EXAM QUESTIONS WITH CORRECT
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1. A nurse is assessing a client who is receiving intravenous therapy. The nurse
should identify which of the following findings as a manifestation of fluid
volume excess?
A. Decreased bowel sounds
B. Distended neck veins
C. Bilateral muscle weakness
D. Thread pulse - ANSWER 🗸 b. Distended neck veins
2. A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
A. Absent Chvostek's sign
B. Improved cognition
C. Decreased vomiting
D. Cardiac arrhythmias absent - ANSWER 🗸 b. Improved cognition
,3. A nurse is caring for a client who is taking lithium and reports starting a new
exercise program. The nurse should assess the client for which of the
following electrolyte imbalances?
A. Hypocalcemia
B. Hypokalemia
C. Hyponatremia
D. Hypomagnesemia - ANSWER 🗸 c. Hyponatremia
4. A nurse is assessing a client after administering phenytoin IV bolus for a
seizure. Which of the following should the nurse identify as an adverse
effect of this medication?
A. Hypoglycemia
B. Bradycardia
C. Red man syndrome
D. Hypotension - ANSWER 🗸 b. Bradycardia
5. A nurse is consulting a formulary about a client's new prescription for
raloxifene. The nurse should identify that this medication is used to treat
which of the following conditions?
A. Osteoporosis
B. Hypothyroidism
C. Urinary tract infection
D. Deep vein thrombosis - ANSWER 🗸 a. Osteoporosis
6. A nurse is providing discharge dietary teaching to a client who has a
something and is taking medication theophylline and to provide general
instructions the nurse should include?
A. Avoid caffeinated beverages
B. Take the medication with meals
C. Restrict milk products
D. Limit sodium intake - ANSWER 🗸 a. Avoid caffeinated beverages
,7. The nurse is mixing regular insulin and NPH into a syringe for a client who
has diabetes mellitus. Which of the following actions should the nurse take
first?
A. Withdrawal NPH from the vial
B. Inject air into the NPH vial
C. Inject air into the regular vial
D. Withdrawal regular insulin from the vial - ANSWER 🗸 b. Inject air
into the NPH vial
8. A nurse is teaching a client who has a new prescription of Alendronate for
osteoporosis. What instructions should the nurse include?
A. Take the medication immediately after breakfast
B. Take the medication with an antacid
C. Sit upright for at least 30 mins after taking the medication
D. Drink orange juice with the medication - ANSWER 🗸 c. Sit upright
for at least 30 mins after taking the medication
9. A nurse is caring for a client who is postoperative following a thyroidectomy
and is receiving morphine for pain. Which of the following findings should
the nurse recognize as an adverse effect of morphine?
A. Bladder distention
B. Productive cough
C. Gastrointestinal bleeding
D. Decrease deep tending reflexes - ANSWER 🗸 a. Bladder distention
10.A nurse is teaching a client who has pernicious anemia to self-administer
cyanocobalamin. Which of the following information should the nurse
include in the teaching?
A. Use nasal decongestion 15 mins before the medication if you have a
stuffy nose
B. Lie down for 1 hour after administering the medication
C. Administer the medication into one nostril once per week
, D. Plan to self-administer this medication for the next 6 months -
ANSWER 🗸 c. Administer the medication into one nostril once per
week
11.A nurse is teaching a newly license nurse about medication reconciliation.
The nurse should instruct the newly license nurse for medication
reconciliation for which of the following clients?
A. Client who is transported to radiology
B. A client who has a consultation for ....
C. A client who has a referral for social services
D. A client who has been transferred to a step-down unit - ANSWER 🗸
d. A client who has been transferred to a step-down unit
12.A nurse is assessing a client how received a dinoprostone gel to stimulate the
cervical ripening. Which of the following is the nurse's priority?
A. Back pain
B. Flushing
C. Nausea
D. Uterine tachysystole - ANSWER 🗸 d. Uterine tachysystole
13.A nurse is performing a return demonstration of an enoxaparin
administration. Which of the following client actions indicates an
understanding of the teaching?
A. Messages the site to enhance absorption
B. Injections the medication into a muscle
C. Administers the medication into the abdomen
D. Aspirates the medication after injection - ANSWER 🗸 c. Administers
the medication into the abdomen
14.A nurse is assessing a client how has been taking digoxin and ...... Which of
the following findings to the nurse indicates this client has developed
digoxin toxicity?
A. Ringing in the ears