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    Exam Review

    1. A nurse is caring for a client in a provider's office. For each potential client finding, click to specify if the finding is expected or unexpected for the client following their prescribed therapy. There must be at least 1 selection in every row. There does not need to be a selection in every column.
      ExpectedUnexpected
      Current potassium level✓
      Digoxin level✓
      Reported urinary concern✓
      Current heart rate✓
      Reported current leg findings✓
    2. A nurse is preparing to administer a medication to a client. Complete the following sentence by using the lists of options. The nurse should first address the client's ▾ capillary glucose followed by the client's ▾ blood pressure.
      Dropdown 1:
      Option 1: reported pain
      Option 2: temperature
      Option 3: capillary glucose
      Dropdown 2:
      Option 1: heart rate
      Option 2: lung auscultation findings
      Option 3: blood pressure
    3. A nurse is caring for a client in an emergency department (ED). Which of the following medications should the nurse expect the physician to prescribe for this client? Select All That Apply
      (SATA)
      A)
      Heparin
      B)
      Digoxin
      C)
      Aspirin
      D)
      Morphine
      E)
      Dopamine
    4. A nurse is caring for a client. Select the 3 statements the nurse should make.
      (SATA)
      A)
      "Pinch up a skin area before injection."
      B)
      "Expel the air bubble in the syringe before administration."
      C)
      "Inject the medication in your upper arm muscle."
      D)
      "Rotate injection sites."
      E)
      "Inject the medication at a 90-degree angle."
      F)
      "Rub the injection area after administration."
    Page 1 of 18

    Exam Review

    1. A nurse is assessing a female client.
      (Highlight — findings requiring follow-up are marked)

      A nurse is assessing a female client.

      Click to highlight the client's findings that are a potential contraindication to the client's new prescription and the nurse should report to the provider. To deselect a finding, click on the finding again.

      Nurses' Notes:

      Today, 0830:

      Client presents to the clinic for the management of hypertension and review of laboratory tests obtained 3 days before this visit. Client has a history of hypertension and asthma. Client is currently taking lisinopril 5 mg PO daily.

      Today, 0845:

      Client is alert and oriented to person, place, time, and situation. Respirations are even and non-labored. Scattered wheezes auscultated in bilateral anterior lung fields. Vital signs were obtained.

      Vital Signs:

      Today, 0845:

      Temperature: 37.1° C (98.8° F)

      Heart rate: 90/min

      Respiratory rate: 20/min

      Blood pressure: 158/78 mm Hg

      Oxygen saturation: 95%

      Laboratory Results

      3 days ago:

      Hemoglobin: 11 g/dL (12 to 16 g/dL)

      Hematocrit: 40% (37% to 47%)

      Sodium: 138 mEq/L (136 to 145 mEq/L)

      Potassium: 5.6 mEq/L (3.5 to 5 mEq/L)

      BUN: 30 mg/dL (10 to 20 mg/dL)

      Creatinine: 2 mg/dL (0.5 to 1 mg/dL)

    2. A nurse in an emergency department (ED) is caring for a female client. For each potential provider prescription, click to specify if the prescription is appropriate or inappropriate for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.
      AppropriateInappropriate
      Administer sodium polystyrene rectally✓
      Administer potassium chloride IV.✓
      Administer insulin IV.✓
      Administer hydralazine IV.✓
      Administer calcium gluconate IV.✓
    3. A nurse is teaching a class about administering IV fluids to treat dehydration. Which of the following findings should the nurse include in the teaching as an indicator of effective treatment of dehydration?
      A)
      Reports thirst
      B)
      Moist mucous membranes
      C)
      Increased BUN
      D)
      Hypotension
    4. A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following findings should the nurse instruct the client to report as an adverse effect of the medication?
      A)
      Tinnitus
      B)
      Decreased LDL level
      C)
      Epigastric pain
      D)
      Weight gain
    Page 2 of 18

