NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
      A)
      Two loose stools in the past 24 hr
      B)
      WBC 11,000/mm3
      C)
      Creatinine 3.1 mg/dL
      D)
      Heart rate 104/min
    2. A nurse is preparing to mix NPH insulin and regular insulin for administration. Which of the following actions should the nurse take?
      A)
      Withdraw the NPH insulin first.
      B)
      Inject air into each vial.
      C)
      Use a tuberculin syringe.
      D)
      Shake the regular insulin vial.
    3. A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?
      A)
      "I will inform your provider so she can prescribe a different medication."
      B)
      "I will ask your provider to increase the dose of the medication."
      C)
      "You will need to take this medication on an empty stomach for it to be more effective.
      D)
      "You will need to wait a couple of weeks to feel the therapeutic effect of the medication."
    4. A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion. Which of the following findings should the nurse report to the provider immediately?
      A)
      Constipation
      B)
      Respiratory rate 10/min)
      C)
      Facial flushing
      D)
      Blood pressure 88/56 mm Hg.
    Page 1 of 15

    Exam Review

    1. A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?
      A)
      "Are you 65 years of age?"
      B)
      "Can you tell me your room number?"
      C)
      "Is your name Sarah Jones?"
      D)
      "What is your home phone number?
    2. A nurse is collecting data from a client who has a new prescription for amoxicillin. Which of the following findings indicates that the client is having an allergic reaction to the medication?
      A)
      Bradycardia
      B)
      Wheezing
      C)
      Polyuria
      D)
      Bruising
    3. A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?
      A)
      Decreased blood pressure
      B)
      Report of decreased pain
      C)
      Increased respiratory rate
      D)
      Increased temperature
    4. A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home. Which of the following resources should the nurse consult?
      A)
      The client's family
      B)
      Nursing team member
      C)
      Pharmaceutical sales representative
      D)
      Nursing drug guide
    Page 2 of 15

    Exam Review

    1. A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa. Which of the following statements made by the client's family indicates an understanding of the teaching?
      A)
      "We should be sure that he eats a lot of protein with each meal."
      B)
      "We should watch for an increase in unusual movements."
      C)
      "This medication will prevent the disease from progressing.
      D)
      "This medication should result in a rapid improvement in his condition.
    2. A nurse is preparing to administer amikacin 5 mg/kg IM to a client who weighs 110 lb. Available is amikacin injection 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
      Correct Answer:1 mL
    3. 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)
      Diphenhydramine
      B)
      IV fluid bolus
      C)
      Naloxone
      D)
      15 g of carbohydrates
    4. A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?
      A)
      Echinacea
      B)
      Flaxseed
      C)
      Ginger
      D)
      Glucosamine
    Page 3 of 15

    Exam Review

    1. A nurse is reviewing the medication history of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction?
      A)
      Scopolamine
      B)
      Acetaminophen
      C)
      Metoprolol
      D)
      Donepezil
    2. A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
      A)
      Clients must have a Papanicolaou test every 6 months during treatment.
      B)
      Female clients must have a negative mammogram prior to beginning therapy.
      C)
      Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy
      D)
      Sexually active female clients must use two forms of birth control during treatment
    3. A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider?
      A)
      Headache
      B)
      BP 120/70 mm Hg
      C)
      Hct 43%
      D)
      Rhinitis
    4. A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effects of this medication?
      A)
      Jaundice
      B)
      Fever
      C)
      Diarrhea
      D)
      Tinnitus
    Page 4 of 15

    Exam Review

    1. A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube. Which of the following actions should the nurse take?
      A)
      Add the medication to the enteral feeding formula.
      B)
      Dissolve the medication in 30 mL of water.
      C)
      Flush the tube with 5 mL of water after administering the medication.
      D)
      Maintain the client in the supine position during medication administration.
    2. A nurse is administering spironolactone at 0800 to a client who has heart failure. The nurse should monitor the client for which of the following adverse effects?
      A)
      Hypophosphatemia
      B)
      Hyperkalemia
      C)
      Hypocalcemia
      D)
      Hypernatremia
    3. A nurse is preparing to administer somatropin 0.24 mg/kg/week subcutaneously to be divided into six daily doses to a school-age child who weighs 66 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. 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)
      Increased WBC count
      B)
      Improved peripheral vasodilation)
      C)
      Neutralized gastric acid
      D)
      Reduced bronchial inflammation
    Page 5 of 15

    Exam Review

    1. A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil. Which of the following therapeutic effects should the nurse inform the family to expect?
      A)
      Improved cognitive function
      B)
      Improved pulmonary function
      C)
      Decreased incidence of seizures
      D)
      Decreased urinary output
    2. A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority?
      A)
      Remind the client to change positions slowly.
      B)
      Review the client's electrolyte levels.
      C)
      Prepare the client's medication
      D)
      Record the client's urinary output
    3. A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?
      A)
      Calcium supplements
      B)
      Bulk-forming laxatives
      C)
      Fish oil supplements
      D)
      Oral antihistamines
    4. A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago. Which of the following actions should the nurse take?
      A)
      Tell the client they can have another dose of ketorolac in 3 hr.
      B)
      Document that the client is exhibiting drug seeking behaviors.
      C)
      Give acetaminophen 650 mg rectally
      D)
      Administer oxycodone 5 mg orally
    Page 6 of 15