PRACTICE EXAMS FOR MEDICAL
SURGICAL (CH. 1,2,6,7,8)
A nurse working in an emergency dept. Is caring for a client who has benzodiazepine
toxicity due to an overdose. Which actions is the nurses priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage - CORRECT ANSWER-B- identify the clients
level of orientation
A nurse is teaching a client who has a new prescription for escitalopram for treatment of
generalized anxiety disorder. Which of the following statements by the client indicates
understanding of the teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- i need to discontinue this med slowly?
D- i should not crush this med before swallowing - CORRECT ANSWER-C- i need to
discontinue this med slowly?
A nurse is providing teaching to a client who has a new prescription for buspirone to
treat anxiety. Which info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency - CORRECT ANSWER-D- this med has a
low risk ffor fdependency
A fnurse fis fteaching fa fclient fwho fobsessive fcompulsive fdisorder fand fhas fa fnew
fprescription ffor fparoxetine fwhich fof fthe ffollowing finstructions fshould fthe fnurse finclude?
A. It fcan ftake fseveral fweeks fbefore fyou ffeel flike fthe fmedication fis fhelping
B. Take fthe fmedication fjust fbefore fbedtime fto fpromote fsleep
C. you fshould ftake fthe fmedication fwhen fneeded ffor fobsessive furges
D. Monitor ffor fweight fgain fwhile ftaking fthis fmedication f- fCORRECT fANSWER-A. fIt
fcan ftake fseveral fweeks fbefore fyou ffeel flike fthe fmedication fis fhelping
,A fnurse fis fcaring ffor fa fclient fwho ftakes fperoxidation fto ftreat fpost fdramatic fstress
fdisorder fhe freports fthat fhe fgrinds fhis fteeth fduring fthe fnight fthe fnurse fshould fidentify
fwhich fof fthe ffollowing finterventions fto fmanage fbruxism f(select fall fthat fapply)
A. Concurrent fadministration fof fbuspirone
B. administration fof fa fdifferent fSSRI
C. use fof fa fmouth fguard
D. changing fto fa fdifferent fclass fof fanti-depressant fmedication
E. increasing fthe fdose fof fparoxetine f- fCORRECT fANSWER-A,C,D
A fnurse fis fproviding finstructions fto fa fclient fhas fbeen fexperiencing finsomnia fand fhas
fa fnew fprescription ffor fto fMaza fPam fthe fnurse fshould finform fthe fclient fthat fwhich fof
fthe ffollowing fmanifestations fare fadverse faffects f(select fall fapply f)
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep fdriving
E. Amnesia f- fCORRECT fANSWER-A,D,E
A fnurse fis fcaring ffor fa fclient fwho fis freceiving fmoderate fsedation fwith fdiazepam fIV fthe
fclient fis foversedated fwhich fof fthe ffollowing fmedications fshould fthe fnurse fanticipate
fadministering fto fthis fclient
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine f- fCORRECT fANSWER-C. fFlumazenil
A fnurse fis fteaching fa fclient fwho fhas fa fnew fprescription ffor fremelton. fThe fnurse fshould
finstruct fthe fclient fto favoid fwhich fof fthe ffollowing ffoods fwhile ftaking fthis fmedication
A. Baked fpotato
B. Fried fchicken
C. Whole fgrain fbread
D. Citrus ffruits f- fCORRECT fANSWER-B
A fnurse fis fcaring ffor fa fclient fwho fis fadmitted fto fundergo fa fsurgical fprocedure fwhich
fof fthe ffollowing fpre-existing fconditions fcan fbe fa fcontraindication ffor fthe fuse fof
fketamine fas fan fintravenous fanesthetic
A. Peptic fulcer fdisease
B. Breast fcancer
