1. A nurse is teaching a client who is taking atorvastatin daily. Which of the following
statements by the client indicates an understanding of the teaching?
*A. "I will avoid drinking grapefruit juice."
B. "I should take this medication without food."
C. "I should expect my stools to turn clay-colored."
D. "It is not necessary to have routine lab tests done."
2. A nurse is caring for four clients. After administering morning medications, she
realizes that the nifedipine prescribed for one client was inadvertently administered
to another client. Which of the following actions should the nurse take first?
A. Notify the client's provider.
*B. Check the client's vital signs.
C. Fill out an occurrence form.
D. Administer the medication to the correct client.
3. A client is teaching a client who has a new prescription for hydrochlorothiazide for
management of hypertension. Which of the following instructions should the nurse
include?
A. "Take this medication before bedtime."
*b. "Monitor for leg cramps."
c. "Avoid grapefruit juice.'
d. "Reduce intake of potassium-rich foods."
4. A nurse is providing teaching to a client who has angina pectoris and a new
prescription for nitroglycerin sublingual tablets. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart."
B. "I'll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period."
C. "I'll dial 911 when I have pain and then take the nitroglycerin tablets."
*D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more
tablets 5 minutes apart while waiting."
5. A nurse is teaching a client who has a new prescription for colesevelam to lower his
low-density lipoprotein level. Which of the following instructions should the nurse
include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
6. A nurse is teaching a client who has a new prescription for fluoxetine to treat depression.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "I should expect to feel better after 24 hours of starting this medication."
B. "I should not take this medicine with grapefruit juice."
,C. "I'll take this medicine with food."
*D. "I'll take this medicine first thing in the morning."
7. A nurse is teaching a client who has a new prescription for simvastatin. Which of
the following instructions should the nurse include?
A. "You should expect brown-colored urine."
*B. "You should avoid grapefruit juice."
C. "You should monitor for ringing in the ears."
D. "You should take the medication in the morning."
8. A nurse is teaching a client who has a new prescription for colesevelam to lower his
low-density lipoprotein level. Which of the following instructions should the nurse
include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
9. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin.
Which of the following findings should the nurse recognize as a potential adverse effect?
A. Urinary retention
*B. Weakness
C. Orthostatic hypotension
D. Blurred vision
10.A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of
the following prescriptions with the provider?
*A. Amoxicillin-clavulanate
B. Gentamicin
C. Erythromycin
D. Amphotericin B
11.A nurse is providing teaching to a client who has a new prescription for lisinopril.
Which of following statements by the nurse indicates an understanding of the teaching?
A. "I should increase my intake of potassium-rich foods."
B. "I should expect to have facial swelling when taking this medication."
, C. "I should take this medication with food."
*D. "I should report a cough to my provider."
12.A charge nurse is observing a newly licensed nurse administer medications to a client.
Which of the following actions by the newly licensed nurse should prompt the charge
nurse to intervene?
A. Verifies the medication against the prescription and medication label.
B. Scans the bar code on the medication administration record and the client’s arm band.
C. Checks the provider's orders and confirmed dosage in a medication reference guide.
*D. Documents medication administration prior to administering it.
13.A nurse is teaching a client who has angina about nitroglycerin sublingual tablets.
Which of the following statements should the nurse include in the teaching?
A. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain."
B. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the
arteries."
C. “You can store the bottle of tablets in your bathroom medicine cabinet."
*D. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
14.A nurse is caring for a client who is taking aspirin for arthritis. The nurse should
identify which of the following findings as an adverse effect of this medication?
*A. Tinnitus
B. Clay colored stools
C. Nystagmus
D. Respiratory depression
15.A nurse is teaching about necessary baseline examinations with a female client who is
to start taking atorvastatin. Which of the following baseline examinations should the nurse
include in the teaching?
*A. Liver function tests
B. Hearing test
C. Papanicolaou test
D. Dental examination
16.A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client
who has GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do
not use a trailing zero.) a
a. 2.5 | 2.5 mL
statements by the client indicates an understanding of the teaching?
