Revised Questions and Correct Answers
(DetailedAnswers) Latest Version, Real Exam
A nurse is assessing a client who is receiving IV gentamicin 3 x daily. Which of the following findings
indicates that the client is experiencing an adverse effect of this medication?
• Hypoglycemia
• Proteinuria
• Nasal congestion
• Visual disturbances
b. Proteinuria
A nurse is providing teaching to a newly nurse about caring for a client who has prescription for
gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following
labtests?
• Platelet count
• Electrolyte levels
• Thyroid functions
• Liver function
d. Liver function
A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize
thatergotamine is administered to treat which of the following conditions?
• Raynaud's phenomenon
• Migraine headaches
• Ulcerative colitis
• Anemia
b. Migraine headaches
,A nurse is reviewing the lab values for a client who is receiving a continuous IV heparin infusion and
hasan aPTT (TR-60-80 sec) of 90 seconds. Which of the following actions should the nurse prepare to
take?
• Administer Vit K
• Reduce the infusion rate
• Give the client a low dose aspirin
• Request an INR
b. Reduce the infusion rate
A nurse is providing teaching to a client who had rheumatoid arthritis and a prescription for long term
prednisone therapy. The nurse should instruct the client to monitor for which of the following
adverseeffects?
• Stress fractures
• Orthostatic hypotension
• Gingival ulcerations
• Weight loss
a. Stress fractures
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize
thattamoxifen has which of the following therapeutic effects?
• Antiestrogenic
• Antimicrobial
• Androgenic
• Anti-inflammatory
a. Antiestrogenic
,A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan
tomonitor the client for which of the following adverse effects?
• Hyperkalemia
• Hypertension
• Constipation
• Nephrotoxicity
d. Nephrotoxicity
A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following
shouldthe nurse take?
• Administer the medication into the client's abdomen
• Inject the medication into a muscle
• Massage the site after administering the medication
• Use a 22 gauge needle to administer the medication
• Administer the medication into the client's abdomen
A nurse is reviewing the lab results for a client who has prescription for filgastrim. The nurse should
recognize that an increase in which of the following values indicates a
therapeutic effect of this medication?
• Erythrocyte count
, • Neutrophil count
• Lymphocyte count
• Thrombocyte count
• Neutrophil count
A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for
sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse
effectsof this medication?
• Jaundice
• Constipation
• Oral candidiasis
• Sedation
• Jaundice
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic
acid.
Which of the following lab values should the nurse plan to monitor? Selectall that apply.
• BUN
• PTT
• Aspartate aminotransferase (AST)
• Urinalysis
• Alanine aminotransferase (ALT)
• PTT
• Aspartate aminotransferase (AST)