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    Exam Review

    1. 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 likely due to the anxiety about the chest pain."
      B)"A headache indicates tolerance to the medication."
      C)"A headache is an expected adverse effect of the medication."
      D)"A headache is an indication of an allergy to the medication."
    2. A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?
      A)Do not perform reconciliation for a client at discharge from a health care facility.
      B)Provide a list of the client's current medications during admission to a health care facility.
      C)Provide a list of the client's current medications during the change of shift report.
      D)Do not include over-the-counter medications in the medication reconciliation report.
    3. A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?
      A)Prevention of opportunistic infections
      B)Improvement of impaired vision
      C)Alleviate Helicobacter pylori
      D)Relief of gastrointestinal pain
    4. A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
      A)Drowsiness
      B)Constipation
      C)Hypoactive deep-tendon reflexes
      D)Insomnia
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    Exam Review

    1. A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I’ll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart."
      B)“I’ll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting."
      C)"I’ll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period."
      D)"I’ll dial 911 when I have pain and then take the nitroglycerin tablets."
    2. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority?
      A)Monitor the client for hypoglycemia.
      B)Notify the nurse manager.
      C)Give the client 15 to 20 g of carbohydrate.
      D)Complete an incident report.
    3. A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of the following baseline examinations should the nurse include in the teaching?
      A)Dental examination
      B)Liver function tests
      C)Hearing test
      D)Papanicolaou test
    4. A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?
      A)"Expect urine to turn dark orange."
      B)"Take this medication with an antacid."
      C)"Drink 1,000 milliliters of fluid daily."
      D)"Monitor for tendon pain."
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    Exam Review

    1. A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
      A)Insulin detemir
      B)NPH insulin
      C)Insulin glargine
      D)Regular insulin
    2. A nurse is preparing to administer medications to a client who states, "I don't want to take those drugs." Which of the following actions should the nurse take?
      A)Ask the client why he is refusing to take the medications.
      B)Explain the purpose for the medications.
      C)Document that the client refuses the medications.
      D)Tell the client the physician wants him to take the medications.
    3. A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?
      A)Alcohol
      B)Milk
      C)Grapefruit juice
      D)Coffee
    4. A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?
      A)Decreased blood pressure
      B)Improved sexual function
      C)Increase of HDL cholesterol
      D)Prevention of bipolar manic episodes
    Page 3 of 25

    Exam Review

    1. A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide?
      A)Expect to have a fever for the first days of therapy.
      B)Drink 2 to 3 L of water per day while on the medication.
      C)Take the medication in the morning to prevent insomnia.
      D)Administer the medication with an NSAID to enhance effectiveness.
    2. A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)(SATA)
      A)"I will take this medication when I need it for pain."
      B)"I should expect my stools to turn black."
      C)"I can take this medication with or without food."
      D)"I will eat five small meals each day."
      E)"I will take this medication with an antacid."
      F)"I will take this medication in the morning."
    3. A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times?
      A)0745
      B)0730
      C)0720
      D)0815
    4. A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
      A)14 units
      B)28 units
      C)42 units
      D)32 units
    Page 4 of 25

    Exam Review

    1. A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?
      A)Supine
      B)Lying on the right side
      C)Prone position
      D)Sim's position
    2. 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 hypertension.
      B)The client has a history of hypothyroidism.
      C)The client has a history of bronchial asthma.
      D)The client has a history of migraine headaches.
    3. A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply)(SATA)
      A)Irritability
      B)Euphoria
      C)Chronic pain
      D)Insomnia
      E)Low self-esteem
    4. A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply)(SATA)
      A)Irritability
      B)Euphoria
      C)Chronic pain
      D)Insomnia
      E)Low self-esteem
    Page 5 of 25

    Exam Review

    1. A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following instructions should the nurse include?
      A)"Discard the medication if it is cloudy."
      B)"Take this medication15 minutes before meals."
      C)"Briskly shake the medication before filling the syringe."
      D)"Eat a snack 8 hours after taking this medication."
    2. A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take?
      A)Inject the medication into the abdomen above the level of the iliac crest
      B)Use a 1-inch needle to inject the medication.
      C)Use a 22-gauge needle to inject the medication.
      D)Massage the injection site after administration of the medication.
    3. 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)Discard the medication.
      B)Return the medication to the pharmacy.
      C)Notify the provider.
      D)Give the medication.
    4. A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?
      A)Inject the insulin into a large muscle.
      B)Aspirate the medication prior to administration.
      C)Keep the open vial of insulin at room temperature.
      D)Administer the insulin in two separate injections.
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