QUESTIONS AND CORRECT ANSWERS COMPLETE A+ GUIDE
LATEST.
• A nurse is assessing a client who is receiving intravenous therapy.
The nurse should identify which of the following findings as a
manifestation of fluid volume excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
• A nurse is caring for a client who has hyponatremia and is receiving
an infusion of a prescribed hypertonic solution. Which of the following
findings should indicate to the nurse that the treatment is effective?
• Absent Chvostek’s sign
• Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
• A nurse is teaching a client who has a new prescription for a
nitroglycerin transdermal patch. Which of the following instructions
should the nurse include?
• “Discontinue the patch if you experience a headache.”
• “Apply a new patch if you have chest pain.”
• “Cover the patch with dry gauze when taking a shower.”
• “Remove the patch prior to going to bed.”
,• A nurse is reviewing he laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6
hr. which of the following should the nurse report to the provider?
• Creatinine 0.72 mg/dL
• Sodium 138 mEq/L
• Magnesium 2 mEq/L
• Potassium 5.2
• A nurse is caring for a client who has tuberculosis and is taking
isoniazid and rifampin. Which of the following outcomes indicates that
the client is adhering to the medication regimen?
• The client has a negative sputum culture
• The client tests negative for HIV
• The client has a positive purified protein derivative test
• The client’s liver function test results are within the expected
referencerange
• A client is caring for a client who develops an anaphylactic reaction
to IVadministration. After assessing the client’s respiratory status and
stopping the medication infusion. Which of the following actions should
the nurse take next?
• Replace the infusion with 0.9% sodium chloride
• give diphenhydramine IM
• Elevate the client’s legs and feet
• Administer epinephrine IM
, • A nurse is caring for a client who is taking sertraline and reports a
desireto begin taking supplements. Which of the following supplements
should the nurse advise the client to avoid?
• St. John’s Wort
• Ginger root
• Black cohosh
• Coenzyme Q10
• A nurse is caring for a client who has heart failure and a new
prescription for lisinopril. For which of the following adverse effects
should the nurse monitor when administering lisinopril?
• Bradycardia
• Hypokalemia
• Tinnitus
• Hypotension
• A nurse is assessing a client who is receiving heparin IV continuous
IV. The client has an PPT of 90 seconds. They should monitor the client
for which of the following changes in their vital signs?
• Decreased temperature
• Increased pulse rate (ATI pharm book pg 193)
• Decreased respiratory rate
• Increased blood pressure
• A nurse is preparing to administer medication to a client and
discovers a medication error. The nurse should recognize that which of