1
Module 1
4, 6, 7, 8, 10, 11, 15, 16, 17, 18, 20,
1. A nurse is providing discharge teaching for a client who has pulmonary
edema and is about to start taking furosemide. Which of the following
instructions should the nurse include?
A. Take aspirin if headaches develop.
B. Eat foods that contain plenty of potassium.
C. Expect some swelling in the hands and feet.
D. Take the medication at bedtime.
2. A nurse is caring for a client whose serum potassium level is 5.3 mEq/L.
Which of the following scheduled medications should the nurse plan to
administer?
A. Lisinopril
B. Digoxin
C. Furosemide
D. Potassium iodide
3. A nurse is providing teaching to a client who has renal failure and an
elevated phosphorous level. The provider instructed the client to take aluminum
hydroxide 300 mg PO three times daily. For which of the following adverse
effects should the nurse inform the client?
A. Constipation
C. Headache
D. Muscle spasms
4. A nurse is providing dietary teaching for a client who takes furosemide. The
nurse should recommend which of the following foods as the best source of
potassium?
A. Bananas
B. Cooked carrots
C. Cheddar cheese
D. 2% milk
5. A nurse is caring for a client who has a prescription for potassium chloride
(KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory
results and finds the client's potassium level is 5.2 mEq/L. Which of the following
actions should the nurse take?
A. Give the ordered KCL as prescribed.
, 2
B. Omit the KCL dose and document it was not given.
C. Call the prescribing physician and inform her of the client's serum
potassium level results.
D. Call the lab to verify the client's results.
6. A nurse is providing teaching for a client who is on diuretic therapy and has a
new prescription for potassium chloride (KCL) 20 mEq extended-release PO
daily. Which of the following instructions should the nurse provide about the new
prescription?
A. Take the extended-release tablets on an empty stomach.
B. Add an antacid if the medication causes indigestion.
C. Take the extended-release tablets whole.
D. Expect urinary output to decrease while on this medication.
7. A nurse is completing a medication history for a client who reports using over-
the-counter calcium carbonate antacid. Which of the following
recommendations should the nurse make about taking this medication?
A. Decrease bulk in the diet to counteract the adverse effect of diarrhea.
B. Take the medication with dairy products to increase absorption.
C. Reduce sodium intake.
D. Drink a glass of water after taking the medication.
8. A nurse is providing teaching to a client who has asthma and a new
prescription for inhaled beclomethasone. Which of the following instructions
should the nurse provide?
A. Check the pulse after medication administration.
B. Take the medication with meals
C. Rinse the mouth after administration.
D. Limit caffeine intake
9. A nurse is caring for a client who has poison ivy and is prescribed
diphenhydramine. Which of the following instructions should the nurse give
regarding the adverse effect of dry mouth associated with diphenhydramine?
A. "Administer the medication with food."
B. "Chew on sugarless gum or suck on hard, sour candies."
C. "Place a humidifier at your bedside every evening."
D. "Discontinue the medication and notify your provider."
10. A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV
, 3
to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The
nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use
a trailing zero.)
8 gtt/min
11. A nurse is preparing to administer potassium chloride 20 mEq suspension PO
daily. The amount available is potassium chloride suspension 10 mEq/mL. How
many mL should the nurse administer?
2 mL
Module 2
3, 9,12, 13, 14, 19
12. A nurse is assessing a client who is receiving dopamine IV to treat left
ventricular failure. Which of the following findings should indicate to the nurse
that the medication is having a therapeutic effect?
A. Systolic blood pressure is increased
B. Cardiac output is reduced
C. Apical heart rate is increased
D. Urine output is reduced
13. A nurse is teaching a client who has been taking prednisone to treat asthma
and has a new prescription to discontinue the medication. The nurse should explain
to the client to reduce the dose gradually to prevent which of the following
adverse effects?
A. Hyperglycemia
B. Adrenocortical insufficiency
C. Severe dehydration
D. Rebound pulmonary congestion
14. A nurse is teaching a client about taking diphenhydramine. The nurse should
explain to the client that which of the following is an adverse effect of this
medication?
A. Sedation
B. Constipation
C. Hypertension
D. Bradycardia.
, 4
15. A nurse is monitoring a client who received epinephrine for angioedema after
a first dose of losartan. Which of the following data indicates a therapeutic
response to the epinephrine?
A. Respirations are unlabored.
B. Client reports decreased groin pain of 3 on a 1 to 10 scale.
C. The client's blood pressure when arising from resting position is at
premedication levels.
D. The client tolerates a second dose of medication with no greater than 1+
peripheral edema.
16. A nurse is preparing to transfuse one unit of packed RBC to a client who
experienced a mild allergic reaction during a previous transfusion. The nurse
should administer diphenhydramine prior to the transfusion for which of the
following allergic responses?
A. Urticaria
B. Fever
C. Fluid overload
D. Hemolysis
17. A nurse is caring for a client who has heart failure and is receiving IV
furosemide. The nurse should monitor the client for which of the following
electrolyte imbalances?
A. Hypernatremia
B. Hyperuricemia
C. Hypercalcemia
D. Hyperchloremia
Module 3
1, 2, 4, 5, 8
18. A nurse is caring for a client who has congestive heart failure and is taking
digoxin daily. The client refused breakfast and is complaining of nausea and
weakness. Which of the following actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic.
