Question 1
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to
be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water
(DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr?
(Enter numerical value only.)
ANSWER
200
Question 2
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for
epoetin alfa two months ago. Which client finding best indicates that the medication is
effective?
Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
ANSWER
.
D. Hemoglobin level
1
,Question 3
The nurse administers naloxone to a client with opioid-induced respiratory depression. One
hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should
the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
ANSWER
A. Administer a second dose of naloxone.
Question 4
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong
iodine solution, for a client with hyperthyroidism. How should the nurse schedule the
administration of these medications?
A. Offer both drugs together with a meal.
B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
ANSWER
D. Administer iodine one hour before PTU.
Question 5
2
,The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is
taking carbidopa-levodopa. The client is concerned that the medication is not working.
Which intervention should the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
ANSWER
B. Explore what the client means by the drug "is not working."
Question 6
A client who is taking dextroamphetamine-amphetamine extended-release tablets for
attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at
night. Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
ANSWER
. Determine what time the dose is taken.
Question 7
A client receives a prescription for allopurinol. Which information provided by the client
requires additional instruction by the nurse?
3
, A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
ANSWER
D. Double the dose if a dose is missed.
Question 8
Which nursing intervention has priority when initiating a continuous epidural infusion with
an opioid analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
ANSWER
A. Apply a pulse oximeter to the client per protocol
Question 9
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
A. Serum protein levels.
B. Body mass index (BMI).
C. Daily calorie count.
4
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to
be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water
(DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr?
(Enter numerical value only.)
ANSWER
200
Question 2
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for
epoetin alfa two months ago. Which client finding best indicates that the medication is
effective?
Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
ANSWER
.
D. Hemoglobin level
1
,Question 3
The nurse administers naloxone to a client with opioid-induced respiratory depression. One
hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should
the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
ANSWER
A. Administer a second dose of naloxone.
Question 4
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong
iodine solution, for a client with hyperthyroidism. How should the nurse schedule the
administration of these medications?
A. Offer both drugs together with a meal.
B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
ANSWER
D. Administer iodine one hour before PTU.
Question 5
2
,The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is
taking carbidopa-levodopa. The client is concerned that the medication is not working.
Which intervention should the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
ANSWER
B. Explore what the client means by the drug "is not working."
Question 6
A client who is taking dextroamphetamine-amphetamine extended-release tablets for
attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at
night. Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
ANSWER
. Determine what time the dose is taken.
Question 7
A client receives a prescription for allopurinol. Which information provided by the client
requires additional instruction by the nurse?
3
, A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
ANSWER
D. Double the dose if a dose is missed.
Question 8
Which nursing intervention has priority when initiating a continuous epidural infusion with
an opioid analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
ANSWER
A. Apply a pulse oximeter to the client per protocol
Question 9
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
A. Serum protein levels.
B. Body mass index (BMI).
C. Daily calorie count.
4
