2025/2026 Actual Complete Real Exam Questions And Correct
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A nurse is collecting data about herbal supplement use from a
client who has a
new prescription for fluoxetine. The nurse should identify
that which of the
following supplements is contraindicated with
this medication?
St. John's Wort
Saw Palmetto
Echinacea
Ginkgo biloba - ANSWER-ST. JOHN'S WORT.
Rationale: The nurse should instruct the client to avoid taking
St. John's Wort with SSRI's such as fluoxetine because this can
increase the risk for serotonin syndrome. Manifestations of
serotonin syndrome can include hallucinations, tachycardia,
and vomiting.
A nurse is preparing to administer ampicillin 100mg/kg/day PO
every 6 hrs to a toddler who weighs 22 lb. Available is
ampicillin oral suspension 125mg/5mL. How many mL should
,the nurse administer per dose? ( Round answer to nearest
whole number.) - ANSWER-10 mL/dose.
Rationale: Convert toddlers weight from lbs to kg.
(1kg=2.2 lbs.)
(toddlers weight) 22 lbs./2.2 =
10 kg.
100mg x 10kg/day= 1000mg/day
every 6 hrs
1000mg/125mg x5ml= 40ml
per day
40ml /4 doses (every 6 hrs) = 10ml
per dose
A nurse is preparing to reinforce teaching with a newly licensed
nurse about physiologic changes in older adult clients that can
alter pharmacokinetics. Which of the following should the
nurse include as an age-related change?
Decreased absorption of oral medications.
Decreased kidney function
Increased gastrointestinal motility
Increased hepatic enzyme function - ANSWER-DECREASED
KIDNEY FUNCTION.
Rationale: An older adult client can experience decreased
kidney function, t
, which can lead to medication toxicity. Therefore, an older
adult client migh
require a reduced dosage of medication to decrease the risk for
adverse effects.
A nurse is reinforcing discharge teaching with a client who has
a new prescription for warfarin. The nurse should instruct the
client that which of the following medications is
contraindicated with warfarin therapy?
Cimetidine
Guaifenesin
Diphenhydramine
Magnesium hydroxide - ANSWER-CIMETIDINE.
Rationale: Cimetidine can increase the anticoagulant effects of
warfarin by inhibiting certain liver enzymes an is therefore
contraindicated. The nurse should instruct the client to contact
the provider before taking any medications or herbal
supplements to reduce the risk for adverse effects.
A nurse is reinforcing teaching with a client who has Type 1
Diabetes Mellitus
about the use of over-the-counter supplements. The nurse
should include in the
teaching that which of the following supplements can cause
hypoglycemia?
Glucosamine