1. 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.
2. A nurse is providing discharge teaching to a client who is
prescribed prednisone for an autoimmune disorder. Which
of the following statements by the client indicates the need
for further teaching?
A. "I should avoid large crowds to prevent infection."
B. "I need to gradually taper off the medication."
C. "I will take the medication with food to reduce stomach
irritation."
D. "I can stop the medication as soon as I feel better."
Answer: d) "I can stop the medication as soon as I feel
better."
Rationale: Prednisone is a corticosteroid that must not be
stopped abruptly. It should be tapered gradually to prevent
adrenal insufficiency.
,3. 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.
4. 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.
5. A nurse is caring for a client receiving a blood
transfusion. The nurse should monitor the client for which of
the following signs of an allergic reaction?
A. Tachycardia
B. Fever and chills
C. Rash and itching
D. Cyanosis
Answer: c) Rash and itching
Rationale: Rash and itching are common signs of an allergic
, reaction to a blood transfusion. The nurse should stop the
transfusion and notify the provider if these symptoms occur.
6. 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.
7. 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.
8. A nurse is caring for a client who is taking
hydrochlorothiazide. The nurse should monitor the client for
which of the following electrolyte imbalances?
A. Hyperkalemia
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.
2. A nurse is providing discharge teaching to a client who is
prescribed prednisone for an autoimmune disorder. Which
of the following statements by the client indicates the need
for further teaching?
A. "I should avoid large crowds to prevent infection."
B. "I need to gradually taper off the medication."
C. "I will take the medication with food to reduce stomach
irritation."
D. "I can stop the medication as soon as I feel better."
Answer: d) "I can stop the medication as soon as I feel
better."
Rationale: Prednisone is a corticosteroid that must not be
stopped abruptly. It should be tapered gradually to prevent
adrenal insufficiency.
,3. 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.
4. 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.
5. A nurse is caring for a client receiving a blood
transfusion. The nurse should monitor the client for which of
the following signs of an allergic reaction?
A. Tachycardia
B. Fever and chills
C. Rash and itching
D. Cyanosis
Answer: c) Rash and itching
Rationale: Rash and itching are common signs of an allergic
, reaction to a blood transfusion. The nurse should stop the
transfusion and notify the provider if these symptoms occur.
6. 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.
7. 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.
8. A nurse is caring for a client who is taking
hydrochlorothiazide. The nurse should monitor the client for
which of the following electrolyte imbalances?
A. Hyperkalemia
