COMPREHENSIVE ASSESSMENT
2023 FORM A AND B ACTUAL
EXAM 2025 LATEST NEWEST
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,A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the
following findings is an adverse effect of this medication?
A. Weight gain
B. Increased Blood Pressure
C. Hypoglycemia
D. Leg Cramps
D
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The
client refused breakfast and is complaining of nausea and weakness. Which of the following
actions should the nurse take first?
A. Check the client's vital signs
B. Request a dietitian consult
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic.
A
A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. Available
is digoxin 0.125mg/tab. How many tablets should the nurse administer? (Round to the nearest
whole number.)
Answer: 2 tablets
A nurse is reviewing the medication list for a client who has a new diagnosis of type 2
diabetes mellitus. The nurse should recognize which of the following medications can cause
glucose intolerance?
A. Cimetidine
B. Dextromethorphan
C. Prednisone
D. Atorvastatin
C
A nurse is preparing to administer heparin to a client. Which of the following actions should
the nurse plan to take?
A. Use a 22-gauge needle to inject the medication.
B. Use a 1 in needle to inject the medication.
, C. Inject the medication into the abdomen above the level of the iliac crest.
D. Massage the injection site after administration of the medication.
C
A nurse is preparing to administer dextromethorphan 30 mg PO. The amount available is
dextromethorphan oral liquid 7.5 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number.)
Answer: 20mL
A nurse is administering nasal decongestant drops for a client. Which of the following actions
should the nurse take?
A. Tell the client to blow her nose gently before the instillation.
B. Assist the client to a side-lying position
C. Hold the dropper 2 cm (1 in.) above the naris.
D. Instruct the client to stay in the same position for 2 min.
A
A nurse is preparing to administer diphenhydramine 50mg PO every 6 hrs. to a client who
has acute dystonia. Available is diphenhydramine 25mg tablets. How Many tablets should the
nurse Administer per dose? (Round to the nearest whole number)
Answer: 2 tablets
A nurse is preparing to administer warfarin to a client. Which of the following information
should the nurse recognize prior to administering the medication?
A. The antidote for warfarin is protamine.
B. The client's aPTT should be monitored.
C. The client should be observed for manifestations of hemorrhage.
D. Warfarin can be administered along with NSAIDS.
C
. A nurse is reviewing the medication list for a client who has a new diagnosis of a small
bowel obstruction. The nurse should withhold which of the following medications?
A. Senna
B. Ibuprofen
C. Omeprazole
D. Zolpidem
, A
A nurse is preparing to administer a rectal suppository to a client. In which of the following
positions should the nurse place the client for insertion of the suppository?
A. Sim's position
B. Prone position
C. Lying on the right side
D. Supine
A
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's
INR is 5.2. Which of the following medications should the nurse prepare to administer?
A. Epinephrine
B. Atropine
C. Protamine
D. Vitamin K
D
A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular
disease. Which of the following instructions should the nurse include in the teaching?
A. Take the tablets on an empty stomach.
B. Expect stools to turn black.
C. Anticipate the tablets to smell like vinegar
D. Monitor for tinnitus.
D
A nurse is teaching a class about pharmacodynamics. The nurse should include which of the
following medication levels occurs when a medication is at the lowest serum concentration?
A. Peak
B. Trough
C. Half-life
D. Toxic
B
. A nurse is caring for a client who receives furosemide to treat heart failure. Which of the
following laboratory values should the nurse monitor for this client due to this medication?