,1) A nurse is caring for a client with hyperparathyroidism and 3. Complete blood count
notes that the client's serum calcium level is 13 mg/dL. Which 4. White blood cell count
medication should the nurse prepare to administer as
prescribed to the client? 8.) A client with severe acne is seen in the clinic and the
1. Calcium chloride health care provider (HCP) prescribes isotretinoin. The nurse
2. Calcium gluconate reviews the client's medication record and would contact the
3. Calcitonin (Miacalcin) (HCP) if the client is taking which medication?
4. Large doses of vitamin D 1. Vitamin A
2. Digoxin (Lanoxin)
2.) Oral iron supplements are prescribed for a 6-year-old child 3. Furosemide (Lasix)
with iron deficiency anemia. The nurse instructs the mother to 4. Phenytoin (Dilantin)
administer the iron with which best food item?
1. Milk 9.) The nurse is applying a topical corticosteroid to a client
2. Water with eczema. The nurse would monitor for the potential for
3. Apple juice increased systemic absorption of the medication if the
4. Orange juice medication were being applied to which of the following body
areas?
3.) Salicylic acid is prescribed for a client with a diagnosis of 1. Back
psoriasis. The nurse monitors the client, knowing that which 2. Axilla
of the following would indicate the presence of systemic 3. Soles of the feet
toxicity from this medication? 4. Palms of the hands
1. Tinnitus
2. Diarrhea 10.) The clinic nurse is performing an admission assessment
3. Constipation on a client. The nurse notes that the client is taking azelaic
4. Decreased respirations acid (Azelex). Because of the medication prescription, the
nurse would suspect that the client is being treated for:
4.) The camp nurse asks the children preparing to swim in the 1. Acne
lake if they have applied sunscreen. The nurse reminds the 2. Eczema
children that chemical sunscreens are most effective when 3. Hair loss
applied: 4. Herpes simplex
1. Immediately before swimming
2. 15 minutes before exposure to the sun 11.) The health care provider has prescribed silver
3. Immediately before exposure to the sun sulfadiazine (Silvadene) for the client with a partial-thickness
4. At least 30 minutes before exposure to the sun burn, which has cultured positive for gram-negative bacteria.
The nurse is reinforcing information to the client about the
5.) Mafenide acetate (Sulfamylon) is prescribed for the client medication. Which statement made by the client indicates a
with a burn injury. When applying the medication, the client lack of understanding about the treatments?
complains of local discomfort and burning. Which of the 1. "The medication is an antibacterial."
following is the most appropriate nursing action? 2. "The medication will help heal the burn."
1. Notifying the registered nurse 3. "The medication will permanently stain my skin."
2. Discontinuing the medication 4. "The medication should be applied directly to the wound."
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site 12.) A nurse is caring for a client who is receiving an
intravenous (IV) infusion of an antineoplastic medication.
6.) The burn client is receiving treatments of topical mafenide During the infusion, the client complains of pain at the
acetate (Sulfamylon) to the site of injury. The nurse monitors insertion site. During an inspection of the site, the nurse notes
the client, knowing that which of the following indicates that a redness and swelling and that the rate of infusion of the
systemic effect has occurred? medication has slowed. The nurse should take which
1.Hyperventilation appropriate action?
2.Elevated blood pressure 1. Notify the registered nurse.
3.Local pain at the burn site 2. Administer pain medication to reduce the discomfort.
4.Local rash at the burn site 3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.
7.) Isotretinoin is prescribed for a client with severe acne.
Before the administration of this medication, the nurse 13.) The client with squamous cell carcinoma of the larynx is
anticipates that which laboratory test will be prescribed? receiving bleomycin intravenously. The nurse caring for the
1. Platelet count client anticipates that which diagnostic study will be
2. Triglyceride level prescribed?
1. Echocardiography
Page 1 of 26
, 2. Electrocardiography 20.) The client with metastatic breast cancer is receiving
3. Cervical radiography tamoxifen. The nurse specifically monitors which laboratory
4. Pulmonary function studies value while the client is taking this medication?
1. Glucose level
2. Calcium level
14.) The client with acute myelocytic leukemia is being
3. Potassium level
treated with busulfan (Myleran). Which laboratory value
4. Prothrombin time
would the nurse specifically monitor during treatment with
this medication?
