1) The nurse would anticipate that the health care provider(HCP) would add which
medication to the regimen of the client receiving isoniazid?
Pyridoxine
2) A postpartum nurse is caring for a client with an epiduralcatheter in place for opioid
analgesic administration following cesarean birth. The client develops respiratory
depression and requires naloxone administration. Which finding should the nurse
anticipate as a result of the naloxone administration?
Increase in pain level
3) The nurse should monitor the client receiving the first doseof albuterol for which side or
adverse effect of this medication?
Tachycardia
4) The client has a prescription to receive pirbuterol 2 puffsand beclomethasone
dipropionate 2 puffs by metered-dose inhaler. The nurse plans to give these medications
in whichway to ensure effectiveness?
Administering the pirbuterolbefore the beclomethasone
5) A client with chronic obstructive pulmonary disease (COPD) is being changed from an
oral glucocorticoid to triamcinolone by inhalation. The client asks why this changeis
necessary. Which statement by the nurse to the client is accurate?
"Inhaled glucocorticoids arepreferred because of decreased adverse effects."
6) A client taking theophylline has a serum theophylline levelof 15 mcg/mL (60 mcmol/L).
How does the nurse interpret thislaboratory value?
In the middle of thetherapeutic range
7) A client is taking cetirizine. The nurse should inform theclient of which side effect of
this medication?
Drowsiness
,8) A client is scheduled to receive acetylcysteine 20% solutiondiluted in 0.9% normal saline
by nebulizer. Which outcome would the nurse expect as a result of the administration of
this medication?
Thinning of respiratory secretions
9) The nurse is teaching a client about the effects of diphenhydramine, an ingredient in the
cough suppressant prescribed for the client. The nurse should plan to tell theclient to take
which measure while taking this medication?
Avoid activities requiring mental alertness
10) The health care provider (HCP) has prescribed codeinesulfate for a client with a
nonproductive cough to suppressthe cough reflex. The nurse should teach the client to
monitor for which side effect of the medication?
Constipation
11) A client has begun therapy with a xanthine bronchodilator. The nurse determines that
the client understands dietary alterations if the client states to limit which items while
taking this medication? Select allthat apply.
Coffee
Chocolate
12) Which supplies should the nurse obtain for the administration of ribavirin to a
hospitalized child withrespiratory syncytial virus (RSV)?
A mask and pair of goggles
13) The nurse is documenting information in a client's chart when the electrocardiogram
telemetry alarm sounds, andthe nurse notes that the client is in ventricular
, tachycardia (VT). The nurse rushes to the client's bedsideand should perform which
assessment first?
Check responsiveness
14) A client is brought into the emergency department in ventricular fibrillation (VF). The
nurse prepares to defibrillate by placing defibrillation pads on which part ofthe chest?
To the right of the sternum and tothe left of the precordium
15) An adult client has been unsuccessfully defibrillatedfor ventricular fibrillation, and
cardiopulmonary resuscitation (CPR) is resumed. The nurse confirms that CPRis being
administered effectively by noting which action
The carotid pulse is palpable witheach compression.
16) The nurse is assigned the care of a client who experienced a myocardial infarction and
is being monitoredby cardiac telemetry. The nurse notes the sudden onset of this
cardiac rhythm on the monitor. The nurse should immediately take which action?
Refer to Figure.
View Figure
Initiate cardiopulmonaryresuscitation (CPR).
17) To perform defibrillation, the defibrillator padsshould be placed in which areas of
the client's chest?
To the right of the sternum just below the clavicle and to the left side, just below and to the
left ofthe pectoral muscle
18) The nurse is caring for a client who is pulseless and experiencing this dysrhythmia.
Which interventions should the nurse anticipate implementing in collaboration with the
health care provider (HCP)? Select all that apply. Refer toFigure.
View Figure
Prepare to administer amiodarone.
, Prepare to administer epinephrine.
Provide cardiopulmonary resuscitation(CPR).
19) The nurse is performing cardiopulmonary resuscitation (CPR) on a client who has had a
cardiac arrest. An automaticexternal defibrillator (AED) is available to treat the client.
Which activity will allow the nurse to assess the client's cardiac rhythm?
Apply adhesive patch electrodes to thechest and move away from the client.
20) The nurse is teaching adult cardiopulmonary resuscitation (CPR) guidelines to a group of
laypeople. The nurse observes the group correctly demonstrate 2-rescuer CPRwhen which
ratio of compressions to ventilations is performed on the mannequin?
30:2
21) The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of community
members. The nurse tells the group that when chest compressions are performed on
infants,the sternum should be depressed how far?
About 1½ inches (4 cm)
22) The nursing instructor teaches a group of students about cardiopulmonary resuscitation.
The instructor asks a student to identify the most appropriate location at which to assess
the pulse of an infant younger than 1 year of age.Which response would indicate that the
student understands the appropriate assessment procedure?
Brachial artery
23) The nurse is conducting a basic life support (BLS) recertification class and is discussing
chest compressions in a pregnant woman. The nurse should tell the class that which
action should be taken in an advanced pregnancy clientwhose fundal height is at or above
the umbilicus?
