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    Exam Review

    1. A nurse started a client's gentamicin via an intravenous (IV) route that is programmed to infuse over one hour.Ten minutes after the administration, the client reports dyspnea, generalized rash, and itchiness.What is the priority intervention for this client?
      A)Stop the infusion immediately.
      B)Administer an IV fluid bolus to flush the medication.
      C)Encourage the client to take deep breaths and remain calm.
      D)Administer oxygen via nasal cannula.
    2. A nurse is caring for a client with deep vein thrombosis (DVT) that will be discharged from the hospital in the next hour.The nurse notes that the client is unable to provide self-injections at home.Which of the following medications should the nurse expect for discharge to manage the DVT at home?
      A)Insulin.
      B)Warfarin (Coumadin).
      C)Heparin.
      D)Enoxaparin (Lovenox).
    3. The nurse is preparing to administer hydration via an intravenous route to a client. The nurse understands that the patient needs an isotonic solution. Which of the following options is considered an isotonic solution?
      A)Lactated Ringers (LR).
      B)0.45% Sodium Chloride.
      C)Dextrose in Lactated Ringers.
      D)None of the above.
    4. A nurse is caring for a client with a diagnosis of hypertension.The client notes that he has had hypertension for 3 years and recently stopped taking an antihypertensive medication that has caused a cough in the past from the healthcare provider's order.Based on the client's presentation and history, which of the following medications should the nurse anticipate the healthcare provider will prescribe to this client for his hypertension?
      A)Losartan.
      B)Digoxin.
      C)Captopril.
      D)Lisinopril.
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    Exam Review

    1. A nurse is caring for a client that is diagnosed with allergic rhinitis.Which of the following medication is a decongestant?
      A)Albuterol.
      B)Beclomethasone.
      C)Diphenhydramine.
      D)Phenylephrine.
    2. A nurse is preparing a client's medications.Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.)(SATA)
      A)Determine the dosage.
      B)Teach the client about the medication.
      C)Monitor for adverse effects.
      D)Determine the client's insurance status.
    3. A nurse is providing an in-service on female reproductive medications to the unit.Which of the following medications are used for contraception and/or prevention of pregnancy? (Select all that apply.)(SATA)
      A)Ethinyl estradiol and drospirenone (Yaz).
      B)Finasteride.
      C)Desogestrel (Mirena).
      D)Medroxyprogesterone acetate (Depo-Provera).
    4. A nurse is caring for a client with a new prescription for codeine.Which of the following is an indication for this medication?
      A)This medication is used for chronic nonproductive cough to decrease the frequency and intensity.
      B)This medication is used to treat allergic rhinitis only.
      C)This medication is used to treat non-allergic rhinitis only.
      D)None of the above.
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    Exam Review

    1. A nurse is caring for a client that is newly diagnosed with hypertension.The client noted that the provider will prescribe a medication to treat angina and hypertension.Which of the following medications should the nurse expect the provider to prescribe?
      A)Nifedipine.
      B)Digoxin.
      C)Heparin.
      D)Captopril.
    2. The nurse is caring for a new client that got admitted to the unit for fevers.The client takes propylthiouracil (PTU) at home.The nurse understands that the client is taking propylthiouracil (PTU) to treat which of the following conditions?
      A)Hyperthyroidism.
      B)Hyperglycemia.
      C)Hypoglycemia.
      D)Hypothyroidism.
    3. A nurse is caring for a client that is newly diagnosed with diabetes mellitus.Which of the following is a therapeutic use for glucagon (GlucaGen)?
      A)Hyperglycemia.
      B)Hypoglycemia.
      C)Type 2 diabetes mellitus.
      D)Diabetes insipidus.
    4. A staff nurse is working with a client on the medical unit.The health care provider prescribes aspirin for the client to treat headache.The client forgets and drinks two bottles of beer, which caused GI bleeding.How should the nurse analyze this drug-drug interaction?
      A)Antagonistic reaction.
      B)Synergistic reaction.
      C)Additive reaction.
      D)Neutral reaction.
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    Exam Review

