Questions & Answers
1. A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the
client for which of the following manifestations as an adverse effect of this medication? - ANS ✔
- Increased heart rate
2. A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The
nurse should instruct the client that which of the following is an expected outcome of this
medication? - ANS ✔ - Dilates bronchioles
3. A nurse is collecting data from the parent of a toddler who is about to receive the varicella
immunization. The nurse should identify that an anaphylactic reaction to which of the following
substances is a contraindication for receiving this immunization? - ANS ✔ - Gelatin
4. A nurse is reinforcing teaching with a client who has a new prescription for regular insulin.
Which of the following statements by the client indicates an understanding of the teaching? -
ANS ✔ - "I should ensure that the insulin is clear prior to drawing it up."
5. A client comes to an urgent care clinic and announces with great enthusiasm, "I am an expert at
all things medical as they apply to me, and I require zolpidem." The client's pupils are dilated,
along with an elevated heart rate and blood pressure level. The nurse should suspect
intoxication with which of the following substances? - ANS ✔ - Cocaine
6. A nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2
months to treat Graves' disease. Which of the following findings should the nurse recognize as
an indication that the medication is effective? - ANS ✔ - Pulse 82/min
7. A nurse is reinforcing teaching with a client who has seizures and a new prescription for valproic
acid. The nurse should instruct the client to report which of the following effects of valproic acid
to the provider immediately? - ANS ✔ - Abdominal pain
8. A nurse is reinforcing teaching with a client who has prescription for alendronate. Which of the
following client responses indicates to the nurse an understanding of the teaching? - ANS ✔ - "I
will take the medication with 8 ounces of water."
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, 9. A nurse is collecting data from a client who is postoperative and taking morphine for pan. Which
of the following findings is the priority for the nurse to report to the provider? - ANS ✔ - Oxygen
saturation 87%
10. A nurse is collecting data from a client who has Parkinson's disease and is taking
levodopa/carbidopa. The nurse should identify which of the following findings as an adverse
effect of this medication? - ANS ✔ - Dark urine
11. A nurse is assisting with the care of a client who has a methicillin-resistant Staphylococcus
aureus (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following
changes in the client's condition should the nurse identify as the priority finding to report to the
provider? - ANS ✔ - Hypotension
12. A nurse is contributing to the plan of care for a client who has schizophrenia and a new
prescription for clozapine. The nurse should include in the plan to monitor the client for which of
the following adverse effects of this medication? - ANS ✔ - Agranulocytosis
13. A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that
the client takes fluoxetine. The nurse should notify the provider that the combination of the
medications will place the client at risk for which of the following adverse effects? - ANS ✔ -
Tremors
14. A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure.
The nurse should identity which of the following findings as adverse effects of this medication?
(Select all that apply.) - ANS ✔ - Blurred vision, Nausea, Dysrhythmia
15. A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which
of the following findings should indicate to the nurse that the medication has had a therapeutic
effect? - ANS ✔ - Decreased T4
16. A nurse is reinforcing teaching about comfort measures with the parent of a 10-year-old child
who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated
because of the risk for which of the following conditions? - ANS ✔ - Reye Syndrome
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