1. 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.
2. A nurse is caring for a client receiving chemotherapy. The
nurse should monitor the client for which of the following
complications?
A. Thrombocytosis
B. Leukocytosis
C. Neutropenia
D. Hyperlipidemia
Answer: c) Neutropenia
Rationale: Chemotherapy can cause neutropenia, a
reduction in neutrophils, making the client more susceptible
to infections.
3. A nurse is teaching a client who is prescribed a selective
serotonin reuptake inhibitor (SSRI) for depression. The
nurse should instruct the client to avoid which of the
following substances?
A. Alcohol
B. Caffeine
,C. Citrus fruits
D. Salt substitutes
Answer: a) Alcohol
Rationale: Alcohol can interact with SSRIs, increasing the
risk of sedation, and can also worsen depression. Clients
should be advised to avoid alcohol while taking SSRIs.
4. A nurse is administering vancomycin to a client via IV
infusion. Which of the following should the nurse be aware
of when administering the medication?
A. The infusion should be given over 60 minutes to prevent
red man syndrome.
B. The infusion should be given as a rapid bolus for quicker
therapeutic effect.
C. The medication should be given on an empty stomach.
D. The client should be observed for signs of hyperkalemia.
Answer: a) The infusion should be given over 60 minutes to
prevent red man syndrome.
Rationale: Vancomycin should be infused slowly over at
least 60 minutes to prevent red man syndrome, which is
characterized by flushing and hypotension.
5. 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.
6. 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.
7. 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.
8. A nurse is caring for a client receiving the antibiotic
gentamicin. The nurse should monitor the client for which of
the following adverse effects?
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.
2. A nurse is caring for a client receiving chemotherapy. The
nurse should monitor the client for which of the following
complications?
A. Thrombocytosis
B. Leukocytosis
C. Neutropenia
D. Hyperlipidemia
Answer: c) Neutropenia
Rationale: Chemotherapy can cause neutropenia, a
reduction in neutrophils, making the client more susceptible
to infections.
3. A nurse is teaching a client who is prescribed a selective
serotonin reuptake inhibitor (SSRI) for depression. The
nurse should instruct the client to avoid which of the
following substances?
A. Alcohol
B. Caffeine
,C. Citrus fruits
D. Salt substitutes
Answer: a) Alcohol
Rationale: Alcohol can interact with SSRIs, increasing the
risk of sedation, and can also worsen depression. Clients
should be advised to avoid alcohol while taking SSRIs.
4. A nurse is administering vancomycin to a client via IV
infusion. Which of the following should the nurse be aware
of when administering the medication?
A. The infusion should be given over 60 minutes to prevent
red man syndrome.
B. The infusion should be given as a rapid bolus for quicker
therapeutic effect.
C. The medication should be given on an empty stomach.
D. The client should be observed for signs of hyperkalemia.
Answer: a) The infusion should be given over 60 minutes to
prevent red man syndrome.
Rationale: Vancomycin should be infused slowly over at
least 60 minutes to prevent red man syndrome, which is
characterized by flushing and hypotension.
5. 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.
6. 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.
7. 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.
8. A nurse is caring for a client receiving the antibiotic
gentamicin. The nurse should monitor the client for which of
the following adverse effects?