Maintain manual left uterinedisplacement during compressions.
medication to the regimen of the client receiving isoniazid?
Pyridoxine
2) A postpartum nurse is caring for a client with an epiduralcatheter in place for opioid
analgesic administration following cesarean birth. The client develops respiratory
depression and requires naloxone administration. Which finding should the nurse
anticipate as a result of the naloxone administration?
Increase in pain level
3) The nurse should monitor the client receiving the first doseof albuterol for which side or
adverse effect of this medication?
Tachycardia
4) The client has a prescription to receive pirbuterol 2 puffsand beclomethasone
dipropionate 2 puffs by metered-dose inhaler. The nurse plans to give these medications
in whichway to ensure effectiveness?
Administering the pirbuterolbefore the beclomethasone
5) A client with chronic obstructive pulmonary disease (COPD) is being changed from an
oral glucocorticoid to triamcinolone by inhalation. The client asks why this changeis
necessary. Which statement by the nurse to the client is accurate?
"Inhaled glucocorticoids arepreferred because of decreased adverse effects."
6) A client taking theophylline has a serum theophylline levelof 15 mcg/mL (60 mcmol/L).
How does the nurse interpret thislaboratory value?
In the middle of thetherapeutic range
7) A client is taking cetirizine. The nurse should inform theclient of which side effect of
this medication?
Drowsiness
,8) A client is scheduled to receive acetylcysteine 20% solutiondiluted in 0.9% normal saline
by nebulizer. Which outcome would the nurse expect as a result of the administration of
this medication?
Thinning of respiratory secretions
9) The nurse is teaching a client about the effects of diphenhydramine, an ingredient in the
cough suppressant prescribed for the client. The nurse should plan to tell theclient to take
which measure while taking this medication?
Avoid activities requiring mental alertness
10) The health care provider (HCP) has prescribed codeinesulfate for a client with a
nonproductive cough to suppressthe cough reflex. The nurse should teach the client to
monitor for which side effect of the medication?
Constipation
11) A client has begun therapy with a xanthine bronchodilator. The nurse determines that
the client understands dietary alterations if the client states to limit which items while
taking this medication? Select allthat apply.
Coffee
Chocolate
12) Which supplies should the nurse obtain for the administration of ribavirin to a
hospitalized child withrespiratory syncytial virus (RSV)?
A mask and pair of goggles
13) The nurse is documenting information in a client's chart when the electrocardiogram
telemetry alarm sounds, andthe nurse notes that the client is in ventricular
, tachycardia (VT). The nurse rushes to the client's bedsideand should perform which
assessment first?
Check responsiveness
14) A client is brought into the emergency department in ventricular fibrillation (VF). The
nurse prepares to defibrillate by placing defibrillation pads on which part ofthe chest?
To the right of the sternum and tothe left of the precordium
15) An adult client has been unsuccessfully defibrillatedfor ventricular fibrillation, and
cardiopulmonary resuscitation (CPR) is resumed. The nurse confirms that CPRis being
administered effectively by noting which action
The carotid pulse is palpable witheach compression.
16) The nurse is assigned the care of a client who experienced a myocardial infarction and
is being monitoredby cardiac telemetry. The nurse notes the sudden onset of this
cardiac rhythm on the monitor. The nurse should immediately take which action?
Refer to Figure.
View Figure
Initiate cardiopulmonaryresuscitation (CPR).
17) To perform defibrillation, the defibrillator padsshould be placed in which areas of
the client's chest?
To the right of the sternum just below the clavicle and to the left side, just below and to the
left ofthe pectoral muscle
18) The nurse is caring for a client who is pulseless and experiencing this dysrhythmia.
Which interventions should the nurse anticipate implementing in collaboration with the
health care provider (HCP)? Select all that apply. Refer toFigure.
View Figure
Prepare to administer amiodarone.
, Prepare to administer epinephrine.
Provide cardiopulmonary resuscitation(CPR).
19) The nurse is performing cardiopulmonary resuscitation (CPR) on a client who has had a
cardiac arrest. An automaticexternal defibrillator (AED) is available to treat the client.
Which activity will allow the nurse to assess the client's cardiac rhythm?
Apply adhesive patch electrodes to thechest and move away from the client.
20) The nurse is teaching adult cardiopulmonary resuscitation (CPR) guidelines to a group of
laypeople. The nurse observes the group correctly demonstrate 2-rescuer CPRwhen which
ratio of compressions to ventilations is performed on the mannequin?
30:2
21) The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of community
members. The nurse tells the group that when chest compressions are performed on
infants,the sternum should be depressed how far?
About 1½ inches (4 cm)
22) The nursing instructor teaches a group of students about cardiopulmonary resuscitation.
The instructor asks a student to identify the most appropriate location at which to assess
the pulse of an infant younger than 1 year of age.Which response would indicate that the
student understands the appropriate assessment procedure?
Brachial artery
23) The nurse is conducting a basic life support (BLS) recertification class and is discussing
chest compressions in a pregnant woman. The nurse should tell the class that which
action should be taken in an advanced pregnancy clientwhose fundal height is at or above
the umbilicus?
Maintain manual left uterinedisplacement during compressions.
