Nur 293 exam practice best questions with complete
solutions graded a+
The nurse is preparing to apply a surface anesthetic agent for a client. Which action
should the nurse implement to reduce the risk of systemic absorption?
Avoid abraded skin areas when applying the anesthetic. – apply to the smallest
surface of intact skin
The health care provider prescribes cisplatin (Platinol) to be administered in 5%
dextrose & 0.45% normal saline with mannitol (Osmitrol) added. Which assessment
parameters would be most helpful to the nurse in evaluating the effectiveness of the
Osmitrol therapy?
Urine output
A 19-year-old male client who has sustained a severe head injury is intubated & placed
on assisted mechanical ventilation. To facilitate optimal ventilation & prevent the client
from "fighting" the ventilator, the health care provider administers pancuronium bromide
(Pavulon) IV, with adjunctive opioid analgesia. What medication should the nurse
maintain at the client's bedside?
Neostigmine bromide (Prostigmin)
The nurse is reviewing a client's laboratory results before a procedure in which a
neuromuscular blocking agent is a st&ing order. Which finding should the nurse report to
the health care provider?
Hypokalemia - Low potassium levels enhance the effects of neuromuscular
blocking agents
A female client with myasthenia gravis is taking a cholinesterase inhibitor & asks the
nurse what can be done to remedy her fatigue & difficulty swallowing. What action
should the nurse implement?
Develop a teaching plan for the client to self-adjust the dose of medication in
response to symptoms. - Clients should be taught to recognize signs of
overmedication & undermedication so that they can modify the dosage
themselves based on a prescribed sliding scale.
,Nur 293 exam practice best questions with complete
solutions graded a+
A client receives pancuronium (Pavulon), a long-acting, nondepolarizing neuromuscular
blocker, during surgical anesthesia. Which client situation should alert the nurse to
evaluate the client for a prolonged muscle relaxation response to this medication?
Renal insufficiency
A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2
mL. How many mL should be administered?
2.2 mL - (22 mg/20 mg) × 2 mL = 2.2 mL
A client is receiving oral griseofulvin (Grisactin) for a persistent tinea corporis
infection. Which response by the client indicates an accurate underst&ing of the drug
teaching conducted by the nurse?
"I'll wear sunscreen whenever I mow the lawn." - Photosensitivity is a side effect of
griseofulvin (Grisactin), so clients should be cautioned to wear protective
sunscreen during sun exposure.
The nurse has completed diabetic teaching for a client who has been newly diagnosed
with diabetes mellitus. Which statement by this client would indicate to the nurse that
further teaching is needed?
"When I exercise, I should plan to increase my insulin dosage." - Exercise helps
facilitate the entry of glucose into the cell, so increasing insulin doses with
exercise would place the client at high risk for a hypoglycemic reaction.
The nurse is evaluating a client's underst&ing of the prescribed antilipemic drug
lovastatin (Mevacor). Which client statement indicates that further teaching is needed?
"I will take the medication every day before breakfast." - The enzyme that helps
metabolize cholesterol is activated at night, so this medication should be taken
with the evening meal.
A client with acute lymphocytic leukemia is to begin chemotherapy today. The health
care provider's prescription specifies that ondansetron (Zofran) is to be administered
IV
, Nur 293 exam practice best questions with complete
solutions graded a+
30 minutes prior to the infusion of cisplatin (Platinol). What is the rationale for
administering Zofran prior to the chemotherapy induction?
Reduction or elimination of nausea & vomiting
A client who arrives in the postanesthesia care unit (PACU) after surgery is not awake
from general anesthesia. Which action should the nurse implement first?
Review the medication administration record (MAR). - Most general anesthetics
produce cardiovascular & respiratory depression, so a review of the client's
MAR identifies all the medications received during surgery & helps the nurse
anticipate the client's response & emergence from anesthesia.
Which class of antineoplastic chemotherapy agents resembles the essential elements
required for DNA & RNA synthesis & inhibits enzymes necessary for cellular function
& replication?
Antimetabolites
A client who is HIV-positive is receiving combination therapy with the antiviral
medication zidovudine (Retrovir). Which instruction should the nurse include in this
client's teaching plan?
Return to the clinic every 2 weeks for blood counts. - Bone marrow depression with
granulocytopenia is a severe but common adverse effect of zidovudine
(Retrovir). Careful monitoring of CBCs is indicated.
During administration of theophylline (Theo-Dur), the nurse should monitor for signs of
toxicity. Which symptom would cause the nurse to suspect Theo-Dur toxicity?
Restlessness - Other signs of toxicity are anorexia, nausea, vomiting, insomnia,
tachycardia, arrhythmias, & seizures.
Amoxicillin, 500 mg PO every 8 hours, is prescribed for a client with an infection. The
drug is available in a suspension of 125 mg/5 mL. How many milliliters should the
nurse administer with each dose?
