Nurs 5338 EXAM 09/30/2026
Nurs 5338 exam Mod 2 Pretest University Of Texas
- Arlington Questions and Revised Correct Answers
& Rationales () 100% Guarantee Pass|
Guarantee Pass with Detailed Rationales(2026) |
100% Verified |A+ Graded
JOYCEWWALES 1
, Nurs 5338 EXAM 09/30/2026
A 78-year-old client prescribed furosemide 40 mg PO twice daily is demonstrating EKG changes. Which condition
should the practical nurse suspect is causing these changes?
a. Hypokalemia
b. Hyperchloremia
c. Hypernatremia
d. Hypophosphatemia –
Correct Answer :a. Hypokalemia
Rationale:
Furosemide potentiates the excretion of potassium causing hypokalemia. Hyperchloremia, hypernatremia, and
hypophosphatemia are not related to furosemide administration.
At 1900, the nurse has received change of shift report regarding a 3-year-old child who is hospitalized for
observation after swallowing his older sister's dose of phenytoin. During the "recommendation" section of the
report, the off-going nurse states "You'll need to continue monitoring his gait. So far it has been normal." The
nurse is monitoring for which adverse drug effect?
a. Ataxia
b. Nystagmus
c. Gingival hyperplasia
d. Paradoxical excitement –
Correct Answer :a. Ataxia
Rationale:
The nurse is monitoring for ataxia, or unsteady gait, which is a sign of an adverse reaction. Nystagmus is
uncoordinated eye movements which would not be detected by only observing the gait. Gingival hyperplasia is
gum overgrowth. Paradoxical excitement would not be detected by only observing the gait.
Daily dose of alendronate is prescribed for a 54-year-old postmenopausal client. Which instruction should the
practical nurse provide to this client regarding taking the prescribed medications?
JOYCEWWALES 2
, Nurs 5338 EXAM 09/30/2026
a. Take medication 30 minutes before breakfast and remain in an upright position for 30 minutes after taking the
medication.
b. The medications should be taken together 2 hours after a meal with a full glass of water.
c. Divide the medication over the course of the day and take it in small doses 1 hour after meals and at bedtime.
d. The medication may be taken with or without food but should be taken at the same time every day.
- Correct Answer :a. Take medication 30 minutes before breakfast and remain in an upright position for 30
minutes after taking the medication.
Rationale:
Studies have shown a significant reduction in fractures when clients take the alendronate. It is important to
instruct the client to remain in an upright position for at least 30 minutes after administration to prevent
esophageal irritation.
Benztropine is prescribed for a client with Parkinson disease. After a few days of therapy, the client complains of
a constipation and abdominal distention. What response by the practical nurse would be most appropriate?
a. Contact the health care provider and report symptoms, so that a prescription can be obtained to relieve the
symptoms.
b. Inform the client that the constipation and abdominal distention are unrelated to your use of these drugs.
c. Ask the client if they are concerned that these conditions may be symptoms of progression of the Parkinson
disease.
d. Auscultate for bowel sounds and ask the client when they last had a bowel movement. –
Correct Answer :d. Auscultate for bowel sounds and ask the client when they last had a bowel movement.
Rationale:
One of the side effects of benztropine is a paralytic ileus. It is important to first assess the client's abdomen,
listen for bowel sounds, and determine when they last had a bowel movement. The practical nurse should then
consult with the charge nurse and report findings.
The nurse is caring for a client who was newly prescribed insulin aspart 7 units subcutaneously prior to each
meal. Which nursing intervention has the highest priority when planning this client's care?
a. Ensure that the client's meal will be available within the next 15 minutes before administration of insulin.
JOYCEWWALES 3
, Nurs 5338 EXAM 09/30/2026
b. Rotate sites at least once weekly and label the sites used on a diagram.
c. Use a 23- to 25-gauge syringe with a 1-inch needle for maximum absorption.
d. Help the client express his/her feelings about the injection. –
Correct Answer :a. Ensure that the client's meal will be available within the next 15 minutes before
administration of insulin.
Rationale:
Rapid-acting synthetic insulin analogs like insulin aspart have an onset of action of approximately 15 minutes and
should be injected 0 to 15 minutes before the meal to prevent or decrease the risk of hypoglycemia.
The health care provider prescribes morphine sulfate 8 IM stat. Morphine is available in 10 mg/mL. How many
milliliters should the practical nurse (PN) administer?
a. 0.8 mL
b. 1 mL
c. 1.5 mL
d. 2 mL
- Correct Answer :a. 0.8 mL
Rationale:
0.8 mL, Formula: D/H × Q = (8 mg/10 mg) × 1 mL = 0.8 mL.
