Comprehensive Exam
133- Cyclobenzaprine (Flexeril) is prescribed to a client with multiple sclerosis for the treatment of
muscle spasms. For which common side effect of this medication does the nurse monitor the client?
A. Diarrhea
B. Drowsiness Correct
C. Abdominal pain
D. Increased salivation
134 - A nurse administers nitroglycerin sublingually to a client with angina pectoris who complains of
chest pain. The medication is ineffective, so the nurse prepares to administer a second dose. Before
administering the nitroglycerin, which action does the nurse make a priority?
A. Checking the client's blood pressure Correct
B. Obtaining blood levels of cardiac enzymes
C. Asking the client whether he has a headache
D. Obtaining a 12-lead electrocardiogram (ECG)
135- Ciprofloxacin hydrochloride (Cipro) is prescribed to a client with a urinary tract infection. The
nurse, providing instruction about the medication, tells the client that it is best to take the medication:
A. With milk
B. With an antacid
C. 2 hours after meals Correct
D. With aluminum hydroxide
136.-
A nurse provides home care instructions to a client with coronary artery disease (CAD) who is being
discharged from the hospital. Which statement by the client indicates a need for further instruction?
, A. "I need to carry my nitroglycerin with me at all times."
B. "I need to check my pulse before, during, and after exercise."
C. "I need to avoid foods with saturated fats and foods high in cholesterol."
D. "I need to participate in aerobic and weightlifting exercise three times a week." Correct
137- A nurse provides information to a client who will be undergoing endoscopic retrograde
cholangiopancreatography (ERCP). The nurse tells the client that:
A. There is no need to fast (NPO status) before the procedure
B. The gallbladder is easily removed during this procedure if gallstones are found
C. The procedure is performed specifically to visualize the esophagus, stomach, and
duodenum
D. Dye may be injected during the procedure to permit visualization of the pancreatic and
biliary ducts Correct
138.ID: 383713175
A client who has undergone knee-replacement surgery will be self-administering enoxaparin sodium
(Lovenox) at home. The nurse teaches the client about the medication and tells the client to:
A. Store the medication in the refrigerator
B. Lie down to administer the subcutaneous injection Correct
C. Inject the medication in the upper outer aspect of the arm
D. Discard the medication if the solution appears pale yellow
139.ID: 383703667
An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-Parkinson-
White syndrome. Which piece of equipment does the nurse make a priority of obtaining before
administering the medication?
A. Pulse oximeter
B. Cardiac monitor Correct
, C. Blood-pressure cuff
D. Suction catheter and suction machine
140.ID: 383703619
A nurse provides information to a client with coronary artery disease (CAD) about smoking-cessation
measures. Which statement by the client indicates a need for further information?
A. "A community support group will help me quit."
B. "I should drink a cup of coffee if I feel the urge to smoke." Correct
C. "Relaxation exercises will help control my urge to smoke."
D. "I can try chewing gum or sucking on hard candy if I feel the urge to smoke."
141.ID: 383708584
Captopril (Capoten) is prescribed for a hospitalized client with heart failure. Which action is a priority
once the nurse has administered the first dose?
A. Checking the client's apical heart rate
B. Maintaining the client on bed rest for 3 hours Correct
C. Monitoring the client for increased urine output
D. Checking the client's breath sounds for decreased wheezing
142.ID: 383706680
A client with heart failure suddenly experiences profound dyspnea, pallor, audible wheezing, and
cyanosis, and the nurse suspects pulmonary edema. The nurse would first:
A. Obtain a pulse oximetry reading
B. Raise the head of the client's bed Correct
C. Administer a dose of morphine sulfate
, D. Obtain a specimen for an arterial blood gas determination
143.ID: 383703665
The nurse administers intravenous morphine sulfate to a client in pulmonary edema. For which
intended effect of the medication does the nurse monitor the client?
A. Relief of pain
B. Relief of anxiety Correct
C. Decreased urine output
D. Increased blood pressure
144.ID: 383702944
A nurse is providing home care instructions to a client with coronary artery disease (CAD) who will
be discharged home and will be taking 1 aspirin daily. The nurse tells the client:
A. To stop the aspirin if nausea occurs Incorrect
B. To take the aspirin on an empty stomach
C. That the aspirin is a short-term treatment and will probably be discontinued in 2
weeks
145.ID: 383713112
A client receiving parenteral nutrition (PN) suddenly experiences chest pain and dyspnea, and the
nurse suspects an air embolism. The nurse immediately places the client in a lateral Trendelenburg
position, on the left side. What action does the nurse take next?
