VN 201 IN-HOUSE CLINICAL
MASTERY 2025: 6 HIGH-
FIDELITY OSCE SCENARIOS
WITH EVIDENCE-BASED
SOLUTIONS & NGN CLINICAL
JUDGMENT RATIONALES |
UPDATED FOR CURRENT TEST
BLUEPRINTS | GUARANTEED
CLINICAL COMPETENCY
Correct
Incorrect
, Brand Name: Iron Sulfate
Action: Replaces iron stores needed for red blood cell development
Use: Prevention and correction of iron deficiency
Side Effect: Nausea, constipation, epigastric pain, black and red tarry stools, vomiting, diarrhea
Adverse Effect: hemolytic anemia, cirrhosis, ulcerative colitis/regional enteritis
Nursing Consideration and Teaching: Monitor blood studies, Assess for toxicity,
Assess nutrition, Advise patient that iron will make stools black or dark green,
Caution patient to avoid reclining position for 15-30 min after taking product to avoidBrand
Name: Lasix
esophageal corrosion; to follow diet high in ironAction: Acts on the ascending loop of Henle in
the kidney, inhibiting
reabsorption of electrolytes sodium and chloride, causing excretion of sodium, calcium,
magnesium, chloride, water, and some potassium; decreases reabsorption of sodium
and chloride and increases excretion of potassium in the distal tubule of the kidney
Use: Pulmonary edema, edema in CHF, hepatic disease, hypertension
Side effect: Headache, fatigue, weakness, vertigo, paresthesias
Adverse effect: chest pain, ECG changes, circulatory collapse
Nursing Consideration and teaching: Assess patient for tinnitus, Assess fluid volume
status, Instruct the patient to take with food or milk, Teach patient to take and record
own B/P and pulse.
MASTERY 2025: 6 HIGH-
FIDELITY OSCE SCENARIOS
WITH EVIDENCE-BASED
SOLUTIONS & NGN CLINICAL
JUDGMENT RATIONALES |
UPDATED FOR CURRENT TEST
BLUEPRINTS | GUARANTEED
CLINICAL COMPETENCY
Correct
Incorrect
, Brand Name: Iron Sulfate
Action: Replaces iron stores needed for red blood cell development
Use: Prevention and correction of iron deficiency
Side Effect: Nausea, constipation, epigastric pain, black and red tarry stools, vomiting, diarrhea
Adverse Effect: hemolytic anemia, cirrhosis, ulcerative colitis/regional enteritis
Nursing Consideration and Teaching: Monitor blood studies, Assess for toxicity,
Assess nutrition, Advise patient that iron will make stools black or dark green,
Caution patient to avoid reclining position for 15-30 min after taking product to avoidBrand
Name: Lasix
esophageal corrosion; to follow diet high in ironAction: Acts on the ascending loop of Henle in
the kidney, inhibiting
reabsorption of electrolytes sodium and chloride, causing excretion of sodium, calcium,
magnesium, chloride, water, and some potassium; decreases reabsorption of sodium
and chloride and increases excretion of potassium in the distal tubule of the kidney
Use: Pulmonary edema, edema in CHF, hepatic disease, hypertension
Side effect: Headache, fatigue, weakness, vertigo, paresthesias
Adverse effect: chest pain, ECG changes, circulatory collapse
Nursing Consideration and teaching: Assess patient for tinnitus, Assess fluid volume
status, Instruct the patient to take with food or milk, Teach patient to take and record
own B/P and pulse.
