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    Exam Review

    1. A nurse is assessing a client who started taking furosemide 2 days ago and has a potassium level of 3.1 mEq/L (3.5 to 5 mEq/L). Which of the following findings should the nurse expect?
      A)Muscle rigidity of the extremities.
      B)Bounding radial pulses.
      C)Depressed deep tendon reflexes.
      D)Increased bowel motility.
    2. A nurse is reviewing the lab work of a client on a medical-surgical unit who has a new prescription for captopril.Which of the following laboratory values should the nurse identify as the priority to monitor?
      A)Alanine aminotransferase.
      B)Thyroid-stimulating hormone.
      C)Potassium.
      D)Magnesium.
    3. A nurse is caring for a client who has varicella-zoster virus.Which of the following medications should the nurse expect to administer?
      A)Acyclovir.
      B)Vancomycin.
      C)Gentamicin.
      D)Quinine.
    4. A nurse is monitoring a client who is receiving a continuous IV infusion of dopamine.Which of the following findings requires immediate intervention by the nurse?
      A)Infiltration of the peripheral IV.
      B)Increased blood pressure.
      C)Occasional premature ventricular complexes (PVCs).
      D)Heart rate 105/min.
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    Exam Review

    1. A nurse is teaching a client who has a new prescription for isoniazid to treat tuberculosis.Which of the following information should the nurse include in the teaching?
      A)“You will need to have frequent sputum tests to monitor the effectiveness of this medication.”.
      B)“You will be able to stop taking this medication after 1 month.”.
      C)“You can take an antacid containing aluminum at the same time as this medication.”.
      D)“You can expect to have constipation while taking this medication.”. . . .
    2. A nurse is preparing to administer topotecan IV to a client.Which of the following medications should the nurse expect to administer to treat the adverse effects of topotecan?
      A)Granisetron.
      B)Insulin lispro.
      C)Docusate sodium.
      D)Prednisone.
    3. A nurse is caring for a client who has a prescription for terazosin.The nurse should identify that this medication is indicated for which of the following disorders?
      A)Hypertension.
      B)Heart failure.
      C)Male pattern baldness.
      D)Benign prostatic hypertrophy.
      E)Erectile dysfunction.
    4. A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide.The nurse should explain to the client that leuprolide treats prostate cancer by which of the following actions?
      A)“Leuprolide decreases the production of testosterone.”.
      B)“Leuprolide kills cells at all stages of cellular division.”.
      C)“Leuprolide increases estrogen levels in your body to counteract the cancer cells.”.
      D)“Leuprolide suppresses the pituitary gland’s production of growth hormone to decrease cancer cellular growth.”. . . .
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    Exam Review

    1. A nurse is assessing a client who has a prescription for haloperidol 0.5 mg PO three times daily.The medication administration record shows that the client received 5 mg per dose on the previous day.Which of the following manifestations is the nurse’s priority to assess?
      A)Constipation.
      B)Dry mouth.
      C)Daytime drowsiness.
      D)Muscle stiffness.
    2. A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. The client states, “I don’t want to take that pill because it makes me feel nauseated.”. Which of the following actions should the nurse take? (Select all that apply.)(SATA)
      A)Educate the client about the possible consequences of not taking the medication.
      B)Suggest the client take food with the medication to minimize GI effects.
      C)Document the client’s refusal in the medication administration record.
      D)Recommend the client ask the provider to prescribe an enteric-coated medication.
    3. A nurse is caring for a client who has chemotherapy-induced anemia.The nurse should expect to administer which of the following medications to treat the anemia?
      A)Sargramostim.
      B)Filgrastim.
      C)Epoetin.
      D)Romiplostim.
    4. A nurse is obtaining vital signs for a client who has been taking propranolol.Which of the following findings should the nurse identify as an adverse effect of the medication?
      A)Respiratory rate 24/min.
      B)Oral temperature 38.9° C (102°F).
      C)Blood pressure 118/78 mm Hg.
      D)Apical pulse 50/min.
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    Exam Review

    1. A nurse is preparing to administer topotecan IV to a client.Which of the following medications should the nurse expect to administer to treat the adverse effects of topotecan?
      A)Granisetron.
      B)Insulin lispro.
      C)Docusate sodium.
      D)Prednisone.
    2. A nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate.During previous infusions, the client developed a fever and chills.Which of the following actions should the nurse take?
      A)Apply a warming blanket prior to administration.
      B)Infuse the medication over 1 hr.
      C)Administer diphenhydramine prior to administration.
      D)Monitor vital signs once per hour following administration.
    3. A nurse is caring for a client who has a prescription for a hypotonic IV fluid. Which of the following solutions should the nurse expect to administer?
      A)Lactated Ringer’s.
      B)0.9% sodium chloride.
      C)3% sodium chloride.
      D)0.45% sodium chloride.
    4. A nurse is caring for a client who has a new prescription for alosetron.Which of the following therapeutic effects should the nurse expect the client to experience?
      A)A decrease in the amount of gastric acid production.
      B)A decrease in the frequency of defecation.
      C)An increase in gastric motility.
      D)An increase in the absorption of water into the intestine.
    Page 4 of 12

    Exam Review

    1. A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide.The nurse should explain to the client that leuprolide treats prostate cancer by which of the following actions?
      A)“Leuprolide decreases the production of testosterone.”.
      B)“Leuprolide kills cells at all stages of cellular division.”.
      C)“Leuprolide increases estrogen levels in your body to counteract the cancer cells.”.
      D)“Leuprolide suppresses the pituitary gland’s production of growth hormone to decrease cancer cellular growth.”. . . .
    2. A nurse is caring for a client who is having difficulty voiding following surgery.The nurse notes palpable bladder distention.Which of the following medications should the nurse anticipate administering to the client?
      A)Lorazepam.
      B)Bethanechol.
      C)Atropine.
      D)Furosemide.
    3. A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma.Which of the following client statements indicates an understanding of the teaching?
      A)“It’s okay to put the drops in my eyes while I’m wearing my contacts.”.
      B)“I can expect to feel some irritation when I put these drops in my eyes.”.
      C)“I should expect to stop taking the medication after 3 weeks.”.
      D)“These eye drops might change the color of my eyes.”.
    4. A nurse is providing teaching to a client who has a new prescription for ciprofloxacin.Which of the following client statements indicates an understanding of the teaching?
      A)“I will stop taking this medication when I feel better.”.
      B)“This medication can increase my risk of sunburn.”.
      C)“I should take my medication daily in the morning with milk.”.
      D)“I should stop taking my birth control pills while I’m taking this medication.”. . . .
    Page 5 of 12

    Exam Review

    1. A nurse is caring for a client who received two doses of albuterol via nebulizer.Which of the following findings should the nurse expect during an assessment?
      A)Bradycardia.
      B)Wheezing.
      C)Tremors.
      D)Sleepiness.
    2. A nurse is planning a staff education session about adverse effects of medications.Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications?(SATA)
      A)Blurred vision.
      B)Polyuria.
      C)Productive cough.
      D)Tachycardia.
      E)Constipation.
    3. A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer.Which of the following information should the nurse include in the teaching?
      A)Increase calcium intake.
      B)Keep the solution cold for administration.
      C)This medication can cause low blood glucose levels.
      D)This medication can cause constipation.
    4. A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction.The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?
      A)Increased heart rate.
      B)Increased blood pressure.
      C)Decreased pulmonary congestion.
      D)Decreased anginal pain.
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