NursGuru

    Exam Review

    1. A patient with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0800. The patient reports experiencing heartburn. The nurse brings the scheduled medications. Which action should the nurse take?
      A)
      Provide a PRN dose of antacid along with the scheduled medications.
      B)
      Instruct the client to take the dose of sucralfate PO while eating breakfast.
      C)
      Hold the dose of IV pantoprazole until the client has finished eating breakfast.
      D)
      Administer both of the medications before breakfast as scheduled.
    2. A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500 mg PO twice daily. Which action should the nurse take?
      A)
      Contact the healthcare provider.
      B)
      Give with prescribed antihistamine.
      C)
      Administer the medication as prescribed.
      D)
      Monitor the client for a rash or hives.
    3. Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication?
      A)
      Use a straw to ingest.
      B)
      Swallow undiluted.
      C)
      Mix with an antacid.
      D)
      Take with a glass of milk.
    4. A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?
      A)
      I should take this medication only when I am having an asthma attack.
      B)
      I will not need to use my inhalers twice a day when I start this medicine.
      C)
      I will take the tablet every evening to control my asthma.
      D)
      This medication will stop an asthma attack immediately.

    Exam Review

    1. The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?
      A)
      Observe bowel movement pattern and take a stool softener.
      B)
      Do not drink grapefruit juice after taking morphine.
      C)
      Take the benzodiazepine at the same time as taking the morphine.
      D)
      Watch for signs of agitation and record any insomnia.
    2. A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?
      A)
      A CT scan that was performed six months earlier.
      B)
      Takes metformin hydrochloride for type 2 diabetes mellitus.
      C)
      Report of client’s sobriety for the last five years.
      D)
      Metal hip prosthesis was placed twenty years ago.
    3. A female client with mild depression reports to the nurse that she recently started taking St. John’s wort. Which information provided by the client requires further instruction?
      A)
      Insomnia may occur while taking the medication.
      B)
      Another form of contraception is not needed.
      C)
      Sensitivity to the sun can develop.
      D)
      Hard candy can be used for a dry mouth.
    4. A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement?
      A)
      Administer a PRN dose of an antianxiety drug.
      B)
      Obtain orthostatic blood pressure readings.
      C)
      Notify the healthcare provider.
      D)
      Collect a capillary glucose level.

    Exam Review

    1. A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?
      A)
      Be aware that difficulty sleeping and weight loss may occur.
      B)
      Notify the healthcare provider if experiencing changes in taste.
      C)
      Administer each dose with at least 8 ounces of water.
      D)
      Consume tyramine-free foods while taking the medicine.
    2. A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?
      A)
      Eliminates urinary bacteria.
      B)
      Use the medication after voiding after sexual intercourse.
      C)
      Calms spasms in the urinary tract.
      D)
      Provides an analgesic effect for irritated bladder mucosa.
    3. A client is receiving tamsulosin, an alpha-adrenergic blocking agent, for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?
      A)
      Take the medication early in the day.
      B)
      Stand and sit up slowly.
      C)
      Reduce daily fluid intake.
      D)
      Use a twice-a-week dosing schedule.
    4. A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
      A)
      Rinses the mouth after each use.
      B)
      Stores the medication at room temperature.
      C)
      Attaches a spacer device to the inhaler.
      D)
      Primes the inhaler with 7 pumps.

    Exam Review

    1. A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
      A)
      Potassium.
      B)
      Calcium.
      C)
      Phosphate.
      D)
      ph
    2. A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
      A)
      Potassium.
      B)
      Calcium.
      C)
      Phosphate.
      D)
      pH.
    3. When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?a) Decreased episodes of incontinence.b) Improved ability to concentrate.c) Exhibits fewer emotional outbursts.d) Sleeps soundly through the night.The correct answer is d) Sleeps soundly through the night.Choice A reason: Zolpidem is primarily prescribed for the short-term treatment of insomnia. It works by enhancing the activity of the inhibitory neurotransmitter gamma-aminobutyric acid (GAB
      A)
      Decreased episodes of incontinence.
      B)
      Improved ability to concentrate.
      C)
      Exhibits fewer emotional outbursts.
      D)
      Sleeps soundly through the night.
    4. An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN) is receiving these daily prescriptions: atenolol, furosemide, and enalapril. Which assessments should the nurse include in evaluating the effectiveness of the medications? (Select all that apply.)
      A)
      Heart sounds.
      B)
      Blood pressure.
      C)
      Bowel sounds.
      D)
      Daily weight.
      E)
      Range of motion.

    Exam Review

    1. The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?
      A)
      Explain to the family how to inject this medication for severe hypoglycemia.
      B)
      Teach the client self-injection skills for daily subcutaneous administration.
      C)
      Demonstrate how to select the dose based on before-meal blood sugar readings.
      D)
      Provide information on increasing medication dosage if ketoacidosis occurs.
    2. Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?
      A)
      Administer potassium to stabilize the heart rate.
      B)
      Begin cardioversion to stabilize heart rhythm.
      C)
      Check acid-base and electrolyte values.
      D)
      Give digoxin by another route to slow absorption.
    3. When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the client’s upper back and the client denies pain. Which action should the nurse take?
      A)
      Place the patch on the client’s shoulder and leave both patches in place for 12 hours.
      B)
      Remove the patch and consult with the healthcare provider about the client’s pain resolution.
      C)
      Apply the new patch in a different location after removing the original patch.
      D)
      Administer an oral analgesic and evaluate its effectiveness before applying the new patch.
    4. When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
      A)
      Decreased episodes of incontinence.
      B)
      Improved ability to concentrate.
      C)
      Exhibits fewer emotional outbursts.
      D)
      Sleeps soundly through the night.

    Exam Review

    1. The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?
      A)
      Document the client’s refusal of the medication at this time.
      B)
      Explain the need to take the medication at least 1 hour before meals.
      C)
      Allow the client to take the medication up to 1 hour after breakfast.
      D)
      Instruct the client to take it when the meal tray is delivered.
    2. A client is receiving miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is the risk for injury. This nursing problem is based on which etiology?
      A)
      Decreased night vision.
      B)
      Increased sensitivity to light.
      C)
      Increased frequency of lacrimation.
      D)
      Diminished color perception.
    3. A client who has been taking nonsteroidal anti-inflammatory drugs (NSAIDs) is experiencing gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client’s teaching plan?
      A)
      Resume a diet that consists of milk, cream, and bland foods.
      B)
      Call the clinic if diarrhea or headache occurs when taking esomeprazole.
      C)
      Once pain subsides, NSAID therapy can be resumed.
      D)
      Notify the healthcare provider of the passage of black stools.
    4. Prior to administering an oral dose of methylprednisolone, the nurse determines the client’s serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?
      A)
      Teach the client about foods high in calcium.
      B)
      Begin tapering the drug dose per protocol.
      C)
      Notify the healthcare provider of the finding.
      D)
      Administer the medication with a glass of milk.