ACTUAL 2025/2026 QUESTIONS AND 100%
CORRECT ANSWERS
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Terms in this set (47)
A nurse is monitoring a client who Respiratory rate 11/min
has just returned to the unit following When using the airway, breathing, circulation
surgery. The client received an initial approach to client care, the priority finding is a
dose of morphine 5 mg IV bolus for respiratory rate of 11/min indicating respiratory
pain relief. Which of the following depression.
adverse effects should the nurse
report immediately to the provider?
A nurse is reinforcing teaching with a Sore throat
client who is prescribed captopril for The greatest risk to the client is infection related to
hypertension. Which of the following neutropenia. Unexplained fever, sore throat, and
side effects should the nurse instruct fatigue can indicate an infection and should be
the client to report to the provider immediately reported to the provider.
immediately?
A nurse is reinforcing teaching with a Restrict foods high in potassium.
client who has a new prescription for Spironolactone is a potassium-sparing diuretic,
spironolactone for hypertension. which can cause hyperkalemia. Therefore, the client
Which of the following instructions should restrict foods that are high in potassium.
should the nurse include in the
teaching?
, A nurse is reinforcing teaching with a Muscle pain
client about the adverse effects of The nurse should instruct the client to notify the
simvastatin. For which of the provider if muscle pain or tenderness develops,
following adverse effects should the because this could indicate rhabdomyolysis.
nurse instruct the client to monitor?
A nurse is performing the third check Dispose of the medication with a second nurse as a
before administering witness.
hydromorphone to a client. After The nurse must have a witness when disposing of a
opening the unit-dose packet, the controlled substance.
client tells the nurse he does not
want to take the medication now.
Which of the following actions
should the nurse take?
A nurse is caring for a client who is "Your medication can't be given IV because it is not
prescribed an IM injection of water-soluble."
penicillin G benzathine. The client Medications cannot be administered IV if they are
asks why the injection must be given not water-soluble.
IM instead of through his IV line.
Which of the following is the correct
response by the nurse?
A nurse is assisting with the care of a Hyporeflexia
client who is in preterm labor and is Magnesium sulfate depresses neuromuscular
receiving magnesium sulfate by activity, leading to muscle weakness and paralysis.
continuous IV infusion. Which of the Therefore, hyporeflexia can indicate magnesium
following findings indicats toxicity.
magnesium toxicity?