*A. "I will avoid drinking grapefruit juice."
B. "I should take this medication without food."
C. "I should expect my stools to turn clay-colored."
D. "It is not necessary to have routine lab tests done."
2. A nurse is caring for four clients. After administering morning medications, she
realizes that the nifedipine prescribed for one client was inadvertently administered
to another client. Which of the following actions should the nurse take first?
A. Notify the client's provider.
*B. Check the client's vital signs.
C. Fill out an occurrence form.
D. Administer the medication to the correct client.
3. A client is teaching a client who has a new prescription for hydrochlorothiazide for
management of hypertension. Which of the following instructions should the nurse
include?
A. "Take this medication before bedtime."
*b. "Monitor for leg cramps."
c. "Avoid grapefruit juice.'
d. "Reduce intake of potassium-rich foods."
4. A nurse is providing teaching to a client who has angina pectoris and a new
prescription for nitroglycerin sublingual tablets. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart."
B. "I'll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period."
C. "I'll dial 911 when I have pain and then take the nitroglycerin tablets."
*D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more
tablets 5 minutes apart while waiting."
5. A nurse is teaching a client who has a new prescription for colesevelam to lower his
low-density lipoprotein level. Which of the following instructions should the nurse
include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
6. A nurse is teaching a client who has a new prescription for fluoxetine to treat depression.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "I should expect to feel better after 24 hours of starting this medication."
B. "I should not take this medicine with grapefruit juice."
,C. "I'll take this medicine with food."
*D. "I'll take this medicine first thing in the morning."
7. A nurse is teaching a client who has a new prescription for simvastatin. Which of
the following instructions should the nurse include?
A. "You should expect brown-colored urine."
*B. "You should avoid grapefruit juice."
C. "You should monitor for ringing in the ears."
D. "You should take the medication in the morning."
8. A nurse is teaching a client who has a new prescription for colesevelam to lower his
low-density lipoprotein level. Which of the following instructions should the nurse
include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
9. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin.
Which of the following findings should the nurse recognize as a potential adverse effect?
A. Urinary retention
*B. Weakness
C. Orthostatic hypotension
D. Blurred vision
10.A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of
the following prescriptions with the provider?
*A. Amoxicillin-clavulanate
B. Gentamicin
C. Erythromycin
D. Amphotericin B
11.A nurse is providing teaching to a client who has a new prescription for lisinopril.
Which of following statements by the nurse indicates an understanding of the teaching?
A. "I should increase my intake of potassium-rich foods."
B. "I should expect to have facial swelling when taking this medication."
, C. "I should take this medication with food."
*D. "I should report a cough to my provider."
12.A charge nurse is observing a newly licensed nurse administer medications to a client.
Which of the following actions by the newly licensed nurse should prompt the charge
nurse to intervene?
A. Verifies the medication against the prescription and medication label.
B. Scans the bar code on the medication administration record and the client’s arm band.
C. Checks the provider's orders and confirmed dosage in a medication reference guide.
*D. Documents medication administration prior to administering it.
13.A nurse is teaching a client who has angina about nitroglycerin sublingual tablets.
Which of the following statements should the nurse include in the teaching?
A. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain."
B. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the
arteries."
C. “You can store the bottle of tablets in your bathroom medicine cabinet."
*D. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
14.A nurse is caring for a client who is taking aspirin for arthritis. The nurse should
identify which of the following findings as an adverse effect of this medication?
*A. Tinnitus
B. Clay colored stools
C. Nystagmus
D. Respiratory depression
15.A nurse is teaching about necessary baseline examinations with a female client who is
to start taking atorvastatin. Which of the following baseline examinations should the nurse
include in the teaching?
*A. Liver function tests
B. Hearing test
C. Papanicolaou test
D. Dental examination
16.A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client
who has GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do
not use a trailing zero.) a
a. 2.5 | 2.5 mL