    Exam Review

    1. A nurse is reviewing the medical record for a client who has a new prescription for phenytoin. Which of the following statements from the medical record should the nurse identify as a contraindication for the administration of phenytoin?
      A)
      The client has a history of sinus bradycardia.
      B)
      The client has a history of cholecystitis.
      C)
      The client takes vitamin B12 supplements.
      D)
      The client takes ibuprofen.
    2. A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
      A)
      "The TPN will provide nutrients while your bowels have time to rest."
      B)
      "The TPN contains medication that will help your digestive tract absorb nutrients."
      C)
      "The TPN will stimulate your appetite so that you'll be able to eat more food."
      D)
      "The TPN will help keep your bowels clear in case you need surgery.
    3. A nurse is providing discharge teaching to a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?
      A)
      Expect to experience diarrhea while taking this medication.
      B)
      Monitor your skin for bruising.
      C)
      Inject the medication into a large muscle.
      D)
      "You will need to have your INR checked weekly."
    4. A nurse is providing discharge teaching to a client who has diabetes mellitus and a new prescription for regular and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will inject air into both vials before pulling up the insulins into the syringe."
      B)
      "I will shake the insulin vials vigorously before drawing up the medication."
      C)
      "I will draw up the NPH insulin first and then the regular insulin."
      D)
      "I will insert the needle into my abdomen at a 15° angle."
    Page 3 of 18

    Exam Review

    1. A nurse is preparing to administer phenytoin IV to a client who had a tonic-clonic seizure. Which of the following actions should the nurse plan to take?
      A)
      Inject sterile water after administration.
      B)
      Administer the medication with 5% dextrose in water.
      C)
      Discard the medication if it appears cloudy.
      D)
      Administer the medication at a rate of 100 mg/min.
    2. A nurse is caring for a client who is receiving phenytoin. Which of the following conditions should the nurse identify as an indication for this medication?
      A)
      Status asthmaticus
      B)
      Status epilepticus
      C)
      Kidney transplant
      D)
      Endocarditis
    3. A nurse is caring for a client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about a contraindication for which of the following medications in the client's medication administration record?
      A)
      Levothyroxine
      B)
      Metformin
      C)
      Potassium chloride
      D)
      Acetaminophen
    4. A nurse is reviewing new prescriptions for a group of clients. Which of the following prescriptions should the nurse clarify with the provider?
      A)
      Clozapine 12.50 mg PO daily for a client who has schizophrenia
      B)
      Donepezil 23 mg PO daily for a client who has Alzheimer's disease
      C)
      Fluoxetine oral solution 20 mg/5 mL per gastrostomy tube daily for a client who has depression
      D)
      Lamotrigine 200 mg PO daily for a client who has bipolar disorder
    Page 4 of 18

    Exam Review

    1. A nurse is caring for a client who has Parkinson's disease and a new prescription for levodopa. The nurse should identify which of the following medications can interact with levodopa to cause a life-threatening complication?
      A)
      Phenelzine
      B)
      Ibuprofen
      C)
      Diphenhydramine
      D)
      Vitamin B12
    2. A nurse is reconciling the medications for a client who was newly admitted for management of mania. Which of the following prescriptions should the nurse clarify with the provider?
      A)
      Risperidone 3.0 mg PO daily
      B)
      Clonazepam 0.5 mg PO three times daily
      C)
      Lithium 300 mg PO three times daily
      D)
      Divalproex sodium 0.5 g PO daily
    3. A nurse is completing an incident report regarding a medication error. Which of the following team members should the nurse report the incident to first?
      A)
      Nursing supervisor
      B)
      Agency administration
      C)
      Client's provider
    4. A nurse is preparing to administer methylergonovine to a client who is 2 hr postpartum and has a boggy fundus. Which of the following findings should the nurse identify as a contraindication to this medication?
      A)
      Lochia rubra
      B)
      BP 190/110 mm Hg
      C)
      Distended bladder
      D)
      Urinary output 60 mL/hr
    Page 5 of 18

    Exam Review

    1. A nurse is teaching a client who has a prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I should use a hard bristle toothbrush."
      B)
      "I should get my INR checked once a year."
      C)
      "I should not take a St. John's wort supplement."
      D)
      "I should not eat cantaloupe while taking the medication."
    2. A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?
      A)
      Decreased HDL levels
      B)
      Increased serum transaminase levels
      C)
      Decreased LDL levels
      D)
      Increased creatine kinase levels
    3. A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?
      A)
      Administer the medication over 2 hr.
      B)
      Use a gravity flow set.
      C)
      Prime the tubing with 0.9% sodium chloride.
      D)
      Discard the medication if it is yellow.
    4. A nurse is teaching a client how to self-administer insulin. The client has a prescription for 5 units of NPH insulin and 15 units of regular insulin. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)
      Inject 15 units of air into the regular insulin vial.
      B)
      Withdraw 5 units of medication from the NPH insulin vial.
      C)
      Withdraw 15 units of medication from the regular insulin vial.
      D)
      Inject 5 units of air into the NPH insulin vial.
    Page 6 of 18