Exam Questions and Correct
Answers | New Update
A nurse is caring for a client with hyperparathyroidism and notes that the
client's serum calcium level is 13 mg/dL. Which medication should the
nurse prepare to administer as prescribed to the client?1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - 🧠 ANSWER ✔✔3. Calcitonin (Miacalcin)
,Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium chloride are
medications used for the treatment of tetany, which occurs as a result of
acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be
avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level
by inhibiting bone resorption and lowering the serum calcium concentration.
Oral iron supplements are prescribed for a 6-year-old child with iron
deficiency anemia. The nurse instructs the mother to administer the iron
with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - 🧠 ANSWER ✔✔4. Orange juice
Rationale:
,Vitamin C increases the absorption of iron by the body. The mother should
be instructed to administer the medication with a citrus fruit or a juice that is
high in vitamin C. Milk may affect absorption of the iron. Water will not
assist in absorption. Orange juice contains a greater amount of vitamin C
than apple juice.
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The
nurse monitors the client, knowing that which of the following would
indicate the presence of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased Respirations - 🧠 ANSWER ✔✔1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity
(salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea,
and psychological disturbances. Constipation and diarrhea are not
associated with salicylism.
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3
, The camp nurse asks the children preparing to swim in the lake if they have
applied sunscreen. The nurse reminds the children that chemical
sunscreens are most effective when applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun - 🧠 ANSWER ✔✔4. At
least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before
exposure to the sun so that they can penetrate the skin. All sunscreens
should be reapplied after swimming or sweating
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury.
When applying the medication, the client complains of local discomfort and
burning. Which of the following is the most appropriate nursing action?
1. Notifying the registered nurse