2025: ACTUAL QUESTIONS, ANSWERS, AND RATIONALES FOR
NURSING STUDENTS.
A client is prescribed propanolol. Which of the following client history findings
would require the nurse to clarify this medication prescription?
1) Asthma
2) Hypertension
3) Tachydysrhythmias
4) Urolithiasis - answer1) Asthma
Clients with asthma should avoid Beta2 Blockade agents such as propanolol.
Brochoconstriction can occur. Clients with asthma should be administered a beta1
selective agent
A nurse is caring for a client prescribed montelukast. Which of the following should
the nurse include in teaching related to this medication?
1) Advise client to take the medication once daily at bedtime
,2) This medication is for acute management of asthma
3) Avoid dairy products while taking this medication
4) If the client forgets to take the medication for a few days he can double up on
doses to catch up - answer1) Advise client to take the medication once daily at
bedtime
Clients should take montelukast once daily at bedtime
A 45-year-old client is taking methylprednisolone. What pharmacologic action
should the nurse expect with this therapy?
1) Suppression of beta2 receptors
2)Suppression of airway mucus production
3) Fortification of bones
4) Suppression of candidiasis - answer2) Suppression of airway mucus production
Corticosteroids, such as methylprenisolone will suppress airway mucus production
,A nurse has just administered a wrong medication to a client. Which of the following
actions should the nurse take next?
1) No action is needed
2) Report error to the provider
3) Complete an institutional incident report
4) Inform the client that the wrong medication was given - answer2) Report the
error to the provider
The nurse should acknowledge the error and report it to the provider for further
orders. The nurse should also monitor the client for adverse effects. The nurse should
also complete an incident report per institutional policy after notifying the health
care provider
A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the
following instructions should the nurse include in client education regarding taking
the first dose of this medication?
1) Change positions slowly and lie down if dizziness occurs
2) There is no need to avoid normal activities
, 3) Avoid dairy products while taking this medication
4) Do not eat green leafy vegetables - answer1) Change positions slowly and lie
down if dizziness occurs
First-dose orthostatic hypotension can occur with doxazosin. The nurse should instruct
clients to change position slowly and to lie down if feeling dizzy, lightheaded or
faint
A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia.
Which of the following instructions should be included in client teaching about this
medication?
1) Take the medication on an empty stomach to maximize absorption
2) Notify your provider if your stool becomes dark green
3) Decrease dietary fiber intake while taking this medication
4) Take prescribed antacids at the same time as this medication - answer1) Take
this medication on an empty stomach to maximize absorption