19. A nurse is caring for a client who is taking lisinopril. Which of the following
Module 1
4, 6, 7, 8, 10, 11, 15, 16, 17, 18, 20,
1. A nurse is providing discharge teaching for a client who has pulmonary
edema and is about to start taking furosemide. Which of the following
instructions should the nurse include?
A. Take aspirin if headaches develop.
B. Eat foods that contain plenty of potassium.
C. Expect some swelling in the hands and feet.
D. Take the medication at bedtime.
2. A nurse is caring for a client whose serum potassium level is 5.3 mEq/L.
Which of the following scheduled medications should the nurse plan to
administer?
A. Lisinopril
B. Digoxin
C. Furosemide
D. Potassium iodide
3. A nurse is providing teaching to a client who has renal failure and an
elevated phosphorous level. The provider instructed the client to take aluminum
hydroxide 300 mg PO three times daily. For which of the following adverse
effects should the nurse inform the client?
A. Constipation
C. Headache
D. Muscle spasms
4. A nurse is providing dietary teaching for a client who takes furosemide. The
nurse should recommend which of the following foods as the best source of
potassium?
A. Bananas
B. Cooked carrots
C. Cheddar cheese
D. 2% milk
5. A nurse is caring for a client who has a prescription for potassium chloride
(KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory
results and finds the client's potassium level is 5.2 mEq/L. Which of the following
actions should the nurse take?
A. Give the ordered KCL as prescribed.
, 2
B. Omit the KCL dose and document it was not given.
C. Call the prescribing physician and inform her of the client's serum
potassium level results.
D. Call the lab to verify the client's results.
6. A nurse is providing teaching for a client who is on diuretic therapy and has a
new prescription for potassium chloride (KCL) 20 mEq extended-release PO
daily. Which of the following instructions should the nurse provide about the new
prescription?
A. Take the extended-release tablets on an empty stomach.
B. Add an antacid if the medication causes indigestion.
C. Take the extended-release tablets whole.
D. Expect urinary output to decrease while on this medication.
7. A nurse is completing a medication history for a client who reports using over-
the-counter calcium carbonate antacid. Which of the following
recommendations should the nurse make about taking this medication?
A. Decrease bulk in the diet to counteract the adverse effect of diarrhea.
B. Take the medication with dairy products to increase absorption.
C. Reduce sodium intake.
D. Drink a glass of water after taking the medication.
8. A nurse is providing teaching to a client who has asthma and a new
prescription for inhaled beclomethasone. Which of the following instructions
should the nurse provide?
A. Check the pulse after medication administration.
B. Take the medication with meals
C. Rinse the mouth after administration.
D. Limit caffeine intake
9. A nurse is caring for a client who has poison ivy and is prescribed
diphenhydramine. Which of the following instructions should the nurse give
regarding the adverse effect of dry mouth associated with diphenhydramine?
A. "Administer the medication with food."
B. "Chew on sugarless gum or suck on hard, sour candies."
C. "Place a humidifier at your bedside every evening."
D. "Discontinue the medication and notify your provider."
10. A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV
, 3
to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The
nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use
a trailing zero.)
8 gtt/min
11. A nurse is preparing to administer potassium chloride 20 mEq suspension PO
daily. The amount available is potassium chloride suspension 10 mEq/mL. How
many mL should the nurse administer?
2 mL
Module 2
3, 9,12, 13, 14, 19
12. A nurse is assessing a client who is receiving dopamine IV to treat left
ventricular failure. Which of the following findings should indicate to the nurse
that the medication is having a therapeutic effect?
A. Systolic blood pressure is increased
B. Cardiac output is reduced
C. Apical heart rate is increased
D. Urine output is reduced
13. A nurse is teaching a client who has been taking prednisone to treat asthma
and has a new prescription to discontinue the medication. The nurse should explain
to the client to reduce the dose gradually to prevent which of the following
adverse effects?
A. Hyperglycemia
B. Adrenocortical insufficiency
C. Severe dehydration
D. Rebound pulmonary congestion
14. A nurse is teaching a client about taking diphenhydramine. The nurse should
explain to the client that which of the following is an adverse effect of this
medication?
A. Sedation
B. Constipation
C. Hypertension
D. Bradycardia.
, 4
15. A nurse is monitoring a client who received epinephrine for angioedema after
a first dose of losartan. Which of the following data indicates a therapeutic
response to the epinephrine?
A. Respirations are unlabored.
B. Client reports decreased groin pain of 3 on a 1 to 10 scale.
C. The client's blood pressure when arising from resting position is at
premedication levels.
D. The client tolerates a second dose of medication with no greater than 1+
peripheral edema.
16. A nurse is preparing to transfuse one unit of packed RBC to a client who
experienced a mild allergic reaction during a previous transfusion. The nurse
should administer diphenhydramine prior to the transfusion for which of the
following allergic responses?
A. Urticaria
B. Fever
C. Fluid overload
D. Hemolysis
17. A nurse is caring for a client who has heart failure and is receiving IV
furosemide. The nurse should monitor the client for which of the following
electrolyte imbalances?
A. Hypernatremia
B. Hyperuricemia
C. Hypercalcemia
D. Hyperchloremia
Module 3
1, 2, 4, 5, 8
18. A nurse is caring for a client who has congestive heart failure and is taking
digoxin daily. The client refused breakfast and is complaining of nausea and
weakness. Which of the following actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic.
19. A nurse is caring for a client who is taking lisinopril. Which of the following
