1. A nurse is caring for a client who has just received a dose
of methylprednisolone. The nurse should monitor the client
for which of the following adverse effects?
A. Hypotension
B. Hyperglycemia
C. Bradycardia
D. Weight loss
Answer: b) Hyperglycemia
Rationale: Methylprednisolone, a corticosteroid, can raise
blood glucose levels, potentially leading to hyperglycemia.
2. A nurse is teaching a client who is prescribed a beta-
blocker for hypertension. Which of the following statements
indicates the need for further teaching?
A. "I should monitor my heart rate regularly."
B. "I can stop taking this medication if I feel tired."
C. "I may feel lightheaded when I stand up."
D. "I should avoid getting up too quickly."
Answer: b) "I can stop taking this medication if I feel tired."
Rationale: Beta-blockers should not be stopped abruptly, as
this can cause rebound hypertension. The client should be
instructed to follow the provider's guidance on tapering the
medication.
3. A nurse is teaching a client with GERD about the use of a
proton pump inhibitor (PPI). Which of the following should
the nurse include?
A. "PPIs should be taken before meals to be most effective."
B. "You should take the medication with a large meal for
best results."
,C. "PPIs should be taken only when symptoms occur."
D. "It is important to take the medication after meals."
Answer: a) "PPIs should be taken before meals to be most
effective."
Rationale: Proton pump inhibitors (PPIs) are most effective
when taken 30-60 minutes before meals, as this allows for
maximum acid suppression.
4. A nurse is teaching a client about the use of an albuterol
inhaler. The nurse should instruct the client to use the
inhaler for which of the following purposes?
A. As a long-term asthma controller
B. To relieve acute bronchospasm
C. To treat chronic cough
D. As a corticosteroid replacement
Answer: b) To relieve acute bronchospasm
Rationale: Albuterol is a short-acting beta-agonist (SABA)
used for quick relief of acute bronchospasm in conditions
like asthma.
5. A nurse is administering levodopa to a client with
Parkinson's disease. The nurse should monitor for which of
the following side effects?
A. Muscle rigidity
B. Orthostatic hypotension
C. Tachycardia
D. Sedation
Answer: b) Orthostatic hypotension
Rationale: Levodopa can cause orthostatic hypotension, a
drop in blood pressure when moving from sitting or lying
down to standing.
, 6. A nurse is caring for a client who is prescribed lithium for
bipolar disorder. The nurse should monitor for signs of
toxicity, which include:
A. Fine hand tremors and polyuria
B. Fine hand tremors and increased appetite
C. Fine hand tremors and weight loss
D. Fine hand tremors and lethargy
Answer: a) Fine hand tremors and polyuria
Rationale: Fine hand tremors and polyuria are early signs of
lithium toxicity. The nurse should monitor serum lithium
levels to prevent toxicity.
7. A client is prescribed acetaminophen for pain
management. Which of the following is a priority nursing
consideration?
A. Monitor for signs of gastrointestinal bleeding
B. Monitor for hepatotoxicity with long-term use
C. Monitor the client's blood pressure
D. Monitor the client's heart rate
Answer: b) Monitor for hepatotoxicity with long-term use
Rationale: Acetaminophen, when used long-term or in high
doses, can cause liver damage. The nurse should monitor
liver function.
8. A nurse is caring for a client receiving furosemide. Which
of the following findings should the nurse monitor for as a
potential adverse effect?
A. Hyperglycemia
B. Hypokalemia
C. Hypotension
D. Hypercalcemia
Answer: b) Hypokalemia
of methylprednisolone. The nurse should monitor the client
for which of the following adverse effects?
A. Hypotension
B. Hyperglycemia
C. Bradycardia
D. Weight loss
Answer: b) Hyperglycemia
Rationale: Methylprednisolone, a corticosteroid, can raise
blood glucose levels, potentially leading to hyperglycemia.
2. A nurse is teaching a client who is prescribed a beta-
blocker for hypertension. Which of the following statements
indicates the need for further teaching?
A. "I should monitor my heart rate regularly."
B. "I can stop taking this medication if I feel tired."
C. "I may feel lightheaded when I stand up."
D. "I should avoid getting up too quickly."
Answer: b) "I can stop taking this medication if I feel tired."
Rationale: Beta-blockers should not be stopped abruptly, as
this can cause rebound hypertension. The client should be
instructed to follow the provider's guidance on tapering the
medication.
3. A nurse is teaching a client with GERD about the use of a
proton pump inhibitor (PPI). Which of the following should
the nurse include?
A. "PPIs should be taken before meals to be most effective."
B. "You should take the medication with a large meal for
best results."
,C. "PPIs should be taken only when symptoms occur."
D. "It is important to take the medication after meals."
Answer: a) "PPIs should be taken before meals to be most
effective."
Rationale: Proton pump inhibitors (PPIs) are most effective
when taken 30-60 minutes before meals, as this allows for
maximum acid suppression.
4. A nurse is teaching a client about the use of an albuterol
inhaler. The nurse should instruct the client to use the
inhaler for which of the following purposes?
A. As a long-term asthma controller
B. To relieve acute bronchospasm
C. To treat chronic cough
D. As a corticosteroid replacement
Answer: b) To relieve acute bronchospasm
Rationale: Albuterol is a short-acting beta-agonist (SABA)
used for quick relief of acute bronchospasm in conditions
like asthma.
5. A nurse is administering levodopa to a client with
Parkinson's disease. The nurse should monitor for which of
the following side effects?
A. Muscle rigidity
B. Orthostatic hypotension
C. Tachycardia
D. Sedation
Answer: b) Orthostatic hypotension
Rationale: Levodopa can cause orthostatic hypotension, a
drop in blood pressure when moving from sitting or lying
down to standing.
, 6. A nurse is caring for a client who is prescribed lithium for
bipolar disorder. The nurse should monitor for signs of
toxicity, which include:
A. Fine hand tremors and polyuria
B. Fine hand tremors and increased appetite
C. Fine hand tremors and weight loss
D. Fine hand tremors and lethargy
Answer: a) Fine hand tremors and polyuria
Rationale: Fine hand tremors and polyuria are early signs of
lithium toxicity. The nurse should monitor serum lithium
levels to prevent toxicity.
7. A client is prescribed acetaminophen for pain
management. Which of the following is a priority nursing
consideration?
A. Monitor for signs of gastrointestinal bleeding
B. Monitor for hepatotoxicity with long-term use
C. Monitor the client's blood pressure
D. Monitor the client's heart rate
Answer: b) Monitor for hepatotoxicity with long-term use
Rationale: Acetaminophen, when used long-term or in high
doses, can cause liver damage. The nurse should monitor
liver function.
8. A nurse is caring for a client receiving furosemide. Which
of the following findings should the nurse monitor for as a
potential adverse effect?
A. Hyperglycemia
B. Hypokalemia
C. Hypotension
D. Hypercalcemia
Answer: b) Hypokalemia
