QUESTIONS AND ANSWERS | 100% CORRECT ANSWERS| LATEST
EXAM
A nurse is reinforcing teaching to a cleint who is to start using a nitroglycerine
transdermal unit for angina. Which of the following instructions should the
nurse include?
1. Cut the patches in half to save money
2. Remove the patching each evening tohave 10 hr without medication
3. Apply an additional patch during an angina attack
4. Remove the patch is you develop a headache - CORRECT ANSWER - 2.
Remove the patching each evening tohave 10 hr without medication
-remove each evening to allow for 10-12 hr med free time
A nurse is preparing to administer timolol ophthalmic drops to a client who has
glaucoma. Which of the following actions should the nurse plan to take?
1. Place the eyedropper gently against the sclera
2. Gently rub the eye after instilling the medication
3. Drop prescribed amount of medication into the conjunctival sac
4. Don sterile gloves to instill the medication - CORRECT ANSWER - 3.
Drop prescribed amount of medication into the conjunctival sac
A nurse is administering morning medications and realizes that nifedipine was
administered to the wrong client. Which of the following is the priority nursing
action?
1. Check the client's vital signs
2. Notify the charge nurse
3. Fill out an occurrence report according to institutional policy
,4. Document an objective description of what has happened in the client's chart
- CORRECT ANSWER - 1. Check the client's vital signs
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO
daily for heart failure. The clients current vitals signs are BP 144/96, heart rate
54/min, respirations 18/min, and temp 98.6F. Which of the following actions
should the nurse take?
1. Administer digoxin 0.125mg
2. Administer digoxin 0.25mg
3. Withhold the digoxin dose for elevated BP
4. Withhold the digoxin dose for decreased heart rate - CORRECT ANSWER -
4. Withhold the digoxin dose for decreased heart rate
-less than 60/min HOLD
A nurse is caring for a client who is taking ranitidine. Which of the following
client statements indicates to the nurse that ranitidine treatment has been
effective? Select all that apply.
1. "I don't have as much heartburn after i eat anymore"
2. "I occasionally have stomach pain and dark stool"
3. "I noticed that i have had less urge to smoke lately"
4. "I have not been as dizzy as i was before"
5. "I cant sleep while lying flat again" - CORRECT ANSWER - 1. "I don't
have as much heartburn after i eat anymore"
5. "I cant sleep while lying flat again"
A nurse is collecting data from a client who is postoperative and recieving IV
morphine 1 mg every 10 min via PCA. For which of the following
manifestations should the nurse withhold the morphine?
1. The client is drowsy and responds to verbal stimuli by answering questions
2. The clients respiratory rate is 9/min
3. The client reports a pain level of 4 on a scale of 0 to 10
, 4. The clients urinary catheter output was 30 mL during the past hour -
CORRECT ANSWER - 2. The clients respiratory rate is 9/min
A nurse is reviewing the laboratory values of a client who is receiving total
parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138
mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the
nurse plan to take?
1. Discontinue the TPN infusion
2. Request a potassium replacement
3. Administer glucagon IM
4. Check the client for a positive chvosteks sign - CORRECT ANSWER - 2.
Request a potassium replacement
A nurse is reviewing the medication administration records of a group of clients
who have been newly admitted to a long-term care facility. Which of the
following clients should the nurse monitor for extrapyramidal symptoms?
1. A client who has hypertension and is taking a bets-adrenergic blocker
2. A client who has chronic pancreatitis and is taking pancreatic enzymes
3. A client who has schizophrenia and is taking an antipsychotic medication
4. A client who has type 2 diabetes and is taking insulin - CORRECT
ANSWER - 3. A client who has schizophrenia and is taking an antipsychotic
medication
A nurse is preparing a medication for a client and is converting grams to
milligrams. Which of the following actions should the nurse take?
1. Move the decimal point 3 places to the right
2. Move the decimal point 3 places to the left
3. Move the decimal point 2 places to the right
4. Move the decimal point 2 places to the left - CORRECT ANSWER - 1.
Move the decimal point 3 places to the right