N316b Midterm 1 ANS, Respiratory,
Cardiology, Analgesics, & Neuro Questions
With Complete Solutions
1) A client develops a deep vein thrombophlebitis
in her leg 3 weeks after giving birth and is
admitted for anticoagulant therapy. The nurse
would anticipate developing a teaching plan for
which anticoagulant?
A. Heparin
B. Warfarin
C. Clopidogrel
D. Enoxaparin Correct Answers A. Heparin
1) A client has been given a prescription for
furosemide 40 mg every day in conjunction with
digoxin. Which concern would prompt the nurse to
ask the health care provider about potassium
supplements?
A. Digoxin causes significant potassium depletion.
B. The liver destroys potassium as digoxin is
detoxified.
C. Lasix requires adequate serum potassium to
promote diuresis.
D. Digoxin toxicity occurs rapidly in the presence of
hypokalemia. Correct Answers D. Digoxin toxicity
occurs rapidly in the presence of hypokalemia.
,1) A client has been taking alprazolam for three
days. For which expected effect of the medication
should the nurse evaluate the client?
A. The client reports sleeping through the night.
B. The client reports feeling less depressed.
C. The client denies having auditory hallucinations.
D. The client denies having suicide ideation.
Correct Answers A. The client reports sleeping
through the night.
1) A client receives intrathecal morphine to control
severe postoperative pain. Which action will the
nurse include as part of the client's initial 24-hour
postoperative care plan?
A. Monitoring of respiratory rate hourly
B. Assessing the client for tachycardia
C. Administering naloxone every 3 to 4 hours
D. Observing the client for signs of central nervous
system (CNS) excitement Correct Answers A.
Monitoring of respiratory rate hourly
1) A client who has been diagnosed with Raynaud's
disease and hypertension is prescribed nifedipine.
For which side effect should the nurse monitor the
client?
A. Cyanosis of the lips
B. Decreased urine output
C. Increased pain in fingers
D. Facial flushing Correct Answers D. Facial
flushing
,1) A client who has been taking the prescribed
dose of zolpidem for 5 days returns to the clinic for
a follow-up visit. Which statement by the client
indicates the medication has been effective?
A. "I have less pain."
B. "I have been sleeping better."
C. "My blood glucose is under control."
D. "My blood pressure is coming down." Correct
Answers B. "I have been sleeping better."
1) A client who has been taking the prescribed
dose of zolpidem for 5 days returns to the clinic for
a follow-up visit. Which statement by the client
indicates the medication has been effective?
A. "I have less pain."
B. "I have been sleeping better."
C. "My blood glucose is under control."
D. "My blood pressure is coming down." Correct
Answers B. "I have been sleeping better."
1) A client who is receiving medication for an eye
disorder reports bleeding in the eye. Which
medication will the nurse expect to find in the
client's recent medication history?
A. Ketorolac
B. Trifluridine
C. Natamycin
D. Ciprofloxacin Correct Answers A. Ketorolac
, 1) A client with a history of osteoporosis and
vertebral compression has been coming to the
clinic more frequently for prescription refills of
hydrocodone/acetaminophen. Which inference will
the nurse make?
A. The half-life of the medication has decreased.
B. An idiosyncratic reaction has occurred.
C. Higher doses are needed to achieve pain relief.
D. An emotional dependence on the medication
has developed. Correct Answers C. Higher doses
are needed to achieve pain relief.
1) A client with heart failure is prescribed
spironolactone (Aldactone). Which information is
most important for the nurse to provide to the
client about diet modifications?
A. Do not add salt to foods during preparation.
B. Refrain for eating foods high in potassium.
C. Restrict fluid intake to 1000 ml per day.
D. Increase intake of milk and milk products.
Correct Answers B. Refrain for eating foods high in
potassium.
1) A nurse is evaluating a client who takes
naproxen for pain associated with osteoarthritis.
Which documented statement indicates the
expected outcome was met?
