Name: Score:
91 Multiple choice questions
Term 1 of 91
A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in the evening. The
client asks the nurse, "When should I begin to feel better?" How should the nurse respond?
Only after the first month of treatment.
After one week of consistent use.
Immediately after the first dose.
Within 24 hours.
Term 2 of 91
A resident of a long-term care facility is taking lithium carbonate (Eskalith) to treat bipolar
disorder. Which instruction should the nurse provide to this client's caregivers?
Offer the morning dose of the medicine before breakfast.
Have the client chew the pill if it is difficult to swallow.
Encourage high energy fluid intake by providing sports drinks or sodas.
Report symptoms of hypothyroidism such as fatigue and constipation.
,Term 3 of 91
An end-stage terminally ill client being cared for at home is receiving morphine via a patient-
controlled pump for intractable cancer pain. When the hospice nurse visits, the client awakens,
moans in severe pain, and asks for an increase in the morphine dosage. The client's heart rate is 80
beats/minute, respirations are 10 breaths/minute, and the blood pressure is 102/68 mmHg. Which
is the best action for the nurse to implement?
It reduces the inflammation at the affected site.
Take the medication 30 to 45 minutes before eating.
Titrate the morphine dose upward until the client has adequate pain relief.
The number on the numeric pain scale.
Term 4 of 91
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy. Which
assessment finding would indicate the medication is being therapeuitc?
A decrease in blood ammonia levels.
An increase in liver enzyme levels.
An improvement in kidney function tests.
A rise in blood glucose levels.
Term 5 of 91
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side
effects should the nurse assess the client for during the initial dose?
Bradykinesia.
Dystonia.
Somatization.
Akathisia.
,Term 6 of 91
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently
in the X-ray department. Which action should the nurse implement?
Return the blood to the blood bank for refrigeration within 30 minutes.
Hang the blood transfusion as soon as the client returns to the unit.
Store the blood bag in the nursing unit's refrigerator until the client returns.
Take the unit of blood to the X-ray department to initiate the transfusion.
Term 7 of 91
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side
effects should the nurse assess the client for during the initial dose?
Bradykinesia.
Dystonia.
Akathisia.
Ataxia.
Term 8 of 91
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client.
Which assessment finding should the nurse use to evaluate the effectiveness of the medication?
The client's blood pressure readings.
The frequency of the client's bowel movements.
The client's level of alertness and orientation.
The number on the numeric pain scale.
, Term 9 of 91
A client with chronic pancreatitis receives a new prescription for pancrelipase (Pancrease). Which
instruction is most important for the nurse to include in this client's teaching?
Take the medication only in the morning.
Take the medication on an empty stomach for better absorption.
Skip doses if not eating a full meal.
Take the medication when consuming food.
Term 10 of 91
A client is diagnosed with peptic ulcer disease caused by Helicobacter pylori. Which medications
should the nurse anticipate the healthcare provider to prescribe for the client? (Select all that
apply.)
Cefotaxime (claforan) Provides therapeutic Cns concentrations.
Clarithromycin (Biaxin).
Omeprazole (Prilosec).
Metronidazole (Flagyl).
Daily weight Gain of 2 pounds.
Creatinine level of 2.8 mg/dl.
Term 11 of 91
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently
in the X-ray department. Which action should the nurse implement?
Store the blood in the nurse's station refrigerator.
Return the blood to the blood bank for refrigeration within 30 minutes.
Leave the blood unit at room temperature until the client returns.
Administer the blood as soon as possible without delay.
91 Multiple choice questions
Term 1 of 91
A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in the evening. The
client asks the nurse, "When should I begin to feel better?" How should the nurse respond?
Only after the first month of treatment.
After one week of consistent use.
Immediately after the first dose.
Within 24 hours.
Term 2 of 91
A resident of a long-term care facility is taking lithium carbonate (Eskalith) to treat bipolar
disorder. Which instruction should the nurse provide to this client's caregivers?
Offer the morning dose of the medicine before breakfast.
Have the client chew the pill if it is difficult to swallow.
Encourage high energy fluid intake by providing sports drinks or sodas.
Report symptoms of hypothyroidism such as fatigue and constipation.
,Term 3 of 91
An end-stage terminally ill client being cared for at home is receiving morphine via a patient-
controlled pump for intractable cancer pain. When the hospice nurse visits, the client awakens,
moans in severe pain, and asks for an increase in the morphine dosage. The client's heart rate is 80
beats/minute, respirations are 10 breaths/minute, and the blood pressure is 102/68 mmHg. Which
is the best action for the nurse to implement?
It reduces the inflammation at the affected site.
Take the medication 30 to 45 minutes before eating.
Titrate the morphine dose upward until the client has adequate pain relief.
The number on the numeric pain scale.
Term 4 of 91
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy. Which
assessment finding would indicate the medication is being therapeuitc?
A decrease in blood ammonia levels.
An increase in liver enzyme levels.
An improvement in kidney function tests.
A rise in blood glucose levels.
Term 5 of 91
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side
effects should the nurse assess the client for during the initial dose?
Bradykinesia.
Dystonia.
Somatization.
Akathisia.
,Term 6 of 91
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently
in the X-ray department. Which action should the nurse implement?
Return the blood to the blood bank for refrigeration within 30 minutes.
Hang the blood transfusion as soon as the client returns to the unit.
Store the blood bag in the nursing unit's refrigerator until the client returns.
Take the unit of blood to the X-ray department to initiate the transfusion.
Term 7 of 91
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side
effects should the nurse assess the client for during the initial dose?
Bradykinesia.
Dystonia.
Akathisia.
Ataxia.
Term 8 of 91
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client.
Which assessment finding should the nurse use to evaluate the effectiveness of the medication?
The client's blood pressure readings.
The frequency of the client's bowel movements.
The client's level of alertness and orientation.
The number on the numeric pain scale.
, Term 9 of 91
A client with chronic pancreatitis receives a new prescription for pancrelipase (Pancrease). Which
instruction is most important for the nurse to include in this client's teaching?
Take the medication only in the morning.
Take the medication on an empty stomach for better absorption.
Skip doses if not eating a full meal.
Take the medication when consuming food.
Term 10 of 91
A client is diagnosed with peptic ulcer disease caused by Helicobacter pylori. Which medications
should the nurse anticipate the healthcare provider to prescribe for the client? (Select all that
apply.)
Cefotaxime (claforan) Provides therapeutic Cns concentrations.
Clarithromycin (Biaxin).
Omeprazole (Prilosec).
Metronidazole (Flagyl).
Daily weight Gain of 2 pounds.
Creatinine level of 2.8 mg/dl.
Term 11 of 91
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently
in the X-ray department. Which action should the nurse implement?
Store the blood in the nurse's station refrigerator.
Return the blood to the blood bank for refrigeration within 30 minutes.
Leave the blood unit at room temperature until the client returns.
Administer the blood as soon as possible without delay.
