1
NURS 5432 Final Exam Test Bank EXAM
NURS 5432 Final Exam Test Bank EXAM 1 2026
WITH COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A 43-year-old female client is prescribed thyroid replacement hormone following a
thyroidectomy. Which adverse effects should the nurse instruct the client to report
immediately to the healthcare provider?
Tinnitus and dizziness.
Tachycardia and chest pain. Correct
Dry skin and intolerance to cold.
Weight gain and increased appetite.
, 2
NURS 5432 Final Exam Test Bank EXAM
Thyroid replacement hormone increases the metabolic rate of all tissues. Common signs and
symptoms of toxicity include tachycardia and chest pain and should be reported to the
healthcare provider immediately.
A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose.
Which action should the nurse perform to alleviate this side effect?
Change the time of the dose.
Hold the 9 p.m. dose.
Administer the dose with a snack. Correct
Offer an antiemetic with the dose.
Administering oral doses of albuterol with food helps minimize gastrointestinal discomfort
such as nausea.
A peak and trough level is prescribed for a client receiving antibiotic therapy. When should
the nurse should obtain the trough level?
Sixty minutes after the antibiotic dose is administered.
Immediately before the next antibiotic dose is given. Correct
Upon completion of the prescribed antibiotic regime.
An hour before the next antibiotic dose is given.
Trough levels are drawn when the blood level is at its lowest, which is typically just before
the next dose is given.
, 3
NURS 5432 Final Exam Test Bank EXAM
A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse should
instruct the client to notify the healthcare provider immediately if which symptom occurs?
Rash. Correct
Nausea.
Headache.
Dizziness.
Rash is the most common adverse effect of all penicillins, indicating an allergy to the
medication that could result in anaphylactic shock, a medical emergency.
While taking a medical history, the client states, "I am allergic to penicillin." What related
allergy to another type of antiinfective agent should the nurse ask the client about when
taking the nursing history?
Aminoglycosides.
Cephalosporins. Correct
Sulfonamides.
Tetracyclines.
According to research, there appears to be a cross sensitivity between penicillins and first
generation cephalosporins; however, research shows there is no evidence of cross
sensitivity between PCN and third or fourth generation cephalosporins.
A client receives a new prescription for sustained release levodopa/carbidopa PO BID for the
treatment of Parkinson's disease. The client's previous prescription was levodopa PO TID.
The client's last dose of levodopa was at 0800 hr. Which set of instructions should the nurse
give to the client?
"Take the first dose of levodopa/carbidopa today, as soon as your prescription is filled."
, 4
NURS 5432 Final Exam Test Bank EXAM
"Since you already took your levodopa, wait until tomorrow to take the
levodopa/carbidopa."
"Take both drugs for the first week, then switch to taking only the levodopa/carbidopa."
"You can begin taking the levodopa/carbidopa this evening, but do not take any more
levodopa." Correct
Carbidopa combined with the levodopa significantly reduces the need for levodopa in clients
with Parkinson's disease, so the new prescription should not be started until eight hours
after the previous dose of levodopa, but can be started the same day.
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The
nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is
the expected outcome for this client following administration of this pharmacologic agent?
Progressive difficulty with swallowing.
Decreased respiratory effort.
Improvement in generalized fatigue.
Decreased muscle weakness. Correct
Administration of edrophonium chloride (Tensilon), a cholinergic agent, will temporarily
reduce muscle weakness, the most common complaint of newly-diagnosed clients with
myasthenia gravis. This medication is used to diagnose myasthenia gravis due to its short
duration of action. This drug would temporarily reverse difficulty in swallowing and
respiratory effort.
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room.
Which assessment data would indicate that the naloxone has been effective?
A client's statement that the chest pain is better.
Respiratory rate is 16 breaths/minute. Correct
NURS 5432 Final Exam Test Bank EXAM
NURS 5432 Final Exam Test Bank EXAM 1 2026
WITH COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A 43-year-old female client is prescribed thyroid replacement hormone following a
thyroidectomy. Which adverse effects should the nurse instruct the client to report
immediately to the healthcare provider?
Tinnitus and dizziness.
Tachycardia and chest pain. Correct
Dry skin and intolerance to cold.
Weight gain and increased appetite.
, 2
NURS 5432 Final Exam Test Bank EXAM
Thyroid replacement hormone increases the metabolic rate of all tissues. Common signs and
symptoms of toxicity include tachycardia and chest pain and should be reported to the
healthcare provider immediately.
A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose.
Which action should the nurse perform to alleviate this side effect?
Change the time of the dose.
Hold the 9 p.m. dose.
Administer the dose with a snack. Correct
Offer an antiemetic with the dose.
Administering oral doses of albuterol with food helps minimize gastrointestinal discomfort
such as nausea.
A peak and trough level is prescribed for a client receiving antibiotic therapy. When should
the nurse should obtain the trough level?
Sixty minutes after the antibiotic dose is administered.
Immediately before the next antibiotic dose is given. Correct
Upon completion of the prescribed antibiotic regime.
An hour before the next antibiotic dose is given.
Trough levels are drawn when the blood level is at its lowest, which is typically just before
the next dose is given.
, 3
NURS 5432 Final Exam Test Bank EXAM
A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse should
instruct the client to notify the healthcare provider immediately if which symptom occurs?
Rash. Correct
Nausea.
Headache.
Dizziness.
Rash is the most common adverse effect of all penicillins, indicating an allergy to the
medication that could result in anaphylactic shock, a medical emergency.
While taking a medical history, the client states, "I am allergic to penicillin." What related
allergy to another type of antiinfective agent should the nurse ask the client about when
taking the nursing history?
Aminoglycosides.
Cephalosporins. Correct
Sulfonamides.
Tetracyclines.
According to research, there appears to be a cross sensitivity between penicillins and first
generation cephalosporins; however, research shows there is no evidence of cross
sensitivity between PCN and third or fourth generation cephalosporins.
A client receives a new prescription for sustained release levodopa/carbidopa PO BID for the
treatment of Parkinson's disease. The client's previous prescription was levodopa PO TID.
The client's last dose of levodopa was at 0800 hr. Which set of instructions should the nurse
give to the client?
"Take the first dose of levodopa/carbidopa today, as soon as your prescription is filled."
, 4
NURS 5432 Final Exam Test Bank EXAM
"Since you already took your levodopa, wait until tomorrow to take the
levodopa/carbidopa."
"Take both drugs for the first week, then switch to taking only the levodopa/carbidopa."
"You can begin taking the levodopa/carbidopa this evening, but do not take any more
levodopa." Correct
Carbidopa combined with the levodopa significantly reduces the need for levodopa in clients
with Parkinson's disease, so the new prescription should not be started until eight hours
after the previous dose of levodopa, but can be started the same day.
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The
nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is
the expected outcome for this client following administration of this pharmacologic agent?
Progressive difficulty with swallowing.
Decreased respiratory effort.
Improvement in generalized fatigue.
Decreased muscle weakness. Correct
Administration of edrophonium chloride (Tensilon), a cholinergic agent, will temporarily
reduce muscle weakness, the most common complaint of newly-diagnosed clients with
myasthenia gravis. This medication is used to diagnose myasthenia gravis due to its short
duration of action. This drug would temporarily reverse difficulty in swallowing and
respiratory effort.
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room.
Which assessment data would indicate that the naloxone has been effective?
A client's statement that the chest pain is better.
Respiratory rate is 16 breaths/minute. Correct