    1. A nurse is caring for a client with deep vein thrombosis (DVT) in the hospital.Which of the following medications should the nurse anticipate to prepare for this client to further manage the client's DVT?
      A)Simvastatin (Zocor).
      B)Furosemide (Lasix).
      C)Enoxaparin (Lovenox).
      D)Gemfibrozil (Lopid).
    2. A nurse is preparing an in-service about all the phases of pharmacokinetics.Which of the following is NOT a phase of pharmacokinetics?
      A)Excretion.
      B)Phlebitis.
      C)Distribution.
      D)Absorption.
    3. A client is newly diagnosed with benign prostatic hyperplasia (BPH). Which of the following medications are NOT used to treat BPH? (Select All That Apply.)(SATA)
      A)Tamsulosin (Flomax).
      B)Sildenafil (Viagra).
      C)Ethinyl estradiol and drospirenone (Yasmin).
      D)Finasteride (Proscar).
    4. A nurse is caring for a client who is prescribed warfarin via oral (PO) route.Two hours after the administration of warfarin, the client reports having dark tarry stools and petechiae.Based on the client's presenting symptoms, which of the following options is an antidote for warfarin toxicity?
      A)Vitamin K1.
      B)Protamine sulfate.
      C)Heparin.
      D)Digibind.
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    Exam Review

    1. A nurse is preparing to administer a controlled substance to a client for acute pain.Which of the following statements is true regarding controlled substances? (Select All That Apply.)(SATA)
      A)Controlled substances have a potential for dependence.
      B)Controlled substances do not have a potential for misuse.
      C)Controlled substances have multiple generic names without a potential for abuse and misuse.
      D)Controlled substances have a Schedule classification.
    2. A nurse is caring for a client with hypertension that is prescribed metoprolol due at 0900.The nurse took the client's blood pressure at 0855, and it was noted to be 80/60. The client also notes that he feels dizzy and weak.What is the next intervention for the nurse?
      A)Administer metoprolol as scheduled.
      B)Withhold the medication and notify the provider.
      C)Administer an additional dose of metoprolol.
      D)Administer lisinopril instead of the prescribed dose of metoprolol.
    3. A nurse is caring for a client that is newly diagnosed with seizures and is prescribed lamotrigine.Which of the following is a serious complication of this medication that requires hospitalization?
      A)Stevens-Johnson syndrome.
      B)Gingival hyperplasia.
      C)Opioid use disorder.
      D)Hypotension.
    4. A nurse is caring for a client with hypertension.Which of the following medications is considered an Angiotensin Converting Enzyme (ACE) Inhibitor? (Select ALL that apply.)(SATA)
      A)Captopril.
      B)Losartan.
      C)Lisinopril.
      D)Metoprolol.
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    Exam Review

    1. A client has a new prescription for albuterol (Proventil) to be given by inhalation through a metered-dose inhaler (MDI). Which of the following education should the nurse include?
      A)Wait at least 1 minute in between puffs of the same drug.
      B)Wait at least 5 minutes in between puffs of the same drug.
      C)If two medications are to be given via inhalation, bronchodilators should be given last.
      D)Do not rinse mouth and space to decrease unpleasant taste.
    2. The nurse is explaining the differences between brand and generic name drugs to a client.The nurse understands that brand name medications are:
      A)More expensive than generic name medications.
      B)Less effective than generic name medications.
      C)The same in composition as generic name medications.
      D)More widely prescribed than generic name medications.
    3. A client is prescribed ethinyl estradiol and drospirenone (Yasmin) to prevent pregnancy.The client missed three days of her medication.What is an appropriate client education for this client?(SATA)
      A)Take one dose as soon as possible and continue with the regular schedule.
      B)Use an alternative form of contraception for 7 days.
      C)Take two doses the next two days and use an additional form of contraception for 7 days.
      D)Continue taking the medication as prescribed.
    4. Which of the following medication classifications is not considered a cytotoxic chemotherapy agent?
      A)Alkylating agents.
      B)Antitumor antibiotics.
      C)Opiate antagonists.
      D)Antimetabolites.
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