1 A client is scheduled for a spiral computed tomography (CT) with contrast to evaluate for
pulmonary embolism. Which information in the client's history requires follow-up by the nurse?
Takes metformin hydrochloride for type 2 diabetes mellitus
2 A client recently diagnosed with multiple sclerosis who self administers beta-1a interferon
reports feeling depressed. Which action should the nurse implement?
Notify the healthcare provider of findings immediately.
3 Before administering the initial dose of sumatriptan succinate to a client with migraine headache. It
is most important to determine if the client's history includes which protein?
Coronary artery disease
5 A client receives a prescription of ciprofloxacin 400 mg intravenously (IV) every 12 hours, which is to
be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% water (D,W) 200 mL.
How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)
...
6 Before administering a laxative to a bedfast client, it is most important for the nurse to perform
which assessment?
Determine the frequency and consistently of bowel movements.
7 Hormone replacement therapy with levothyroxine sodium is prescribed for a client with
hypothyroidism. The nurse should instruct the client to report which symptom because it indicates
that the client is taking too much of the hormonal agent, levothyroxine sodium?
Restlessness
,A male client reports to the nurse that he is experiencing gastrointestinal distress from high dose
of corticosteroid and planning to stop taking the medication. In response the client's statement,
which nursing action is most important for the nurse to implement?
Advise the client that the medication should be stopped gradually rather than abruptly.
8 A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the
clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
The eye drops slow pupil response to accommodate darkness.
9 A client is receiving rifampin and antitubercular medication. Which statement by this client
should prompt the nurse to notify the healthcare provider of potential problem?
Complains of persistent tinnitus.
10 Which action should the nurse implement to assess the effectiveness of the calcium channel
blocker amlodipine?
Measure the client's blood pressure.
11 A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for
several days. Which observation by the nurse indicates that the client may be experiencing an
adverse effect of gentamicin?
Hearing has decreased.
12 An older adult client with restless legs syndrome begins taking melatonin at bedtime.
When evaluating effectiveness of the herb, which client assessment should the nurse to
complete?
Determine sleep patterns
, 13 The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with
hypertension. The client's vital signs are temperature 99 F (37.2 C) heart rate 48 beats/minute
respirations 16 breaths/minute, and blood pressure 150/90 mmHg. Which action should the nurse
take?
Withhold the scheduled dose and notify the healthcare provider
14 To evaluate the effectiveness of a client's prescription of rosuvastatin, which action should the
nurse implement?
Evaluate the client's serum cholesterol level results.
15 The nurse is planning teaching for a client with diabetes mellitus who has prescription of
insulin. Which action should the nurse should the nurse plan to indicate in the discharge teaching?
To teach self injection skills for daily subcutaneous administration.
16 The nurse is caring for a client who takes methotrexate to rheumatoid arthritis and is now
prescribed adalimumab. Which instructions should the nurse provide the client?
Avoid crowds and people who are sick.
17 The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300
mg by mouth three times a day for post-herpetic neuralgia. Which symptom should the nurse tell the
client to report to healthcare provider?
Photosensitivity
18 A client receives a prescription for itraconazole. Which information by the client requires
additional instructions by the nurse.
Take the medication with antacids.
pulmonary embolism. Which information in the client's history requires follow-up by the nurse?
Takes metformin hydrochloride for type 2 diabetes mellitus
2 A client recently diagnosed with multiple sclerosis who self administers beta-1a interferon
reports feeling depressed. Which action should the nurse implement?
Notify the healthcare provider of findings immediately.
3 Before administering the initial dose of sumatriptan succinate to a client with migraine headache. It
is most important to determine if the client's history includes which protein?
Coronary artery disease
5 A client receives a prescription of ciprofloxacin 400 mg intravenously (IV) every 12 hours, which is to
be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% water (D,W) 200 mL.
How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)
...
6 Before administering a laxative to a bedfast client, it is most important for the nurse to perform
which assessment?
Determine the frequency and consistently of bowel movements.
7 Hormone replacement therapy with levothyroxine sodium is prescribed for a client with
hypothyroidism. The nurse should instruct the client to report which symptom because it indicates
that the client is taking too much of the hormonal agent, levothyroxine sodium?
Restlessness
,A male client reports to the nurse that he is experiencing gastrointestinal distress from high dose
of corticosteroid and planning to stop taking the medication. In response the client's statement,
which nursing action is most important for the nurse to implement?
Advise the client that the medication should be stopped gradually rather than abruptly.
8 A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the
clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
The eye drops slow pupil response to accommodate darkness.
9 A client is receiving rifampin and antitubercular medication. Which statement by this client
should prompt the nurse to notify the healthcare provider of potential problem?
Complains of persistent tinnitus.
10 Which action should the nurse implement to assess the effectiveness of the calcium channel
blocker amlodipine?
Measure the client's blood pressure.
11 A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for
several days. Which observation by the nurse indicates that the client may be experiencing an
adverse effect of gentamicin?
Hearing has decreased.
12 An older adult client with restless legs syndrome begins taking melatonin at bedtime.
When evaluating effectiveness of the herb, which client assessment should the nurse to
complete?
Determine sleep patterns
, 13 The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with
hypertension. The client's vital signs are temperature 99 F (37.2 C) heart rate 48 beats/minute
respirations 16 breaths/minute, and blood pressure 150/90 mmHg. Which action should the nurse
take?
Withhold the scheduled dose and notify the healthcare provider
14 To evaluate the effectiveness of a client's prescription of rosuvastatin, which action should the
nurse implement?
Evaluate the client's serum cholesterol level results.
15 The nurse is planning teaching for a client with diabetes mellitus who has prescription of
insulin. Which action should the nurse should the nurse plan to indicate in the discharge teaching?
To teach self injection skills for daily subcutaneous administration.
16 The nurse is caring for a client who takes methotrexate to rheumatoid arthritis and is now
prescribed adalimumab. Which instructions should the nurse provide the client?
Avoid crowds and people who are sick.
17 The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300
mg by mouth three times a day for post-herpetic neuralgia. Which symptom should the nurse tell the
client to report to healthcare provider?
Photosensitivity
18 A client receives a prescription for itraconazole. Which information by the client requires
additional instructions by the nurse.
Take the medication with antacids.
