NS 309 Final Exam Practice Questions & Answers(All you need for your exam)

NS 309 Final Exam Practice Questions & Answers(All you need for your exam) The client is receiving vancomycin. A peak and trough level is ordered for the dose the nurse is administering. Which priority intervention should the nurse implement? A. Monitor the amino glycoside peak level B. Determine if the trough level has been drawn C. Ask the client if he has had any diarrhea D. Check the client's culture and sensitivity report B. Determine if the trough level has been drawn The client with type 2 diabetes is prescribed glyburide. Which statement indicates the client understands the medication teaching. A. "There are no side effects that I need to worry about." B. "This medication will make my muscles absorb insulin." C. "I should carry some hard candy when I go walking." D. "I must take my insulin injection every morning." C. "I should carry some hard candy when I go walking." The client glucose reading is 380 mg/dL. How many units should the nurse administer? GLUCOMETER READING // UNITS OF INSULIN 150= 0 151-250= 5 251-350= 8 351-450= 10 10 Units of insulin The nurse administers 18 units of humulin N at 1630. Which priority intervention should the nurse implement? A. Monitor the client's hemoglobin A1C B. Make sure the client eats the evening meal C. Ensure that the client eats a snack D. Check the A1C blood glucometer reading B. Make sure the client eats the evening meal The nurse administering the following 1800 medications. Which medication should the nurse question before administering? A. The sliding-scale insulin to the client who has just been released to have the evening meal. B. Metformin to the client having a CT scan in the morning C. Protonix to the client diagnosed w/ peptic ulcer disease D. The antibiotic to the client who is one day post-op expiratory abdominal surgery B. Metformin to the client having a CT scan in the morning The nurse is administering insulin glargine to the client at 2200. The nurse asks the charge nurse to check the dosage. Which action should the charge nurse implement? A. Have the nurse notify the health care provider B. Ask the nurse why the insulin is being given late C. Instruct the nurse to complete a medication error form D. Check the MAR with the dosage in the syringe B. Ask the nurse why the insulin is being given late The nurse is preparing to administer Synthroid to a client. Which assessment data would indicate the client is receiving too much medication? A. Bradypnea and weight gain B. Irritability and tachycardia C. Lethargy and hypotension D. Normothermia and constipation B. Irritability and tachycardia The nurse administered an IV broad spectrum antibiotic scheduled every 6 hours to the client at 0800. At 1000 the culture and sensitivity prompted the HCP to change the IV antibiotic. When should the nurse administer the new medication? A. Administer the dose within one hour of the order B. Schedule the dose for the next day C. Check with the HCP to determine when to start D. Schedule the dose for 1400 C. Check with the HCP to determine when to start The HCP has ordered an intramuscular antibiotic. After reconstituting the medication the clinic nurse must administer 4.8 mL of the medication. Which action should the nurse implement first when administering this medication? A. Administer the medication in the gluteal muscle B. Divide the medication and give 2.4 mL in each hip C. Inform the HCP that this is toom uch medication D. Discard the medication in the sharps container B. Divide the medication and give 2.4 mL in each hip ** A client calls a clinic to renew prescription for insulin being administered subcutaneously via insulin pump. Which insulin type if prescribed by a physician, should the nurse question? A. Insulin lispro B. Insulin gluisine C. Insulin aspart D. Insulin glargine D. Insulin glargine Exenatide is prescribed for a client with type 2 diabetes in addition to a combination of metformin and glyburide. A. Teaching the client how to administer exenatide subcutaneously B. Discussing exenatide's action in reducing hemoglobin A1C and fasting plasma glucose levels C. Informing the client that exenatide helps to reduce body weight due to slower gastric emptying D. Discussing the signs and symptoms of hypoglycemia A. Teaching the client how to administer exenatide subcutaneously An unresponsive client with DM is admitted to an emergency department w/ a serum glucose level of 35 mg/dl. Which medication should a nurse plan to administer? A. Pramlintide B. Miglitol C. Glucagon D. Exenatide D. Exenatide A client is receiving levothyroxine