Exam 1 Medical surgical (chapter 1,2,6,7,8)
Questions with Multiple Choices and
Verified Answers
A nurse working in an emergency dept. Is caring for a client who has
benzodiazepine toxicity due to an overdose. Which actions is the nurses
priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage - CORRECT ANSWERS B- identify the
clients level of orientation
A nurse is teaching a client who has a new prescription for escitalopram for
treatment of generalized anxiety disorder. Which of the following statements by
the client indicates understanding of the teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- I need to discontinue this med slowly?
D- i should not crush this med before swallowing - CORRECT ANSWERS C- i
need to discontinue this med slowly?
A nurse is providing teaching to a client who has a new prescription for
buspirone to treat anxiety. Which info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency - CORRECT ANSWERS D- this med
has a low risk for dependency
A nurse is teaching a client who has obsessive compulsive disorder and has a
new prescription for paroxetine. Which of the following instructions should the
nurse include?
A. It can take several weeks before you feel like the medication is helping
B. Take the medication just before bedtime to promote sleep
C. you should take the medication when needed for obsessive urges
D. Monitor for weight gain while taking this medication - CORRECT ANSWERS
A. It can take several weeks before you feel like the medication is helping
,A nurse is caring for a client who takes peroxidation to treat post dramatic
stress disorder he reports that he grinds his teeth during the night the nurse
should identify which of the following interventions to manage bruxism (select
all that apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine - CORRECT ANSWERS A,C,D
A nurse is providing instructions to a client has been experiencing insomnia
and has a new prescription for to Maza Pam the nurse should inform the client
that which of the following manifestations are adverse affects (select all apply )
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep driving
E. Amnesia - CORRECT ANSWERS A,D,E
A nurse is caring for a client who is receiving moderate sedation with diazepam
IV the client is oversedated which of the following medications should the
nurse anticipate administering to this client
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine - CORRECT ANSWERS C. Flumazenil
A nurse is teaching a client who has a new prescription for remelton. The nurse
should instruct the client to avoid which of the following foods while taking this
medication
A. Baked potato
B. Fried chicken
C. Whole grain bread
D. Citrus fruits - CORRECT ANSWERS B
A nurse is caring for a client who is admitted to undergo a surgical procedure
which of the following pre-existing conditions can be a contraindication for the
use of ketamine as an intravenous anesthetic
A. Peptic ulcer disease
B. Breast cancer
C. Diabetes mellitus
D. Schizophrenia - CORRECT ANSWERS D
A nurse is providing instructions to a female client who has a new prescription
for zolpidem, what instructions should the nurse include
A. Notify the provider if you plan to become pregnant
, B. Take the medication one hour before you plan to go to sleep
C. Allow at least six hours for sleep when taking zolpidem
D. To increase the effectiveness of zolpidem take it with a bedtime snack -
CORRECT ANSWERS A
A nurse is assessing a client who has salicylism which of the following findings
should the nurse expect (select all apply )
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache - CORRECT ANSWERS A,D,E
A nurse is admitting a toddler to the hospital after and acetaminophen overdose
which of the following medications should the nurse anticipate administering
to this client
A. Acetylcysteine
B. Pegfilgrastim
C. Misoprostol
D. Naltrexone - CORRECT ANSWERS A
A nurse is teaching a client about a new prescription for celecoxib which of the
following information should she include in the teaching
A. Increases the risk for a myocardial in farction
B. Decreases the risk of stroke
C. Inhibits COX-1
D. Increases platelet aggregation - CORRECT ANSWERS A
A nurses taking history for a client who reports that he is taking aspirin about
four times daily for a sprained wrist which of the following prescribe
medications taken for the client is contra indicated with aspirin
A. Digoxin
B. metformim
C. warfarin
D. nitroglycerin - CORRECT ANSWERS C
nurses in an emergency department performing admission assessment for a
client who has severe aspirin toxicity which of the following findings should
she expect
A. Body temperature 35°C 95 Fahrenheit
B. lung crackles
C. cool dry skin
D. respiratory depression - CORRECT ANSWERS D
nurse is preparing to administer an opioid agonist to a client who has acute pain
which of the following complications should the nurse monitor
Questions with Multiple Choices and
Verified Answers
A nurse working in an emergency dept. Is caring for a client who has
benzodiazepine toxicity due to an overdose. Which actions is the nurses
priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage - CORRECT ANSWERS B- identify the
clients level of orientation
A nurse is teaching a client who has a new prescription for escitalopram for
treatment of generalized anxiety disorder. Which of the following statements by
the client indicates understanding of the teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- I need to discontinue this med slowly?
