NR 293 Questions and Answers.
Chamberlain College of Nursing
1. Which response best supports the observations that the nurse identifies in a client who is
experiencing a placebo effect?
Psychological response to inert medication
2. Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old
child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching plan
for the parents of this child newly diagnosed with ADHD, which instruction is most
important for the nurse to provide to the parents?
Administer the medication in the morning before the child goes to school.
3. Which physiologic mechanism explains a drug's increased metabolism that is triggered
by a disease process?
Pharmacokinetics
4. The health care provider prescribes ipratropium (Atrovent) for a client. An allergic
reaction to which other medication would cause the nurse to question the prescription for
Atrovent?
Atropine sulfate (Atropine)
5. A 42-year-old client is admitted to the emergency department after taking an overdose of
amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse plan to
administer to reverse the cardiac & central nervous system effects of amitriptyline
(Elavil)?
Sodium bicarbonate
6. A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) –
thiazide diuretic cause potassium wasting in the urine. When teaching about the side
effects of this drug, which symptoms are most important for the nurse to instruct the
client to report?
, Fatigue & muscle weakness
7. 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
8. 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
9. 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)
10. 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
11. 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.
, 12. 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
13. 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
14. 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.
15. 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.
16. 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.
17. 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
Chamberlain College of Nursing
1. Which response best supports the observations that the nurse identifies in a client who is
experiencing a placebo effect?
Psychological response to inert medication
2. Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old
child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching plan
for the parents of this child newly diagnosed with ADHD, which instruction is most
important for the nurse to provide to the parents?
Administer the medication in the morning before the child goes to school.
3. Which physiologic mechanism explains a drug's increased metabolism that is triggered
by a disease process?
Pharmacokinetics
4. The health care provider prescribes ipratropium (Atrovent) for a client. An allergic
reaction to which other medication would cause the nurse to question the prescription for
Atrovent?
Atropine sulfate (Atropine)
5. A 42-year-old client is admitted to the emergency department after taking an overdose of
amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse plan to
administer to reverse the cardiac & central nervous system effects of amitriptyline
(Elavil)?
Sodium bicarbonate
6. A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) –
thiazide diuretic cause potassium wasting in the urine. When teaching about the side
effects of this drug, which symptoms are most important for the nurse to instruct the
client to report?
, Fatigue & muscle weakness
7. 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
8. 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
9. 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)
10. 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
11. 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.
, 12. 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
13. 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
14. 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.
15. 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.
16. 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.
17. 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
