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    Exam Review

    1. The nurse explains to the client who is taking valproic acid that the medication will:
      A)
      Not cure epilepsy but will stop all further seizures.
      B)
      Cure epilepsy.
      C)
      Not cure epilepsy but may help to control seizures.
      D)
      Eliminate the need for the client to wear a medical alert bracelet.
    2. Sedatives and hypnotics reduce reaction to the environment. This effect would NOT be beneficial to:
      A)
      Reduce fear.
      B)
      Reduce anxiety related to unknown causes
      C)
      Treat a person who drives a vehicle or truck for a living
      D)
      Treat a hospitalized person.
    3. A nurse is caring for a client newly diagnosed with arthritis. The client is allergic to salicylates. What medication & contraindicated for this client?
      A)
      Acetaminophen
      B)
      Morphine
      C)
      Aspirin
      D)
      Zolipidem
    4. NSAIDs are called nonsteroidal inflammatory drugs because they:
      A)
      treat inflammation without a risk of bleeding
      B)
      treat inflammation without steroids
      C)
      they are never used to treat fever
      D)
      contain aspirin
    Page 1 of 9

    Exam Review

    1. A nurse is caring for a client who has a history of status epilepticus. Which drug should be available in intravenous form should this happen to the client again?
      A)
      phenytoin
      B)
      lorazepam
      C)
      beta-blockers
      D)
      diazepam
    2. Antipyretic drugs, such as aspirin, ibuprofen and acetaminophen often are used to alleviate the discomforts of fever and protect vulnerable organs, such as the brain from extreme elevations in body temperature. However, the use of aspirin in children is limited due to the possibility of which disease?
      A)
      Munchausen syndrome
      B)
      Reye syndrome
      C)
      Guillain-Barre syndrome
      D)
      Angelman’s syndrome
    3. A client diagnosed with rheumatic disease is being prescribed salicylate therapy. The nurse should teach the client to monitor himself or herself for which adverse effects?
      A)
      ringing in the ears
      B)
      visual changes
      C)
      Irritation of oral mucosa
      D)
      Increased hair growth
    4. A client requests pain medication for severe pain. Which action should the nurse do first when responding to this client's request
      A)
      Use distraction to minimize the client's perception of pain
      B)
      Place the client in the most comfortable position possible.
      C)
      Administer pain medication to the client quickly
      D)
      Assess the various aspects of the client's pain
    Page 2 of 9

    Exam Review

    1. An 11-year-old client has been diagnosed with epilepsy and prescribed phenytoin 100 mg PO b.l.d. What statement by the client's parent suggests an accurate understanding of the client's medication regimen?
      A)
      “I will make sure my child takes the medication on an empty stomach"
      B)
      "I will stop the drug immediately if any side effects occur."
      C)
      "I will make sure my child has routine visits to the dentist."
      D)
      “I will weigh my child daily and fed them a high-calorie diet."
    2. A nurse is to administer a prescribed opioid to a client. The nurse would question administering this drug if which disorder were noted in the client's history?
      A)
      Acute bronchial asthma.
      B)
      Acute diabetic retinopathy.
      C)
      Acute pre-existing liver disease.
      D)
      Decreased intracranial pressure.
    3. A nurse is performing a preadministration assessment of a client who is to receive an opioid analgesic. Which preadministration activity should the nurse prioritize?
      A)
      Document description of pain and an estimate of when the pain began.
      B)
      Obtain client's blood pressure and pulse within 5 to 10 minutes.
      C)
      Monitor the client for tachycardia.
      D)
      Record each bowel movement and its appearance, color, and consistency.
    4. A nurse is providing care to a client with arthritis in several large weight-bearing joints who is receiving NSAID therapy. Which nursing diagnosis would be most appropriate?
      A)
      Risk for Unstable Blood Glucose Levels
      B)
      Impaired Gas Exchange
      C)
      Risk for, Imbalanced Body Temperature
      D)
      Impaired Physical Mobility
    Page 3 of 9