D- i should not crush this med before swallowing - CORRECT ANSWERS C- i
need to discontinue this med slowly?
A nurse is providing teaching to a client who has a new prescription for
buspirone to treat anxiety. Which info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency - CORRECT ANSWERS D- this med
has a low risk for dependency
A nurse is teaching a client who has obsessive compulsive disorder and has a
new prescription for paroxetine. Which of the following instructions should the
nurse include?
A. It can take several weeks before you feel like the medication is helping
B. Take the medication just before bedtime to promote sleep
C. you should take the medication when needed for obsessive urges
D. Monitor for weight gain while taking this medication - CORRECT ANSWERS
A. It can take several weeks before you feel like the medication is helping
,A nurse is caring for a client who takes peroxidation to treat post dramatic
stress disorder he reports that he grinds his teeth during the night the nurse
should identify which of the following interventions to manage bruxism (select
all that apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine - CORRECT ANSWERS A,C,D
A nurse is providing instructions to a client has been experiencing insomnia
and has a new prescription for to Maza Pam the nurse should inform the client
that which of the following manifestations are adverse affects (select all apply )
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep driving
E. Amnesia - CORRECT ANSWERS A,D,E
A nurse is caring for a client who is receiving moderate sedation with diazepam
IV the client is oversedated which of the following medications should the
nurse anticipate administering to this client
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine - CORRECT ANSWERS C. Flumazenil
A nurse is teaching a client who has a new prescription for remelton. The nurse
should instruct the client to avoid which of the following foods while taking this
medication
A. Baked potato
B. Fried chicken
C. Whole grain bread
D. Citrus fruits - CORRECT ANSWERS B
A nurse is caring for a client who is admitted to undergo a surgical procedure
which of the following pre-existing conditions can be a contraindication for the
use of ketamine as an intravenous anesthetic
A. Peptic ulcer disease
B. Breast cancer
C. Diabetes mellitus
D. Schizophrenia - CORRECT ANSWERS D
A nurse is providing instructions to a female client who has a new prescription
for zolpidem, what instructions should the nurse include
A. Notify the provider if you plan to become pregnant
, B. Take the medication one hour before you plan to go to sleep
C. Allow at least six hours for sleep when taking zolpidem
D. To increase the effectiveness of zolpidem take it with a bedtime snack -
CORRECT ANSWERS A
A nurse is assessing a client who has salicylism which of the following findings
should the nurse expect (select all apply )
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache - CORRECT ANSWERS A,D,E
A nurse is admitting a toddler to the hospital after and acetaminophen overdose
which of the following medications should the nurse anticipate administering
to this client
A. Acetylcysteine
B. Pegfilgrastim
C. Misoprostol
D. Naltrexone - CORRECT ANSWERS A
A nurse is teaching a client about a new prescription for celecoxib which of the
following information should she include in the teaching
A. Increases the risk for a myocardial in farction
B. Decreases the risk of stroke
C. Inhibits COX-1
D. Increases platelet aggregation - CORRECT ANSWERS A
A nurses taking history for a client who reports that he is taking aspirin about
four times daily for a sprained wrist which of the following prescribe
medications taken for the client is contra indicated with aspirin
A. Digoxin
B. metformim
C. warfarin
D. nitroglycerin - CORRECT ANSWERS C
nurses in an emergency department performing admission assessment for a
client who has severe aspirin toxicity which of the following findings should
she expect
A. Body temperature 35°C 95 Fahrenheit
B. lung crackles
C. cool dry skin
D. respiratory depression - CORRECT ANSWERS D
nurse is preparing to administer an opioid agonist to a client who has acute pain
which of the following complications should the nurse monitor
