1. A nurse is caring for a client who is receiving lisinopril for
hypertension. The nurse should monitor the client for which
of the following adverse effects?
a) Weight loss
b) Hyperkalemia
c) Hypoglycemia
d) Dehydration
Answer: b) Hyperkalemia
Rationale: Lisinopril, an ACE inhibitor, can cause
hyperkalemia due to its effect on aldosterone secretion. The
nurse should monitor potassium levels.
2. A nurse is teaching a client about the use of ibuprofen for
pain management. Which of the following instructions
should the nurse include?
a) "Take the medication with an empty stomach for faster
absorption."
b) "Take the medication with food or milk to reduce stomach
irritation."
c) "Avoid drinking fluids while taking this medication."
d) "Increase your fluid intake to 1-2 liters per day."
Answer: b) "Take the medication with food or milk to reduce
stomach irritation."
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs)
like ibuprofen can cause gastric irritation, so it is
recommended to take them with food or milk.
3. A client is prescribed warfarin. The nurse should instruct
the client to avoid which of the following foods?
,a) Bananas
b) Leafy green vegetables
c) Tomatoes
d) Potatoes
Answer: b) Leafy green vegetables
Rationale: Leafy green vegetables contain high levels of
vitamin K, which can interfere with the anticoagulant effect
of warfarin, requiring a consistent intake of vitamin K.
4. A nurse is caring for a client who has been prescribed
digoxin. Which of the following findings is the most
indicative of digoxin toxicity?
a) Hypertension
b) Bradycardia
c) Hyperkalemia
d) Dehydration
Answer: b) Bradycardia
Rationale: Digoxin toxicity can lead to bradycardia, which is
a sign of potential cardiac toxicity. Other symptoms include
nausea, vomiting, and visual disturbances.
5. A nurse is preparing to administer morphine to a client for
pain management. Which of the following assessments
should the nurse prioritize before administration?
a) Blood glucose level
b) Respiratory rate
c) Liver function tests
d) Kidney function tests
, Answer: b) Respiratory rate
Rationale: Opioids like morphine can cause respiratory
depression, so it is crucial to assess the client's respiratory
rate prior to administration.
6. A nurse is providing discharge teaching to a client who is
prescribed prednisone for an autoimmune disorder. Which
of the following statements by the client indicates the need
for further teaching?
a) "I should avoid large crowds to prevent infection."
b) "I need to gradually taper off the medication."
c) "I will take the medication with food to reduce stomach
irritation."
d) "I can stop the medication as soon as I feel better."
Answer: d) "I can stop the medication as soon as I feel
better."
Rationale: Prednisone is a corticosteroid that must not be
stopped abruptly. It should be tapered gradually to prevent
adrenal insufficiency.
7. A client is receiving amoxicillin for a bacterial infection.
The nurse should instruct the client to complete the entire
course of therapy for which of the following reasons?
a) To prevent the development of resistance
b) To decrease the risk of side effects
c) To improve the effectiveness of the drug
d) To decrease the risk of developing superinfection
Answer: a) To prevent the development of resistance
Rationale: Completing the full course of antibiotics helps to
hypertension. The nurse should monitor the client for which
of the following adverse effects?
a) Weight loss
b) Hyperkalemia
c) Hypoglycemia
d) Dehydration
Answer: b) Hyperkalemia
Rationale: Lisinopril, an ACE inhibitor, can cause
hyperkalemia due to its effect on aldosterone secretion. The
nurse should monitor potassium levels.
2. A nurse is teaching a client about the use of ibuprofen for
pain management. Which of the following instructions
should the nurse include?
a) "Take the medication with an empty stomach for faster
absorption."
b) "Take the medication with food or milk to reduce stomach
irritation."
c) "Avoid drinking fluids while taking this medication."
d) "Increase your fluid intake to 1-2 liters per day."
Answer: b) "Take the medication with food or milk to reduce
stomach irritation."
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs)
like ibuprofen can cause gastric irritation, so it is
recommended to take them with food or milk.
3. A client is prescribed warfarin. The nurse should instruct
the client to avoid which of the following foods?
,a) Bananas
b) Leafy green vegetables
c) Tomatoes
d) Potatoes
Answer: b) Leafy green vegetables
Rationale: Leafy green vegetables contain high levels of
vitamin K, which can interfere with the anticoagulant effect
of warfarin, requiring a consistent intake of vitamin K.
4. A nurse is caring for a client who has been prescribed
digoxin. Which of the following findings is the most
indicative of digoxin toxicity?
a) Hypertension
b) Bradycardia
c) Hyperkalemia
d) Dehydration
Answer: b) Bradycardia
Rationale: Digoxin toxicity can lead to bradycardia, which is
a sign of potential cardiac toxicity. Other symptoms include
nausea, vomiting, and visual disturbances.
5. A nurse is preparing to administer morphine to a client for
pain management. Which of the following assessments
should the nurse prioritize before administration?
a) Blood glucose level
b) Respiratory rate
c) Liver function tests
d) Kidney function tests
, Answer: b) Respiratory rate
Rationale: Opioids like morphine can cause respiratory
depression, so it is crucial to assess the client's respiratory
rate prior to administration.
6. A nurse is providing discharge teaching to a client who is
prescribed prednisone for an autoimmune disorder. Which
of the following statements by the client indicates the need
for further teaching?
a) "I should avoid large crowds to prevent infection."
b) "I need to gradually taper off the medication."
c) "I will take the medication with food to reduce stomach
irritation."
d) "I can stop the medication as soon as I feel better."
Answer: d) "I can stop the medication as soon as I feel
better."
Rationale: Prednisone is a corticosteroid that must not be
stopped abruptly. It should be tapered gradually to prevent
adrenal insufficiency.
7. A client is receiving amoxicillin for a bacterial infection.
The nurse should instruct the client to complete the entire
course of therapy for which of the following reasons?
a) To prevent the development of resistance
b) To decrease the risk of side effects
c) To improve the effectiveness of the drug
d) To decrease the risk of developing superinfection
Answer: a) To prevent the development of resistance
Rationale: Completing the full course of antibiotics helps to
