2022 A GRADE
1. A nurse is preparing to administer warfarin to a client who has a new onset of
atrial fibrillation. The client asks the nurse, “What does this medication do?”
Which of the following responses should the nurse make?
a. “It helps your heart return to a normal rhythm.”
b. “It dissolves blood clots.”
c. “It can reduce your risk of having a stroke.”
d. “It helps to prevent bleeding in atrial fibrillation.”
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
laboratory values should the nurse identify as reflecting a contraindication to
receiving vasopressin to treat this disorder?
e. Sodium 152 mEq/L
f. Potassium 6.0 mEq/L
g. Creatinine clearance 50 mL/min
h. Aspartate aminotransferase (AST) 52 units/L
3. A nurse is reviewing the medication history of a client who has mild
intermittent asthma. The nurse should anticipate a prescription for which of the
following inhalers for the client?
i. Ipratropium
j. Albuterol sulfate
k. Tiotropium
l. Budesonide
4. A nurse is caring for a client who has a dry nonproductive cough. Which of the
following types of medication should the nurse recommend?
m. Expectorant
n. Mucolytic
o. Bronchodilator
p. Antitussive
,5. A nurse is caring for a client who has heart failure and is taking oral furosemide
40 mg daily. For which of the following adverse effects should the client be
taught to monitor and notify the provider if it occurs?
q. Nasal congestion
r. Tremors
s. Tinnitus
t. Frontal headache
6. A nurse is monitoring a client who is receiving terbutaline to suppress preterm
labor. Which of the following findings should indicate to the nurse that the
client is experiencing an adverse effect of the medication?
u. BP 132/84 mmHg
v. Blood glucose 106 mg/dL
w. Decreased deep tendon reflexes
x. Maternal heart rate >120/min
7. A nurse is teaching about levodopa with a family member of a client who has
Parkinson’s disease. Which of the following pieces of information should the
nurse include?
y. “A full therapeutic response may take several months to happen.”
z. “This medication should be taken with high-protein foods.”
aa. “A full therapeutic response might cause vivid dreams.”
bb.“The medication is given at the onset of mild symptoms.”
8. A nurse is preparing to administer a hydromorphone IV infusion to a client for
pain. Which of the following actions should the nurse take?
cc. Administer the medication over 4 to 5 minutes
dd.Place the client in a high-Fowler’s position
ee. Assess the client’s pain level after administering the medication
ff. Review the client’s last set of vital signs
, 9. A nurse is caring for a client who has a new prescription for ergotamine. The
nurse should recognize that ergotamine is administered to treat which of the
following conditions?
gg.Raynaud’s phenomenon
hh.Migraine headaches
ii. Ulcerative colitis
jj. Anemia
10.A nurse is teaching a client who is postmenopausal and has a prescription for
alendronate. Which of the following statements should the nurse include in the
teaching?
kk.“You can lie down 15 minutes after taking this medication.”
ll. “Take this medication on an empty stomach.”
mm. “Crush this medication to improve absorption.”
nn.“Avoid taking antacids or supplements that contain calcium while taking this
medication.”
11.A nurse is providing teaching to the parents of a child who has a new
prescription for lamotrigine for a seizure disorder. The nurse should instruct the
parents that which of the following adverse effects is the priority to report to the
provider?
oo.Diplopia
pp.Dizziness
qq.Rash
rr. Headache
12.A nurse is caring for a client with premenstrual disorder (PMD) who has a
prescription for fluoxetine. The client asks the nurse, “When should I notice the
benefits of this medication?” Which of the following responses should the nurse
make?
ss. “You should expect decreased manifestations within a few days.”
tt. “Manifestations decrease after about 2 months.”
uu.“You should expect decreased manifestations immediately.”
vv. “Manifestations will decrease after several weeks.”