Pharm Kaplan integrated test - NCLEX style questions
with actual questions and answers
Which instruction by the nurse is best to include when teaching a client about amlodipine?
1. Report any swelling of the face or extremities to the health care provider.
2. You need to refrigerate this medication.
3. Report any weight loss to the health care provider.
4. Photophobia is a common adverse effect that will diminish with repeated use. - CORRECT ANSWERS-
1. Report any swelling of the face or extremities to the health care provider.
The nurse provides medication education for a client receiving lovastatin. Which information is most
important for the nurse to include?
1. Notify the health care provider if you experience muscle pain.
2. This medication may damage your kidneys.
3. Take the medication with a large glass of grapefruit juice.
4. If you miss a dose, double the medication the following day. - CORRECT ANSWERS-1. Notify the health
care provider if you experience muscle pain.
A client asks the nurse, "How does the lovastatin work?" which is the nurse's best response?
1. Lovastatin prevents the reabsorption of bile acids into the small intestine.
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
3. Lovastatin is a vitamin that increases the activity of lipoprotein lipase.
4. Lovastatin is a fibric acid agent that activates lipoprotein lipase. - CORRECT ANSWERS-2. Lovastatin
prevents an enzyme in the liver from making more cholesterol.
,The nurse provides care for a client diagnosed with schizophrenia who is taking chlorpromazine. When
providing medication education to the client, the nurse includes information about which common
adverse effects?
1. Insomnia and restlessness
2. Abnormal motor movements and dry mouth
3. Weight loss and increased libido
4. Hypertension and dyspnea - CORRECT ANSWERS-2. Abnormal motor movements and dry mouth
Which nursing measure is included in the teaching plan for the client regarding the use of
beclomethasone?
1. Instruct the client to drink copious amounts of water before taking beclomethasone.
2. Instruct the client on the proper use of the inhaler.
3. Instruct the client to discontinue beclomethasone if there is no therapeutic response in 2 weeks.
4. Instruct the client to take beclomethasone during an acute asthma attack. - CORRECT ANSWERS-2.
Instruct the client on the proper use of the inhaler.
Which factors increase the risk of medication error occurring?
1. The nurse is hurrying to pass a medication before breakfast.
2. The behavioral health nurse is unfamiliar with the units and clients.
3. The nurse verifies each medication dosage with the medication record.
4. The nurse fails to use two client identifiers.
5. The client speaks to the nurse when giving medication.
6. The client's armband is not attached to the client.
7. The two clients in the nurse's care have the same last name.
, 8. The nurse does not acknowledge the client's concerns about the medication. - CORRECT ANSWERS-1,
2, 4, 6, 7, 8
Which 3 assessment findings indicate complications during fluid administration?
1. Client is confused
2. Blood return is present during IV assessment
3. IV site is edematous and cool to the touch
4. Dyspnea
5. Blood pressure increases from 85/54 to 110/60
6. Apical heart rate of 74, regular - CORRECT ANSWERS-1, 3, 4
The nurse learns a client has been taking simvastatin for 7 months. Which statement by a colleague does
the nurse correct?
1. I should take the client's blood pressure in supine, sitting, and standing positions.
2. I will check the laboratory blood values for both HDL and LDL and their ratio.
3. I will check the laboratory blood values for liver function tests.
4. I will ask the client if an eye exam has been completed since beginning the medication. - CORRECT
ANSWERS-1. I should take the client's blood pressure in supine, sitting, and standing positions.
A client is prescribed morphine sulfate 4 mg IV every 4 hours PRN for pain after surgery. The nurse
assesses the client 30 minutes after giving the medication for a report of pain of 8 on the 1-10 numeric
pain scale. The client's vital signs are: BP 172/88 mm Hg, pulse 92/min, and respirations 22/min. The
client reports a pain level of 8. Which action by the nurse is most appropriate.
1. Notify the health care provider to increase the dose.
2. Tell the client to cough and deep breathe.
with actual questions and answers
Which instruction by the nurse is best to include when teaching a client about amlodipine?
