WITH CORRECT ANSWERS GRADED A+ 2025.
1. A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical
insufficiency. Which of the following instructions should the nurse include? (select all that apply)
A. Obtain weight measurement daily.
B. Report weakness or palpitations.
C. Have blood pressure checked regularly.
D. Eat more iron-rich foods.
E. Avoid drinking grapefruit juice.
A, B, C
2. A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify
the need for additional precautions because the client also takes which of the following types of
drugs?
A. Oral contraceptives
B. Calcium supplements
C. Beta blockers
D. Iron supplements
C Beta blockers
3. A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify
which of the following findings as a contraindication for this drug?
, A. Bacterial skin infections
B. Diabetes insipidus
C. Immunosuppression
D. Recent myocardial infarction
D Recent myocardial infarction
4. A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports
muscle pain. Which of the following adverse reactions should the nurse suspect?
A. Lactic acidosis
B. Anticholinergic effects
C. Extrapyramidal effects
D. Hypophosphatemia
A Lactic acidosis
5. A nurse is caring for a client who is about to begin taking somatropin. The nurse should explain the
need to monitor which of the following laboratory values? (select all that apply)
A. Blood amylase
B. Creatinine clearance
C. Urine calcium
D. Blood glucose
E. CBC
C, D
6. A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2
diabetes mellitus. The client asks, "If I skip a meal, what should I do?" Which of the following
responses should the nurse make?
, A. Double the dose before the next meal.
B. Take half the dose.
C. Skip the dose.
D. Take the usual dose.
C Skip the dose.
7. When talking with a patient about taking sildenafil(Viagra) to treat erectile dysfunction, the health
care professional should include which of the following instructions?
A. Take the drug with a glass of grapefruit juice.
B. Do not take the drug with high-fat foods.
C. Increase intake of foods rich in vitamin K.
D. Avoid aged cheeses and red wine.
B. Do not take the drug with high-fat foods.
8. A health care professional is caring for a patient who is about to begin taking transdermal
conjugated estrogen and medroxyprogesterone(CombiPatch) to treat postmenopausal symptoms.
The health care professional should explain to the patient that the drug combination includes which
of the following therapeutic effects?
A. Reduces the risk of ovarian cancer
B. Relieves hot flashes
C. Prevents osteoporosis
D. Reduces the risk of breast cancer
E. Reduces the risk of thromboembolism
A, B, C
9. A primary care provider has prescribed a dinoprostone(Cervidil) vaginal insert to promote cervical
ripening in a patient who is at 40 weeks of gestation. When administering dinoprostone, which of
the following actions should the health care professional take?