C. Diabetes fmellitus
D. Schizophrenia f- fCORRECT fANSWER-D
A fnurse fis fproviding finstructions fto fa ffemale fclient fwho fhas fa fnew fprescription ffor
fzolpidem, fwhat finstructions fshould fthe fnurse finclude
A. Notify fthe fprovider fif fyou fplan fto fbecome fpregnant
B. Take fthe fmedication fone fhour fbefore fyou fplan fto fgo fto fsleep
C. Allow fat fleast fsix fhours ffor fsleep fwhen ftaking fzolpidem
, D. To fincrease fthe feffectiveness fof fzolpidem ftake fit fwith fa fbedtime fsnack f-
fCORRECT fANSWER-A
A fnurse fis fassessing fa fclient fwho fhas fsalicylism fwhich fof fthe ffollowing ffindings
fshould fthe fnurse fexpect f(select fall fapply f)
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache f- fCORRECT fANSWER-A,D,E
A fnurse fis fadmitting fa ftoddler fto fthe fhospital fafter fand facetaminophen foverdose
fwhich fof fthe ffollowing fmedications fshould fthe fnurse fanticipate fadministering fto fthis
fclient
A. Acetylcysteine
B. Pegfilgrastim
C. Misoprostol
D. Naltrexone f- fCORRECT fANSWER-A
A fnurse fis fteaching fa fclient fabout fa fnew fprescription ffor fcelecoxib fwhich fof fthe
ffollowing finformation fshould fshe finclude fin fthe fteaching
A. Increases fthe frisk ffor fa fmyocardial fin ffarction
B. Decreases fthe frisk fof fstroke
C. Inhibits fCOX-1
D. Increases fplatelet faggregation f- fCORRECT fANSWER-A
A fnurses ftaking fhistory ffor fa fclient fwho freports fthat fhe fis ftaking faspirin fabout ffour
ftimes fdaily ffor fa fsprained fwrist fwhich fof fthe ffollowing fprescribe fmedications ftaken
ffor fthe fclient fis fcontra findicated fwith faspirin
A. Digoxin
B. metformim
C. warfarin
D. nitroglycerin f- fCORRECT fANSWER-C
nurses fin fan femergency fdepartment fperforming fadmission fassessment ffor fa fclient fwho
fhas fsevere faspirin ftoxicity fwhich fof fthe ffollowing ffindings fshould fshe fexpect
A. Body ftemperature f35°C f95 fFahrenheit
B. lung fcrackles
C. cool fdry fskin
D. respiratory fdepression f- fCORRECT fANSWER-D
nurse fis fpreparing fto fadminister fan fopioid fagonist fto fa fclient fwho fhas facute fpain
fwhich fof fthe ffollowing fcomplications fshould fthe fnurse fmonitor
A. Urinary fretention
B. Tachy fapnea
C. hypertension
D. irritating fcough f- fCORRECT fANSWER-A
SURGICAL (CH. 1,2,6,7,8)
A nurse working in an emergency dept. Is caring for a client who has benzodiazepine
toxicity due to an overdose. Which actions is the nurses priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage - CORRECT ANSWER-B- identify the clients
level of orientation
A nurse is teaching a client who has a new prescription for escitalopram for treatment of
generalized anxiety disorder. Which of the following statements by the client indicates
understanding of the teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- i need to discontinue this med slowly?
D- i should not crush this med before swallowing - CORRECT ANSWER-C- i need to
discontinue this med slowly?
A nurse is providing teaching to a client who has a new prescription for buspirone to
treat anxiety. Which info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency - CORRECT ANSWER-D- this med has a
low risk ffor fdependency
A fnurse fis fteaching fa fclient fwho fobsessive fcompulsive fdisorder fand fhas fa fnew
fprescription ffor fparoxetine fwhich fof fthe ffollowing finstructions fshould fthe fnurse finclude?
