1. A nurse is administering metoprolol to a client. Which finding should the nurse report to the provider before giving the
medication?
A. Heart rate 54/min
B. Blood pressure 128/76 mm Hg
C. Respiratory rate 18/min
D. Temperature 36.8°C (98.2°F)
Answer: A
2. A client taking warfarin should avoid which food?
A. Bananas
B. Spinach
C. Chicken
D. Rice
Answer: B
3. A nurse is administering morphine IV. Which adverse effect is priority to monitor?
A. Constipation
B. Respiratory depression
C. Nausea
D. Dry mouth
Answer: B
4. A client prescribed furosemide should be monitored for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B
5. A nurse is teaching about insulin lispro. When does it peak?
A. 6–8 hr
B. 30–90 min
C. 12 hr
D. 24 hr
Answer: B
6. A client taking digoxin reports nausea and blurred yellow vision. The nurse suspects:
A. Therapeutic effect
B. Digoxin toxicity
C. Dehydration
D. Hypertension
Answer: B
7. A nurse is administering heparin. Which lab monitors effectiveness?
A. PT
B. INR
C. aPTT
D. Hemoglobin
Answer: C
8. A client taking lisinopril develops a dry cough. The nurse should:
A. Document as expected effect
B. Hold medication and notify provider
C. Increase dose
D. Administer with food
Answer: B
9. A nurse is teaching about nitroglycerin tablets. Which instruction is correct?
A. Store in a clear container
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, B. Swallow with water
C. Place under tongue
D. Take with meals
Answer: C
10. A client taking prednisone long term is at risk for:
A. Hypoglycemia
B. Infection
C. Hypotension
D. Bradycardia
Answer: B
11. A nurse is administering vancomycin IV rapidly. Which reaction may occur?
A. Red man syndrome
B. Hypotension only
C. Seizures
D. Hyperglycemia
Answer: A
12. A client on lithium should maintain:
A. Low sodium intake
B. High caffeine intake
C. Consistent sodium intake
D. Fluid restriction
Answer: C
13. A nurse is administering albuterol inhaler. Which finding indicates effectiveness?
A. Decreased wheezing
B. Increased cough
C. Bradycardia
D. Drowsiness
Answer: A
14. A client taking metformin should avoid which procedure?
A. X-ray with contrast dye
B. MRI
C. Ultrasound
D. ECG
Answer: A
15. A nurse is administering atropine. Expected effect?
A. Decreased heart rate
B. Increased salivation
C. Increased heart rate
D. Bronchospasm
Answer: C
16. A client receiving clopidogrel should report:
A. Headache
B. Bruising
C. Dry mouth
D. Weight gain
Answer: B
17. A nurse is administering ceftriaxone. Which allergy is a concern?
A. Latex
B. Penicillin
C. Shellfish
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medication?
A. Heart rate 54/min
B. Blood pressure 128/76 mm Hg
C. Respiratory rate 18/min
D. Temperature 36.8°C (98.2°F)
Answer: A
2. A client taking warfarin should avoid which food?
A. Bananas
B. Spinach
C. Chicken
D. Rice
Answer: B
3. A nurse is administering morphine IV. Which adverse effect is priority to monitor?
A. Constipation
B. Respiratory depression
C. Nausea
D. Dry mouth
Answer: B
4. A client prescribed furosemide should be monitored for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B
5. A nurse is teaching about insulin lispro. When does it peak?
A. 6–8 hr
B. 30–90 min
C. 12 hr
D. 24 hr
Answer: B
6. A client taking digoxin reports nausea and blurred yellow vision. The nurse suspects:
A. Therapeutic effect
B. Digoxin toxicity
C. Dehydration
D. Hypertension
Answer: B
7. A nurse is administering heparin. Which lab monitors effectiveness?
A. PT
B. INR
C. aPTT
D. Hemoglobin
Answer: C
8. A client taking lisinopril develops a dry cough. The nurse should:
A. Document as expected effect
B. Hold medication and notify provider
C. Increase dose
D. Administer with food
Answer: B
9. A nurse is teaching about nitroglycerin tablets. Which instruction is correct?
A. Store in a clear container
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, B. Swallow with water
C. Place under tongue
D. Take with meals
Answer: C
10. A client taking prednisone long term is at risk for:
A. Hypoglycemia
B. Infection
C. Hypotension
D. Bradycardia
Answer: B
11. A nurse is administering vancomycin IV rapidly. Which reaction may occur?
A. Red man syndrome
B. Hypotension only
C. Seizures
D. Hyperglycemia
Answer: A
12. A client on lithium should maintain:
A. Low sodium intake
B. High caffeine intake
C. Consistent sodium intake
D. Fluid restriction
Answer: C
13. A nurse is administering albuterol inhaler. Which finding indicates effectiveness?
A. Decreased wheezing
B. Increased cough
C. Bradycardia
D. Drowsiness
Answer: A
14. A client taking metformin should avoid which procedure?
A. X-ray with contrast dye
B. MRI
C. Ultrasound
D. ECG
Answer: A
15. A nurse is administering atropine. Expected effect?
A. Decreased heart rate
B. Increased salivation
C. Increased heart rate
D. Bronchospasm
Answer: C
16. A client receiving clopidogrel should report:
A. Headache
B. Bruising
C. Dry mouth
D. Weight gain
Answer: B
17. A nurse is administering ceftriaxone. Which allergy is a concern?
A. Latex
B. Penicillin
C. Shellfish
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