for the treatment of hypothyroidism. Which serum laboratory results should lead a nurse to conclude that the client's dose is adequate? A. A glucose and free T4 B. Thyroid-stimulating horming (TSH) and T4 C. Potassium and sodium D. White blood cells and platelets B. Thyroid-stimulating horming (TSH) and T4 The order reads to give a client 300 units of penicillin every 8 hours. The nurse notes that the safe dose for the client is 1500 units daily. Which of the following interventions should the nurse perform? A. Hold the medication and contact the provider B. Hold the medication and contact the pharmacy C. Give the medication & contact pharmacy to send more D. Give the medication D. Give the medication The client diagnosed with type 2 diabetes has been prescribed an oral hypoglycemic medication, calls the clinic and reports yellowing around the sclera. Which intervention should the nurse implement? A. Check to see if the client is taking a cardiac glycoside B. Determine if the client has a history of alcohol use C. Ask the client if he or she has been exposed to someone with hepatitis D. Make an appointment for the client to come in to the clinic D. Make an appointment for the client to come in to the clinic A client is taking insulin glargine. The nurse should administer the medication at what time? A. Midday B. Prior to each meal C. At night D. Prior to the evening meal C. At night A client takes 20 units of NPH at 7 a.m.. The nurse knows to look for signs of hypoglycemia at what time? A. 3 p.m. B. 10 a.m. C. 8 a.m. D. 5 a.m. B. 10 a.m. When instructing a client who has been prescribed thyroid replacement medication, the nurse should teach the client to take the medication: A. in the evening B. after meals C. in the morning D. at bedtime C. in the morning A diabetic client is maintained on metformin. Which teaching should be included in the plan of care? A. increase the amount of carbohydrates in your diet B. allow six weeks for optimal effects C. report changes in urinary patterns D. use lotions to treat itching B. allow six weeks for optimal effects A client comes in to the clinic and is diagnosed with tuberculosis. The patient is to receive isoniazid (INH) and the nurse realizes that during therapy the patient must be assessed for signs of: A. glaucoma B. renal disease C. congestive heart failure D. hepatotoxicity D. hepatotoxicity A client is receiving gentamicin. Which of the following assessments would cause the nurse to discontinue use? A. photosensitivity B. seizure C. hearing loss D. tooth discoloration B. seizure Before administering the first dose of penicillin to a client, the client states "I develop a rash when I was a child when my mom gave me penicillin". What is the best action for the nurse to take? A. withhold the drug and notify the physician B. administer the dose as ordered and observe for a reaction C. administer the prn diphenhydramine before giving the first dose D. administer the drug IM A. withhold the drug and notify the physician The prescriber orders tetracycline for a three year old patient. The nurse would question this order because of which contraindication? A. loss of hearing B. elevated BP C. photosensitivity D. tooth discoloration D. tooth discoloration When reviewing the allergy history of a client, the nurse notes that the client is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics? A. sulfonamides B. tetracyclines C. imipenem-cilastatin D. cephalosporins D. cephalosporins 2 hours after taking a dose of Humulin R, a client complains of tremors, palpitations and tachycardia. Which nursing action is most appropriate for this client? A. Check pulse oximetry and administer oxygen B. Administer a baby aspirin and one sublingual nitroglycerin tablet C. Check blood glucose D. Check vital signs D. Check vital signs A nurse administers a usual morning dose of 4 units of regular insulin and 8 units of NPH at 7:30a.m. Which statements regarding the client's insulin are correct? A. The onset of the regular insulin will be 7:45 a.m. and the peak at 1:00 p.m. B. The onset of regular insulin will be at 8 a.m. and the peak will be at 10:00 a.m. C. The onset of the NPH insulin will be at 8 a.m. and the peak at 10 a.m. D. The onset of the NPH will be at 12:30 p.m. and the peak at 11:30 p.m. B. The onset of regular insulin will be at 8 a.m. and the peak will be at 10:00 a.m. *A home health nurse is planning the first home visit for a 60 year old client newly diagnosed with type 2 diabetes. The client has been instructed to take NPH in the morning and at supper time. Which interventions should be included in the client's care plan?