Practice Exam A

The nurse is preparing to administer amoxicillin 250 mg PO to a school age child. Available is amoxicillin oral suspension 200mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

6.25-> 6.3 mL

A nurse is caring for n older adult client. The client received 0.9% sodium chloride 1L over 4 hr instead of over 8hr as prescribed which of the following entries is appropriate documentation of this occurrence in the clients medical record.

0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable

A nurse is caring for a client who is to receive 0.9% sodium chloride at a rate of 1L q 8hr. The drip factor shown on the package of IV tubing is 15gtt/mL the nurse should regulate the IV to deliver how many gtt/min (nearest whole)

31

A nurse is preparing to administer hydromorphone for a postoperative client which of the following indicates that the nurse should withhold the next dose of the medication

A clients respiratory rate is 8/min

A nurse is providing teaching for a client who is to begin pharmacological therapy for a new diagnosis of asthma which of the following medications should the nurse instruct the client to use during an acute asthma attack

Albuterol

A nurse in the clinic is talking to a client on the phone who tells the nurse he has not taken any of his morning medications and reports tinnitus the nurse instructs the client to come to the clinic and withhold which of the following medications

Aspirin

The nurse is caring for a client who is receiving long term treatment for systemic lupus erythematosus with prednisone the nurse should inform the client to expect to undergo which of the following diagnostic test to monitor for long-term complications

Bone density scans

A nurse is playing to provide medication education for client to begin a course of therapy with metronidazole which of the following should the nurse instruct the client to avoid during the course of therapy

Beer

A nurses caring for a client taking Atorvastatin which of the following should the nurse monitor for the client

CK

A nurse is providing teaching about insulin glargine to a client who has type one diabetes mellitus which of the following should the nurse include in the instructions

Do not mix this medication in a syringe with other insulins

A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following?

Hyperkalemia

Nurses in a providers office is assessing a client who has been taking aspirin daily for the past year which of the following findings should the nurse notify the provider immediately

Hyperventilation

A nurse is assisting a client who is taking salmenterol. which of the following reports from the client indicates effectiveness of this medication

Improved breathing

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine which of the following findings should alert the nurse that the client is experiencing an adverse reaction

Nausea

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should alert the nurse the client is experiencing an adverse reaction?

Nausea (A Common side effect of neostigmine)

A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes urticaria, dyspnea, anxiety, and hypotension. Which of the following should the nurse anticipate administering?

Parenteral epinephrine (This is an allergic reaction, give epinephrine)

A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of mannitol 25% for one hour which of the following adverse affects should the nurse report to the provider immediately

Peripheral edema

A nurse is assessing laboratory results for client to use prescribe oprelvekin for management of adverse effects of chemotherapy which of the following findings by the nurse indicates a therapeutic effect of the medication

Platelet count is 350,000/mm^3

A client is receiving a heparin infusion for deep vein thrombosis the nurse should discontinue the medication infusion for which of the following client findings

Platelets 96,000 per millimeter cube

A nurse is caring for a client is experiencing acute alcohol withdrawal for which of the following is a client prescribed chlordiazepoxide

Prevent delirium tremens

A nurse is assessing a client who is taking Indomethacin which of the following should the nurse monitor to evaluate the medications effectiveness

Reduced pain

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery for which of the following address affection of the nurse monitor

Sedation

A nurse Is providing teaching to a client who is diagnosed with migraine headaches the client is prescribed something ergotamine sublingual which of the following should the nurse include in her instructions

Take one tablet at onset of migraine

A nurse is providing teaching to a client who is taking tetracycline PO and reports gastrointestinal distress which of the following should the nurse include in the teaching

Take the medication with applesauce

A nurse administers ceftazidime to a client who has a severe penicillin allergy. Which of the following requires and incident report

The client reports shortness of breath

A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily after six weeks of treatment the nurse determines that the medication was effective if the

Thyroid stimulating hormone level is 2 microunits/milliliter

A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma for which of the following adverse affects should the nurse instruct the client to monitor and report

Tingling of fingers

A Client is taking trimethoprim/ sulfamethoxazole which of the following findings should the nurse reports the provider

Vesicular, crusty rash

A client is taking trimethoprim/sulfamethoxazole. Which of the following findings should the nurse report to the provider?