1. Clotting time 21.) A nurse is assisting with caring for a client with cancer
2. Uric acid level who is receiving cisplatin. Select the adverse effects that the
3. Potassium level nurse monitors for that are associated with this medication.
4. Blood glucose level Select all that apply.
1. Tinnitus
2. Ototoxicity
15.) The client with small cell lung cancer is being treated
3. Hyperkalemia
with etoposide (VePesid). The nurse who is assisting in caring
4. Hypercalcemia
for the client during its administration understands that which 5. Nephrotoxicity
side effect is specifically associated with this medication? 6. Hypomagnesemia
1. Alopecia
2. Chest pain
3. Pulmonary fibrosis 22.) A nurse is caring for a client after thyroidectomy and
4. Orthostatic hypotension notes that calcium gluconate is prescribed for the client. The
nurse determines that this medication has been prescribed to:
1. Treat thyroid storm.
16.) The clinic nurse is reviewing a teaching plan for the
2. Prevent cardiac irritability.
client receiving an antineoplastic medication. When
3. Treat hypocalcemic tetany.
implementing the plan, the nurse tells the client:
4. Stimulate the release of parathyroid hormone.
1. To take aspirin (acetylsalicylic acid) as needed for headache
2. Drink beverages containing alcohol in moderate amounts
each evening 23.) A client who has been newly diagnosed with diabetes
3. Consult with health care providers (HCPs) before receiving mellitus has been stabilized with daily insulin injections.
immunizations Which information should the nurse teach when carrying out
4. That it is not necessary to consult HCPs before receiving a plans for discharge?
flu vaccine at the local health fair 1. Keep insulin vials refrigerated at all times.
2. Rotate the insulin injection sites systematically.
3. Increase the amount of insulin before unusual exercise.
17.) The client with ovarian cancer is being treated with
4. Monitor the urine acetone level to determine the insulin
vincristine (Oncovin). The nurse monitors the client, knowing
dosage.
that which of the following indicates a side effect specific to
this medication?
1. Diarrhea 24.) A nurse is reinforcing teaching for a client regarding how
2. Hair loss to mix regular insulin and NPH insulin in the same syringe.
3. Chest pain Which of the following actions, if performed by the client,
4. Numbness and tingling in the fingers and toes indicates the need for further teaching?
1. Withdraws the NPH insulin first
2. Withdraws the regular insulin first
18.) The nurse is reviewing the history and physical
3. Injects air into NPH insulin vial first
examination of a client who will be receiving asparaginase
4. Injects an amount of air equal to the desired dose of insulin
(Elspar), an antineoplastic agent. The nurse consults with the
into the vial
registered nurse regarding the administration of the medication
if which of the following is documented in the client's history?
1. Pancreatitis 25.) A home care nurse visits a client recently diagnosed with
2. Diabetes mellitus diabetes mellitus who is taking Humulin NPH insulin daily.
3. Myocardial infarction The client asks the nurse how to store the unopened vials of
4. Chronic obstructive pulmonary disease insulin. The nurse tells the client to:
1. Freeze the insulin.
2. Refrigerate the insulin.
19.) Tamoxifen is prescribed for the client with metastatic
3. Store the insulin in a dark, dry place.
breast carcinoma. The nurse understands that the primary
4. Keep the insulin at room temperature.
action of this medication is to:
1. Increase DNA and RNA synthesis.
2. Promote the biosynthesis of nucleic acids. 26.) Glimepiride (Amaryl) is prescribed for a client with
3. Increase estrogen concentration and estrogen response. diabetes mellitus. A nurse reinforces instructions for the client
4. Compete with estradiol for binding to estrogen in tissues and tells the client to avoid which of the following while
containing high concentrations of receptors. taking this medication?
