RN Medical Surgical Drugs EAQ 2022
The nurse is caring for a client who is scheduled for an electrophysiology study (EPS)
because of persistent ventricular tachycardia. Before the procedure the client is to
receive a beta-blocker. What client's response during the procedure best indicates
that the beta-blocker is working effectively?
A. Decreased anxiety
B. Reduced chest pain
C. Decreased heart rate
D. Increased blood pressure - ANSWER: C. Decreased heart rate
A client has an anaphylactic reaction after receiving intravenous penicillin. What
does the nurse conclude is the cause of this reaction?
A. An acquired atopic sensitization occurred.
B. There was passive immunity to the penicillin allergen.
C. Antibodies to penicillin developed after a previous exposure.
D. Potent antibodies were produced when the infusion was instituted. - ANSWER: C.
Antibodies to penicillin developed after a previous exposure.
Hydrocortisone is prescribed for a client with Addison disease. Before discharge, the
nurse teaches the client about this medication. What did the nurse include as a
therapeutic effect of the drug?
A. Supports a better response to stress
B. Promotes a decrease in blood pressure
C. Decreases episodes of shortness of breath
D. Controls an excessive loss of potassium from the body - ANSWER: A. Supports a
better response to stress
A client is admitted to the hospital for medical management of acute pancreatitis.
Which nursing action is most likely to reduce the pancreatic and gastric secretions of
a client with pancreatitis?
A. Encouraging clear liquids
B. Obtaining a prescription for morphine
C. Assisting the client into a semi-Fowler position
D. Administering prescribed anticholinergic medication - ANSWER: D. Administering
prescribed anticholinergic medication
A nurse is administering a histamine H2 antagonist to a client who has extensive
burns. The nurse explains to the client that this drug is given prophylactically during
the first few weeks after extensive burns. What complication of burns will it prevent?
A. Colitis
, B. Gastritis
C. Stress ulcer
D. Metabolic acidosis - ANSWER: C. Stress ulcer
The nurse administers 2 units of salt-poor albumin to a client with portal
hypertension and ascites. What does the nurse explain to the client regarding the
purpose of the albumin?
A. It provides nutrients.
B. It increases protein stores.
C. Albumin elevates the circulating blood volume.
D. Albumin temporarily diverts blood flow away from the liver. - ANSWER: C.
Albumin elevates the circulating blood volume.
A nurse is preparing to administer insulin to a client with diabetes. In which order
should the nurse perform the actions associated with insulin administration?
1. Wipe the top of the insulin vial with an alcohol swab.
2. Wash hands with soap and water.
3. Rotate the vial of insulin between the palms of the hands.
4. Withdraw the correct amount of insulin from the inverted vial.
5. Instill air into the vial of insulin equal to the desired dose. - ANSWER: 2. Wash
hands with soap and water.
3. Rotate the vial of insulin between the palms of the hands.
1. Wipe the top of the insulin vial with an alcohol swab.
5. Instill air into the vial of insulin equal to the desired dose.
4. Withdraw the correct amount of insulin from the inverted vial.
A client with Hodgkin disease enters a remission period and remains symptom free
for 6 months before a relapse occurs. The client is diagnosed at stage IV. What
therapy option does the nurse expect to be implemented?
A. Radiation therapy
B. Combination chemotherapy
C. Radiation with chemotherapy
D. Surgical removal of the affected nodes - ANSWER: B. Combination chemotherapy
A nurse is caring for a client who is receiving serum albumin. What indicates that the
albumin is effective?
A. Improved clotting of blood
B. Formation of red blood cells
C. Activation of white blood cells (WBCs)
D. Effective cardiac output - ANSWER: D. Effective cardiac output
A client is scheduled to receive an intravenous (IV) solution of lactated Ringer to run
at 150 mL/hr. To deliver the solution, the nurse plans to use an administration set
The nurse is caring for a client who is scheduled for an electrophysiology study (EPS)
because of persistent ventricular tachycardia. Before the procedure the client is to
receive a beta-blocker. What client's response during the procedure best indicates
that the beta-blocker is working effectively?
A. Decreased anxiety
B. Reduced chest pain
C. Decreased heart rate
D. Increased blood pressure - ANSWER: C. Decreased heart rate
A client has an anaphylactic reaction after receiving intravenous penicillin. What
does the nurse conclude is the cause of this reaction?
A. An acquired atopic sensitization occurred.
B. There was passive immunity to the penicillin allergen.
C. Antibodies to penicillin developed after a previous exposure.
D. Potent antibodies were produced when the infusion was instituted. - ANSWER: C.
Antibodies to penicillin developed after a previous exposure.
Hydrocortisone is prescribed for a client with Addison disease. Before discharge, the
nurse teaches the client about this medication. What did the nurse include as a
therapeutic effect of the drug?
A. Supports a better response to stress
B. Promotes a decrease in blood pressure
C. Decreases episodes of shortness of breath
D. Controls an excessive loss of potassium from the body - ANSWER: A. Supports a
better response to stress
A client is admitted to the hospital for medical management of acute pancreatitis.
Which nursing action is most likely to reduce the pancreatic and gastric secretions of
a client with pancreatitis?
A. Encouraging clear liquids
B. Obtaining a prescription for morphine
C. Assisting the client into a semi-Fowler position
D. Administering prescribed anticholinergic medication - ANSWER: D. Administering
prescribed anticholinergic medication
A nurse is administering a histamine H2 antagonist to a client who has extensive
burns. The nurse explains to the client that this drug is given prophylactically during
the first few weeks after extensive burns. What complication of burns will it prevent?
A. Colitis
, B. Gastritis
C. Stress ulcer
D. Metabolic acidosis - ANSWER: C. Stress ulcer
The nurse administers 2 units of salt-poor albumin to a client with portal
hypertension and ascites. What does the nurse explain to the client regarding the
purpose of the albumin?
A. It provides nutrients.
B. It increases protein stores.
C. Albumin elevates the circulating blood volume.
D. Albumin temporarily diverts blood flow away from the liver. - ANSWER: C.
Albumin elevates the circulating blood volume.
A nurse is preparing to administer insulin to a client with diabetes. In which order
should the nurse perform the actions associated with insulin administration?
1. Wipe the top of the insulin vial with an alcohol swab.
2. Wash hands with soap and water.
3. Rotate the vial of insulin between the palms of the hands.
4. Withdraw the correct amount of insulin from the inverted vial.
5. Instill air into the vial of insulin equal to the desired dose. - ANSWER: 2. Wash
hands with soap and water.
3. Rotate the vial of insulin between the palms of the hands.
1. Wipe the top of the insulin vial with an alcohol swab.
5. Instill air into the vial of insulin equal to the desired dose.
4. Withdraw the correct amount of insulin from the inverted vial.
A client with Hodgkin disease enters a remission period and remains symptom free
for 6 months before a relapse occurs. The client is diagnosed at stage IV. What
therapy option does the nurse expect to be implemented?
A. Radiation therapy
B. Combination chemotherapy
C. Radiation with chemotherapy
D. Surgical removal of the affected nodes - ANSWER: B. Combination chemotherapy
A nurse is caring for a client who is receiving serum albumin. What indicates that the
albumin is effective?
A. Improved clotting of blood
B. Formation of red blood cells
C. Activation of white blood cells (WBCs)
D. Effective cardiac output - ANSWER: D. Effective cardiac output
A client is scheduled to receive an intravenous (IV) solution of lactated Ringer to run
at 150 mL/hr. To deliver the solution, the nurse plans to use an administration set