    Exam Review

    1. All of the following are non-steroidal anti-inflammatory drugs (NSAIDs) except for:
      A)
      naproxen
      B)
      ibuprofen
      C)
      codein
      D)
      ketorolac
    2. The nurse has completed a teaching with a client prescribed phenytoin daily for seizure activity. The nurse determines the session is successful after the client correctly chooses which potential adverse reaction that can occur if the client misses a dose of medication?
      A)
      CNS depression
      B)
      Hypotension
      C)
      Recurrence of seizures
      D)
      Nystagmus
    3. A client with acute joint inflammation tells the nurse, "I've been taking acetaminophen as ordered on the bottle, but my swelling and inflammation don't seem to be getting better." What should the nurse teach the client?
      A)
      "Acetaminophen has no effect on inflammation."
      B)
      "Acetaminophen's only clinical use is for pain treatment."
      C)
      "It takes some people a few weeks to feel a difference."
      D)
      "Keep taking it as ordered, and watch for any signs of bleeding."
    4. A nurse is planning to administer an opioid analgesic intravenously (IV) to a client returning from surgery. Which of the following actions should the nurse take?
      A)
      Monitor for seizures with repeated doses.
      B)
      Protect the client's skin from the diarrhea that occurs with opioid analgesics.
      C)
      Withhold the opioid analgesic if client's respiratory rate is less than 12/min.
      D)
      Monitor for the hypertension that occurs with opioid analgesics.
    Page 4 of 9

    Exam Review

    1. In which of the following clients is acetaminophen preferred over aspirin? CIients with:
      A)
      severe pain.
      B)
      high fever.
      C)
      bleeding tendencies.
      D)
      inflammatory disorders.
    2. A client is in the hospital recovering from surgery. The client's adult child tells the nurse that they are concerned their parent will overdose on morphine because they keep pressing the button on the patient-controlled anesthesia (PCA) pump. In addition to reassessing the client's pain, what is the nurse's best response?
      A)
      "I'll teach you some techniques to take their focus off the pain so they don't press the button so often."
      B)
      "If they follow the directions given, that will not happen."
      C)
      "I'll come and teach them again how to use the PCA safely and effectively."
      D)
      "The device has maximum limits programmed, so your parent cannot get more than a specific amount."
    3. A nurse is presenting an educational event for a group of new parents. A participant has asked about the safe use of acetaminophen in children. What should the nurse teach the parents?
      A)
      "It's best not to give acetaminophen to a child under 13 unless you receive a doctor's order."
      B)
      "Check the label of over-the-counter medications carefully to see if they include acetaminophen."
      C)
      "Monitor your child's temperature carefully and regulate the acetaminophen dose based on the fever."
      D)
      "Mix OTC children's medications to get the best coverage for your child's symptoms, but make sure not to exceed the recommended dose of each medication."
    4. A nurse is about to administer a parenteral benzodiazepine to a client in the hospital before the performance of an invasive diagnostic procedure. What action should the nurse prioritize before administration of the drug?
      A)
      Auscultate the client's lungs and set up pulse oximetry monitoring.
      B)
      Close the blinds and ensure appropriate room temperature for the client.
      C)
      Help the client out of bed to the bathroom and encourage the client to void.
      D)
      Ask all visitors to leave the room and remain in the waiting area.
    Page 5 of 9

    Exam Review

    1. The nurse is caring for a resident in a long-term care facility with a history of an anxiety disorder. The client is receiving oral lorazepam 2 mg t.i.d. What assessment should the nurse prioritize?
      A)
      suicidal ideation
      B)
      level of consciousness
      C)
      sleep quality
      D)
      mucous membrane integrity
    2. An older adult client has been taking zolpidem as a sleep aid for the past 2 months. On admission to the assisted living facility, it is determined that the drug is no longer needed. What guideline should be included in the nurse's care?
      A)
      The client has a risk of hallucinations when the dosage is adjusted.
      B)
      The drug needs to be withdrawn gradually.
      C)
      There is a risk of excessive sedation when the drug is discontinued.
      D)
      Sundowning is common with withdrawal from this drug.
    3. Which client should the nurse expect to receive a lower-than-usual dose of benzodiazepines?
      A)
      a client whose anxiety is due to pain caused by gallstones
      B)
      a client with alcoholic liver disease
      C)
      a client who has irritable bowel syndrome
      D)
      a client who is 6 months postgastrectomy
    4. The nurse is caring for a client who experiences anxiety and insomnia and is prescribed lorazepam. When developing the plan of care, what would be an appropriate nursing diagnosis related to potential adverse effects of the drug?
      A)
      ineffective tissue perfusion related to vasoconstriction
      B)
      fear related to rebound effects following therapy
      C)
      risk for injury related to central nervous system (CNS) effects
      D)
      chronic confusion related to decreased arousal
    Page 6 of 9