NursGuru

    Exam Review

    1. A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement?
      A)
      Perform a neurological exam.
      B)
      Administer glucagon intramuscularly.
      C)
      Measure the client's vital signs.
      D)
      Obtain a fingerstick blood glucose.
    2. The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?Reference Range:Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)]Platelets [150,000 to 400,000/mm³ (150 to 400 x 10⁹/L)]Creatinine [0.5 to 1.1 mg/dL (44 to 97 umol/L)]Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
      A)
      Platelet count of 100,000/mm³ (100 x 10⁹/L).
      B)
      Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L).
      C)
      Serum creatinine 1.0 mg/dL (88.4 umol/L).
      D)
      Hematocrit 45% (0.45 volume fraction).
      E)
      Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)]
    3. What are the signs and symptoms of hypothyroidism?
      (SATA)
      A)
      Decreased appetite.
      B)
      Restlessness.
      C)
      Intolerance to cold.
      D)
      Constipation.
    4. Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
      A)
      Bradycardia
      B)
      Somnolence
      C)
      Insomnia
      D)
      Constipation

    Exam Review

    1. A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
      A)
      Bronchitis.
      B)
      Hypertension.
      C)
      Diabetes mellitus.
      D)
      Hypercholesterolemia.
    2. A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?
      (SATA)
      A)
      Hard candy can be used for a dry mouth.
      B)
      Insomnia may occur while taking the medication.
    3. A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
      A)
      Hard candy can be used for a dry mouth.
      B)
      Insomnia may occur while taking the medication.
      C)
      Sensitivity to the sun can develop.
      D)
      Another form of contraception is not needed.
    4. When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA) pump, the client asks to go to the hospital's smoking area to smoke a cigarette. Which response should the nurse provide?
      A)
      "Your PCA pump has just been discontinued, and you need to wait at least one hour before leaving the unit."
      B)
      "You may smoke in your room if you keep the door closed and open a window."
      C)
      "Smoking is hazardous to your health, and since you just had surgery, it would be best for you to avoid smoking."
      D)
      "As long as you go to the smoking area in a wheelchair, it will be all right for you to go smoke."

    Exam Review

    1. The nurse discontinues the client's patient-controlled analgesia (PCA) pump. Which response should the nurse provide to the client's request to go to the smoking area?
      A)
      The drops increase the fluid in the eyes and cloud the visual field.
      B)
      The eye drops slow pupil response to accommodate for darkness.
    2. A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
      A)
      The drops increase the fluid in the eyes and cloud the visual field.
      B)
      The eye drops slow pupil response to accommodate for darkness.
      C)
      The medication can cause the lens to become more opaque.
      D)
      The medication causes pupils to dilate, which reduces night vision.
    3. Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take?Reference Range: Total Calcium (9 to 10.4 mg/dL (2.3 to 2.6 mmol/L))
      A)
      Notify the healthcare provider of the finding.
      B)
      Begin tapering the drug dose per protocol.
      C)
      Teach the client about foods high in calcium.
      D)
      Administer the medication with a glass of milk.
    4. A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?
      A)
      Takes metformin hydrochloride for type 2 diabetes mellitus.
      B)
      Metal hip prosthesis was placed twenty years ago.
      C)
      CT scan was performed six months earlier.
      D)
      Report of client's sobriety for the last five years.

    Exam Review

    1. Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?
      A)
      Calcium.
      B)
      Pasta, cereal, and bread.
      C)
      Bananas, oranges, and peaches.
      D)
      Liver, beef, and chicken.
    2. A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
      A)
      Calcium.
      B)
      Potassium.
      C)
      Phosphate.
      D)
      pH.
    3. A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?
      A)
      Consume tyramine-free foods while taking the medicine.
      B)
      Be aware that difficulty sleeping and weight loss may occur.
      C)
      Notify the healthcare provider of any significant side effects.
    4. Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?
      A)
      Check acid-base and electrolyte values.
      B)
      Give digoxin by another route to slow absorption.
      C)
      Begin cardioversion to stabilize heart rhythm.
      D)
      Administer potassium to stabilize the heart rate.

    Exam Review

    1. The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?
      A)
      Explain to the family how to inject this medication for severe hypoglycemia.
      B)
      Teach the client self-injection skills for daily subcutaneous administration.
      C)
      Demonstrate how to select the dose based on before meal blood sugar readings.
      D)
      Provide information on increasing medication dosage if ketoacidosis occurs.
    2. A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?
      A)
      Use a straw to ingest.
      B)
      Swallow undiluted.
      C)
      Take with a glass of milk.
      D)
      Mix with an antacid.
    3. A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary item should the nurse instruct the client to avoid?
      A)
      Pan-seared catfish.
      B)
      Beef tips with gravy.
      C)
      Pepperoni pizza.
      D)
      Deep-fried shrimp.
    4. A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?
      A)
      Obtain another transdermal patch and position it on the client's left upper chest.
      B)
      Leave the patch in place and administer a PRN dose of sublingual nitroglycerin.
      C)
      Withhold further doses of nitroglycerin until contacting the healthcare provider.
      D)
      Reassure the client that the patch will begin to take effect within a few minutes.

    Exam Review

    1. A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
      A)
      Breastfeeding is not recommended while taking this medication.
      B)
      Do not take multiple vitamins that contain vitamin A while taking this drug.
      C)
      Discontinue this medication one month before attempting to conceive.
      D)
      Baseline liver function results must be obtained during therapy.
    2. A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?
      A)
      Eliminates urinary bacteria.
      B)
      Provides an analgesic effect for irritated bladder mucosa.
      C)
      Calms spasms in the urinary tract.
      D)
      Use the medication after voiding after sexual intercourse.
    3. A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?
      A)
      Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).
      B)
      Increased anxiety and nervousness have been reported by those taking feverfew.
      C)
      Those with allergies to chamomile, ragweed, or yarrow should not take feverfew.
      D)
      Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew.
    4. The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?
      A)
      Begin the infusion and monitor the client's blood urea nitrogen (BUN), serum creatinine, and liver function tests.
      B)
      Hold the dose and notify the pharmacy to stop dispensing the next premixed doses.
      C)
      Begin the infusion and submit a drug reaction report to the nursing supervisor.
      D)
      Hold the dose and notify the healthcare provider of the changes in the laboratory studies.