NursGuru

    Exam Review

    1. A client with psychosis who is receiving an antipsychotic medication is continually rubbing the back of the neck. Which nursing intervention is best for the nurse to implement?
      A)
      Provide the client a heating pad to place on the neck.
      B)
      Obtain a prescription for physical therapy services.
      C)
      Give a PRN prescription for benztropine.
      D)
      Obtain an extra pillow for the client to use at night.
    2. A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse that the education was effective?
      A)
      Take medication on an empty stomach.
      B)
      Consume foods that are high in iodine.
      C)
      Administer levothyroxine at bedtime.
      D)
      Avoid the use of iron supplements.
    3. The nurse is administering muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention is the most important for the nurse to implement?
      A)
      Advise the client to move slowly and cautiously when rising and walking.
      B)
      Evaluate muscle strength every 4 hours.
      C)
      Monitor intake and output every 8 hours.
      D)
      Ensure the client knows to stop baclofen before using other antispasmodics.
    4. A client with atrial fibrillation receives a new prescription for dabigatran. Which instruction should the nurse include in this client's teaching plan?
      A)
      Eliminate spinach and other green vegetables in the diet.
      B)
      Continue obtaining scheduled laboratory bleeding tests.
      C)
      Keep an antidote available in the event of hemorrhage.
      D)
      Avoid use of nonsteroidal anti-inflammatory drugs (NSAIDs).

    Exam Review

    1. A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?
      A)
      Muscle tenderness.
      B)
      Nausea and vomiting.
      C)
      Excessive bruising.
      D)
      Peripheral edema.
    2. The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
      A)
      Weight change in the last month.
      B)
      Liver function laboratory results.
      C)
      Recent use of other antidepressants.
      D)
      Family history of mental illness.
    3. A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to be darker in color. Which action should the nurse take?
      A)
      Measure the client's urinary output.
      B)
      Explain the color change is normal.
      C)
      Obtain a specimen for a urine culture.
      D)
      Encourage an increase in oral intake.
    4. Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?
      A)
      Employed as a construction worker.
      B)
      Reported history of alcoholism.
      C)
      White blood cell count of 8,500/mm3 (8.5 x 10^9/L).
      D)
      Toenails appear thick and yellow.

    Exam Review

    1. Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 84 mcg/L (35.6 mmol/L). Which action should the nurse take?
      A)
      Notify the healthcare provider of the carbamazepine level.
      B)
      Administer the carbamazepine as prescribed.
      C)
      Assess the client for side effects of carbamazepine.
      D)
      Withhold this dose of the carbamazepine.
    2. The health care provider prescribes the antibiotic tetracycline HCl for an adult client who arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?
      A)
      Protect the skin from sunlight while taking the drug.
      B)
      Take with orange juice to enhance GI absorption.
      C)
      Return to the clinic weekly to obtain serum drug levels.
      D)
      Take with milk or antacids to prevent gastrointestinal (GI) irritation.
    3. The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with hypertension. The client's vital signs are temperature 99° F (37.2° C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (B/P) 150/90 mm Hg. Which action should the nurse take?
      A)
      Assess for orthostatic hypotension before administering the dose.
      B)
      Administer the dose and monitor the client's BP regularly.
      C)
      Apply a telemetry monitor before administering the dose.
      D)
      Withhold the scheduled dose and notify the health care provider.
    4. A client is receiving intravenous (IV) vancomycin and the nurse plans to draw blood for a peak and trough to determine the serum level of the medication. Which of the following collection times provide the best determination of these levels?
      A)
      Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication.
      B)
      One hour after completion of the IV dose and one hour before the next administration of the medication.
      C)
      Two hours after completion of the IV dose and two hours before the next administration of the medication.
      D)
      Immediately after completion of the IV dose and 30 minutes before the next administration of the medication.

    Exam Review

    1. After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take?
      A)
      Instruct the client to increase her intake of saturated fats over the next week.
      B)
      Advise the client to stop taking the drug and contact her healthcare provider.
      C)
      Obtain a stool specimen to evaluate for occult blood and fat content.
      D)
      Ask the client to describe her dietary intake history for the last several days.
    2. A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?
      A)
      Replace salt with a salt substitute.
      B)
      Monitor skin for excessive bruising.
      C)
      Cover your skin before going outside.
      D)
      Limit intake of high-potassium foods.
    3. The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
      A)
      Scratchy throat.
      B)
      Pupillary constriction.
      C)
      Bradycardia.
      D)
      Hypertension.
    4. The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
      A)
      Instruct the client that it is necessary to take nothing but water with the medication.
      B)
      Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
      C)
      Consult with a pharmacist about scheduling the dose one hour after the client eats.
      D)
      Withhold the medication until the client's breakfast tray is available on the unit.

    Exam Review

    1. A client with hepatic encephalopathy is receiving lactulose. Which assessment provides the nurse with the best information to evaluate the client's therapeutic response to the drug?
      A)
      Stool color and character.
      B)
      Serum electrolytes and ammonia.
      C)
      Serum hepatic enzymes.
      D)
      Fingerstick glucose.
    2. The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head to toe assessment, the nurse discovers four patches on the client's body. Which action should the nurse take first?
      A)
      Apply oxygen face mask.
      B)
      Remove the morphine patches.
      C)
      Administer a narcotic reversal drug.
      D)
      Monitor blood pressure.
    3. An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote best absorption of the medication, which information should the nurse include in the discharge instructions?
      A)
      Take the tablet with a daily multivitamin.
      B)
      Bedtime is the best time to take the tablet.
      C)
      Wait 2 hours after meals to take the tablet.
      D)
      Crush the tablets and mix with pudding.
    4. A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?
      A)
      Determine when the last dose was administered.
      B)
      Encourage the client to use diversional thoughts to manage pain.
      C)
      Review the history for a past use of recreational drugs.
      D)
      Ask the client to rate the current level of pain using a pain scale.

    Exam Review

    1. The nurse is caring for a client who is taking diclofenac, a nonsteroidal anti-inflammatory (NSAID) drug for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?
      A)
      Glucose.
      B)
      Total protein.
      C)
      Sodium.
      D)
      Hemoglobin.
    2. Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?
      A)
      Instruct the client to request assistance when ambulating to the bathroom.
      B)
      Administer a stool softener/laxative at the same time as the analgesic.
      C)
      Advise the client that the medication should start to work in about 30 minutes.
      D)
      Tell the client to notify the nurse if the pain is not relieved.
    3. A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
      A)
      Stop the oral contraceptive immediately.
      B)
      Avoid prolonged exposure to direct sunlight.
      C)
      Take the medications at least 12 hours apart.
      D)
      Use an additional form of contraception.
    4. The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
      A)
      Administer sucralfate once a day, preferably at bedtime.
      B)
      Give sucralfate on an empty stomach.
      C)
      Monitor for electrolyte imbalance.
      D)
      Assess for secondary Candida infection.