1. A nurse is caring for a client who is receiving morphine
sulfate for severe pain. The nurse should monitor the client
for which of the following adverse effects?
A. Hypertension
B. Diarrhea
C. Respiratory depression
D. Tachycardia
Answer: c) Respiratory depression
Rationale: Morphine, an opioid analgesic, can cause
respiratory depression, which is a major risk for overdose
and requires close monitoring.
2. A client is receiving amoxicillin for a bacterial infection.
The nurse should instruct the client to complete the entire
course of therapy for which of the following reasons?
A. To prevent the development of resistance
B. To decrease the risk of side effects
C. To improve the effectiveness of the drug
D. To decrease the risk of developing superinfection
Answer: a) To prevent the development of resistance
Rationale: Completing the full course of antibiotics helps to
ensure the infection is fully eradicated and prevents the
development of antibiotic resistance.
3. A nurse is caring for a client who has been prescribed
digoxin. Which of the following findings is the most
indicative of digoxin toxicity?
A. Hypertension
B. Bradycardia
C. Hyperkalemia
,D. Dehydration
Answer: b) Bradycardia
Rationale: Digoxin toxicity can lead to bradycardia, which is
a sign of potential cardiac toxicity. Other symptoms include
nausea, vomiting, and visual disturbances.
4. A client who is receiving phenytoin for seizures asks
about potential side effects. Which of the following should
the nurse include in the teaching?
A. "You may experience a rash."
B. "Your urine may turn red or orange."
C. "You may develop weight gain."
D. "You will likely experience blurred vision."
Answer: a) "You may experience a rash."
Rationale: A rash is a common side effect of phenytoin and
can be an indication of a more serious reaction, such as
Steven-Johnson syndrome.
5. 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.
6. A nurse is caring for a client who is receiving lisinopril for
hypertension. The nurse should monitor the client for which
of the following adverse effects?
, A. Weight loss
B. Hyperkalemia
C. Hypoglycemia
D. Dehydration
Answer: b) Hyperkalemia
Rationale: Lisinopril, an ACE inhibitor, can cause
hyperkalemia due to its effect on aldosterone secretion. The
nurse should monitor potassium levels.
7. 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.
8. 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."
sulfate for severe pain. The nurse should monitor the client
for which of the following adverse effects?
A. Hypertension
B. Diarrhea
C. Respiratory depression
D. Tachycardia
Answer: c) Respiratory depression
Rationale: Morphine, an opioid analgesic, can cause
respiratory depression, which is a major risk for overdose
and requires close monitoring.
2. A client is receiving amoxicillin for a bacterial infection.
The nurse should instruct the client to complete the entire
course of therapy for which of the following reasons?
A. To prevent the development of resistance
B. To decrease the risk of side effects
C. To improve the effectiveness of the drug
D. To decrease the risk of developing superinfection
Answer: a) To prevent the development of resistance
Rationale: Completing the full course of antibiotics helps to
ensure the infection is fully eradicated and prevents the
development of antibiotic resistance.
3. A nurse is caring for a client who has been prescribed
digoxin. Which of the following findings is the most
indicative of digoxin toxicity?
A. Hypertension
B. Bradycardia
C. Hyperkalemia
,D. Dehydration
Answer: b) Bradycardia
Rationale: Digoxin toxicity can lead to bradycardia, which is
a sign of potential cardiac toxicity. Other symptoms include
nausea, vomiting, and visual disturbances.
4. A client who is receiving phenytoin for seizures asks
about potential side effects. Which of the following should
the nurse include in the teaching?
A. "You may experience a rash."
B. "Your urine may turn red or orange."
C. "You may develop weight gain."
D. "You will likely experience blurred vision."
Answer: a) "You may experience a rash."
Rationale: A rash is a common side effect of phenytoin and
can be an indication of a more serious reaction, such as
Steven-Johnson syndrome.
5. 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.
6. A nurse is caring for a client who is receiving lisinopril for
hypertension. The nurse should monitor the client for which
of the following adverse effects?
, A. Weight loss
B. Hyperkalemia
C. Hypoglycemia
D. Dehydration
Answer: b) Hyperkalemia
Rationale: Lisinopril, an ACE inhibitor, can cause
hyperkalemia due to its effect on aldosterone secretion. The
nurse should monitor potassium levels.
7. 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.
8. 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."
