NCSBN - Lesson 6 Post test questions and verified
answers (detailed & elaborated) ACTUAL EXAM 2025
TESTS!!
The nurse is caring for a pregnant woman who is diagnosed with pregnancy induced hypertension (PIH)
and is receiving magnesium sulfate intravenously. During assessment of the client, the nurse notes that
respirations are 12, pulse and blood pressure have dropped significantly, and the eight-hour urine
output is 200 mL. What should the nurse do first?
Administer calcium gluconate
Call the health care provider immediately
Perform additional assessments
Discontinue the magnesium sulfate
Ans: Discontinue the magnesium sulfate
The assessments strongly suggest magnesium sulfate toxicity. The nurse must discontinue the
medication immediately and take measures to ensure the safety of the client. Calcium gluconate would
be given as an antidote.
, Quiz A client is recovering from hip replacement and is taking acetaminophen with codeine (Tylenol No.
3) every three hours for pain. Which finding associated with opioid analgesics does the nurse anticipate
when assessing the client?
Itching and bruising at the incision site
No bowel movement for three days
Elevated serum glucose
Dry, unproductive cough
Ans: No bowel movement for three days
Side effects of opioid analgesic use include respiratory depression, sedation and constipation. The
incision site may be bruised after surgery and it may itch, pull or feel numb, but this is unrelated to oral
opioid use. Dry mouth is a possible side effect of acetaminophen with codeine, but not necessarily dry
cough.
Quiz An antibiotic is ordered to be administered to a 2 year-old child intramuscularly. The total volume
of the injection equals 2 mL. What is the correct nursing action?
Check with pharmacy for a liquid form of the medication
Call to get a smaller volume ordered
answers (detailed & elaborated) ACTUAL EXAM 2025
TESTS!!
The nurse is caring for a pregnant woman who is diagnosed with pregnancy induced hypertension (PIH)
and is receiving magnesium sulfate intravenously. During assessment of the client, the nurse notes that
respirations are 12, pulse and blood pressure have dropped significantly, and the eight-hour urine
output is 200 mL. What should the nurse do first?
Administer calcium gluconate
Call the health care provider immediately
Perform additional assessments
Discontinue the magnesium sulfate
Ans: Discontinue the magnesium sulfate
The assessments strongly suggest magnesium sulfate toxicity. The nurse must discontinue the
medication immediately and take measures to ensure the safety of the client. Calcium gluconate would
be given as an antidote.
, Quiz A client is recovering from hip replacement and is taking acetaminophen with codeine (Tylenol No.
3) every three hours for pain. Which finding associated with opioid analgesics does the nurse anticipate
when assessing the client?
Itching and bruising at the incision site
No bowel movement for three days
Elevated serum glucose
Dry, unproductive cough
Ans: No bowel movement for three days
Side effects of opioid analgesic use include respiratory depression, sedation and constipation. The
incision site may be bruised after surgery and it may itch, pull or feel numb, but this is unrelated to oral
opioid use. Dry mouth is a possible side effect of acetaminophen with codeine, but not necessarily dry
cough.
Quiz An antibiotic is ordered to be administered to a 2 year-old child intramuscularly. The total volume
of the injection equals 2 mL. What is the correct nursing action?
Check with pharmacy for a liquid form of the medication
Call to get a smaller volume ordered