A. Auscultating heart sounds
B. Clamping the intravenous catheter Correct
C. Checking the client's blood pressure
133- Cyclobenzaprine (Flexeril) is prescribed to a client with multiple sclerosis for the treatment of
muscle spasms. For which common side effect of this medication does the nurse monitor the client?
A. Diarrhea
B. Drowsiness Correct
C. Abdominal pain
D. Increased salivation
134 - A nurse administers nitroglycerin sublingually to a client with angina pectoris who complains of
chest pain. The medication is ineffective, so the nurse prepares to administer a second dose. Before
administering the nitroglycerin, which action does the nurse make a priority?
A. Checking the client's blood pressure Correct
B. Obtaining blood levels of cardiac enzymes
C. Asking the client whether he has a headache
D. Obtaining a 12-lead electrocardiogram (ECG)
135- Ciprofloxacin hydrochloride (Cipro) is prescribed to a client with a urinary tract infection. The
nurse, providing instruction about the medication, tells the client that it is best to take the medication:
A. With milk
B. With an antacid
C. 2 hours after meals Correct
D. With aluminum hydroxide
136.-
A nurse provides home care instructions to a client with coronary artery disease (CAD) who is being
discharged from the hospital. Which statement by the client indicates a need for further instruction?
, A. "I need to carry my nitroglycerin with me at all times."
B. "I need to check my pulse before, during, and after exercise."
C. "I need to avoid foods with saturated fats and foods high in cholesterol."
D. "I need to participate in aerobic and weightlifting exercise three times a week." Correct
137- A nurse provides information to a client who will be undergoing endoscopic retrograde
cholangiopancreatography (ERCP). The nurse tells the client that:
A. There is no need to fast (NPO status) before the procedure
B. The gallbladder is easily removed during this procedure if gallstones are found
C. The procedure is performed specifically to visualize the esophagus, stomach, and
duodenum
D. Dye may be injected during the procedure to permit visualization of the pancreatic and
biliary ducts Correct
138.ID: 383713175
A client who has undergone knee-replacement surgery will be self-administering enoxaparin sodium
(Lovenox) at home. The nurse teaches the client about the medication and tells the client to:
A. Store the medication in the refrigerator
B. Lie down to administer the subcutaneous injection Correct
C. Inject the medication in the upper outer aspect of the arm
D. Discard the medication if the solution appears pale yellow
139.ID: 383703667
An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-Parkinson-
White syndrome. Which piece of equipment does the nurse make a priority of obtaining before
administering the medication?
A. Pulse oximeter
B. Cardiac monitor Correct
, C. Blood-pressure cuff
D. Suction catheter and suction machine
140.ID: 383703619
A nurse provides information to a client with coronary artery disease (CAD) about smoking-cessation
measures. Which statement by the client indicates a need for further information?
A. "A community support group will help me quit."
B. "I should drink a cup of coffee if I feel the urge to smoke." Correct
C. "Relaxation exercises will help control my urge to smoke."
D. "I can try chewing gum or sucking on hard candy if I feel the urge to smoke."
141.ID: 383708584
Captopril (Capoten) is prescribed for a hospitalized client with heart failure. Which action is a priority
once the nurse has administered the first dose?
A. Checking the client's apical heart rate
B. Maintaining the client on bed rest for 3 hours Correct
C. Monitoring the client for increased urine output
D. Checking the client's breath sounds for decreased wheezing
142.ID: 383706680
A client with heart failure suddenly experiences profound dyspnea, pallor, audible wheezing, and
cyanosis, and the nurse suspects pulmonary edema. The nurse would first:
A. Obtain a pulse oximetry reading
B. Raise the head of the client's bed Correct
C. Administer a dose of morphine sulfate
, D. Obtain a specimen for an arterial blood gas determination
143.ID: 383703665
The nurse administers intravenous morphine sulfate to a client in pulmonary edema. For which
intended effect of the medication does the nurse monitor the client?
A. Relief of pain
B. Relief of anxiety Correct
C. Decreased urine output
D. Increased blood pressure
144.ID: 383702944
A nurse is providing home care instructions to a client with coronary artery disease (CAD) who will
be discharged home and will be taking 1 aspirin daily. The nurse tells the client:
A. To stop the aspirin if nausea occurs Incorrect
B. To take the aspirin on an empty stomach
C. That the aspirin is a short-term treatment and will probably be discontinued in 2
weeks
145.ID: 383713112
A client receiving parenteral nutrition (PN) suddenly experiences chest pain and dyspnea, and the
nurse suspects an air embolism. The nurse immediately places the client in a lateral Trendelenburg
position, on the left side. What action does the nurse take next?
A. Auscultating heart sounds
B. Clamping the intravenous catheter Correct
C. Checking the client's blood pressure
