2025 EXAM AND GUIDE COMPLETE EXAM
QUESTIONS AND ANSWERS) |ALREADY GRADED A+
A nurse is reviewing the reported meds of a client who was recently admitted. The meds include
cimetidine (Tagamet) & imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the
metabolism of imipramine hydrochloride, the nurse should identify that this combination is likely to
result in which of the following effects?
Decreased therapeutic effects of cimetidine
A. Increased risk of imipramine hydrochloride toxicity
B. Decreased risk of adv effects of cimetidine
C. Increased therapeutic effects of imipramine hydrochloride - ANSWER-B.
A med that decreases the metabolism of a 2nd med increases the serum level of the 2nd med, increasing
risk for toxicity
A nurse is reviewing the reported meds of a client who was recently admitted. The meds include
cimetidine (Tagamet) & imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the
metabolism of imipramine hydrochloride, the nurse should identify that this combination is likely to
result in which of the following effects?
Decreased therapeutic effects of cimetidine
A. Increased risk of imipramine hydrochloride toxicity
B. Decreased risk of adv effects of cimetidine
C. Increased therapeutic effects of imipramine hydrochloride - ANSWER-B.
A med that decreases the metabolism of a 2nd med increases the serum level of the 2nd med, increasing
risk for toxicity
A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The client
currently takes a Category D pregnancy risk med for the control of seizures. Which of the following
statements by the nurse is appropriate?
"This med is prescribed if necessary but it is known to cause adverse effects to the fetus."
A. "This med has evidence indicating that it is safe to take during pregnancy & will not harm the fetus."
B. "This med cannot be taken during pregnancy because the risk outweighs the potential benefits."
C. "This med hasn't been studied in pregnant women but is believed to be safe for the fetus." - ANSWER-
A.
,Category D meds are known to cause harm to fetuses, however the use during pregnancy may be
warranted based on potential benefits.
A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The client
currently takes a Category D pregnancy risk med for the control of seizures. Which of the following
statements by the nurse is appropriate?
"This med is prescribed if necessary but it is known to cause adverse effects to the fetus."
A. "This med has evidence indicating that it is safe to take during pregnancy & will not harm the fetus."
B. "This med cannot be taken during pregnancy because the risk outweighs the potential benefits."
C. "This med hasn't been studied in pregnant women but is believed to be safe for the fetus." - ANSWER-
A.
Category D meds are known to cause harm to fetuses, however the use during pregnancy may be
warranted based on potential benefits.
A nurse in an outpatient surgical center is admitting a client for a laproscopic procedure. The client has a
prescription for preoperative diazepam (Valium). Prior to administering the med, which of the following
actions is the highest priority?
Teaching the client about the purpose of the med
A. Administering the med to the client at the prescribed time
B. Identifying the client's med allergies
C. Documenting the client's anxiety level - ANSWER-C.
The greatest risk to the client is an allergic reaction to the med
A nurse in an outpatient surgical center is admitting a client for a laproscopic procedure. The client has a
prescription for preoperative diazepam (Valium). Prior to administering the med, which of the following
actions is the highest priority?
Teaching the client about the purpose of the med
A. Administering the med to the client at the prescribed time
B. Identifying the client's med allergies
C. Documenting the client's anxiety level - ANSWER-C.
The greatest risk to the client is an allergic reaction to the med
,A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 10 mg by IV bolus. The
amount available is 40 mg/mL. How many mL should the nurse administer? (round to nearest tenth) -
ANSWER-0.3 mL
A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 10 mg by IV bolus. The
amount available is 40 mg/mL. How many mL should the nurse administer? (round to nearest tenth) -
ANSWER-0.3 mL
A nurse is preparing to administer lactated Ringer's (LR) IV 100 mL over 15min. The nurse should set the
infusion pump to deliver how many mL/hr? (round to nearest whole number) - ANSWER-400 mL/hr
A nurse is preparing to administer lactated Ringer's (LR) IV 100 mL over 15min. The nurse should set the
infusion pump to deliver how many mL/hr? (round to nearest whole number) - ANSWER-400 mL/hr
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30min. The
drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver
how many gtt/min? (round to nearest whole number) - ANSWER-83 gtt/min
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30min. The
drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver
how many gtt/min? (round to nearest whole number) - ANSWER-83 gtt/min
A nurse is caring for a client who is at high risk for aspiration. Which of the following is an appropriate
nursing intervention?
A. Give the client thin liquids.
B. Instruct the client to tuck her chin when swallowing.
C. Have the client use a straw.
D. Encourage the client to lie down & rest after meals. - ANSWER-B.
Tucking when swallowing allows food to pass down esophagus more easily.
A nurse is caring for a client who is at high risk for aspiration. Which of the following is an appropriate
nursing intervention?
, A. Give the client thin liquids.
B. Instruct the client to tuck her chin when swallowing.
C. Have the client use a straw.
D. Encourage the client to lie down & rest after meals. - ANSWER-B.
Tucking when swallowing allows food to pass down esophagus more easily.
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should
explain that which of the following is the body's priority energy reserve?
A. Fat
B. Protein
C. Glycogen
D. Carbohydrates - ANSWER-D.
carbs provide glucose
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should
explain that which of the following is the body's priority energy reserve?
A. Fat
B. Protein
C. Glycogen
D. Carbohydrates - ANSWER-D.
carbs provide glucose
A nurse is caring for a client who is on a low-residue diet. The nurse should expect to see which of the
following foods on the client's meal tray?
A. Cooked barley
B. Pureed broccoli