasia
Rationale: Phenytoin is associated with gingival
hyperplasia, an overgrowth of the gum tissue, as a common
adverse effect.
5. A nurse is caring for a client who is taking
hydrochlorothiazide. The nurse should monitor the client for
which of the following electrolyte imbalances?
A. Hyperkalemia
B. Hypercalcemia
C. Hypokalemia
D. Hyponatremia
Answer: c) Hypokalemia
Rationale: Hydrochlorothiazide is a thiazide diuretic that
can cause potassium loss, leading to hypokalemia.
6. A nurse is administering a dose of insulin to a client with
diabetes mellitus. Which of the following actions should the
nurse take before administering the insulin?
, A. Assess the client's blood glucose level
B. Administer the insulin after the meal
C. Shake the vial of insulin before use
D. Monitor the client for signs of hyperglycemia
Answer: a) Assess the client's blood glucose level
Rationale: It is important to assess the client's blood
glucose level before administering insulin to ensure that the
correct dose is given based on the client's current glucose
level.
7. A nurse is caring for a client receiving the antibiotic
gentamicin. The nurse should monitor the client for which of
the following adverse effects?
A. Ototoxicity
B. Hypoglycemia
C. Hypertension
D. Hyperkalemia
Answer: a) Ototoxicity
Rationale: Gentamicin, an aminoglycoside antibiotic, can
cause ototoxicity, leading to hearing loss or tinnitus. The
nurse should monitor the client's hearing.
8. 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."
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 nurse is administering levodopa to a client with
Parkinson's disease. The nurse should monitor for which of
the following side effects?
A. Muscle rigidity
B. Orthostatic hypotension
C. Tachycardia
D. Sedation
Answer: b) Orthostatic hypotension
Rationale: Levodopa can cause orthostatic hypotension, a
drop in blood pressure when moving from sitting or lying
down to standing.
3. A nurse is teaching a client about the use of lorazepam
for anxiety. Which of the following instructions should the
nurse include?
A. "You can drive while taking this medication."
B. "Avoid alcohol while taking this medication."
C. "This medication is not habit-forming."
,D. "You should take the medication on an empty stomach."
Answer: b) "Avoid alcohol while taking this medication."
Rationale: Lorazepam is a benzodiazepine that can have
enhanced sedative effects when taken with alcohol, leading
to increased risk of respiratory depression and drowsiness.
4. A nurse is administering a dose of phenytoin to a client
with seizures. The nurse should monitor the client for which
of the following adverse effects?
A. Gingival hyperplasia
B. Weight loss
C. Tremors
D. Hypoglycemia
Answer: a) Gingival hyperplasia
Rationale: Phenytoin is associated with gingival
hyperplasia, an overgrowth of the gum tissue, as a common
adverse effect.
5. A nurse is caring for a client who is taking
hydrochlorothiazide. The nurse should monitor the client for
which of the following electrolyte imbalances?
A. Hyperkalemia
B. Hypercalcemia
C. Hypokalemia
D. Hyponatremia
Answer: c) Hypokalemia
Rationale: Hydrochlorothiazide is a thiazide diuretic that
can cause potassium loss, leading to hypokalemia.
6. A nurse is administering a dose of insulin to a client with
diabetes mellitus. Which of the following actions should the
nurse take before administering the insulin?
, A. Assess the client's blood glucose level
B. Administer the insulin after the meal
C. Shake the vial of insulin before use
D. Monitor the client for signs of hyperglycemia
Answer: a) Assess the client's blood glucose level
Rationale: It is important to assess the client's blood
glucose level before administering insulin to ensure that the
correct dose is given based on the client's current glucose
level.
7. A nurse is caring for a client receiving the antibiotic
gentamicin. The nurse should monitor the client for which of
the following adverse effects?
A. Ototoxicity
B. Hypoglycemia
C. Hypertension
D. Hyperkalemia
Answer: a) Ototoxicity
Rationale: Gentamicin, an aminoglycoside antibiotic, can
cause ototoxicity, leading to hearing loss or tinnitus. The
nurse should monitor the client's hearing.
8. 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."
