1. 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.
2. 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.
3. 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.
4. A nurse is caring for a client with tuberculosis who is
prescribed isoniazid. The nurse should instruct the client to
report which of the following symptoms immediately?
A. Nausea and vomiting
B. Yellowing of the skin or eyes
C. Dizziness
D. Muscle pain
Answer: b) Yellowing of the skin or eyes
Rationale: Yellowing of the skin or eyes (jaundice) can
indicate hepatotoxicity, a serious side effect of isoniazid.
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 who is prescribed
ciprofloxacin for a urinary tract infection. The nurse should
, instruct the client to avoid which of the following?
A. Dairy products
B. Citrus fruits
C. Caffeine
D. Carbonated beverages
Answer: a) Dairy products
Rationale: Dairy products can interfere with the absorption
of ciprofloxacin, reducing its effectiveness.
7. 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.
8. A nurse is administering the first dose of an
antihypertensive medication to a client. Which of the
following is the priority action?
A. Monitor the client’s blood pressure for hypotension.
B. Provide the client with food to reduce gastrointestinal
irritation.
C. Assess the client for signs of dizziness or
lightheadedness.
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.
2. 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.
3. 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.
4. A nurse is caring for a client with tuberculosis who is
prescribed isoniazid. The nurse should instruct the client to
report which of the following symptoms immediately?
A. Nausea and vomiting
B. Yellowing of the skin or eyes
C. Dizziness
D. Muscle pain
Answer: b) Yellowing of the skin or eyes
Rationale: Yellowing of the skin or eyes (jaundice) can
indicate hepatotoxicity, a serious side effect of isoniazid.
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 who is prescribed
ciprofloxacin for a urinary tract infection. The nurse should
, instruct the client to avoid which of the following?
A. Dairy products
B. Citrus fruits
C. Caffeine
D. Carbonated beverages
Answer: a) Dairy products
Rationale: Dairy products can interfere with the absorption
of ciprofloxacin, reducing its effectiveness.
7. 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.
8. A nurse is administering the first dose of an
antihypertensive medication to a client. Which of the
following is the priority action?
A. Monitor the client’s blood pressure for hypotension.
B. Provide the client with food to reduce gastrointestinal
irritation.
C. Assess the client for signs of dizziness or
lightheadedness.
