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1. PT, INR: A nurse is caring for a 56-year-old client who is taking warfarin
(Coumadin). Which of the following laboratory parameters should be monitored?
(Select all that apply)
PT
PTT
INR
Platelets
CRP
2. A, C,D: A nurse is caring for a client who has a new prescription for Clopidogrel
after placement of a coronary artery stent. The nurse should develop a teaching plan
that includes which of the following points? (Select all that apply.)
A. The client should report unexpected bleeding or bleeding that lasts a long time
B. The client should always take Clopidogrel with food
C. The client may bruise more easily and may experience bleeding gums
D. Clopidogrel works by preventing platelets from forming a clot
E. The client should drink a glass of water after taking Clopidogrel
3. b, d: A nurse is caring for a client that is scheduled for outpatient hernia repair
who took furosemide (Lasix) the morning of surgery. The nurse knows that the client
might be at risk for which of the following complications as a result of the furosemide?
(Select all that apply.)
A. Hypertension
B. Fluid volume deficit
C. Hypoglycemia
D. Hypotension
E. Malignant hyperthermia
4. C, D: A charge nurse is providing in-service education about insulin preparations
to nursing staff on a medical-surgical unit. Which of the following is true about the
different types of insulin preparations? (Select all that apply.)
A. Regular insulin has a duration of 16 hours
B. Lente insulin peaks at 2 to 4 hours
C. Insulin glargine has an onset at 1.5-2 hours
D. NPH insulin has a peak effect at 4-6 hours
E. Ultralente has a peak effect at 6 to 12 hours
5. B, E, F: A nurse is providing education for a client undergoing chemotherapy who
has a new prescription for nabilone (Cesamet.) What are the potential side effects
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of administering this drug? (Select all that apply)
A. Bradycardia
B. Dizziness
C. Nausea
D. Vomiting
E. Distorted thinking
F. Hallucination
6. B, C: The nurse is administering cromolyn sodium (Intal) for a client with asthma.
Which of the following are true about this drug? (Select all that apply)
A. It causes confusion
B. It causes headache
C. It prevents an attack
D. It treats an acute attack
E. It causes photosensitivity
F. It does not cause wheezing
7. B, E: Which of the following would be an indication for a blood product transfusion
in an adult client? (Select all that apply.)
A. Hemoglobin 12 grams per deciliter
B. Hemorrhage that causes 30 percent total volume blood loss
C. Platelet count of 100,000 micrograms per liter
D. International Normalized Ratio (INR) level greater than 2.0
E. Sickle cell disease that causes severe anemia
8. A, B: Which of the following describes the purpose of a nerve block for pain relief?
(Select all that apply.)
A. For short-term pain management after surgery
B. To use as a type of anesthesia for a minor surgery
C. As an amnestic during surgery so the patient will not remember the pain
D. To allow more time for an area to heal
E. As a sedative before a procedure
9. C: A client with increased intraocular pressure has a new prescription for timolol
eye drops. Which of the following describes this class of medication by mechanism
of action?
A. Prostaglandin analog
B. Carbonic anhydrase inhibitor
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