- BSN 246/
2026 Update) Questions and Verified
Quiz_________________?
A client who is uses ipratropium reports having nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the registered nurse (RN) implement
first?
Withhold medication and report symptoms and vital signs to healthcare provider.
Give PRN medication for nausea and vomiting and evaluate client in 30 minutes.
Reassure client that the ipratropium given will alleviate the symptoms.
Delay administration of ipratropium until next maintenance medication is scheduled. -
Answer✅
Withhold medication and report symptoms and vital signs to healthcare provider.
**Again think beneficial to the patient overall as a primary concern
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of excessive use of
ipratropium, so withholding the medication until the healthcare provider is notified should
be initiated to maintain client safety.
1
, Quiz_________________?
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for
evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the
registered nurse (RN) anticipate to be elevated if the client experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin. -
Answer✅
Serum troponin. - is a lab that must always be requested because it is indicative of heart
muscle damage.
Rationale
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation
is more specific than CK-MB.
Quiz_________________?
A client with cirrhosis of the liver asks the registered nurse (RN) to explain how varicose
veins can occur in the esophagus. Which statement should the RN provide to teach the
client about the physiological etiology?
The enlarged liver presses on the lower half of the esophagus which weakens blood vessel
walls.
Abnormal vessels form as a result of liver damage that causes chronic low serum protein
levels.
Esophageal swelling and tissue damage causes blood to circulate blood back through the
stomach.
Increased portal pressure causes blood flow through liver to be shunted to the esophageal
vessels. -
Answer✅
2
, Increased portal pressure causes blood flow through liver to be shunted to the esophageal
vessels.
Rationale
Cirrhotic and fibrosed liver damage causes obstructed blood flow through portal vessels to
the liver which increases the portal pressurecausing the blood flow through the liver to be
shunted to the esophageal vessels. The result of this shunting of blood causes the
esophageal vessels (veins) to balloon out and weaken. As the portal hypertension increases,
these esophageal varices can rupture and cause bleeding resulting in bloody emesis and black
tarry stools.
Quiz_________________?
A client with progressive hearing loss appears distressed when the registered nurse (RN)
asks open-ended questions about the client's health history. Which forms of communication
should the RN use?Select all that apply
Face the client so the client can see the RN's mouth.
Increase one's speech volume when interacting with the client.
Repeat information to the client if misunderstood.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client. -
Answer✅
Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
Quiz_________________?
A female client calls the clinic and talks with the registered nurse (RN) to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and a white discharge. The RN should discuss which action with the client?
Discontinue the antibiotic because original symptoms have subsided.
3
2026 Update) Questions and Verified
Quiz_________________?
A client who is uses ipratropium reports having nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the registered nurse (RN) implement
first?
Withhold medication and report symptoms and vital signs to healthcare provider.
Give PRN medication for nausea and vomiting and evaluate client in 30 minutes.
Reassure client that the ipratropium given will alleviate the symptoms.
Delay administration of ipratropium until next maintenance medication is scheduled. -
Answer✅
Withhold medication and report symptoms and vital signs to healthcare provider.
**Again think beneficial to the patient overall as a primary concern
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of excessive use of
ipratropium, so withholding the medication until the healthcare provider is notified should
be initiated to maintain client safety.
1
, Quiz_________________?
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for
evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the
registered nurse (RN) anticipate to be elevated if the client experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin. -
Answer✅
Serum troponin. - is a lab that must always be requested because it is indicative of heart
muscle damage.
Rationale
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation
is more specific than CK-MB.
Quiz_________________?
A client with cirrhosis of the liver asks the registered nurse (RN) to explain how varicose
veins can occur in the esophagus. Which statement should the RN provide to teach the
client about the physiological etiology?
The enlarged liver presses on the lower half of the esophagus which weakens blood vessel
walls.
Abnormal vessels form as a result of liver damage that causes chronic low serum protein
levels.
Esophageal swelling and tissue damage causes blood to circulate blood back through the
stomach.
Increased portal pressure causes blood flow through liver to be shunted to the esophageal
vessels. -
Answer✅
2
, Increased portal pressure causes blood flow through liver to be shunted to the esophageal
vessels.
Rationale
Cirrhotic and fibrosed liver damage causes obstructed blood flow through portal vessels to
the liver which increases the portal pressurecausing the blood flow through the liver to be
shunted to the esophageal vessels. The result of this shunting of blood causes the
esophageal vessels (veins) to balloon out and weaken. As the portal hypertension increases,
these esophageal varices can rupture and cause bleeding resulting in bloody emesis and black
tarry stools.
Quiz_________________?
A client with progressive hearing loss appears distressed when the registered nurse (RN)
asks open-ended questions about the client's health history. Which forms of communication
should the RN use?Select all that apply
Face the client so the client can see the RN's mouth.
Increase one's speech volume when interacting with the client.
Repeat information to the client if misunderstood.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client. -
Answer✅
Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
Quiz_________________?
A female client calls the clinic and talks with the registered nurse (RN) to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and a white discharge. The RN should discuss which action with the client?
Discontinue the antibiotic because original symptoms have subsided.
3
