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    Exam Review

    1. A nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse?
      A)
      Heart rate 105/min
      B)
      Infiltration of the peripheral IV
      C)
      Increased blood pressure
      D)
      Occasional premature ventricular complexes (PVCs)
    2. While assessing a client at the beginning of the shift, a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error?
      A)
      After the end of the current shift
      B)
      After contacting risk management
      C)
      As soon as the assessment is complete
      D)
      As soon as the nurse from the previous shift has been informed
    3. A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? (Select all that apply.)
      (SATA)
      A)
      Blurred vision
      B)
      Polyuria
      C)
      Productive cough
      D)
      Tachycardia
    4. A nurse is reviewing the lab work of a client on a medical-surgical unit who has a new prescription for captopril. Which of the following laboratory values should the nurse identify as the priority to monitor?
      A)
      Alanine aminotransferase
      B)
      Thyroid-stimulating hormone
      C)
      Potassium
      D)
      Magnesium
    Page 1 of 12

    Exam Review

    1. A charge nurse is orienting a newly licensed nurse to the unit-dose medication system. Which of the following information should the charge nurse include in the teaching?
      A)
      The pharmacist restocks the medication drawer each day.
      B)
      The nursing supervisor unlocks the medication drawer at the beginning of each shift.
      C)
      Limit controlled substances in the medication drawer to one dose.
      D)
      Opened medication in the medication drawer must be disposed of at the end of each shift.
    2. A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about starting neostigmine. The nurse should identify which of the following client conditions as a potential contraindication for cholinesterase inhibitor therapy?
      A)
      Cataracts
      B)
      Hypertension
      C)
      Hypothyroidism
      D)
      Peptic ulcer disease
    3. A nurse is caring for a client who is having difficulty voiding following surgery. The nurse notes palpable bladder distention. Which of the following medications should the nurse anticipate administering to the client?
      A)
      Furosemide
      B)
      Lorazepam
      C)
      Bethanechol
      D)
      Atropine
    4. A nurse is caring for a client who has chemotherapy-induced anemia. The nurse should expect to administer which of the following medications to treat the anemia?
      A)
      Sargramostim
      B)
      Filgrastim
      C)
      Epoetin
      D)
      Romiplostim
    Page 2 of 12

    Exam Review

    1. A nurse is preparing to administer topotecan IV to a client. Which of the following medications should the nurse expect to administer to treat the adverse effects of topotecan?
      A)
      Cloudy
      B)
      Granisetron
      C)
      Insulin lispro
      D)
      Docusate sodium
      E)
      Prednisone
    2. . A nurse is caring for a client who has a prescription for hydrochlorothiazide for the initial treatment of hypertension. Which of the following should the nurse recognize as the action of this medication?
      A)
      Hydrochlorothiazide prevents angiotensin II from binding with receptor sites.
      B)
      Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule.
      C)
      Hydrochlorothiazide blocks stimulation of beta receptors in the sympathetic nervous system.
      D)
      Hydrochlorothiazide promotes the movement of extravascular fluids into the vascular compartment.
    3. A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following information should the nurse include in the teaching?
      A)
      "You should report the presence of brown-colored urine."
      B)
      "This medication can provide relief of peripheral nerve pain."
      C)
      "This medication can be crushed to facilitate swallowing."
      D)
      "Notify the provider if you develop a cough."
    4. A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? Select all that apply
      A)
      Educate the client about the possible consequences of not taking the medication.
      B)
      Suggest the client take food with the medication to minimize GI effects.
      C)
      Document the client's refusal in the medication administration record.
      D)
      Offer to administer the medication IM.
      E)
      Recommend the client ask the provider to prescribe an enteric-coated medication.
    Page 3 of 12

    Exam Review

    1. A nurse is reviewing the medication administration record (MAR) of a client who requires fluticasone MDI one puff and albuterol MDI two puffs. Which of the following actions should the nurse plan to take? Place the following steps in the correct order.
      A)
      Have the client take one puff of albuterol
      B)
      Have the client rest for 1 min
      C)
      Have the client take the second puff of albuterol
      D)
      Have the client rest for 5 min
      E)
      EHave the client take one puff of fluticasone
    2. A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following Information should the nurse include in the teaching?
      A)
      "You should report the presence of brown-colored urine."
      B)
      "This medication can provide relief of peripheral nerve pain."
      C)
      “This medication can be crushed to facilitate swallowing”
      D)
      "Notify the provider if you develop a cough."
    3. A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statements indicates an understanding of the teaching?
      A)
      "It's okay to put the drops in my eyes while I'm wearing my contacts."
      B)
      "I can expect to feel some irritation when I put these drops in my eyes."
      C)
      "I should expect to stop taking the medication after 3 weeks."
      D)
      "These eye drops might change the color of my eyes."
    4. A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "This medication kills the bacteria in my stomach."
      B)
      "This medication neutralizes stomach acid."
      C)
      "This medication coats the lining of my stomach."
      D)
      "This medication reduces stomach acid."
    Page 4 of 12

    Exam Review

    1. A nurse is caring for a client who has a prescription for vancomycin 1 g IV intermittent infusion over 30 min every 12 hr. Which of the following actions should the nurse take?
      A)
      Request a serum trough level blood draw for 60 min after completion of infusion.
      B)
      Change the infusion site after each dose administration.
      C)
      Contact the provider for prescription clarification.
      D)
      Request a serum peak level to be drawn 30 min prior to infusion.
    2. A nurse in the PACU is caring for a client who has received general anesthesia and has manifestations of malignant hyperthermia. Which of the following medications should the nurse expect to administer?
      A)
      Diazepam
      B)
      Dantrolene
      C)
      Cyclobenzaprine
      D)
      Metaxalone
    3. A nurse is caring for a client who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders?
      A)
      Hypertension
      B)
      Heart failure
      C)
      Male pattern baldness
      D)
      Benign prostatic hypertrophy
    4. A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following conditions should the nurse expect to administer this medication?
      A)
      Gastrointestinal bleed
      B)
      Acute bronchospasm
      C)
      Morphine toxicity
      D)
      Acetaminophen toxicity
    Page 5 of 12

    Exam Review

    1. A nurse is caring for a client who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders?
      A)
      Hypertension
      B)
      Heart failure
      C)
      Male pattern baldness
      D)
      Benign prostatic hypertrophy
      E)
      Erectile dysfunction
    2. A nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take?
      A)
      Apply a warming blanket prior to administration.
      B)
      Infuse the medication over 1 hr.
      C)
      Administer diphenhydramine prior to administration.
      D)
      Monitor vital signs once per hour following administration.
    3. A nurse is preparing to administer verapamil to a client who is 2 days post-myocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?
      A)
      Increased heart rate
      B)
      Increased blood pressure
      C)
      Decreased pulmonary congestion
      D)
      Decreased anginal pain
    4. A nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take?
      A)
      Apply a warming blanket prior to administration.
      B)
      Infuse the medication over 1 hr.
      C)
      Administer diphenhydramine prior to administration.
      D)
      Monitor vital signs once per hour following administration.
    Page 6 of 12