Vesicular, crusty rash (This is a sign of Steven-johnson syndrome)

Nurse is caring for a client who is starting a new prescription for warfarin which of the following medication should the nurse plan to administer if the clients experiences bleeding

Vitamin K

A nurse is providing teaching about clindamycin to a client which of the following is an adverse effects of this medication that the nurse should instruct the client to report to the provider

Watery diarrhea

A nurse is caring for a client who is to start therapy with benztropine for which of the following findings should the nurse monitor

tachycardia

A nurses providing teaching to a client regarding the administration of Ferrous sulfate which of the following instruction should the nurse include in the teaching

take the tablet on an empty stomach

A client diagnosed with tuberculosis (TB) is taking a four-drug regimen of isoniazid (INH), rifampin (Rifadin), pyrazinamide, (Tebrazid), and ethambutol (Myambutol). He asks the nurse why he has to take so many pills. Which of the following is an appropriate response by the nurse?

"This regimen will eliminate various combinations of resistant strains of TB"

A nurse is caring for an older adult client. The client received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following entries is the appropriate documentation of the occurrence in the client's medical record?

0.9 % sodium chloride 1 L IV infused over 4 hr. Vital signs stable.

At 0900 a nurse is preparing a clients medications. Based on the chart findings, which of the following medications should the nurse administer first?

Sodium polystyrene sulfate (Patient is at risk for dysrhythmias d/t hyperkalemia)

The nurse is preparing to administer amoxicillin 250 mg PO to a school aged child, available is amoxicillin oral suspension 200 mg/5 mL. How many milliliters should the nurse administer. round to the nearest 10th

6.3

A nurses caring for a client who is receiving haloperidol for which of the following adverse affects of the nurse be observing

Akathisia

A client who has a history of hypertension tells the nurse that he used OTC oral decongestants for nasal congestion. The nurse should advise the client that decongestants...

Can constrict blood vessels. (Sympathomimetics constrict blood vessels, which relieves congestion)

A nurse is planning teaching for a child who has been prescribed fluticasone propionate for chronic asthma the nurse plans to teach the child to use a spacer to minimize the risk for which of the following

Candidiasis of the mouth

A nurse is assessing a client who is taking oral contraceptives. Which of the following medications will interfere with the effectiveness of the oral contraceptives?

Carbamazepine

A nurse is teaching a client who is to start a new prescription for verapamil. Which of the following instructions should the nurse plan to include

Change positions slowly

A nurse Is caring for a client who has just been transferred from the PACU to the medical-surgical unit following colon resection the client reports pain of an eight on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every two hours which of the following actions should the nurse take first

Check the clients PAC you medication record first

A nurses caring for a client who has a new diagnosis of type 1 diabetes mellitus. The nurse administers regular insulin six units subcutaneously at 0700 at 1000 the client reports feeling nauseous and lightheaded which of the following actions should the nurse take first

Check the clients blood glucose level

A nurse gives ceftazidimeto a patient with a severe penicillin allergy...which finding requires an incident report?

Client reports shortness of breath (D/ potential for cross sensitivity)

A client who has a history of hypertension tells the nurse that he uses over-the-counter oral decongestants for nasal congestion the nurse should advise the client that decongestants

Constrict blood vessels

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following symptoms should the nurse tell the client to expect? (Select all that apply)

Dry mouth Blurred vision Photophobia

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect?

Dry mouth blurred vision photophobia

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately

Dyspnea

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following documented findings should he nurse report to the provider immediately?

Dyspnea (Because of the ABC priority framework)

A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for histoplasmosis for which of the following adverse affects of the nurse notify the provider

Fever

A nurse is planning to teach a client about taking methotrexate for which of the following should the nurse instruct the client to monitor and report to the provider

Fever

A nurse is planning to teach a client about taking methotrexate. For which of the following should the nurse instruct the client to monitor and report to the provider?