A client with diagnoses of diabetes mellitus and gastroesophageal reflux disease is newly prescribed atenolol for
hypertension. Which information should the nurse provide to this client?
a. To remain in an upright position for 30 minutes after taking the atenolol
b. To take atenolol either 1 hour before breakfast or 2 hours later
c. To hold the dose of atenolol if blood glucose is below 50 mg/dL
d. To use glucometer frequently throughout the day - Correct Answer :d. To use glucometer frequently
throughout the day
Rationale:
JOYCEWWALES 4
Nurs 5338 exam Mod 2 Pretest University Of Texas
- Arlington Questions and Revised Correct Answers
& Rationales () 100% Guarantee Pass|
Guarantee Pass with Detailed Rationales(2026) |
100% Verified |A+ Graded
JOYCEWWALES 1
, Nurs 5338 EXAM 09/30/2026
A 78-year-old client prescribed furosemide 40 mg PO twice daily is demonstrating EKG changes. Which condition
should the practical nurse suspect is causing these changes?
a. Hypokalemia
b. Hyperchloremia
c. Hypernatremia
d. Hypophosphatemia –
Correct Answer :a. Hypokalemia
Rationale:
Furosemide potentiates the excretion of potassium causing hypokalemia. Hyperchloremia, hypernatremia, and
hypophosphatemia are not related to furosemide administration.
At 1900, the nurse has received change of shift report regarding a 3-year-old child who is hospitalized for
observation after swallowing his older sister's dose of phenytoin. During the "recommendation" section of the
report, the off-going nurse states "You'll need to continue monitoring his gait. So far it has been normal." The
nurse is monitoring for which adverse drug effect?
a. Ataxia
b. Nystagmus
c. Gingival hyperplasia
d. Paradoxical excitement –
Correct Answer :a. Ataxia
Rationale:
The nurse is monitoring for ataxia, or unsteady gait, which is a sign of an adverse reaction. Nystagmus is
uncoordinated eye movements which would not be detected by only observing the gait. Gingival hyperplasia is
gum overgrowth. Paradoxical excitement would not be detected by only observing the gait.
Daily dose of alendronate is prescribed for a 54-year-old postmenopausal client. Which instruction should the
practical nurse provide to this client regarding taking the prescribed medications?
JOYCEWWALES 2
, Nurs 5338 EXAM 09/30/2026
a. Take medication 30 minutes before breakfast and remain in an upright position for 30 minutes after taking the
medication.
b. The medications should be taken together 2 hours after a meal with a full glass of water.
c. Divide the medication over the course of the day and take it in small doses 1 hour after meals and at bedtime.
d. The medication may be taken with or without food but should be taken at the same time every day.
- Correct Answer :a. Take medication 30 minutes before breakfast and remain in an upright position for 30
minutes after taking the medication.
Rationale:
Studies have shown a significant reduction in fractures when clients take the alendronate. It is important to
instruct the client to remain in an upright position for at least 30 minutes after administration to prevent
esophageal irritation.
Benztropine is prescribed for a client with Parkinson disease. After a few days of therapy, the client complains of
a constipation and abdominal distention. What response by the practical nurse would be most appropriate?
a. Contact the health care provider and report symptoms, so that a prescription can be obtained to relieve the
symptoms.
b. Inform the client that the constipation and abdominal distention are unrelated to your use of these drugs.
c. Ask the client if they are concerned that these conditions may be symptoms of progression of the Parkinson
disease.
d. Auscultate for bowel sounds and ask the client when they last had a bowel movement. –
Correct Answer :d. Auscultate for bowel sounds and ask the client when they last had a bowel movement.
Rationale:
One of the side effects of benztropine is a paralytic ileus. It is important to first assess the client's abdomen,
listen for bowel sounds, and determine when they last had a bowel movement. The practical nurse should then
consult with the charge nurse and report findings.
The nurse is caring for a client who was newly prescribed insulin aspart 7 units subcutaneously prior to each
meal. Which nursing intervention has the highest priority when planning this client's care?
a. Ensure that the client's meal will be available within the next 15 minutes before administration of insulin.
JOYCEWWALES 3
, Nurs 5338 EXAM 09/30/2026
b. Rotate sites at least once weekly and label the sites used on a diagram.
c. Use a 23- to 25-gauge syringe with a 1-inch needle for maximum absorption.
d. Help the client express his/her feelings about the injection. –
Correct Answer :a. Ensure that the client's meal will be available within the next 15 minutes before
administration of insulin.
Rationale:
Rapid-acting synthetic insulin analogs like insulin aspart have an onset of action of approximately 15 minutes and
should be injected 0 to 15 minutes before the meal to prevent or decrease the risk of hypoglycemia.
The health care provider prescribes morphine sulfate 8 IM stat. Morphine is available in 10 mg/mL. How many
milliliters should the practical nurse (PN) administer?
a. 0.8 mL
b. 1 mL
c. 1.5 mL
d. 2 mL
- Correct Answer :a. 0.8 mL
Rationale:
0.8 mL, Formula: D/H × Q = (8 mg/10 mg) × 1 mL = 0.8 mL.
A client with diagnoses of diabetes mellitus and gastroesophageal reflux disease is newly prescribed atenolol for
hypertension. Which information should the nurse provide to this client?
a. To remain in an upright position for 30 minutes after taking the atenolol
b. To take atenolol either 1 hour before breakfast or 2 hours later
c. To hold the dose of atenolol if blood glucose is below 50 mg/dL
d. To use glucometer frequently throughout the day - Correct Answer :d. To use glucometer frequently
throughout the day
Rationale:
JOYCEWWALES 4
