Overview Latest Update 2026
Anaphylactic Reaction - Answer--Client develops an anaphylactic reaction to IV
administration.
Actions for Anaphylactic Reaction - Answer--Replace infusion with 0.9% sodium
chloride, give diphenhydramine IM, elevate client's legs and feet, administer epinephrine
IM.
Sertraline and Supplements - Answer--Supplement to avoid: St. John's Wort.
Lisinopril Adverse Effects - Answer--Adverse effect to monitor: hypotension.
Heparin Vital Sign Changes - Answer--Vital sign change to monitor: increased pulse
rate.
Medication Error Incident Report - Answer--Responsible staff member for incident
report: the nurse who identifies the error.
Morphine Epidural Infusion Monitoring - Answer--Monitor for: pruritus (sign of allergic
reaction to morphine).
Digoxin Administration Steps - Answer--Sequence of steps: obtain client's apical heart
rate, remove medication from dispensing system, open medication package, compare
client's wristband to medication administration record, document administration of
medication.
Acetaminophen Contraindication - Answer--Contraindication for receiving medication:
chronic kidney disease.
, Furosemide Weight Gain Action - Answer--Action to take first: notify the provider of the
client's weight gain.
Penicillin G Allergic Reaction Indication - Answer--Indication of allergic reaction
following injection: urticaria.
Sublingual Nitroglycerin Instruction - Answer--Instruction to include: place the tablet
between your cheek and gum to dissolve.
Theophylline Understanding Statement - Answer--Statement indicating understanding of
teaching: 'I will need to have blood levels drawn.'
Mixing Insulin First Action - Answer--First action to take: inject air into the regular insulin
vial.
Subcutaneous Heparin Administration Action - Answer--Action to take: insert the needle
at least 5 cm (2 in) from the umbilicus.
Amoxicillin Allergic Reaction Finding - Answer--Finding indicating allergic reaction:
laryngeal edema.
Medication Reconciliation Instruction - Answer--Instruction for medication reconciliation:
perform for a client who is transferred to a step-down unit.
Atorvastatin Laboratory Values - Answer--Laboratory value indicating treatment
effectiveness: LDL 120 mg/dL.
Transcribing Medication Prescription - Answer--Transcription in client's medical record:
Morphine 6 mg IV push every 3 hr PRN acute pain.
Assessing IV Infusion Site - Answer--Action to take: apply a warm, moist compress.
Clozapine Teaching - Answer--Notify your provider if you develop a fever while taking
this medication.
Oral Contraceptives - Answer--Some herbal supplements can decrease the
effectiveness of an oral contraceptive.