NursGuru

    Exam Review

    1. To monitor the effectiveness of desmopressin acetate (DDAVP) in a client with diabetes insipidus, which action should the nurse take?
      A)
      Assess the heart rate frequently
      B)
      Check for daily bowel movement
      C)
      Review the serum glucose level
      D)
      Measure the intake and output
    2. Abruptly stopping high doses of glucocorticoids can be harmful because of which effect?
      A)
      Abnormal clots and emboli will develop in blood vessels.
      B)
      Drug resistance to corticosteroids can occur.
      C)
      Blood pressure elevation and hypertensive crisis will develop.
      D)
      Secretions from adrenal glands have been suppressed.
    3. A client is brought to the emergency department with drowsiness, flushed dry skin, blurred vision, urinary retention, and tachycardia. The nurse notes the patient is wearing three scopolamine patches behind the ear. Which medication should the nurse anticipate administering?
      A)
      Naloxone
      B)
      Flumazenil
      C)
      Atropine
      D)
      Physostigmine
    4. Match each medication with it's indication, teaching or side effect. Use each option once. Prompts Possible Answers Disulfuram ▾ Avoid all alcohol-containing products Buprenorphine-naloxone ▾ Opioid use disorder treatment to reduce cravings and withdrawal Chlordiazepoxide ▾ Drowsiness, dizziness, and impaired coordination Methadone ▾ Opioid use disorder and chronic pain management
      Dropdown 1:
      Option 1: Opioid use disorder treatment to reduce cravings and withdrawal
      Option 2: Drowsiness, dizziness, and impaired coordination
      Option 3: Avoid all alcohol-containing products
      Option 4: Opioid use disorder and chronic pain management
      Dropdown 2:
      Option 1: Opioid use disorder treatment to reduce cravings and withdrawal
      Option 2: Drowsiness, dizziness, and impaired coordination
      Option 3: Avoid all alcohol-containing products
      Option 4: Opioid use disorder and chronic pain management
      Dropdown 3:
      Option 1: Opioid use disorder treatment to reduce cravings and withdrawal
      Option 2: Drowsiness, dizziness, and impaired coordination
      Option 3: Avoid all alcohol-containing products
      Option 4: Opioid use disorder and chronic pain management
      Dropdown 4:
      Option 1: Opioid use disorder treatment to reduce cravings and withdrawal
      Option 2: Drowsiness, dizziness, and impaired coordination
      Option 3: Avoid all alcohol-containing products
      Option 4: Opioid use disorder and chronic pain management

    Exam Review

    1. Clients taking an NSAID drug should be counseled that these medications can cause which side effects? Select all that apply.
      (SATA)
      A)
      Oral thrush
      B)
      Cardiovascular effects
      C)
      GI bleeds
      D)
      Yellowing of the sclera
      E)
      Kidney damage
    2. A client is a Type 1 diabetic and is hospitalized for wound on the right foot. The MAR states: NPH Insulin 40 Units Subcutaneously at 0800 and 1600 Sliding Scale Regular Insulin Subcutaneously ac and hs (0700, 1100, 1600 and 2200) Blood Glucose Levels AC Dose HS Dose BG 100 AC 0 Units HS 0 Units BG 101-150 AC 2 Units HS 0 Units BG 151-200 AC 4 Units HS 2 Units BG 201-250 AC 6 Units HS 4 Units The client’s pre-lunch blood glucose is 180 mg/dL. Which insulin doses should the nurse administer at 1100?
      A)
      The nurse administers NPH 40 Units and Regular Insulin 12 Units
      B)
      The nurse administers NPH 40 Units
      C)
      The nurse administers NPH 40 Units and Regular Insulin 4 Units
      D)
      NPH 40 units and regular insulin 2 units
    3. The nurse is assuming care of a client being admitting for Diabetic Ketoacidosis (DKA). Which IV insulin should the nurse expect to give?
      A)
      Glargine
      B)
      Lispro
      C)
      Regular
      D)
      NPH
    4. Which medication does the nurse anticipate administering first to stop an active seizure?
      A)
      Phenobarbital
      B)
      Levetiracetam
      C)
      Lorazepam
      D)
      Carbamazepine

