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    Exam Review

    1. A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?
      A)
      Hepatitis B
      B)
      Rotavirus
      C)
      Pneumococcal conjugate
      D)
      Quadrivalent human papillomavirus
    2. Exhibits Click to highlight the instructions the nurse should reinforce to the client. Prescribed Medication Albuterol Nursing Instructions "Take your albuterol when you are having difficulty breathing." "Hold your breath for 20 seconds when taking your albuterol." Salmeterol "Take the salmeterol 5 minutes before the albuterol when you need both medications." “Take the salmeterol 2 times each day." Fluticasone "Rinse out your mouth after taking the fluticasone." Take the fluticasone as needed for an asthma attack." (SATA)
      A)
      Take your albuterol when you are having difficulty breathing."
      B)
      Take the salmeterol 2 times each day."
      C)
      Rinse out your mouth after taking the fluticasone
    3. A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?
      A)
      Decreased triglycerides
      B)
      Decreased uric acid
      C)
      Increased albumin
      D)
      Increased potassium
    4. A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
      A)
      Renal excretion time slows for medication.
      B)
      Brain receptors become less sensitive to medications.
      C)
      Gastric emptying rate increases.
      D)
      Hepatic enzymes process medications more rapidly.
    Page 1 of 12

    Exam Review

    1. A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?
      A)
      Tachycardia
      B)
      Tachypnea
      C)
      Sedation
      D)
      Dilated pupils
    2. A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?
      A)
      Lithium carbonate
      B)
      Albuterol
      C)
      Levothyroxine
      D)
      Cetirizine
    3. A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?
      A)
      Taking phenytoin diminishes potassium levels.
      B)
      Monitor for gingival hyperplasia.
      C)
      Taking ginkgo biloba increases phenytoin levels.
      D)
      Minimize exposure to sunlight.
    4. A nurse is reinforcing teaching with a client who has a prescription for sildenafil to treat erectile dysfunction. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I should take this medication twice each day."
      B)
      "I will avoid eating fatty foods while I take this medication."
      C)
      This medication will protect me from sexually transmitted diseases."
      D)
      "I can expect to have constipation while I take this medication."
    Page 2 of 12

    Exam Review

    1. A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?
      A)
      Neutralized gastric acid
      B)
      Improved peripheral vasodilation
      C)
      Increased WBC count
      D)
      Reduced bronchial inflammation
    2. A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?
      A)
      Select an injection site that is free of scar tissue.
      B)
      Massage the site following the injection.
      C)
      Hold the needle at a 30 angle during injection
      D)
      Inject 0.3 to 0.5 mL of the solution.
    3. A nurse is reinforcing teaching with a client who has a new prescription for sustained-release verapamil. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will sit upright for 30 minutes after taking the medication."
      B)
      "I will crush the tablet to make it easier to swallow."
      C)
      "I will follow up with monthly laboratory tests to check for anemia.
      D)
      "I will increase my daily intake of fiber and fluid."
    4. A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states "phenobarbital" and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?
      A)
      Check the prescription in the client's medical record.
      B)
      Ask the client if she has any allergies.
      C)
      Ask the client what medication she took yesterday
      D)
      Check the client's MAR to see what the client received the day before.
    Page 3 of 12

    Exam Review

    1. A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
      A)
      15 g of carbohydrates
      B)
      Naloxone
      C)
      Diphenhydramine
      D)
      fluid bolus
    2. A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?
      A)
      Serum electrolyte levels
      B)
      Thyroid levels
      C)
      Coagulation studies
      D)
      Complete blood count
    3. A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?
      A)
      Ringing in the ears
      B)
      Headache
      C)
      Increased blood pressure
      D)
      Polyuria
    4. A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?
      A)
      Monitor amylase and lipase.
      B)
      Give acetylcysteine.
      C)
      Obtain a chest x-ray.
      D)
      Administer naloxone
    Page 4 of 12

    Exam Review

    1. A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
      A)
      AST.
      B)
      Troponin.
      C)
      T4.
      D)
      Hgb.
    2. A nurse is preparing to administer a daily dose of warfarin to a client. Which of the following laboratory values should the nurse check prior to administration?
      A)
      Platelets
      B)
      OPTT
      C)
      WBC
      D)
      INR
    3. A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?
      A)
      Improved mood
      B)
      Absence of headache
      C)
      Increased bone mass
      D)
      Relief of chest pain
    4. A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?
      A)
      Your child will receive another MMR immunization at 4 to 6 years of age.
      B)
      "Your child will receive two more MMR immunizations over the next 2 years."
      C)
      "Your child will receive another MMR immunization and the hepatitis B immunization at 3 years of age
      D)
      "Your child will have an MMR titer taken to determine the need for further immunizations.
    Page 5 of 12

    Exam Review

    1. A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?
      A)
      Weight gain
      B)
      Decreased menstrual flow
      C)
      Clear breath sounds
      D)
      Increased libido
    2. A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?
      A)
      Dyspnea
      B)
      Urticaria
      C)
      Chills
      D)
      Vomiting
    3. A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?
      A)
      Dicloxacillin
      B)
      Warfarin
      C)
      Esomeprazole
      D)
      Hydrochlorothiazide
    4. A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?
      A)
      Discard the excess medication with a second nurse as a witness.
      B)
      Inject the prescribed dose and save the rest for a later use.
      C)
      Dispose of the excess medication in the sharps container.
      D)
      Give the full contents of the prefilled syringe.
    Page 6 of 12