20 mL
solutions graded a+
The nurse is preparing to apply a surface anesthetic agent for a client. Which action
should the nurse implement to reduce the risk of systemic absorption?
Avoid abraded skin areas when applying the anesthetic. – apply to the smallest
surface of intact skin
The health care provider prescribes cisplatin (Platinol) to be administered in 5%
dextrose & 0.45% normal saline with mannitol (Osmitrol) added. Which assessment
parameters would be most helpful to the nurse in evaluating the effectiveness of the
Osmitrol therapy?
Urine output
A 19-year-old male client who has sustained a severe head injury is intubated & placed
on assisted mechanical ventilation. To facilitate optimal ventilation & prevent the client
from "fighting" the ventilator, the health care provider administers pancuronium bromide
(Pavulon) IV, with adjunctive opioid analgesia. What medication should the nurse
maintain at the client's bedside?
Neostigmine bromide (Prostigmin)
The nurse is reviewing a client's laboratory results before a procedure in which a
neuromuscular blocking agent is a st&ing order. Which finding should the nurse report to
the health care provider?
Hypokalemia - Low potassium levels enhance the effects of neuromuscular
blocking agents
A female client with myasthenia gravis is taking a cholinesterase inhibitor & asks the
nurse what can be done to remedy her fatigue & difficulty swallowing. What action
should the nurse implement?
Develop a teaching plan for the client to self-adjust the dose of medication in
response to symptoms. - Clients should be taught to recognize signs of
overmedication & undermedication so that they can modify the dosage
themselves based on a prescribed sliding scale.
,Nur 293 exam practice best questions with complete
solutions graded a+
A client receives pancuronium (Pavulon), a long-acting, nondepolarizing neuromuscular
blocker, during surgical anesthesia. Which client situation should alert the nurse to
evaluate the client for a prolonged muscle relaxation response to this medication?
Renal insufficiency
A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2
mL. How many mL should be administered?
2.2 mL - (22 mg/20 mg) × 2 mL = 2.2 mL
A client is receiving oral griseofulvin (Grisactin) for a persistent tinea corporis
infection. Which response by the client indicates an accurate underst&ing of the drug
teaching conducted by the nurse?
"I'll wear sunscreen whenever I mow the lawn." - Photosensitivity is a side effect of
griseofulvin (Grisactin), so clients should be cautioned to wear protective
sunscreen during sun exposure.
The nurse has completed diabetic teaching for a client who has been newly diagnosed
with diabetes mellitus. Which statement by this client would indicate to the nurse that
further teaching is needed?
"When I exercise, I should plan to increase my insulin dosage." - Exercise helps
facilitate the entry of glucose into the cell, so increasing insulin doses with
exercise would place the client at high risk for a hypoglycemic reaction.
The nurse is evaluating a client's underst&ing of the prescribed antilipemic drug
lovastatin (Mevacor). Which client statement indicates that further teaching is needed?
"I will take the medication every day before breakfast." - The enzyme that helps
metabolize cholesterol is activated at night, so this medication should be taken
with the evening meal.
A client with acute lymphocytic leukemia is to begin chemotherapy today. The health
care provider's prescription specifies that ondansetron (Zofran) is to be administered
IV
, Nur 293 exam practice best questions with complete
solutions graded a+
30 minutes prior to the infusion of cisplatin (Platinol). What is the rationale for
administering Zofran prior to the chemotherapy induction?
Reduction or elimination of nausea & vomiting
A client who arrives in the postanesthesia care unit (PACU) after surgery is not awake
from general anesthesia. Which action should the nurse implement first?
Review the medication administration record (MAR). - Most general anesthetics
produce cardiovascular & respiratory depression, so a review of the client's
MAR identifies all the medications received during surgery & helps the nurse
anticipate the client's response & emergence from anesthesia.
Which class of antineoplastic chemotherapy agents resembles the essential elements
required for DNA & RNA synthesis & inhibits enzymes necessary for cellular function
& replication?
Antimetabolites
A client who is HIV-positive is receiving combination therapy with the antiviral
medication zidovudine (Retrovir). Which instruction should the nurse include in this
client's teaching plan?
Return to the clinic every 2 weeks for blood counts. - Bone marrow depression with
granulocytopenia is a severe but common adverse effect of zidovudine
(Retrovir). Careful monitoring of CBCs is indicated.
During administration of theophylline (Theo-Dur), the nurse should monitor for signs of
toxicity. Which symptom would cause the nurse to suspect Theo-Dur toxicity?
Restlessness - Other signs of toxicity are anorexia, nausea, vomiting, insomnia,
tachycardia, arrhythmias, & seizures.
Amoxicillin, 500 mg PO every 8 hours, is prescribed for a client with an infection. The
drug is available in a suspension of 125 mg/5 mL. How many milliliters should the
nurse administer with each dose?
20 mL