Page 2 of 26
notes that the client's serum calcium level is 13 mg/dL. Which 4. White blood cell count
medication should the nurse prepare to administer as
prescribed to the client? 8.) A client with severe acne is seen in the clinic and the
1. Calcium chloride health care provider (HCP) prescribes isotretinoin. The nurse
2. Calcium gluconate reviews the client's medication record and would contact the
3. Calcitonin (Miacalcin) (HCP) if the client is taking which medication?
4. Large doses of vitamin D 1. Vitamin A
2. Digoxin (Lanoxin)
2.) Oral iron supplements are prescribed for a 6-year-old child 3. Furosemide (Lasix)
with iron deficiency anemia. The nurse instructs the mother to 4. Phenytoin (Dilantin)
administer the iron with which best food item?
1. Milk 9.) The nurse is applying a topical corticosteroid to a client
2. Water with eczema. The nurse would monitor for the potential for
3. Apple juice increased systemic absorption of the medication if the
4. Orange juice medication were being applied to which of the following body
areas?
3.) Salicylic acid is prescribed for a client with a diagnosis of 1. Back
psoriasis. The nurse monitors the client, knowing that which 2. Axilla
of the following would indicate the presence of systemic 3. Soles of the feet
toxicity from this medication? 4. Palms of the hands
1. Tinnitus
2. Diarrhea 10.) The clinic nurse is performing an admission assessment
3. Constipation on a client. The nurse notes that the client is taking azelaic
4. Decreased respirations acid (Azelex). Because of the medication prescription, the
nurse would suspect that the client is being treated for:
4.) The camp nurse asks the children preparing to swim in the 1. Acne
lake if they have applied sunscreen. The nurse reminds the 2. Eczema
children that chemical sunscreens are most effective when 3. Hair loss
applied: 4. Herpes simplex
1. Immediately before swimming
2. 15 minutes before exposure to the sun 11.) The health care provider has prescribed silver
3. Immediately before exposure to the sun sulfadiazine (Silvadene) for the client with a partial-thickness
4. At least 30 minutes before exposure to the sun burn, which has cultured positive for gram-negative bacteria.
The nurse is reinforcing information to the client about the
5.) Mafenide acetate (Sulfamylon) is prescribed for the client medication. Which statement made by the client indicates a
with a burn injury. When applying the medication, the client lack of understanding about the treatments?
complains of local discomfort and burning. Which of the 1. "The medication is an antibacterial."
following is the most appropriate nursing action? 2. "The medication will help heal the burn."
1. Notifying the registered nurse 3. "The medication will permanently stain my skin."
2. Discontinuing the medication 4. "The medication should be applied directly to the wound."
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site 12.) A nurse is caring for a client who is receiving an
intravenous (IV) infusion of an antineoplastic medication.
6.) The burn client is receiving treatments of topical mafenide During the infusion, the client complains of pain at the
acetate (Sulfamylon) to the site of injury. The nurse monitors insertion site. During an inspection of the site, the nurse notes
the client, knowing that which of the following indicates that a redness and swelling and that the rate of infusion of the
systemic effect has occurred? medication has slowed. The nurse should take which
1.Hyperventilation appropriate action?
2.Elevated blood pressure 1. Notify the registered nurse.
3.Local pain at the burn site 2. Administer pain medication to reduce the discomfort.
4.Local rash at the burn site 3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.
7.) Isotretinoin is prescribed for a client with severe acne.
Before the administration of this medication, the nurse 13.) The client with squamous cell carcinoma of the larynx is
anticipates that which laboratory test will be prescribed? receiving bleomycin intravenously. The nurse caring for the
1. Platelet count client anticipates that which diagnostic study will be
2. Triglyceride level prescribed?
1. Echocardiography
Page 1 of 26
, 2. Electrocardiography 20.) The client with metastatic breast cancer is receiving
3. Cervical radiography tamoxifen. The nurse specifically monitors which laboratory
4. Pulmonary function studies value while the client is taking this medication?
1. Glucose level
2. Calcium level
14.) The client with acute myelocytic leukemia is being
3. Potassium level
treated with busulfan (Myleran). Which laboratory value
4. Prothrombin time
would the nurse specifically monitor during treatment with
this medication?
