A nurse is instructing a client who has a new prescription for Timolol how to insert eye
drops. The nurse should instruct the client to press on which of the following areas to
prevent systemic absorption of the medication?
A. Bony orbit
B. Nasolacrimal duct
C. Conjunctival sac
D. Outer canthus - CORRECT ANSWERS-B (Pressing on the nasolacrimal duct blocks
the lacrimal punctum and prevents systemic absorption of the medication)
A nurse is teaching a client who has a new prescription for Brimonidine ophthalmic
drops and wears soft contact lenses. Which of the following instructions should the
nurse include in the teaching?
A. "This medication can stain your contacts."
B. "This medication can cause your pupils to constrict."
C. "This medication can absorb into your contacts."
D. "This medication can slow your heart rate." - CORRECT ANSWERS-C (Brimonidine
can absorb into soft contact lenses. The client should remove his contacts then instill
the medication and wait at least 15 min before putting in his contacts back in.)
A nurse in an emergency unit is reviewing the medical record of a client who is being
evaluated for angle-closure Glaucoma. Which of the following findings are indicative of
this condition?
A. Insidious onset of painless loss of vision
B. Gradual reduction in peripheral vision
C. Severe pain around eyes
D. Intraocular pressure 12mm Hg - CORRECT ANSWERS-C (Severe pain around eyes
that radiates over the face is a manifestation of acute angle-closure glaucoma)
A nurse is teaching a client about preventing Otitis Externa. Which of the following
instructions should the nurse include?
A. Clean the ear with a cotton-tipped swab daily
B. Place earplugs in the ears when sleeping at night.
C. Use a cool water irrigation solution to remove earwax.
D. Tip the head to the side to remove water from the ears after showering - CORRECT
ANSWERS-D (The client should remove water from the ear after showering or
swimming to reduce the risk for otitis externa)
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,A nurse in a provider's office is instructing a parent of a toddler how to administer ear
drops. Which of the following instructions should the nurse include? (Select all that
apply.)
A."Place the child on his unaffected side when you
are ready to administer the medication."
B."Warm the medication by gently rolling it between your hands for a few minutes."
C."Gently shake medication that is in suspension form."
D."keep the child on his side for 5 minutes after instillation of the ear drops."
E."Tightly pack the ear with cotton after instillation of the ear drops. - CORRECT
ANSWERS-a, b, c, d
(A. The parent should have the child on his
unaffected side to allow access to the affected ear and to promote drainage of the
medication by gravity into the ear.
B. The parent should warm the medication
by rolling it between his hands. Administering
the medication cold can cause dizziness.
C. The parent should gently shake medication that is in suspension form to
evenly- disperse the medication.
D.The parent should keep the child on his side to
promote drainage of the medication by gravity into the ear)
A nurse in the operating room is caring for a client who received a dose of
Succinylcholine. During the operation, the client suddenly develops rigidity, and his
body temperature begins to rise. The nurse should anticipate a prescription for which of
the following medications?
A. Neostigmine
B. Naloxone
C. Dantrolene
D. Vecuronium - CORRECT ANSWERS-C (muscle rigidity and a sudden rise in
temperature is a manifestation of malignant hyperthermia. Dantrolene acts on skeletal
muscles to reduce metabolic activity and treat malignant hyperthermia.)
A nurse in the post-anesthesia care unit is caring for a client who is experiencing
malignant hyperthermia. Which of the following actions should the nurse take? (Select
all that apply.)
A. Place a cooling blanket on the client.
B. Administer oxygen at 100%.
C. Administer iced 0.9% sodium chloride.
D. Administer potassium chloride IV.
E. Monitor core body temperature - CORRECT ANSWERS-a, b, c, e
2|Page
, (A. The nurse should apply a cooling blanket and apply ice to the axilla and groin.
B. The nurse should administer oxygen at 100% to treat decreased oxygen saturation.
C. The nurse should take action to decrease the
client's body temperature by administering iced IV fluids.
E. The nurse should monitor core body temperature to prevent hypothermia and to
determine progress with treatment measures)
A nurse is teaching a client who has a new prescription for Baclofen to treat muscle
spasms. Which of the following statements by the client indicates an understanding of
the teaching? (Select all that apply.)
A. "I will stop taking this medication right away if I develop dizziness."
B. "I know the doctor will gradually increase my dose of this medication for a while."
C. "I should increase fiber to prevent constipation from this medication."
D. "I won't be able to drink alcohol while I'm taking this medication."
E. "I should take this medication on an empty stomach each morning." - CORRECT
ANSWERS-b, c, d
(B. The provider starts the client on a low dose, and
the dose is increased gradually to prevent CNS depression.
C. The client should increase fluids and fiber to reduce the risk for constipation.
D. The intake of alcohol and other CNS depressants can exacerbate the CNS
depressant effects of baclofen. Therefore, the
client is instructed to avoid CNS depressants while taking baclofen)
A nurse is reviewing the health care record of a client who reports urinary incontinence
and asks about a prescription for Oxybutynin. The nurse should recognize that
Oxybutynin is contraindicated in the presence of which of the following conditions?
A. Bursitis
B. Sinusitis
C. Depression
D. Glaucoma - CORRECT ANSWERS-D (Oxybutynin is an anticholinergic and can
increase intraocular pressure. It is contraindicated for clients who have glaucoma)
A nurse is caring for a client who has a prescription for Bethanechol to treat urinary
retention. The nurse should recognize that which of the following findings is a
manifestation of muscarinic stimulation?
