1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify
which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
Distended neck veins
Bilateral muscle weakness
d. Thread pulse
@ A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solution. Which of the following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek’s sign
Improved cognition -
€. Decreased vomiting
d. Cardiac arrhythmias absent
3.) A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch.
Which of the following instructions should the nurse include?
\ a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
“Cover the patch with dry gauze when taking a shower.”
d./ “Remove the patch prior to going to bed.”
0 A nurse is reviewing he laboratory results of a client who has a prescription for sodium
polysm'ene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to
“the provider? (/, Yy % M‘J‘e
a. Creatinine 0.72 mg/dL W
b: Sodium 138 .mEq/L _ \‘/ K+
Magnesium 2 mEq/L
‘ Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease
the serum potassium level, so the PN should monitor the client’s serum potassium level
5.) 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?
The client has a negative sputum culture
b. The client tests negative for HIV _
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference range
6.) Aclient is caring for a client who develops an anaphylactic reaction to IV administration. After
assessing the client’s respiratory status and stopping the medication infusion. Which of the
following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
~. Elevate the client’s legs and feet
@ Administer epinephrine IM
, 7.) Anurse is caring for a client who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the client to avoid?
St. John's Wort
b. Gingerroot
¢. Black cohosh
7 d. Coenzyme Q10 ? Mbh’
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which
of the following adverse effects should the nurse monitor when administering lisinopril?
a. Bradycardia /
b. Hypokalemia ) <
Tmnitus e ene
Hypotenston
' A nurse is assessing a client who is receiving heparin IV continuous IV, The client has an PPT of
90 seconds. They should monitor the client for which of the following changes in their vital
signs?
a. Decreased temperatdre
b. Increased pulse rate FPT C?O m stop. -
Decreased respiratory rate - DW 001(( 117770
Increased blood pressure
( A nurse is preparing to administer medication to a client and discovers a medication error. The
nurse should recognize that which of the following staff members is responsible for completing
an incident report?
a. The quality improvement committee
The nurse who identifies the error
The nurse who caused the error
d. The charge nurse
@A nurse is planning care for a client who is receiving morphine via continuous epidural infusion.
The nurse should monitor the client for which of the following? -
a Pruritus — Sign of allergic reaction to morphine W
b, Cough - - M N
c. Tachypnea' - /f\'
d. Gastric bleeding ’,
12.)A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the
nurse should take. (Move the steps into the box on the right, placmg them in the order of
performance. Use all the steps.) A fi
K . 2 a. Obtain the client’s apical heart rate
Q A I'b. Remove the medication from the dispensing system
V(l\ NN Y/ ¢. Open the medication package
O 2d. Compare the client’s wristband to the medication administration record
/H’
%
P S( e. Document administration of the medication
&PA‘ “J"
: m K‘ graw Q—ai
T Aoy T
, A nurse is reviewing the medical record of an adult client who has a fever and a prescription for
acetaminophen. Which of the following findings should the nurse identify as a contraindication
fo iving this medication?
b.
¢. Hepatitis B vaccine within the last week -
d. Diabetes mellitus
14.) A home health nurse is visiting a client who has heart failure and a prescription for furosemide.
The nurse identifies that the client has gained 2.5 kg (5 Ib.) since the last visit 2 days ago. Which
of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
Determine medication adherence by the client
Notify the provider of the client’s weight gain
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should
monitor for which of the following as an indication of an allergic reaction following the
" vl o difprack sl
c. Pallor u M @r N
)
d. Dyspepsia H’NU ML L M
16.)A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin
tablets. Which of the following instructions should the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
“Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17.) A nurse is providing teaching to a client who has a new prescription for theophylline, a
sustained-released capsule. Which of the following statements by the client indicates an
understanding of the teachmg?
b. “Imay sprmkle the medication in applesauce
c. “Ishould limit my fluid intake while on this medication.”
(@) “t will need to have blood levels drawn.”
18 JA nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to
client who has diabetes mellitus following actions should the nurse take first?
a. w Withdraw the regular insulin from the h wral :W)J e £ AB ,fi/ |
b. Wi he NP ulin form the vual /é
C. Inject air into the NPH vial jr)J flfl/ /”‘) .
d. Inject air iinto the regular
regular insulin
insulin vial
via 7/ Zy/l_, 5
which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
Distended neck veins
Bilateral muscle weakness
d. Thread pulse
@ A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solution. Which of the following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek’s sign
Improved cognition -
€. Decreased vomiting
d. Cardiac arrhythmias absent
3.) A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch.