A. It fcan ftake fseveral fweeks fbefore fyou ffeel flike fthe fmedication fis fhelping
B. Take fthe fmedication fjust fbefore fbedtime fto fpromote fsleep
C. you fshould ftake fthe fmedication fwhen fneeded ffor fobsessive furges
D. Monitor ffor fweight fgain fwhile ftaking fthis fmedication f- fCORRECT fANSWER-A. fIt
fcan ftake fseveral fweeks fbefore fyou ffeel flike fthe fmedication fis fhelping
,A fnurse fis fcaring ffor fa fclient fwho ftakes fperoxidation fto ftreat fpost fdramatic fstress
fdisorder fhe freports fthat fhe fgrinds fhis fteeth fduring fthe fnight fthe fnurse fshould fidentify
fwhich fof fthe ffollowing finterventions fto fmanage fbruxism f(select fall fthat fapply)
A. Concurrent fadministration fof fbuspirone
B. administration fof fa fdifferent fSSRI
C. use fof fa fmouth fguard
D. changing fto fa fdifferent fclass fof fanti-depressant fmedication
E. increasing fthe fdose fof fparoxetine f- fCORRECT fANSWER-A,C,D
A fnurse fis fproviding finstructions fto fa fclient fhas fbeen fexperiencing finsomnia fand fhas
fa fnew fprescription ffor fto fMaza fPam fthe fnurse fshould finform fthe fclient fthat fwhich fof
fthe ffollowing fmanifestations fare fadverse faffects f(select fall fapply f)
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep fdriving
E. Amnesia f- fCORRECT fANSWER-A,D,E
A fnurse fis fcaring ffor fa fclient fwho fis freceiving fmoderate fsedation fwith fdiazepam fIV fthe
fclient fis foversedated fwhich fof fthe ffollowing fmedications fshould fthe fnurse fanticipate
fadministering fto fthis fclient
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine f- fCORRECT fANSWER-C. fFlumazenil
A fnurse fis fteaching fa fclient fwho fhas fa fnew fprescription ffor fremelton. fThe fnurse fshould
finstruct fthe fclient fto favoid fwhich fof fthe ffollowing ffoods fwhile ftaking fthis fmedication
A. Baked fpotato
B. Fried fchicken
C. Whole fgrain fbread
D. Citrus ffruits f- fCORRECT fANSWER-B
A fnurse fis fcaring ffor fa fclient fwho fis fadmitted fto fundergo fa fsurgical fprocedure fwhich
fof fthe ffollowing fpre-existing fconditions fcan fbe fa fcontraindication ffor fthe fuse fof
fketamine fas fan fintravenous fanesthetic
A. Peptic fulcer fdisease
B. Breast fcancer
C. Diabetes fmellitus
D. Schizophrenia f- fCORRECT fANSWER-D
A fnurse fis fproviding finstructions fto fa ffemale fclient fwho fhas fa fnew fprescription ffor
fzolpidem, fwhat finstructions fshould fthe fnurse finclude
A. Notify fthe fprovider fif fyou fplan fto fbecome fpregnant
B. Take fthe fmedication fone fhour fbefore fyou fplan fto fgo fto fsleep
C. Allow fat fleast fsix fhours ffor fsleep fwhen ftaking fzolpidem
, D. To fincrease fthe feffectiveness fof fzolpidem ftake fit fwith fa fbedtime fsnack f-
fCORRECT fANSWER-A
A fnurse fis fassessing fa fclient fwho fhas fsalicylism fwhich fof fthe ffollowing ffindings
fshould fthe fnurse fexpect f(select fall fapply f)
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache f- fCORRECT fANSWER-A,D,E
A fnurse fis fadmitting fa ftoddler fto fthe fhospital fafter fand facetaminophen foverdose
fwhich fof fthe ffollowing fmedications fshould fthe fnurse fanticipate fadministering fto fthis
fclient
A. Acetylcysteine
B. Pegfilgrastim
C. Misoprostol
D. Naltrexone f- fCORRECT fANSWER-A
A fnurse fis fteaching fa fclient fabout fa fnew fprescription ffor fcelecoxib fwhich fof fthe
ffollowing finformation fshould fshe finclude fin fthe fteaching
A. Increases fthe frisk ffor fa fmyocardial fin ffarction
B. Decreases fthe frisk fof fstroke
C. Inhibits fCOX-1
D. Increases fplatelet faggregation f- fCORRECT fANSWER-A
A fnurses ftaking fhistory ffor fa fclient fwho freports fthat fhe fis ftaking faspirin fabout ffour
ftimes fdaily ffor fa fsprained fwrist fwhich fof fthe ffollowing fprescribe fmedications ftaken
ffor fthe fclient fis fcontra findicated fwith faspirin
A. Digoxin
B. metformim
C. warfarin
D. nitroglycerin f- fCORRECT fANSWER-C
nurses fin fan femergency fdepartment fperforming fadmission fassessment ffor fa fclient fwho
fhas fsevere faspirin ftoxicity fwhich fof fthe ffollowing ffindings fshould fshe fexpect
A. Body ftemperature f35°C f95 fFahrenheit
B. lung fcrackles
C. cool fdry fskin
D. respiratory fdepression f- fCORRECT fANSWER-D
nurse fis fpreparing fto fadminister fan fopioid fagonist fto fa fclient fwho fhas facute fpain
fwhich fof fthe ffollowing fcomplications fshould fthe fnurse fmonitor
A. Urinary fretention
B. Tachy fapnea
C. hypertension
D. irritating fcough f- fCORRECT fANSWER-A
