with Correct Answers
A bladder irrigation is prescribed for a client who has an occluded indwelling urinary
catheter. Which of the following actions should the nurse take when unsure of how to
perform the procedure?
A. Refuse to perform and notify the provider
B. Refer to the policy and procedure manual
C. Instill solution slowly and observe for signs of pain
D. Delay irrigation and inform next nurse assigned - ANSWERSB. Refer to the policy
and procedure manual
A charge nurse reviews abbreviations used in client documentation. Which of the
following is an approved entry?
A. Enoxaparin 30mg SC BID
B. Zolpidem 5.0mg PO qhs
C. Digoxin .125mg IV q 24 h
D. Furosemide 60mg PO daily - ANSWERSD. Furosemide 60mg PO daily
A client arrives to the emergency department and reports a headache, neck stiffness,
and sensitivity to light. Which of the following is the priority nursing action?
A. Notify recent contacts
B. Administer acetaminophen
C. Implement droplet precautions
D. Decrease environmental stimuli - ANSWERSC. Implement droplet precautions
A client has a new diagnosis of stage IV lung cancer. When the partner requests the
diagnosis be withheld from the client, which of the following actions should the nurse
take?
A. Withhold the diagnosis from the client
B. Contact the institutions ethics committee
C. Document the request in the medical record
D. Request additional information from the partner - ANSWERSD. Request additional
information from the partner
A client has a ocumented allergy to sulfamethoxazole trimethoprim. The nurse should
question the prescription for which of the following medications?
A. Glipizide
B. Sertraline
C. Amoxicillin
D. Loratadine - ANSWERSA. Glipizide
, A client is prescribed acetaminophen 650mg PO q4hrs PRN. Which of the following
findings should alert the nurse to question this prescription?
A. Manual BP 145/86
B. Reports drinking six beers daily
C. Oral Temp of 37 C (98.6 F)
D. Smokes two packs of cigarettes weekly - ANSWERSB. Reports drinking six beers
daily
(d/t liver)
A client is prescribed alendronate tablets. Which of the following information should the
nurse include in the teaching?
A. Take at mealtime with 60mL of water
B. Sit upright for 30 min after administration
C. Increase the amount of vitamin D in your diet
D. Wear sunglasses when exposed to outside sunlight - ANSWERSB. Sit upright for 30
min after administration
A client is prescribed clozapine. The nurse should monitor for which of the following
complications?
A. Dyslipidemia
B. Osteoporosis
C. Hypertension
D. Thrombocytopenia - ANSWERSA. Dyslipidemia
A client is prescribed sucralfate for treatment of a duodenal ulcer. The nurse recognizes
which of the following statements indicates effective teaching? SATA
A. Treatment will be competed in 2 weeks
B. I should drink 1500mL of water each day
C. Exercise should be limited during treatment
D. This will turn into a paste and cover the ulcer
E. My diet will include more fruits and veggies
F. The medication will be taken 1 hour before meals - ANSWERSB. I should drink
1500mL of water each day
D. This will turn into a paste and cover the ulcer
E. My diet will include more fruits and veggies
F. The medication will be taken 1 hour before meals
A client is to receive morphine 4mg IV bolus through an existing continuous infusion.
Identify the sequence of actions the nurse should follow when administering the
medication. Place steps in order.
A. inject medication
B. Withdraw syringe
C. Aspirate for blood return
D. Connect syringe to IV line
E. Clean port with antiseptic swab