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    Exam Review

    1. A nurse is caring for a client who is taking oral erythromycin. Which of the following statements by the nurse indicates the client is experiencing a common adverse effect of this medication?
      A)
      "The client verbalizes a ringing in the ears."
      B)
      "The client reports constipation with abdominal cramping."
      C)
      "The client had a small amount of yellow emesis."
      D)
      "The client has swollen lips."
    2. A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?
      A)
      Administer the regular dose of lithium.
      B)
      Contact the laboratory to repeat the lithium level.
      C)
      Obtain an ECG and institute seizure precautions.
      D)
      Contact the provider to prescribe an increased dose of lithium.
    3. A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?
      A)
      Methadone
      B)
      Acamprosate
      C)
      Disulfiram
      D)
      Lorazepam
    4. A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?
      A)
      Prone
      B)
      Orthopneic
      C)
      Sims' position
      D)
      Dorsal recumbent
    Page 1 of 8

    Exam Review

    1. A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?
      A)
      Avocadoes
      B)
      2% milk
      C)
      Sliced apples
      D)
      Celery sticks
    2. A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?
      A)
      Hypertension
      B)
      Hearing loss
      C)
      Sedation
      D)
      Bradycardia
    3. A nurse is reinforcing teaching about Rho(D) immunoglobulin to a client who is pregnant. Which of the following findings can an Rh incompatibility cause?
      A)
      Transient clotting difficulties
      B)
      Congenital hypothermia
      C)
      Hypobilirubinemia
      D)
      Hydrops fetalis
    4. A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?
      A)
      Postpartum infection
      B)
      Hypertension
      C)
      Postpartum hemorrhage
      D)
      Thromboembolic events
    Page 2 of 8

    Exam Review

    1. A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder. For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?
      A)
      Thyroid enlargement
      B)
      Constipation
      C)
      Hyporeflexia
      D)
      Elevated blood pressure
    2. A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil. The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?
      A)
      Cefuroxime
      B)
      Metformin
      C)
      Isosorbide
      D)
      Naproxen
    3. A nurse is caring for a client who has schizophrenia and is receiving clozapine. For which of the following findings should the nurse monitor to determine if the medication is having a therapeutic effect?
      A)
      Decreased auditory hallucinations
      B)
      Control of seizure activity
      C)
      Weight gain
      D)
      Decreased WBC count
    4. A nurse is reinforcing teaching with a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following information should the nurse include in the teaching?
      A)
      Decreased libido is an adverse effect of the medication.
      B)
      Prostate-specific antigen (PSA) levels will increase while taking this medication.
      C)
      Avoid taking the medication with grapefruit juice.
      D)
      Expect to experience a response from the medication in 1 week.
    Page 3 of 8

    Exam Review

    1. A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?
      A)
      "Stop taking alprazolam right away if you experience abdominal discomfort."
      B)
      "Watch for drowsiness and light-headedness while taking alprazolam."
      C)
      "Drinking alcohol decreases the effectiveness of alprazolam."
      D)
      "This medication has a low risk for physical dependence."
    2. A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?
      A)
      Take the medication on an empty stomach.
      B)
      Wait up to 3 weeks to see the full effects of the medication.
      C)
      Follow a low-sodium diet.
      D)
      Limit fluid intake to 800 ounces per day while taking this medication
    3. A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?
      A)
      "Diazepam can cause drowsiness."
      B)
      "A single dose of diazepam is unlikely to cause side effects."
      C)
      "Grapefruit juice inactivates this medication."
      D)
      "Avoid foods that contain tyramine."
    4. A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?
      A)
      Notify your provider if you experience a sore throat or fever while taking this medication.
      B)
      Urine that is dark yellow or orange is an expected adverse effect of this medication.
      C)
      Take the medication with an antacid to decrease stomach upset.
      D)
      You might experience bleeding gums while taking this medication.
    Page 4 of 8

    Exam Review

    1. A nurse is assisting with the preparation of an educational program about the use of oral contraceptives. The nurse should include that which of the following herbal supplements reduces the effectiveness of oral contraceptives?
      A)
      Ginger root
      B)
      St. John's wort
      C)
      Gingko biloba
      D)
      Glucosamine
    2. A nurse is reinforcing teaching with a client who has a prescription for oral suspension phenytoin. Which of the following information should the nurse include in the teaching?
      A)
      Notify the provider immediately if urine turns red-brown in color.
      B)
      Take an antacid with the medication to avoid gastric upset.
      C)
      Shake the suspension vigorously prior to pouring the medication.
      D)
      Obtain an annual flu vaccine while taking phenytoin.
    3. A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years. The nurse notes choreiform movements, lip smacking, and spastic facial distortions. The nurse should document these findings as indicating which of the following conditions?
      A)
      Akathisia
      B)
      Dystonia
      C)
      Pseudoparkinsonism
      D)
      Tardive dyskinesia
    4. A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 5 of 8

    Exam Review

    1. A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?
      A)
      1 cup (8oz) of applesauce
      B)
      1 cup (8oz) plain low-fat yogurt
      C)
      1 oz of cheddar cheese
      D)
      1 cup (8 oz) cooked spinach
    2. A nurse is reinforcing teaching a client who has a new prescription for gentamycin ointment to treat a skin infection. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "After I apply the cream, I will leave the area open to the air."
      B)
      "I can expect a little blurry vision while I'm using this cream."
      C)
      “I should apply the cream to large areas around the infection."
      D)
      "I’ll wash the area with soap and water before I apply the cream."
    3. A nurse is reinforcing teaching with a client who has a new prescription for an estrogen- progestin combination contraceptive. Which of the following instructions should the nurse include in the teaching?
      A)
      Protection begins with the first dose of the initial cycle.
      B)
      If a pill is missed take the missed dose along with the next dose.
      C)
      Increase dosage for breakthrough bleeding.
      D)
      Take the medication on an empty stomach.
    4. A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
      A)
      Calcium gluconate
      B)
      Flumazenil
      C)
      Protamine sulfate
      D)
      Naloxone
    Page 6 of 8