Fever (Methotrexate suppresses bone marrow which can lead to infection)

A nurse is caring for a client who has candidiasis. Which of the following medications should the nurse expect to administer?

Fluconazole

A nurse is caring for a client to the emergency department following a diazepam overdose the nurse should administer which of the following medications

Flumazenil

Nurses providing teaching to a client with peptic ulcer disease and is to start a new prescription for sucralfate theaters explain to the client with medication

Forms a protective barrier over ulcers

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. The nurse explains to the client that the medication...

Forms a protective barrier over ulcers (Sucralfate forms a gel-like substance that creates a barrier to hydrochloric acid)

Nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports urticaria which of the following intervention should the nurse take

Request a change in the type of antibiotic

A nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports urticaria. Which of the following interventions should the nurse take?

Request a change in the type of antibiotic. (This is an allergic reaction)

At 0900 a nurse is preparing the clients medications based on the chart findings which of the following medications should the nurse administer first

Sodium polystyrene sulfate

A nurse is administering baclofen for a client who has a spinal cord injury which of the following should the nurse document as a therapeutic outcome

Decrease in flexor and extensor spasticity

A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor which of the following findings indicate to the nurse that the client is experiencing magnesium toxicity

Decreased level of consciousness

A nurse is caring for a client has heart failure and is discharged with a prescription for furosemide. The nurse should plan to instruct the client that which of the following are potential adverse effects for this medication select all that apply

Dizziness: The diuretic action of furosemide can result in A significant drop in blood pressure causing lightheadedness and dizziness hypokalemia: diuretic action of furosemide promotes the excretion of potassium increasing the clients risk for hypokalemia urinary frequency: The diuretic action of furosemide result in urinary frequency

A nurse is caring for a client who has pneumonia the client tells nurse she is pregnant but has not told her provider which of the following medication orders should the nurse question

Doxycycline

A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching

I should let my dentist know I'm taking this medication

A nurses providing teaching to a client who has depression and is prescribed fluoxetine which of the following statements indicates to the nurse and the client understands the teaching

I should take acetaminophen instead of ibuprofen for my headaches while taking this medication

A nurse is providing teaching to a client who had depression and is prescribed fluoxetine. Which of the following statements indicates to the nurse that the client understands the teaching?

I should take acetaminophen instead of ibuprofen for my headaches while taking this medication. (Fluoxetine increases the risk of bleeding when given concurrently with NSAID's and anticoagulants)

A nurse is assessing a client who is taking propylthiouracil for treatment of. Graves' disease which of the following findings indicate the fact of this of this medication

Increase in ability to focus

A nurse is assessing a client who is receiving epoetin alpha to treat anemia for which of the following findings should the nurse monitor related to this medication

Increased blood pressure

A nurse is caring for a patient who is taking tamoxifen for the treatment of breast cancer. The nurse should inform the client that which of the following side effects can develop? (Select all that apply)

Menstrual irregularities Hot flashes Bruising

A nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer the nurse informed the client that which of the following side effects can develop select all that apply

Menstrual irregularities hot flashes bruising

A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily. After 6 weeks of treatment, the nurse determines that the medication was effective if...

Thyroid-stimulating hormone (TSH) level is 2 micro units/mL. (TSH is the most sensitive method for determining thyroid functioning)

Nurse is caring for a client who is 24 hour postoperative following abdominal surgery and has been taking morphine sulfate PRN for incisional pain the nurse should assess the client for which of the following adverse affects

Urinary retention

A nurses providing teaching to a client who is to start therapy with digoxin which of the following should the nurse instruct the client to monitor and report

Yellow tinged vision

A nurse is providing education to a client who is to start therapy with digoxin. For which of he following should the nurse instruct the client to monitor and report?

Yellow-tinged vision (This is a sign of digoxin toxicity)

The nurses providing teaching to a client who takes Valporic acid for which of the following should the nurse instruct the client to monitor and report to the provider

jaundice