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1. The client diagnosed with coronary artery disease (CAD) is instructed to take 81 mg of aspirin. Which
statement best describes the scientific rationale for prescribing this medication? A. This medication will
help thin the client's blood.
B Daily aspirin will eliminate the chance of developing future angina.
C. This medication will prevent platelet aggregation, which contributes to plaque.
D. Baby aspirin will not cause gastric distress.
2. A client is going to start taking omeprazole to reduce the risk of NSAID-induced ulcers. Which of these
statements would indicate an accurate understanding of how to take medication?
a. "7 should take the capsule with Sucralfate before every meal."
b. "I should never chew or crush omeprazole capsules."
c. "I should only take omeprazole whenever heartburn persists 20" after I take an antacid."
d. "When I need to refill my omeprazole, I should always see my provider first."
3. The nurse is monitoring an elderly client's response to metoclopramide. Which of these
conditions would NOT be attributed to metoclopramide therapy? a. Parkinsonism
b. Depression
c. Paralytic ileus
d. Extrapyramidal symptoms
4. A client with stable chronic obstructive pulmonary disease (COPD) receives prescriptions for an
inhaled glucocorticoid and an inhaled short-acting beta2-adrenergic agonist. Which statement by the
client indicates a need for further education on this medication regimen? a. "The glucocorticoid is used
as prophylaxis to prevent exacerbations."
b. "I will need to use the inhaled glucocorticoid medication daily."
c. "I should use the short-acting beta2-adrenergic agonist as needed when symptoms flare."
d. "The short-acting beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators."
5. A nurse is educating a client about the use of diphenhydramine to manage their seasonal allergies.
Which response from the client indicates a need for further education?
a. "I should not take more than one type of antihistamine at a time unless two are prescribed."
b. "Anticholinergic effects are to be expected with diphenhydramine overdose."
c. "Newer antihistamines can be taken in the morning, but citrus juice inactivates them."
d. "I should take diphenhydramine when I have an asthma attack, even if I have had a few drinks."
,6. The nurse is exploring the potential side effects of cimetidine with a client who reports taking it over
the counter without prescriber awareness. Which of these observations would be unexpected?
a. Gynecomastia (swollen breasts) in men
b. Malignant hypertension
c. Concurrent medication toxicity due to CYP enzyme inhibition
d. Diarrhea
7. A client is taking both beclomethasone and albuterol. Which of the following statements by the client
indicates a need for further education?
a. "I will take my albuterol puffs prior to taking my beclomethasone inhalation."
b. "I will rinse my mouth after I use my becomethasone.
c. "If I am having difficulty breathing, I will take two puffs of my rescue inhaler, as prescribed."
d. "I will take two puffs of my beclomethasone only when I am wheezing."
8. A client taking theophylline has a serum theophylline level of 25 mcg/mL. How does the nurse
interpret this laboratory value?
a. It is below the therapeutic range.
b. It is above the therapeutic range. (10–20 mcg/mL)
c. It is near the top of the therapeutic range.
d. It is in the middle of the therapeutic range.
9. The nurse understands that the client receiving their first dose of albuterol may experience which
of the following side effects of this medication. a. Drowsiness
b. Tachycardia
c. Hyperkalemia
d. Hyperglycemia
10. Which of the following is not an indication for laxative use?
a. Emptying of the bowel before surgery
b. Preventing fecal impaction in bedridden clients
c. Correcting constipation associated with opioids
d. Correcting obstruction of the bowel
11. The nurse is preparing to administer a nitroglycerin (NTG) transdermal patch to the client diagnosed
with a myocardial infarction (MI). Which intervention should the nurse implement? a. Question
applying the patch if the client's blood pressure is less than 120/80
b. Use sterile gloves when applying the transdermal patch.
c. Date and time the transdermal patch prior to applying to the client's skin.
d. Place the transdermal patch on the site where the old patch was removed.
12. The nurse is administering morning medications to the following clients. Which client should the
nurse question administering the medication?
, a. The client received a calcium channel blocker and drank a glass of grapefruit juice with breakfast.
b. The client receiving a beta blocker has an apical pulse of 65 beats per minute.
c. The client receiving a nitroglycerin patch has a blood pressure of 148/92.
d. The client receiving antiplatelet medication has a platelet count of 150,000
13. The client diagnosed with coronary artery disease (CAD) is prescribed atorvastatin. Which statement
by the client warrants further education?
a. "I really haven't changed my diet, but I am taking my medication every day
b. "I am feeling pretty good, except I am having muscle pain all over my body."
c. "I am swimming at the local pool about three times a week for 30 minutes."
d. "I am taking this medication first thing in the morning with a bowl of oatmeal."
14. The client diagnosed with iron-deficiency anemia is being discharged. Which discharge
instruction should the nurse include regarding the oral iron preparation prescribed? a. Teach the
client to perform a fecal occult blood test daily.
b. Demonstrate how to crush the tablets and mix them with pudding.
c. Inform the client to take the medication at night.
d. Tell the client that their stools will be greenish-black.
15. The client with essential hypertension (HTN) is prescribed metoprolol. Which assessment data
should make the nurse question administering this medication? a. The client's blood pressure is
112/90.
b. The client's apical pulse is 56 beats per minute.
c. The client has an occipital headache.
d. The client's respiratory rate is 20 breaths per minute.
16. A client with a history of previous myocardial infarction (Ml) will be prescribed a calcium channel
blocker in addition to nitroglycerin to treat his chronic stable angina. What other measures may be
added to the regimen to prevent further MI and death? (Select all that apply.) a. Aspirin to decrease
platelet aggregation
b. Lovastatin to lower cholesterol and slow the progression of coronary artery disease
(CAD)
c. Lithium to stabilize mood
d. Addition of a heart-healthy diet and exercise
e. Inhaled glucocorticoids to suppress inflammation.
17. Upon admission, a client tells the nurse that she takes verapamil. Which of the following additional
medications in the client's medication list would cause concern for the nurse? (Select all that apply.) a.
Metoprolol
b. Digoxin
c. Diltiazem
d. Propranolol
e. Metformin