A nurse is caring for a client who has a radial fracture and a new Rx for butorphanol. The
nurse should identify that which of the following statements by the client indicates a contra-
indication for the administration of butorphanol?
A. "I've been taking methadone to treat a heroin use disorder."
B. "My pain rating is at 7 on a 0 to 10 scale."
C. "My fingers are numb."
D. "I am allergic to peanuts." - ANSWER A.
A nurse is assessing a client who started a Rx for phenytoin 3 weeks ago. Which of the fol-
lowing assessment findings should the nurse identify as an indication of a hypersensitivity
rxn to the phenytoin?
A. Enlargement of the cervical lymph nodes
B. Diarrhea
C. Ringing in the ears
D. Alopecia - ANSWER A.
A nurse is reviewing the lab results of a client who has been receiving injections of epoetin
alfa for the past 3 weeks. Which of the following lab findings should the nurse identify as an
indication that the treatment is effective?
A. Increased reticulocyte count
B. Decreased hemoglobin
C. Increased neutrophils
D. Decreased triglycerides - ANSWER A.
A nurse is planning to apply testosterone topical solution to a client. Which of the following
actions should the nurse take?
1
,A. Cover the site with a transparent dressing after application.
B. Rub the solution in while wearing gloves.
C. Apply the medication to the client's axilla.
D. Dry shave the client's skin prior to application. - ANSWER C.
A nurse is caring for a client who has a noted extravasation of an IV site following infiltration
of dopamine. After stopping the dopamine infusion, which of the following actions should
the nurse take next?
A. Inject phentolamine into the affected area.
B. Apply a cold compress to the site.
C. Aspirate dopamine from the IV cannula.
D. Photograph the site. - ANSWER C.
A nurse in an emergency department is caring for a client who sustained multiple fractures
in a MVC. The client rates their pain as an 8 on a 0-10 scale. Which of the following pain
meds should the nurse expect to administer?
A. Ibuprofen PO
B. Pentazocine IM
C. Morphine IV
D. Fentanyl transdermal - ANSWER C.
A nurse is planning to perform a dressing change on a client's peripherally inserted central
catheter site. Which of the following actions should the nurse take?
A. Apply clean gloves when cleaning the site.
B. Document that the next dressing change is due in 14 days.
C. Measure the length of the external portion of the catheter.
D. Cleanse around the site for at least 20 seconds. - ANSWER C.
2
, A nurse is assessing a client who began taking verapamil 3 days ago. Which of the following
findings should the nurse identify as an adverse effect of this med?
Hypertension
Constipation
Gingivitis
Facial edema - ANSWER Constipation
A nurse is assessing a client who has been taking levothyroxine for 3 months to treat hypo-
thyroidism. Which of the following findings should the nurse expect as an indication that the
medication is effective?
Cool skin
Weight loss
Thick nails
Decreased heart rate - ANSWER weight loss
A nurse is teaching a client about how to use a nitro transdermal patch. Which of the follow-
ing instructions should the nurse include?
A. Apply the patch to a hairless area of skin.
B. Replace the patch twice a day.
C. Leave the patch off for 4 hr daily.
D. Apply the patch to the same area each day. - ANSWER A.
A nurse in a long-term care facility is preparing meds for a group of clients. Which of the fol-
lowing actions should the nurse take when following guidelines for safe medication admin-
istration?
A. Return acetaminophen to the facility's stock bottle after a client refuses a dose.
B. Crush the client's verapamil extended-release tablet and administer in pudding.
C. Administer a client's cephalexin 30 min before it is scheduled.
D. Apply an estradiol transdermal patch to a female client's waistline. - ANSWER C.
3
nurse should identify that which of the following statements by the client indicates a contra-
indication for the administration of butorphanol?
A. "I've been taking methadone to treat a heroin use disorder."
B. "My pain rating is at 7 on a 0 to 10 scale."
C. "My fingers are numb."
D. "I am allergic to peanuts." - ANSWER A.
A nurse is assessing a client who started a Rx for phenytoin 3 weeks ago. Which of the fol-
lowing assessment findings should the nurse identify as an indication of a hypersensitivity
rxn to the phenytoin?
A. Enlargement of the cervical lymph nodes
B. Diarrhea
C. Ringing in the ears
D. Alopecia - ANSWER A.
A nurse is reviewing the lab results of a client who has been receiving injections of epoetin
alfa for the past 3 weeks. Which of the following lab findings should the nurse identify as an
indication that the treatment is effective?
A. Increased reticulocyte count
B. Decreased hemoglobin
C. Increased neutrophils
D. Decreased triglycerides - ANSWER A.
A nurse is planning to apply testosterone topical solution to a client. Which of the following
actions should the nurse take?
1
,A. Cover the site with a transparent dressing after application.
B. Rub the solution in while wearing gloves.
C. Apply the medication to the client's axilla.
D. Dry shave the client's skin prior to application. - ANSWER C.
A nurse is caring for a client who has a noted extravasation of an IV site following infiltration
of dopamine. After stopping the dopamine infusion, which of the following actions should
the nurse take next?
A. Inject phentolamine into the affected area.
B. Apply a cold compress to the site.
C. Aspirate dopamine from the IV cannula.
D. Photograph the site. - ANSWER C.
A nurse in an emergency department is caring for a client who sustained multiple fractures
in a MVC. The client rates their pain as an 8 on a 0-10 scale. Which of the following pain
meds should the nurse expect to administer?
A. Ibuprofen PO
B. Pentazocine IM
C. Morphine IV
D. Fentanyl transdermal - ANSWER C.
A nurse is planning to perform a dressing change on a client's peripherally inserted central
catheter site. Which of the following actions should the nurse take?
A. Apply clean gloves when cleaning the site.
B. Document that the next dressing change is due in 14 days.
C. Measure the length of the external portion of the catheter.
D. Cleanse around the site for at least 20 seconds. - ANSWER C.
2
, A nurse is assessing a client who began taking verapamil 3 days ago. Which of the following
findings should the nurse identify as an adverse effect of this med?
Hypertension
Constipation
Gingivitis
Facial edema - ANSWER Constipation
A nurse is assessing a client who has been taking levothyroxine for 3 months to treat hypo-
thyroidism. Which of the following findings should the nurse expect as an indication that the
medication is effective?
Cool skin
Weight loss
Thick nails
Decreased heart rate - ANSWER weight loss
A nurse is teaching a client about how to use a nitro transdermal patch. Which of the follow-
ing instructions should the nurse include?
A. Apply the patch to a hairless area of skin.
B. Replace the patch twice a day.
C. Leave the patch off for 4 hr daily.
D. Apply the patch to the same area each day. - ANSWER A.
A nurse in a long-term care facility is preparing meds for a group of clients. Which of the fol-
lowing actions should the nurse take when following guidelines for safe medication admin-
istration?
A. Return acetaminophen to the facility's stock bottle after a client refuses a dose.
B. Crush the client's verapamil extended-release tablet and administer in pudding.
C. Administer a client's cephalexin 30 min before it is scheduled.
D. Apply an estradiol transdermal patch to a female client's waistline. - ANSWER C.
3
