2025/2026 Latest Study Guide some questions
may be on the exam
A nurse is reviewing the medication list of a client who has erectile dysfunction and is
requesting a prescription for sildenafil. The nurse should identify that which of the
following medications is a contraindication for receiving this medication?
Furosemide
Nitroglycerin
Indomethacin
Albuterol
A nurse in the emergency department is admitting a client who has diabetic ketoacidosis
and a blood glucose level of 800 mg/dL. Which of the following interventions should the
nurse initiate first?
Potassium chloride 10 mEq/hr
Bicarbonate by IV infusion
0.9% sodium chloride 15 mL/kg/hr
Subcutaneous insulin injections
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the
following manifestations should the nurse identify as an allergic reaction? a. Polyuria
Hypotension
Nausea
Bradycardia
A nurse is caring for an older adult client who is taking prednisone for a long-term
treatment of rheumatoid arthritis. The nurse should monitor the client for which of the
following adverse effects of this drug?
Hemolytic anemia
,Hypoglycemia
Bone loss
Liver toxicity
A nurse is assessing a client who has asthma and prescription for albuterol. The
nurse should monitor the client for which of the following adverse effects?
Drowsiness
Fever
Constipation
Tachycardia
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
should monitor for which of the following as an indication of an allergic reaction following
the injection?
Urticaria
Bradycardia
Pallor
Dyspepsia
A nurse is mixing a regular insulin and NPH insulin in the same syringe prior to
administering it to a client who has diabetes mellitus following actions should the nurse
take first?
Withdraw the regular insulin from the viral
Withdraw a NPH insulin from the vial
Inject air into the NPH vial
Inject air into the regular insulin vial
A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the
client received heparin at 1000. Which of the following laboratory values warrants an
incident report?
ePTT 90 seconds
Hgb 16 g/dL
, INR 1.6
WBC 6,000/mm3
A nurse is performing a return demonstration of an enoxaparin administration. Which of
the following client actions indicates an understanding of the teaching?
Messages the site to enhance absorption
Injections the medication into a muscle
Administers the medication into the abdomen
Aspirates the medication after injection
A nurse is planning care for a client who has a prescription for erythromycin lactobionate
IV bolus. Which of the following actions should the nurse include in the plan of care?
Reconstitute the medication with a 5% dextrose solution
Administer the medication over 10 mins
Monitor the client for hearing loss
Implement a high fiber diet to prevent constipation
A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia.
Which of the following should the nurse take?
Give the medication with a caffeinated beverage
Administer the medication through a straw
Dilute the medication with milk
Provide an antacid with the medication
A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr. The
client’s weight is 12l lb. Available is enoxaparin 60 mg/0.6 mL. How many mL should the
nurse administer per dose? (Round to the nearest tenth. Use a leading zero if it applies. Do
not use a trailing zero.)