Which of the following instructions should the nurse include?
\ a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
“Cover the patch with dry gauze when taking a shower.”
d./ “Remove the patch prior to going to bed.”
0 A nurse is reviewing he laboratory results of a client who has a prescription for sodium
polysm'ene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to
“the provider? (/, Yy % M‘J‘e
a. Creatinine 0.72 mg/dL W
b: Sodium 138 .mEq/L _ \‘/ K+
Magnesium 2 mEq/L
‘ Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease
the serum potassium level, so the PN should monitor the client’s serum potassium level
5.) 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?
The client has a negative sputum culture
b. The client tests negative for HIV _
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference range
6.) Aclient is caring for a client who develops an anaphylactic reaction to IV administration. After
assessing the client’s respiratory status and stopping the medication infusion. Which of the
following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
~. Elevate the client’s legs and feet
@ Administer epinephrine IM
, 7.) Anurse is caring for a client who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the client to avoid?
St. John's Wort
b. Gingerroot
¢. Black cohosh
7 d. Coenzyme Q10 ? Mbh’
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which
of the following adverse effects should the nurse monitor when administering lisinopril?
a. Bradycardia /
b. Hypokalemia ) <
Tmnitus e ene
Hypotenston
' A nurse is assessing a client who is receiving heparin IV continuous IV, The client has an PPT of
90 seconds. They should monitor the client for which of the following changes in their vital
signs?
a. Decreased temperatdre
b. Increased pulse rate FPT C?O m stop. -
Decreased respiratory rate - DW 001(( 117770
Increased blood pressure
( A nurse is preparing to administer medication to a client and discovers a medication error. The
nurse should recognize that which of the following staff members is responsible for completing
an incident report?
a. The quality improvement committee
The nurse who identifies the error
The nurse who caused the error
d. The charge nurse
@A nurse is planning care for a client who is receiving morphine via continuous epidural infusion.
The nurse should monitor the client for which of the following? -
a Pruritus — Sign of allergic reaction to morphine W
b, Cough - - M N
c. Tachypnea' - /f\'
d. Gastric bleeding ’,
12.)A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the
nurse should take. (Move the steps into the box on the right, placmg them in the order of
performance. Use all the steps.) A fi
K . 2 a. Obtain the client’s apical heart rate
Q A I'b. Remove the medication from the dispensing system
V(l\ NN Y/ ¢. Open the medication package
O 2d. Compare the client’s wristband to the medication administration record
/H’
%
P S( e. Document administration of the medication
&PA‘ “J"
: m K‘ graw Q—ai
T Aoy T
, A nurse is reviewing the medical record of an adult client who has a fever and a prescription for
acetaminophen. Which of the following findings should the nurse identify as a contraindication
fo iving this medication?
b.
¢. Hepatitis B vaccine within the last week -
d. Diabetes mellitus
14.) A home health nurse is visiting a client who has heart failure and a prescription for furosemide.
The nurse identifies that the client has gained 2.5 kg (5 Ib.) since the last visit 2 days ago. Which
of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
Determine medication adherence by the client
Notify the provider of the client’s weight gain
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should
monitor for which of the following as an indication of an allergic reaction following the
" vl o difprack sl
c. Pallor u M @r N
)
d. Dyspepsia H’NU ML L M
16.)A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin
tablets. Which of the following instructions should the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
“Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17.) A nurse is providing teaching to a client who has a new prescription for theophylline, a
sustained-released capsule. Which of the following statements by the client indicates an
understanding of the teachmg?
b. “Imay sprmkle the medication in applesauce
c. “Ishould limit my fluid intake while on this medication.”
(@) “t will need to have blood levels drawn.”
18 JA nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to
client who has diabetes mellitus following actions should the nurse take first?
a. w Withdraw the regular insulin from the h wral :W)J e £ AB ,fi/ |
b. Wi he NP ulin form the vual /é
C. Inject air into the NPH vial jr)J flfl/ /”‘) .
d. Inject air iinto the regular
regular insulin
insulin vial
via 7/ Zy/l_, 5
