1. A client is receiving levothyroxine for hypothyroidism.
Which of the following findings is the most indicative that the
medication dose is too high?
A. Weight gain
B. Increased appetite
C. Increased energy
D. Cold intolerance
Answer: c) Increased energy
Rationale: Too high a dose of levothyroxine can lead to
symptoms of hyperthyroidism, such as increased energy,
nervousness, and tachycardia.
2. 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.
3. 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.
4. 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.
5. 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.
6. A client is prescribed acetaminophen for pain
management. Which of the following is a priority nursing
consideration?
A. Monitor for signs of gastrointestinal bleeding
B. Monitor for hepatotoxicity with long-term use
C. Monitor the client's blood pressure
D. Monitor the client's heart rate
Answer: b) Monitor for hepatotoxicity with long-term use
Rationale: Acetaminophen, when used long-term or in high
doses, can cause liver damage. The nurse should monitor
liver function.
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 client with asthma is prescribed a beta-agonist inhaler.
The nurse should instruct the client to use the inhaler for
which of the following purposes?
Which of the following findings is the most indicative that the
medication dose is too high?
A. Weight gain
B. Increased appetite
C. Increased energy
D. Cold intolerance
Answer: c) Increased energy
Rationale: Too high a dose of levothyroxine can lead to
symptoms of hyperthyroidism, such as increased energy,
nervousness, and tachycardia.
2. 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.
3. 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.
4. 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.
5. 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.
6. A client is prescribed acetaminophen for pain
management. Which of the following is a priority nursing
consideration?
A. Monitor for signs of gastrointestinal bleeding
B. Monitor for hepatotoxicity with long-term use
C. Monitor the client's blood pressure
D. Monitor the client's heart rate
Answer: b) Monitor for hepatotoxicity with long-term use
Rationale: Acetaminophen, when used long-term or in high
doses, can cause liver damage. The nurse should monitor
liver function.
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 client with asthma is prescribed a beta-agonist inhaler.
The nurse should instruct the client to use the inhaler for
which of the following purposes?
