1. What is the most important nursing assessment for a client taking digoxin?
A. Blood glucose levels
B. Serum potassium levels
C. Liver enzymes
D. Lung sounds
Answer: B) Serum potassium levels
Rationale: Digoxin toxicity can occur in the presence of hypokalemia, so monitoring serum
potassium levels is crucial.
2. A nurse is educating a client about taking hydrochlorothiazide. What should
the nurse instruct the client to monitor?
A. Blood pressure
B. Serum sodium levels
C. Weight and edema
D. Serum potassium levels
Answer: D) Serum potassium levels
Rationale: Hydrochlorothiazide is a thiazide diuretic that can cause potassium loss, so
monitoring serum potassium levels is important.
3. A nurse is preparing to administer a statin to a client. Which laboratory
value should the nurse assess before administering the medication?
,A. Serum potassium
B. Liver enzymes
C. Complete blood count
D. Blood glucose levels
Answer: B) Liver enzymes
Rationale: Statins can cause liver enzyme abnormalities, so liver function tests should be
monitored before starting therapy and periodically thereafter.
4. What is the primary action of calcium channel blockers like amlodipine?
A. Increase heart rate
B. Dilate blood vessels
C. Inhibit insulin release
D. Increase blood pressure
Answer: B) Dilate blood vessels
Rationale: Calcium channel blockers like amlodipine work by blocking calcium ions from
entering smooth muscle cells, leading to vasodilation and lowered blood pressure.
5. Which of the following medications would be prescribed to a client with acute
asthma exacerbation?
A. Montelukast
B. Albuterol
C. Prednisone
D. Theophylline
, Answer: B) Albuterol
Rationale: Albuterol is a short-acting beta-agonist used for immediate relief of
bronchospasm
during an asthma attack.
6. Which of the following is an important consideration when administering
insulin to a diabetic patient?
A. Administer insulin with food
B. Monitor for hyperglycemia after administration
C. Rotate injection sites to avoid lipodystrophy
D. Only give insulin when blood glucose is elevated
Answer: C) Rotate injection sites to avoid lipodystrophy
Rationale: Rotating injection sites helps prevent lipodystrophy, which can affect the
absorption
of insulin.
7. Which of the following is the priority assessment for a client taking a diuretic
like furosemide?
A. Blood pressure
B. Heart rate
C. Electrolyte levels
D. Respiratory rate
Answer: C) Electrolyte levels
A. Blood glucose levels
B. Serum potassium levels
C. Liver enzymes
D. Lung sounds
Answer: B) Serum potassium levels
Rationale: Digoxin toxicity can occur in the presence of hypokalemia, so monitoring serum
potassium levels is crucial.
2. A nurse is educating a client about taking hydrochlorothiazide. What should
the nurse instruct the client to monitor?
A. Blood pressure
B. Serum sodium levels
C. Weight and edema
D. Serum potassium levels
Answer: D) Serum potassium levels
Rationale: Hydrochlorothiazide is a thiazide diuretic that can cause potassium loss, so
monitoring serum potassium levels is important.
3. A nurse is preparing to administer a statin to a client. Which laboratory
value should the nurse assess before administering the medication?
,A. Serum potassium
B. Liver enzymes
C. Complete blood count
D. Blood glucose levels
Answer: B) Liver enzymes
Rationale: Statins can cause liver enzyme abnormalities, so liver function tests should be
monitored before starting therapy and periodically thereafter.
4. What is the primary action of calcium channel blockers like amlodipine?
A. Increase heart rate
B. Dilate blood vessels
C. Inhibit insulin release
D. Increase blood pressure
Answer: B) Dilate blood vessels
Rationale: Calcium channel blockers like amlodipine work by blocking calcium ions from
entering smooth muscle cells, leading to vasodilation and lowered blood pressure.
5. Which of the following medications would be prescribed to a client with acute
asthma exacerbation?
A. Montelukast
B. Albuterol
C. Prednisone
D. Theophylline
, Answer: B) Albuterol
Rationale: Albuterol is a short-acting beta-agonist used for immediate relief of
bronchospasm
during an asthma attack.
6. Which of the following is an important consideration when administering
insulin to a diabetic patient?
A. Administer insulin with food
B. Monitor for hyperglycemia after administration
C. Rotate injection sites to avoid lipodystrophy
D. Only give insulin when blood glucose is elevated
Answer: C) Rotate injection sites to avoid lipodystrophy
Rationale: Rotating injection sites helps prevent lipodystrophy, which can affect the
absorption
of insulin.
7. Which of the following is the priority assessment for a client taking a diuretic
like furosemide?
A. Blood pressure
B. Heart rate
C. Electrolyte levels
D. Respiratory rate
Answer: C) Electrolyte levels