A. Decreased erythema noted to joints
B. Muscle strength 3/5 to lower extremities
Cardiology, Analgesics, & Neuro Questions
With Complete Solutions
1) A client develops a deep vein thrombophlebitis
in her leg 3 weeks after giving birth and is
admitted for anticoagulant therapy. The nurse
would anticipate developing a teaching plan for
which anticoagulant?
A. Heparin
B. Warfarin
C. Clopidogrel
D. Enoxaparin Correct Answers A. Heparin
1) A client has been given a prescription for
furosemide 40 mg every day in conjunction with
digoxin. Which concern would prompt the nurse to
ask the health care provider about potassium
supplements?
A. Digoxin causes significant potassium depletion.
B. The liver destroys potassium as digoxin is
detoxified.
C. Lasix requires adequate serum potassium to
promote diuresis.
D. Digoxin toxicity occurs rapidly in the presence of
hypokalemia. Correct Answers D. Digoxin toxicity
occurs rapidly in the presence of hypokalemia.
,1) A client has been taking alprazolam for three
days. For which expected effect of the medication
should the nurse evaluate the client?
A. The client reports sleeping through the night.
B. The client reports feeling less depressed.
C. The client denies having auditory hallucinations.
D. The client denies having suicide ideation.
Correct Answers A. The client reports sleeping
through the night.
1) A client receives intrathecal morphine to control
severe postoperative pain. Which action will the
nurse include as part of the client's initial 24-hour
postoperative care plan?
A. Monitoring of respiratory rate hourly
B. Assessing the client for tachycardia
C. Administering naloxone every 3 to 4 hours
D. Observing the client for signs of central nervous
system (CNS) excitement Correct Answers A.
Monitoring of respiratory rate hourly
1) A client who has been diagnosed with Raynaud's
disease and hypertension is prescribed nifedipine.
For which side effect should the nurse monitor the
client?
A. Cyanosis of the lips
B. Decreased urine output
C. Increased pain in fingers
D. Facial flushing Correct Answers D. Facial
flushing
,1) A client who has been taking the prescribed
dose of zolpidem for 5 days returns to the clinic for
a follow-up visit. Which statement by the client
indicates the medication has been effective?
A. "I have less pain."
B. "I have been sleeping better."
C. "My blood glucose is under control."
D. "My blood pressure is coming down." Correct
Answers B. "I have been sleeping better."
1) A client who has been taking the prescribed
dose of zolpidem for 5 days returns to the clinic for
a follow-up visit. Which statement by the client
indicates the medication has been effective?
A. "I have less pain."
B. "I have been sleeping better."
C. "My blood glucose is under control."
D. "My blood pressure is coming down." Correct
Answers B. "I have been sleeping better."
1) A client who is receiving medication for an eye
disorder reports bleeding in the eye. Which
medication will the nurse expect to find in the
client's recent medication history?
A. Ketorolac
B. Trifluridine
C. Natamycin
D. Ciprofloxacin Correct Answers A. Ketorolac
, 1) A client with a history of osteoporosis and
vertebral compression has been coming to the
clinic more frequently for prescription refills of
hydrocodone/acetaminophen. Which inference will
the nurse make?
A. The half-life of the medication has decreased.
B. An idiosyncratic reaction has occurred.
C. Higher doses are needed to achieve pain relief.
D. An emotional dependence on the medication
has developed. Correct Answers C. Higher doses
are needed to achieve pain relief.
1) A client with heart failure is prescribed
spironolactone (Aldactone). Which information is
most important for the nurse to provide to the
client about diet modifications?
A. Do not add salt to foods during preparation.
B. Refrain for eating foods high in potassium.
C. Restrict fluid intake to 1000 ml per day.
D. Increase intake of milk and milk products.
Correct Answers B. Refrain for eating foods high in
potassium.
1) A nurse is evaluating a client who takes
naproxen for pain associated with osteoarthritis.
Which documented statement indicates the
expected outcome was met?
A. Decreased erythema noted to joints
B. Muscle strength 3/5 to lower extremities
