1. A nurse is caring for a client receiving furosemide. Which
of the following findings should the nurse monitor for as a
potential adverse effect?
A. Hyperglycemia
B. Hypokalemia
C. Hypotension
D. Hypercalcemia
Answer: b) Hypokalemia
Rationale: Furosemide is a loop diuretic that can cause
potassium loss, leading to hypokalemia. The nurse should
monitor potassium levels and provide supplementation as
needed.
2. A nurse is teaching a client with GERD about the use of a
proton pump inhibitor (PPI). Which of the following should
the nurse include?
A. "PPIs should be taken before meals to be most effective."
B. "You should take the medication with a large meal for
best results."
C. "PPIs should be taken only when symptoms occur."
D. "It is important to take the medication after meals."
Answer: a) "PPIs should be taken before meals to be most
effective."
Rationale: Proton pump inhibitors (PPIs) are most effective
when taken 30-60 minutes before meals, as this allows for
maximum acid suppression.
3. 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.
4. 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?
A. Hypotension
B. Hyperglycemia
C. Bradycardia
D. Weight loss
Answer: b) Hyperglycemia
Rationale: Methylprednisolone, a corticosteroid, can raise
blood glucose levels, potentially leading to hyperglycemia.
5. A nurse is teaching a client about the use of an albuterol
inhaler. The nurse should instruct the client to use the
inhaler for which of the following purposes?
A. As a long-term asthma controller
B. To relieve acute bronchospasm
C. To treat chronic cough
D. As a corticosteroid replacement
Answer: b) To relieve acute bronchospasm
Rationale: Albuterol is a short-acting beta-agonist (SABA)
, used for quick relief of acute bronchospasm in conditions
like asthma.
6. A client is prescribed warfarin. The nurse should instruct
the client to avoid which of the following foods?
A. Bananas
B. Leafy green vegetables
C. Tomatoes
D. Potatoes
Answer: b) Leafy green vegetables
Rationale: Leafy green vegetables contain high levels of
vitamin K, which can interfere with the anticoagulant effect
of warfarin, requiring a consistent intake of vitamin K.
7. 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.
8. A nurse is providing education to a client prescribed
atorvastatin. Which of the following statements indicates a
need for further teaching?
A. "I will avoid grapefruit while taking this medication."
B. "I should report any muscle pain or weakness to my
provider."
of the following findings should the nurse monitor for as a
potential adverse effect?
A. Hyperglycemia
B. Hypokalemia
C. Hypotension
D. Hypercalcemia
Answer: b) Hypokalemia
Rationale: Furosemide is a loop diuretic that can cause
potassium loss, leading to hypokalemia. The nurse should
monitor potassium levels and provide supplementation as
needed.
2. A nurse is teaching a client with GERD about the use of a
proton pump inhibitor (PPI). Which of the following should
the nurse include?
A. "PPIs should be taken before meals to be most effective."
B. "You should take the medication with a large meal for
best results."
C. "PPIs should be taken only when symptoms occur."
D. "It is important to take the medication after meals."
Answer: a) "PPIs should be taken before meals to be most
effective."
Rationale: Proton pump inhibitors (PPIs) are most effective
when taken 30-60 minutes before meals, as this allows for
maximum acid suppression.
3. 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.
4. 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?
A. Hypotension
B. Hyperglycemia
C. Bradycardia
D. Weight loss
Answer: b) Hyperglycemia
Rationale: Methylprednisolone, a corticosteroid, can raise
blood glucose levels, potentially leading to hyperglycemia.
5. A nurse is teaching a client about the use of an albuterol
inhaler. The nurse should instruct the client to use the
inhaler for which of the following purposes?
A. As a long-term asthma controller
B. To relieve acute bronchospasm
C. To treat chronic cough
D. As a corticosteroid replacement
Answer: b) To relieve acute bronchospasm
Rationale: Albuterol is a short-acting beta-agonist (SABA)
, used for quick relief of acute bronchospasm in conditions
like asthma.
6. A client is prescribed warfarin. The nurse should instruct
the client to avoid which of the following foods?
A. Bananas
B. Leafy green vegetables
C. Tomatoes
D. Potatoes
Answer: b) Leafy green vegetables
Rationale: Leafy green vegetables contain high levels of
vitamin K, which can interfere with the anticoagulant effect
of warfarin, requiring a consistent intake of vitamin K.
7. 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.
8. A nurse is providing education to a client prescribed
atorvastatin. Which of the following statements indicates a
need for further teaching?
A. "I will avoid grapefruit while taking this medication."
B. "I should report any muscle pain or weakness to my
provider."
