EXAM 1 MEDICAL SURGICAL (CH.
1,2,6,7,8) EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A nurse working in an emergency dept. Is caring for a client who has
benzodiazepine toxicity due to an overdose. Which actions is the nurses
priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage - CORRECT-ANSWERSB- identify the
clients level of orientation
A nurse is teaching a client who has a new prescription for escitalopram for
treatment of generalized anxiety disorder. Which of the following statements
by the client indicates understanding of the teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- i need to discontinue this med slowly?
D- i should not crush this med before swallowing - CORRECT-ANSWERSC- i
need to discontinue this med slowly?
A nurse is providing teaching to a client who has a new prescription for
buspirone to treat anxiety. Which info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency - CORRECT-ANSWERSD- this med
has a low risk for dependency
,A nurse is teaching a client who obsessive compulsive disorder and has a
new prescription for paroxetine which of the following instructions should the
nurse include?
A. It can take several weeks before you feel like the medication is helping
B. Take the medication just before bedtime to promote sleep
C. you should take the medication when needed for obsessive urges
D. Monitor for weight gain while taking this medication - CORRECT-
ANSWERSA. It can take several weeks before you feel like the medication is
helping
A nurse is caring for a client who takes peroxidation to treat post dramatic
stress disorder he reports that he grinds his teeth during the night the nurse
should identify which of the following interventions to manage bruxism
(select all that apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine - CORRECT-ANSWERSA,C,D
A nurse is providing instructions to a client has been experiencing insomnia
and has a new prescription for to Maza Pam the nurse should inform the
client that which of the following manifestations are adverse affects (select
all apply )
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep driving
E. Amnesia - CORRECT-ANSWERSA,D,E
A nurse is caring for a client who is receiving moderate sedation with
diazepam IV the client is oversedated which of the following medications
should the nurse anticipate administering to this client
A. Ketamine
, B. Naltrexone
C. Flumazenil
D. Fluvoxamine - CORRECT-ANSWERSC. Flumazenil
A nurse is teaching a client who has a new prescription for remelton. The
nurse should instruct the client to avoid which of the following foods while
taking this medication
A. Baked potato
B. Fried chicken
C. Whole grain bread
D. Citrus fruits - CORRECT-ANSWERSB
A nurse is caring for a client who is admitted to undergo a surgical procedure
which of the following pre-existing conditions can be a contraindication for
the use of ketamine as an intravenous anesthetic
A. Peptic ulcer disease
B. Breast cancer
C. Diabetes mellitus
D. Schizophrenia - CORRECT-ANSWERSD
A nurse is providing instructions to a female client who has a new
prescription for zolpidem, what instructions should the nurse include
A. Notify the provider if you plan to become pregnant
B. Take the medication one hour before you plan to go to sleep
C. Allow at least six hours for sleep when taking zolpidem
D. To increase the effectiveness of zolpidem take it with a bedtime snack -
CORRECT-ANSWERSA
A nurse is assessing a client who has salicylism which of the following
findings should the nurse expect (select all apply )
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache - CORRECT-ANSWERSA,D,E
1,2,6,7,8) EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A nurse working in an emergency dept. Is caring for a client who has
benzodiazepine toxicity due to an overdose. Which actions is the nurses
priority?
A- administer flumazenil
B- identify the clients level of orientation
C- infuse iv fluids
D- prepare the client for gastric lavage - CORRECT-ANSWERSB- identify the
clients level of orientation
A nurse is teaching a client who has a new prescription for escitalopram for
treatment of generalized anxiety disorder. Which of the following statements
by the client indicates understanding of the teaching?
A- i should take the medication on an empty stomach
B- i will follow a low-sodium diet while taking this med
C- i need to discontinue this med slowly?
D- i should not crush this med before swallowing - CORRECT-ANSWERSC- i
need to discontinue this med slowly?
A nurse is providing teaching to a client who has a new prescription for
buspirone to treat anxiety. Which info should the nurse include?
A- take this med on an empty stomach
B- expect optimal therapeutic effects within 24hr
C- take this med when needed for anxiety
D- this med has a low risk for dependency - CORRECT-ANSWERSD- this med
has a low risk for dependency
,A nurse is teaching a client who obsessive compulsive disorder and has a
new prescription for paroxetine which of the following instructions should the
nurse include?
A. It can take several weeks before you feel like the medication is helping
B. Take the medication just before bedtime to promote sleep
C. you should take the medication when needed for obsessive urges
D. Monitor for weight gain while taking this medication - CORRECT-
ANSWERSA. It can take several weeks before you feel like the medication is
helping
A nurse is caring for a client who takes peroxidation to treat post dramatic
stress disorder he reports that he grinds his teeth during the night the nurse
should identify which of the following interventions to manage bruxism
(select all that apply)
A. Concurrent administration of buspirone
B. administration of a different SSRI
C. use of a mouth guard
D. changing to a different class of anti-depressant medication
E. increasing the dose of paroxetine - CORRECT-ANSWERSA,C,D
A nurse is providing instructions to a client has been experiencing insomnia
and has a new prescription for to Maza Pam the nurse should inform the
client that which of the following manifestations are adverse affects (select
all apply )
A. Incoordination
B. Hypertension
C. Pruritis
D. Sleep driving
E. Amnesia - CORRECT-ANSWERSA,D,E
A nurse is caring for a client who is receiving moderate sedation with
diazepam IV the client is oversedated which of the following medications
should the nurse anticipate administering to this client
A. Ketamine
, B. Naltrexone
C. Flumazenil
D. Fluvoxamine - CORRECT-ANSWERSC. Flumazenil
A nurse is teaching a client who has a new prescription for remelton. The
nurse should instruct the client to avoid which of the following foods while
taking this medication
A. Baked potato
B. Fried chicken
C. Whole grain bread
D. Citrus fruits - CORRECT-ANSWERSB
A nurse is caring for a client who is admitted to undergo a surgical procedure
which of the following pre-existing conditions can be a contraindication for
the use of ketamine as an intravenous anesthetic
A. Peptic ulcer disease
B. Breast cancer
C. Diabetes mellitus
D. Schizophrenia - CORRECT-ANSWERSD
A nurse is providing instructions to a female client who has a new
prescription for zolpidem, what instructions should the nurse include
A. Notify the provider if you plan to become pregnant
B. Take the medication one hour before you plan to go to sleep
C. Allow at least six hours for sleep when taking zolpidem
D. To increase the effectiveness of zolpidem take it with a bedtime snack -
CORRECT-ANSWERSA
A nurse is assessing a client who has salicylism which of the following
findings should the nurse expect (select all apply )
A. Dizziness
B. diarrhea
C. jaundice
D. Tinnitus
E. headache - CORRECT-ANSWERSA,D,E