    Exam Review

    1. A 55-year-old client with type 2 diabetes is on a basal-bolus insulin regimen (glargine once daily and lispro insulin before meals). Over the past week, their fasting glucose levels are consistently at target, but glucose levels remain elevated after lunch and dinner. Which of the following is the most appropriate adjustment to improve glycemic control?
      A)
      Add an additional dose of basal insulin in the afternoon
      B)
      Increase the dose of basal insulin
      C)
      Shift the basal insulin timing to bedtime
      D)
      Increase the bolus doses of insulin
    2. Match each medication with it's side effect. Medication Side Effect Valproate ▾ Pancreatitis Vigabatrin ▾ Vision loss Phenytoin ▾ Gingival hyperplasia Carbamazepine ▾ Bone marrow depression
      Dropdown 1:
      Option 1: Vision loss
      Option 2: Bone marrow depression
      Option 3: Gingival hyperplasia
      Option 4: Pancreatitis
      Dropdown 2:
      Option 1: Vision loss
      Option 2: Bone marrow depression
      Option 3: Gingival hyperplasia
      Option 4: Pancreatitis
      Dropdown 3:
      Option 1: Vision loss
      Option 2: Bone marrow depression
      Option 3: Gingival hyperplasia
      Option 4: Pancreatitis
      Dropdown 4:
      Option 1: Vision loss
      Option 2: Bone marrow depression
      Option 3: Gingival hyperplasia
      Option 4: Pancreatitis
    3. A client receiving a norepinephrine infusion through a peripheral IV reports burning pain and swelling at the IV site. The nurse suspects medication extravasation. Which medication should the nurse anticipate being administered to prevent tissue necrosis?
      A)
      Phentolamine
      B)
      Prazosin
      C)
      Protamine sulfate
      D)
      Epinephrine
    4. Prior to writing a prescription for metoprolol, the provider would evaluate the client's history for which diagnoses that would be dangerous? Select all that apply.
      A)
      Hyperlipidemia
      B)
      Hypotension
      C)
      Heart block
      D)
      Hyperglycemia
      E)
      Bradycardia

    Exam Review

    1. A client is prescribed alprazolam PRN for anxiety. The client should avoid taking this medication concurrently with which of the following?
      A)
      Aged Cheese
      B)
      Alcohol
      C)
      Methiphenidate
      D)
      Acetaminophen
    2. A client taking fluoxetine calls the clinic to report onset of new symptoms. From the list of symptoms below, identify the ones that would lead the nurse to believe the client may be experiencing serotonin syndrome.
      A)
      Irritability
      B)
      Insomnia
      C)
      Decreased libido
      D)
      Muscle spasms
      E)
      Hypertension
    3. The nurse is administering glycopyrrolate to an end of life client. What is the expected outcome of this drug?
      A)
      Decreased heart rate and blood pressure
      B)
      Increased general muscle paralysis
      C)
      Decreased respiratory tract secretions
      D)
      Increased GI motility and urine output
    4. A nurse is caring for a client with a history of hyperthyroidism who presents with depression, weight gain, and cold intolerance. Which medication most likely caused the signs and symptoms?
      A)
      Levothyroxine
      B)
      Metformin
      C)
      Propylthiouracil
      D)
      Ipratropium

    Exam Review

    1. A client is scheduled to receive 15 units of NPH insulin subcutaneously at 0730. At what time would the client most likely become hypoglycemic?
      A)
      1000
      B)
      1300
      C)
      1900
      D)
      1600
    2. What assessment finding demonstrates a therapeutic effect of fludrocortisone in the treatment of Addison's disease?
      A)
      Increased potassium level
      B)
      Decreased fluid retention
      C)
      Decrease calcium level
      D)
      Increased sodium level
    3. What assessment finding should concern the nurse most in a client who is preparing to take a CNS stimulant drug?
      A)
      Inability to concentrate
      B)
      Symptomatic heart disease
      C)
      Significant weight gain
      D)
      Extreme fatigue
    4. Match each medication with it's indication. Medication Indication Flumazenil dropdown Zolpidem dropdown Lorazepam dropdown cyclobenzapine dropdown

    Exam Review

    1. A nurse is providing education to a client who has been prescribed prazosin. Which instruction is most important for the nurse to include to reduce the risk of an adverse effect?
      A)
      "Change positions slowly, especially after the first dose."
      B)
      "Check your heart rate daily for signs of bradycardia."
      C)
      "Take this medication with meals to prevent gastrointestinal upset."
      D)
      "Avoid foods high in potassium while taking this medication."
    2. A nurse caring for a client with decompensated heart failure understands that dobutamine will produce therapeutic outcomes by which mechanism?
      A)
      decreased heart rate
      B)
      increased vascular resistance
      C)
      increased cardiac output
      D)
      decreased blood pressure
    3. A nurse is preparing to administer a clients scheduled alendronate. What patient education should be included? Select all that apply.
      A)
      Take calcium and vitamin D supplements daily
      B)
      Take this medication with a full glass of water.
      C)
      After administration remain upright for at least 30 minutes.
      D)
      Eat something prior to administration to reduce GI Upset.
      E)
      Report new onset heart burn to your provider.
    4. A client with hypotension requires a vasopressor to increase blood pressure. The provider wants to avoid an increase in heart rate. Which medication should the nurse anticipate administering?
      A)
      Dopamine
      B)
      Norepinephrine
      C)
      Epinephrine
      D)
      Phenylephrine