1. Clotting time 21.) A nurse is assisting with caring for a client with cancer
2. Uric acid level who is receiving cisplatin. Select the adverse effects that the
3. Potassium level nurse monitors for that are associated with this medication.
4. Blood glucose level Select all that apply.
1. Tinnitus
2. Ototoxicity
15.) The client with small cell lung cancer is being treated
3. Hyperkalemia
with etoposide (VePesid). The nurse who is assisting in caring
4. Hypercalcemia
for the client during its administration understands that which 5. Nephrotoxicity
side effect is specifically associated with this medication? 6. Hypomagnesemia
1. Alopecia
2. Chest pain
3. Pulmonary fibrosis 22.) A nurse is caring for a client after thyroidectomy and
4. Orthostatic hypotension notes that calcium gluconate is prescribed for the client. The
nurse determines that this medication has been prescribed to:
1. Treat thyroid storm.
16.) The clinic nurse is reviewing a teaching plan for the
2. Prevent cardiac irritability.
client receiving an antineoplastic medication. When
3. Treat hypocalcemic tetany.
implementing the plan, the nurse tells the client:
4. Stimulate the release of parathyroid hormone.
1. To take aspirin (acetylsalicylic acid) as needed for headache
2. Drink beverages containing alcohol in moderate amounts
each evening 23.) A client who has been newly diagnosed with diabetes
3. Consult with health care providers (HCPs) before receiving mellitus has been stabilized with daily insulin injections.
immunizations Which information should the nurse teach when carrying out
4. That it is not necessary to consult HCPs before receiving a plans for discharge?
flu vaccine at the local health fair 1. Keep insulin vials refrigerated at all times.
2. Rotate the insulin injection sites systematically.
3. Increase the amount of insulin before unusual exercise.
17.) The client with ovarian cancer is being treated with
4. Monitor the urine acetone level to determine the insulin
vincristine (Oncovin). The nurse monitors the client, knowing
dosage.
that which of the following indicates a side effect specific to
this medication?
1. Diarrhea 24.) A nurse is reinforcing teaching for a client regarding how
2. Hair loss to mix regular insulin and NPH insulin in the same syringe.
3. Chest pain Which of the following actions, if performed by the client,
4. Numbness and tingling in the fingers and toes indicates the need for further teaching?
1. Withdraws the NPH insulin first
2. Withdraws the regular insulin first
18.) The nurse is reviewing the history and physical
3. Injects air into NPH insulin vial first
examination of a client who will be receiving asparaginase
4. Injects an amount of air equal to the desired dose of insulin
(Elspar), an antineoplastic agent. The nurse consults with the
into the vial
registered nurse regarding the administration of the medication
if which of the following is documented in the client's history?
1. Pancreatitis 25.) A home care nurse visits a client recently diagnosed with
2. Diabetes mellitus diabetes mellitus who is taking Humulin NPH insulin daily.
3. Myocardial infarction The client asks the nurse how to store the unopened vials of
4. Chronic obstructive pulmonary disease insulin. The nurse tells the client to:
1. Freeze the insulin.
2. Refrigerate the insulin.
19.) Tamoxifen is prescribed for the client with metastatic
3. Store the insulin in a dark, dry place.
breast carcinoma. The nurse understands that the primary
4. Keep the insulin at room temperature.
action of this medication is to:
1. Increase DNA and RNA synthesis.
2. Promote the biosynthesis of nucleic acids. 26.) Glimepiride (Amaryl) is prescribed for a client with
3. Increase estrogen concentration and estrogen response. diabetes mellitus. A nurse reinforces instructions for the client
4. Compete with estradiol for binding to estrogen in tissues and tells the client to avoid which of the following while
containing high concentrations of receptors. taking this medication?
Page 2 of 26
