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 client is prescribed ciprofloxacin for a urinary tract
infection. Which of the following should the nurse include in
the discharge teaching?
A. "Avoid taking antacids while taking this medication."
B. "Increase your intake of dairy products."
C. "You can stop the medication when symptoms improve."
D. "Take the medication on an empty stomach."
Answer: a) "Avoid taking antacids while taking this
medication."
Rationale: Antacids can interfere with the absorption of
ciprofloxacin, reducing its effectiveness.
3. A nurse is administering levodopa to a client with
Parkinson's disease. The nurse should monitor for which of
the following side effects?
A. Muscle rigidity
B. Orthostatic hypotension
C. Tachycardia
,D. Sedation
Answer: b) Orthostatic hypotension
Rationale: Levodopa can cause orthostatic hypotension, a
drop in blood pressure when moving from sitting or lying
down to standing.
4. 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.
D. Ensure the client understands the potential for sexual
dysfunction.
Answer: a) Monitor the client’s blood pressure for
hypotension.
Rationale: The first dose of an antihypertensive medication
can cause a significant drop in blood pressure, so the nurse
should closely monitor the client for hypotension.
5. A nurse is caring for a client receiving enalapril. Which of
the following should be monitored regularly?
A. Blood pressure
B. Blood glucose level
C. Respiratory rate
D. Serum calcium
Answer: a) Blood pressure
Rationale: Enalapril is an ACE inhibitor, primarily used for
hypertension management. Blood pressure should be
closely monitored to ensure the medication is effective.
, 6. A nurse is caring for a client who is prescribed lithium for
bipolar disorder. The nurse should monitor for signs of
toxicity, which include:
A. Fine hand tremors and polyuria
B. Fine hand tremors and increased appetite
C. Fine hand tremors and weight loss
D. Fine hand tremors and lethargy
Answer: a) Fine hand tremors and polyuria
Rationale: Fine hand tremors and polyuria are early signs of
lithium toxicity. The nurse should monitor serum lithium
levels to prevent toxicity.
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 teaching a client about the use of lorazepam
for anxiety. Which of the following instructions should the
nurse include?
A. "You can drive while taking this medication."
B. "Avoid alcohol while taking this medication."
C. "This medication is not habit-forming."
D. "You should take the medication on an empty stomach."
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 client is prescribed ciprofloxacin for a urinary tract
infection. Which of the following should the nurse include in
the discharge teaching?
A. "Avoid taking antacids while taking this medication."
B. "Increase your intake of dairy products."
C. "You can stop the medication when symptoms improve."
D. "Take the medication on an empty stomach."
Answer: a) "Avoid taking antacids while taking this
medication."
Rationale: Antacids can interfere with the absorption of
ciprofloxacin, reducing its effectiveness.
3. A nurse is administering levodopa to a client with
Parkinson's disease. The nurse should monitor for which of
the following side effects?
A. Muscle rigidity
B. Orthostatic hypotension
C. Tachycardia
,D. Sedation
Answer: b) Orthostatic hypotension
Rationale: Levodopa can cause orthostatic hypotension, a
drop in blood pressure when moving from sitting or lying
down to standing.
4. 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.
D. Ensure the client understands the potential for sexual
dysfunction.
Answer: a) Monitor the client’s blood pressure for
hypotension.
Rationale: The first dose of an antihypertensive medication
can cause a significant drop in blood pressure, so the nurse
should closely monitor the client for hypotension.
5. A nurse is caring for a client receiving enalapril. Which of
the following should be monitored regularly?
A. Blood pressure
B. Blood glucose level
C. Respiratory rate
D. Serum calcium
Answer: a) Blood pressure
Rationale: Enalapril is an ACE inhibitor, primarily used for
hypertension management. Blood pressure should be
closely monitored to ensure the medication is effective.
, 6. A nurse is caring for a client who is prescribed lithium for
bipolar disorder. The nurse should monitor for signs of
toxicity, which include:
A. Fine hand tremors and polyuria
B. Fine hand tremors and increased appetite
C. Fine hand tremors and weight loss
D. Fine hand tremors and lethargy
Answer: a) Fine hand tremors and polyuria
Rationale: Fine hand tremors and polyuria are early signs of
lithium toxicity. The nurse should monitor serum lithium
levels to prevent toxicity.
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 teaching a client about the use of lorazepam
for anxiety. Which of the following instructions should the
nurse include?
A. "You can drive while taking this medication."
B. "Avoid alcohol while taking this medication."
C. "This medication is not habit-forming."
D. "You should take the medication on an empty stomach."
