EXAM QUESTIONS WITH CORRECT ANSWERS WELL
HIGHLIGHTED TESTED AND APPROVED 2026 NEW
UPGRADE
A nurse is providing teaching to a client who has cirrhosis and a new prescription for
lactulose. The nurse should instruct the client that lactulose haswhich of the following
therapeutic effects?
1. Increases blood pressure
2. Prevents esophageal bleeding
3. Decreases heart rate
4. Reduces ammonia levels
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse
should include in the teaching that which of the following conditions isa contraindication to
this medication?
1. Hyperthyroidism
2. Intestinal obstruction
3. Glaucoma
4. Low blood pressure
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The
nurse should include a severe allergy to which of the followingmedications is a
contraindication to ceftriaxone?
1. Gentamicin
2. Clindamycin
3. Piperacillin
4. Sulfamethoxazole-trimethoprim
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,A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse
should include in the teaching that which of the following conditions isa contraindication to
this medication?
1. Hyperthyroidism
2. Intestinal obstruction
3. Glaucoma
4. Low blood pressure
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The
nurse should include a severe allergy to which of the followingmedications is a
contraindication to ceftriaxone?
1. Gentamicin
2. Clindamycin
3. Piperacillin
4. Sulfamethoxazole-trimethoprim
A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking
tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of
which of the following adverse effects?
1. Allergic response2.
Superinfection
3. Renal toxicity
4. Hepatotoxicity
A nurse is reviewing the laboratory values for a client who is receiving a continuous IV
heparin infusion and has an aPTT of 90 seconds. Which of thefollowing actions should
the nurse prepare to take?
1. Administer vitamin K
2. Reduce the infusion rate
3. Give the client a low-dose aspirin
4. Request an INR
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,Final practice
a nurse is planning to administer diltiazem via IV bolus to a client who has atrialfibrillation.
When assessing the client, the nurse should recognize that which ofthe following findings is
a contraindication to administration of diltiazem? hypotension
tachycardia
decreased level of consciousness
history of diuretic use
A nurse is administering subcutaneous heparin to a client who is at risk for deepvein
thrombosis. Which of the following actions should the nurse take?
1. Administer the medication into the client's abdomen.
2. Inject the medication into a muscle.
3. Massage the site after administering the medication.
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, A nurse is providing teaching to a client who has a urinary tract infection and new
prescriptions for phenazopyridine and ciprofloxacin. Which of the followingstatements by
the client indicates the need for further teaching?
1. "If the phenazopyridine upsets my stomach, I can take it with meals."
2. "The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid ofthe
infection."
3. "I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin."
4. "I should notify my provider immediately if my urine turns an orange color."
A nurse is providing teaching to a group of new parents about medications. The nurse should
include that aspirin is contraindicated for children who have a viralinfection due to the risk of
developing which of the following adverse effects?
1. Reye's syndrome
2. Visual disturbances
3. Diabetes mellitus
4. Wilms' tumor
A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse over 8 hr.
The drop factor or the manual IV tubing is 10 gtt/mL. The nurse shouldset the manual IV
infusion to deliver how may gtt/min? (Round the answer to thenearest whole number).
1 hr/60 min = 8 hr/X minX
= 480 min
1,000 mL/480 min x 10 gtt/mL = X gtt/minX
= 20.833 21 gtt/ min
A nurse is caring for a client who has a new prescription for tamoxifen. The nurseshould
recognize that tamoxifen has which of the following therapeutic effects? ?
1. Antiestrogenic
2. Antimicrobial
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