1. Report any swelling of the face or extremities to the health care provider.
2. You need to refrigerate this medication.
3. Report any weight loss to the health care provider.
4. Photophobia is a common adverse effect that will diminish with repeated use. - CORRECT ANSWERS-
1. Report any swelling of the face or extremities to the health care provider.
The nurse provides medication education for a client receiving lovastatin. Which information is most
important for the nurse to include?
1. Notify the health care provider if you experience muscle pain.
2. This medication may damage your kidneys.
3. Take the medication with a large glass of grapefruit juice.
4. If you miss a dose, double the medication the following day. - CORRECT ANSWERS-1. Notify the health
care provider if you experience muscle pain.
A client asks the nurse, "How does the lovastatin work?" which is the nurse's best response?
1. Lovastatin prevents the reabsorption of bile acids into the small intestine.
2. Lovastatin prevents an enzyme in the liver from making more cholesterol.
3. Lovastatin is a vitamin that increases the activity of lipoprotein lipase.
4. Lovastatin is a fibric acid agent that activates lipoprotein lipase. - CORRECT ANSWERS-2. Lovastatin
prevents an enzyme in the liver from making more cholesterol.
,The nurse provides care for a client diagnosed with schizophrenia who is taking chlorpromazine. When
providing medication education to the client, the nurse includes information about which common
adverse effects?
1. Insomnia and restlessness
2. Abnormal motor movements and dry mouth
3. Weight loss and increased libido
4. Hypertension and dyspnea - CORRECT ANSWERS-2. Abnormal motor movements and dry mouth
Which nursing measure is included in the teaching plan for the client regarding the use of
beclomethasone?
1. Instruct the client to drink copious amounts of water before taking beclomethasone.
2. Instruct the client on the proper use of the inhaler.
3. Instruct the client to discontinue beclomethasone if there is no therapeutic response in 2 weeks.
4. Instruct the client to take beclomethasone during an acute asthma attack. - CORRECT ANSWERS-2.
Instruct the client on the proper use of the inhaler.
Which factors increase the risk of medication error occurring?
1. The nurse is hurrying to pass a medication before breakfast.
2. The behavioral health nurse is unfamiliar with the units and clients.
3. The nurse verifies each medication dosage with the medication record.
4. The nurse fails to use two client identifiers.
5. The client speaks to the nurse when giving medication.
6. The client's armband is not attached to the client.
7. The two clients in the nurse's care have the same last name.
, 8. The nurse does not acknowledge the client's concerns about the medication. - CORRECT ANSWERS-1,
2, 4, 6, 7, 8
Which 3 assessment findings indicate complications during fluid administration?
1. Client is confused
2. Blood return is present during IV assessment
3. IV site is edematous and cool to the touch
4. Dyspnea
5. Blood pressure increases from 85/54 to 110/60
6. Apical heart rate of 74, regular - CORRECT ANSWERS-1, 3, 4
The nurse learns a client has been taking simvastatin for 7 months. Which statement by a colleague does
the nurse correct?
1. I should take the client's blood pressure in supine, sitting, and standing positions.
2. I will check the laboratory blood values for both HDL and LDL and their ratio.
3. I will check the laboratory blood values for liver function tests.
4. I will ask the client if an eye exam has been completed since beginning the medication. - CORRECT
ANSWERS-1. I should take the client's blood pressure in supine, sitting, and standing positions.
A client is prescribed morphine sulfate 4 mg IV every 4 hours PRN for pain after surgery. The nurse
assesses the client 30 minutes after giving the medication for a report of pain of 8 on the 1-10 numeric
pain scale. The client's vital signs are: BP 172/88 mm Hg, pulse 92/min, and respirations 22/min. The
client reports a pain level of 8. Which action by the nurse is most appropriate.
1. Notify the health care provider to increase the dose.
2. Tell the client to cough and deep breathe.
