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    Exam Review

    1. Exhibits A nurse is caring for a client in an outpatient clinic. Complete the following sentence by using the lists of options. The client is at risk for ▾ decreased absorption due to  ▾ medication interactions
      Dropdown 1:
      Option 1: decreased absorption
      Option 2: goiter
      Option 3: Toxicity
      Dropdown 2:
      Option 1: dosage strength
      Option 2: lab results
      Option 3: medication interactions
    2. A nurse is caring for a female client in a provider's office. Exhibits The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.
      UnderstandingNo Understanding
      "If experience black stools, I should notify my provider."✓
      "I should take this medication with orange juice.✓
      I should take my medication on an empty stomach.✓
      "I should avoid taking antacids while on this medication.✓
      "I should rinse my mouth after taking this medication."✓
    3. A nurse is caring for a client who is receiving a continuous IV infusion. The nurse notes that the client has developed phlebitis at the IV site. Which of the following actions should the nurse take?
      A)
      Elevate the affected extremity.
      B)
      Decrease the infusion flow rate.
      C)
      Apply a cool compress at the IV site.
      D)
      Aspirate the fluid from the catheter.
    4. A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?
      A)
      Kidney transplant
      B)
      Endocarditis
      C)
      Seizures
      D)
      Hypokalemia
    Page 1 of 17

    Exam Review

    1. A nurse in a provider's office is caring for a client. Exhibits What actions should the nurse take? Select all that apply.
      (SATA)
      A)
      Advise the client to take the medication before bedtime.
      B)
      Advise the client to restrict potassium intake.
      C)
      Advise the client to change positions slowly.
      D)
      Monitor the client for dysrhythmias.
      E)
      Check the client for orthostatic hypotension.
    2. A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?
      A)
      The client has a first-degree relative who has Paget's disease.
      B)
      The client has immobility that restricts her to a supine position.
      C)
      The client has a history of anaphylaxis following a bee sting.
      D)
      The client is postmenopausal.
    3. A nurse is teaching a client who has a prescription for an epinephrine auto-injector. The nurse should instruct the client to take which of the following actions first?
      A)
      Massage the outer thigh for 10 seconds.
      B)
      Jab the device into the outer thigh.
      C)
      Seek immediate medical attention.
      D)
      Hold the injector in place for 10 seconds.
    4. A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?
      A)
      Nitroglycerin
      B)
      Albuterol
      C)
      Furosemide
      D)
      Indomethacin
    Page 2 of 17

    Exam Review

    1. A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hyperkalemia. Which of the following actions should the nurse take?
      A)
      Warm formula to room temperature.
      B)
      Request a lactose-free formula.
      C)
      Administer IV dextrose.
      D)
      Place the client on a cardiac monitor.
    2. A nurse is teaching a client who has a new prescription for a metered-dose inhaler. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
      (SATA)
      A)
      "You may use a spacer with this device."
      B)
      "Inhale slowly to distribute the medication."
      C)
      "Hold the mouthpiece between your lips when you inhale.
      D)
      Take this medication for quick relief"
      E)
      "Rinse your mouth after using the medication."
    3. A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
      A)
      Hypotension
      B)
      Leg weakness
      C)
      Urinary retention
      D)
      Temperature 39° C (102.2 F)
    4. A nurse is preparing to administer dextrose 5% in water 350 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 3 of 17

    Exam Review

    1. A nurse is assessing a client who has hypertension and has started taking lisinopril. Which of the following findings should the nurse report to the provider immediately?
      A)
      Eyelid edema
      B)
      Nausea
      C)
      Insomnia
      D)
      Dry cough
    2. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
      A)
      Inject air into the regular insulin vial.
      B)
      Withdraw the NPH insulin from the vial.
      C)
      Inject air into the NPH vial.
      D)
      Withdraw the regular insulin from the vial.
    3. A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?
      A)
      Decreased blood pressure
      B)
      Increased heart rate
      C)
      Moist oral mucous membranes
      D)
      Excessive thirst
    4. A nurse is caring for a group of clients in a long-term care facility. For which of the following situations should the nurse complete an incident report?
      A)
      A client requests to take a medication at a different time of day.
      B)
      A client reports an unpleasant taste in their mouth after taking a medication.
      C)
      A client's roommate takes a medication that was intended for the client.
      D)
      A client refuses to take a prescribed medication.
    Page 4 of 17

    Exam Review

    1. A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
      A)
      The client has a positive purified protein derivative test.
      B)
      The client tests negative for HIV.
      C)
      The client has a negative sputum culture.
      D)
      The client's liver function test results are within the expected reference range.
    2. A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?
      A)
      "Avoid consuming dairy products while taking this medication.
      B)
      "You may crush the medication and mix it with applesauce."
      C)
      "You should take the medication in the morning.
      D)
      "You will need liver function tests before beginning therapy."
    3. A nurse is providing teaching to a client who reports smoking 3 packs of cigarettes per day and has a prescription for nicotine gum. Which of the following instructions should the nurse include in the teaching?
      A)
      "Chew the gum slowly over 30 minutes"
      B)
      "Do not chew more than 40 pieces of gum per day."
      C)
      "Allow 9 months for the gum to achieve the therapeutic effect."
      D)
      "Drink a glass of water 5 minutes before chewing the gum”
    4. A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?
      A)
      Isosorbide mononitrate
      B)
      Pantoprazole
      C)
      Montelukast
      D)
      Propranolol
    Page 5 of 17

    Exam Review

    1. A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?
      A)
      Hyperactive bowel sounds
      B)
      Heart rate 90/min
      C)
      Blood pressure 90/50 mm Hg
      D)
      Increased salivation
    2. A nurse is assessing a client prior to administering morphine. Which of the following findings indicates the nurse should withhold the morphine and contact the provider?
      A)
      Urinary retention
      B)
      Respiratory rate 16/min
      C)
      Crackles in the lungs
      D)
      Heart rate 68/min
    3. A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?
      A)
      Respiratory depression
      B)
      Ringing in the ears
      C)
      Increased blood pressure
      D)
      Urinary retention
    4. A nurse is transcribing a new prescription for a client which states, "Diphenhydramine 50 mg NOW." Which of the following actions should the nurse take?
      A)
      Notify the pharmacy to send the medication immediately.
      B)
      Inform the client there is a prescription available if needed.
      C)
      Contact the provider to clarify the prescription.
      D)
      Administer the medication within 90 min.
    Page 6 of 17