Question 1
After a seven day treatment with an IV antibiotic, the healthcare provider discharges a client
from the hospital and writes a prescription for an oral antibiotic. While providing discharge
instructions, the nurse notes that the dosage for the oral antibiotic is significantly higher
than the IV antibiotic. Which resource should the nurse use first in resolving the situation?
ANSWER
healthcare provider
Question 2
Client is a 64-year-old with a past medical history of heart failure. The client was admitted 3
weeks ago with dyspnea and weight gain. Upon discharge the client was referred to cardiac
rehabilitation. During which time the client's medication regimen was adjusted to reach
therapeutic levels. Came to the emergency department last night via ambulance with a
report of shortness of breath. Admitted to the medical surgical/telemetry unit for further
observation with current medications continued and laboratory specimens obtained.
Which action(s) should the nurse anticipate performing to manage digoxin toxicity? Select all
that apply.
ANSWER
Stop digoxin
monitor potassium levels
administer potassium supplements
administer digoxin immune tab
1
,Question 3
A client receives a prescription for allopurinol. Which information provided by the client
requires additional instruction by the nurse?
ANSWER
double the dose if a dose is missed
Question 4
which equipment should the nurse use to accurately measure a 2 mL dose of a viscous liquid
solution to be administered PO?
ANSWER
3ml syringe
Question 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which
statement provided by the client requires additional instruction by the nurse?
ANSWER
Decrease cigarette use to a pack per day
Question 6
Which action should the nurse implement to assess the effectiveness of amlodipine?
ANSWER
measure the client's blood pressure
Question 7
2
,A client who is taking an oral contraceptive receives a new prescription for erythromycin.
Which instruction should the nurse provide to the client?
ANSWER
Use an additional form of contraception.
Question 8
To prepare a client for the potential side effects of a newly prescribed medication, which
action should the nurse implement?
ANSWER
Assess the client for health alterations that may be impacted by the effects of the
medication.
Question 9
A postoperative client has three different prescriptions for PRN analgesics prescribed for
different levels of pain.The nurse inadvertently administers a dose that is not within the
prescribed parameters. Which action should the nurse take first?
ANSWER
Assess for side effects of the medication.
Question 10
A client has a prescription for heparin 1,000 units IV STAT. Several pre-filled syringes of low
molecular weight heparin are available in the client's medication drawer. Which action
should the nurse implement?
ANSWER
Advise the pharmacy of the need to deliver a vial of heparin to the nursing unit
immediately.
3
, Question 11
A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which
information should the nurse include in this client's medication teaching plan?
ANSWER
Avoid the use of alcohol
Question 12
A child who weighs 44 pounds with otitis media receives a prescription for azithromycin 10
mg/kg once, then 10 mg/kg daily for 4 days. The medication is available in a solution
containing 200 mg/5 mL. How many mL should the nurse administer on the first day of the
treatment regimen? (Enter numeric value only.)
ANSWER
5
Question 13
The nurse is teaching a client how to self-administer low-molecular-weight heparin
subcutaneously. Which instruction should the nurse include?
ANSWER
Inject in the abdominal area at least 2 inches (5.08 cm) from the umbilicus.
Question 14
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours
after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is
not working. Which action should the nurse take?
ANSWER
Explain that the medication is not given to prevent pain.
4
After a seven day treatment with an IV antibiotic, the healthcare provider discharges a client
from the hospital and writes a prescription for an oral antibiotic. While providing discharge
instructions, the nurse notes that the dosage for the oral antibiotic is significantly higher
than the IV antibiotic. Which resource should the nurse use first in resolving the situation?
ANSWER
healthcare provider
Question 2
Client is a 64-year-old with a past medical history of heart failure. The client was admitted 3
weeks ago with dyspnea and weight gain. Upon discharge the client was referred to cardiac
rehabilitation. During which time the client's medication regimen was adjusted to reach
therapeutic levels. Came to the emergency department last night via ambulance with a
report of shortness of breath. Admitted to the medical surgical/telemetry unit for further
observation with current medications continued and laboratory specimens obtained.
Which action(s) should the nurse anticipate performing to manage digoxin toxicity? Select all
that apply.
ANSWER
Stop digoxin
monitor potassium levels
administer potassium supplements
administer digoxin immune tab
1
,Question 3
A client receives a prescription for allopurinol. Which information provided by the client
requires additional instruction by the nurse?
ANSWER
double the dose if a dose is missed
Question 4
which equipment should the nurse use to accurately measure a 2 mL dose of a viscous liquid
solution to be administered PO?
ANSWER
3ml syringe
Question 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which
statement provided by the client requires additional instruction by the nurse?
ANSWER
Decrease cigarette use to a pack per day
Question 6
Which action should the nurse implement to assess the effectiveness of amlodipine?
ANSWER
measure the client's blood pressure
Question 7
2
,A client who is taking an oral contraceptive receives a new prescription for erythromycin.
Which instruction should the nurse provide to the client?
ANSWER
Use an additional form of contraception.
Question 8
To prepare a client for the potential side effects of a newly prescribed medication, which
action should the nurse implement?
ANSWER
Assess the client for health alterations that may be impacted by the effects of the
medication.
Question 9
A postoperative client has three different prescriptions for PRN analgesics prescribed for
different levels of pain.The nurse inadvertently administers a dose that is not within the
prescribed parameters. Which action should the nurse take first?
ANSWER
Assess for side effects of the medication.
Question 10
A client has a prescription for heparin 1,000 units IV STAT. Several pre-filled syringes of low
molecular weight heparin are available in the client's medication drawer. Which action
should the nurse implement?
ANSWER
Advise the pharmacy of the need to deliver a vial of heparin to the nursing unit
immediately.
3
, Question 11
A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which
information should the nurse include in this client's medication teaching plan?
ANSWER
Avoid the use of alcohol
Question 12
A child who weighs 44 pounds with otitis media receives a prescription for azithromycin 10
mg/kg once, then 10 mg/kg daily for 4 days. The medication is available in a solution
containing 200 mg/5 mL. How many mL should the nurse administer on the first day of the
treatment regimen? (Enter numeric value only.)
ANSWER
5
Question 13
The nurse is teaching a client how to self-administer low-molecular-weight heparin
subcutaneously. Which instruction should the nurse include?
ANSWER
Inject in the abdominal area at least 2 inches (5.08 cm) from the umbilicus.
Question 14
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours
after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is
not working. Which action should the nurse take?
ANSWER
Explain that the medication is not given to prevent pain.
4