A. Dry mouth
B. Hypertension
C. Excessive perspiration
3|Page
drops. The nurse should instruct the client to press on which of the following areas to
prevent systemic absorption of the medication?
A. Bony orbit
B. Nasolacrimal duct
C. Conjunctival sac
D. Outer canthus - CORRECT ANSWERS-B (Pressing on the nasolacrimal duct blocks
the lacrimal punctum and prevents systemic absorption of the medication)
A nurse is teaching a client who has a new prescription for Brimonidine ophthalmic
drops and wears soft contact lenses. Which of the following instructions should the
nurse include in the teaching?
A. "This medication can stain your contacts."
B. "This medication can cause your pupils to constrict."
C. "This medication can absorb into your contacts."
D. "This medication can slow your heart rate." - CORRECT ANSWERS-C (Brimonidine
can absorb into soft contact lenses. The client should remove his contacts then instill
the medication and wait at least 15 min before putting in his contacts back in.)
A nurse in an emergency unit is reviewing the medical record of a client who is being
evaluated for angle-closure Glaucoma. Which of the following findings are indicative of
this condition?
A. Insidious onset of painless loss of vision
B. Gradual reduction in peripheral vision
C. Severe pain around eyes
D. Intraocular pressure 12mm Hg - CORRECT ANSWERS-C (Severe pain around eyes
that radiates over the face is a manifestation of acute angle-closure glaucoma)
A nurse is teaching a client about preventing Otitis Externa. Which of the following
instructions should the nurse include?
A. Clean the ear with a cotton-tipped swab daily
B. Place earplugs in the ears when sleeping at night.
C. Use a cool water irrigation solution to remove earwax.
D. Tip the head to the side to remove water from the ears after showering - CORRECT
ANSWERS-D (The client should remove water from the ear after showering or
swimming to reduce the risk for otitis externa)
1|Page
,A nurse in a provider's office is instructing a parent of a toddler how to administer ear
drops. Which of the following instructions should the nurse include? (Select all that
apply.)
A."Place the child on his unaffected side when you
are ready to administer the medication."
B."Warm the medication by gently rolling it between your hands for a few minutes."
C."Gently shake medication that is in suspension form."
D."keep the child on his side for 5 minutes after instillation of the ear drops."
E."Tightly pack the ear with cotton after instillation of the ear drops. - CORRECT
ANSWERS-a, b, c, d
(A. The parent should have the child on his
unaffected side to allow access to the affected ear and to promote drainage of the
medication by gravity into the ear.
B. The parent should warm the medication
by rolling it between his hands. Administering
the medication cold can cause dizziness.
C. The parent should gently shake medication that is in suspension form to
evenly- disperse the medication.
D.The parent should keep the child on his side to
promote drainage of the medication by gravity into the ear)
A nurse in the operating room is caring for a client who received a dose of
Succinylcholine. During the operation, the client suddenly develops rigidity, and his
body temperature begins to rise. The nurse should anticipate a prescription for which of
the following medications?
A. Neostigmine
B. Naloxone
C. Dantrolene
D. Vecuronium - CORRECT ANSWERS-C (muscle rigidity and a sudden rise in
temperature is a manifestation of malignant hyperthermia. Dantrolene acts on skeletal
muscles to reduce metabolic activity and treat malignant hyperthermia.)
A nurse in the post-anesthesia care unit is caring for a client who is experiencing
malignant hyperthermia. Which of the following actions should the nurse take? (Select
all that apply.)
A. Place a cooling blanket on the client.
B. Administer oxygen at 100%.
C. Administer iced 0.9% sodium chloride.
D. Administer potassium chloride IV.
E. Monitor core body temperature - CORRECT ANSWERS-a, b, c, e
2|Page
, (A. The nurse should apply a cooling blanket and apply ice to the axilla and groin.
B. The nurse should administer oxygen at 100% to treat decreased oxygen saturation.
C. The nurse should take action to decrease the
client's body temperature by administering iced IV fluids.
E. The nurse should monitor core body temperature to prevent hypothermia and to
determine progress with treatment measures)
A nurse is teaching a client who has a new prescription for Baclofen to treat muscle
spasms. Which of the following statements by the client indicates an understanding of
the teaching? (Select all that apply.)
A. "I will stop taking this medication right away if I develop dizziness."
B. "I know the doctor will gradually increase my dose of this medication for a while."
C. "I should increase fiber to prevent constipation from this medication."
D. "I won't be able to drink alcohol while I'm taking this medication."
E. "I should take this medication on an empty stomach each morning." - CORRECT
ANSWERS-b, c, d
(B. The provider starts the client on a low dose, and
the dose is increased gradually to prevent CNS depression.
C. The client should increase fluids and fiber to reduce the risk for constipation.
D. The intake of alcohol and other CNS depressants can exacerbate the CNS
depressant effects of baclofen. Therefore, the
client is instructed to avoid CNS depressants while taking baclofen)
A nurse is reviewing the health care record of a client who reports urinary incontinence
and asks about a prescription for Oxybutynin. The nurse should recognize that
Oxybutynin is contraindicated in the presence of which of the following conditions?
A. Bursitis
B. Sinusitis
C. Depression
D. Glaucoma - CORRECT ANSWERS-D (Oxybutynin is an anticholinergic and can
increase intraocular pressure. It is contraindicated for clients who have glaucoma)
A nurse is caring for a client who has a prescription for Bethanechol to treat urinary
retention. The nurse should recognize that which of the following findings is a
manifestation of muscarinic stimulation?
A. Dry mouth
B. Hypertension
C. Excessive perspiration
3|Page
