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    Exam Review

    1. A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
      A)Lactated Ringer's
      B)Dextrose 10% in water
      C)Dextrose 5% in 0.9% sodium chloride
      D)0.45% sodium chloride
    2. A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
      A)"A headache is an expected adverse effect of the medication."
      B)"A headache indicates tolerance to the medication."
      C)"A headache is an indication of an allergy to the medication."
      D)"A headache is likely due to the anxiety about the chest pain."
    3. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
      A)Platelets 150,000/mm
      B)CD4-T-cell count 180 cells/mm
      C)Positive Western blot test
      D)WBC 5,000/mm
    4. The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?
      A)Notify the provider.
      B)Return the medication to the pharmacy
      C)Discard the medication.
      D)Give the medication.
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    Exam Review

    1. A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?
      A)Weak, irregular pulse
      B)Hyperactive reflexes
      C)Hyperactive bowel sounds
      D)Extreme thirst
    2. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
      A)"Both heparin and warfarin work together to dissolve the clots."
      B)"I will call the provider to get a prescription for discontinuing the IV heparin today,"
      C)"The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay."
      D)"Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."
    3. A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?
      A)"Discontinue the medication and notify your provider."
      B)"Place a humidifier at your bedside every evening."
      C)"Administer the medication with food."
      D)"Chew on sugarless gum or suck on hard, sour candies."
    4. A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)
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    Exam Review

    1. A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many ml. should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer?
      A)Disulfiram
      B)Methadone
      C)Diazepam
      D)Buprenorphine
    3. A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms?
      A)Cromolyn via metered-dose inhaler
      B)Montelukast orally
      C)Budesonide via dry powder inhaler
      D)Albuterol via jet nebulizer
    4. A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?
      A)Atropine
      B)Heparin
      C)Furosemide
      D)Dexamethasone
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    Exam Review

    1. A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?
      A)The client has a history of bronchial asthma.
      B)The client has a history of hypothyroidism.
      C)The client has a history of migraine headaches.
      D)The client has a history of hypertension.
    2. A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
      A)"Maintain stable blood glucose levels."
      B)"Examine your feet carefully every day."
      C)"Have an eye examination once per year."
      D)"Wear compression stockings daily."
    3. A nurse is assessing a client at a dermatology clinic. Which of following findings places the client at risk for developing malignant melanoma?
      A)Age 19 to 30 years
      B)Dark hair
      C)History of chronic skin irritation
      D)Female gender
    4. A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?
      A)Decrease in level of thyroxine (T4)
      B)Increase in hr of sleep per night
      C)Decrease in level of thyroid stimulating hormone (TSH).
      D)Increase in weight
    Page 4 of 13

    Exam Review

    1. A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?
      A)Cimetidine
      B)Dextromethorphan
      C)Prednisone
      D)Atorvastatin
    2. A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
      A)Take the medication with meals.
      B)Check the pulse after medication administration.
      C)Rinse the mouth after administration.
      D)Limit caffeine intake.
    3. A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
      A)"It is caused by the lack of production of aldosterone by the adrenal gland."
      B)"It is caused by the overproduction of growth hormone by the pituitary gland."
      C)"It is caused by the lack of production of insulin by the pancreas."
      D)"It is caused by the overproduction of parathormone by the parathyroid gland."
    4. A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?
      A)"Take this mediation with a high-fat meal."
      B)"Take this medication every night before sleep."
      C)"Monitor for peripheral edema."
      D)"Avoid activities that require alertness, such as driving"
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    Exam Review

    1. A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?
      A)Frequent mood changes
      B)Sensitivity to cold
      C)Weight gain of 4.5 kg (10 lb) in 3 weeks
      D)Constipation
    2. A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority?
      A)Pupil reaction
      B)Urine output
      C)Bowel sounds
      D)Respiratory rate
    3. A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?
      A)Epinephrine
      B)Protamine
      C)Atropine
      D)Vitamin K
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