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    Exam Review

    1. A nurse in a provider's office is caring for a client. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse in a provider's office is caring for a client.

      Exhibits
      Click to highlight the findings from the current visit that indicate an improvement in the client's condition. To deselect a finding, click on the finding again.
       

      Nurses' Notes

      Current visit:

      Client here for follow-up visit. Was seen 1 week ago for worsening manifestations of heart failure. +1 nonpitting edema noted to feet and ankles. Client reports shortness of air improved and only occurs with significant exertion. Also states has more energy and is sleeping better. Client does report episodes of nausea and decreased appetite. Also states has had occasional dizziness. Today's weight is 78.9 kg (174 lb).

    2. A nurse is caring for a client in a provider's office. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for a client in a provider's office.

      Exhibits
      Click to highlight the findings that indicate an adverse effect of the medication. To deselect a finding, click on the finding again.
       

      Nurses' Notes

      Today:

      Client returns for follow-up visit after starting labetalol. Client reports feeling more tired since starting the medication and is having trouble sleeping. Client states. "I have also had loose stools several times this week and often get dizzy whenever I stand up."

      Vital Signs

      Today:

      Temperature 37° C (98.6°F)

      Heart rate 56/min

      Respiratory rate 14/min

      Blood pressure 118/76 mm Hg

    3. A nurse in an outpatient clinic is caring for a client. Exhibits Complete the following sentence by using the lists of options. The client has the highest risk for developing ▾ Rhabdomyolysis due to  ▾ new onset of worsening leg pain, weakness, and elevated creatinine kinase (CK) levels;
      Dropdown 1:
      Option 1: gastrointestinal bleeding
      Option 2: kidney failure
      Option 3: Rhabdomyolysis
      Dropdown 2:
      Option 1: new onset of worsening leg pain, weakness, and elevated creatinine kinase (CK) levels
      Option 2: new onset of indigestion, bloating,
      Option 3: recent medication initiation
    4. A charge nurse is educating a newly licensed nurse about total parenteral nutrition (TPN) therapy. Which of the following statements indicates an understanding of the teaching?
      A)"I should administer TPN intravenously over 6 hr."
      B)"Clients who require long-term nutritional support are prescribed TPN."
      C)"I should check the client's gastric residual prior to initiating TPN."
      D)"TPN is administered for clients who are unable to absorb nutrients from their intestinal tract."
    Page 1 of 17

    Exam Review

    1. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following findings should the nurse identify as an indication of hypokalemia?
      A)Diarrhea
      B)Elevated blood pressure
      C)Muscle weakness
      D)Tetany
    2. A nurse is assessing a client who has heart failure and is receiving furosemide BID via IV bolus. Which of the following findings should the nurse identify as an adverse effect of the medication?
      A)Hypoglycemia
      B)Frequent premature ventricular contractions
      C)Decrease in LDL cholesterol and triglycerides
      D)Blood pressure 138/86 mm Hg
    3. A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?
      A)1100
      B)2200
      C)1300
      D)1700
    4. A nurse is assessing a client who is receiving nebulized albuterol. The nurse should identify which of the following as an adverse effect of albuterol?
      A)Respiratory rate 14/min
      B)Blood pressure 108/60 mm Hg
      C)Heart rate 112/min
      D)Temperature 38.3° C (101° F)
    Page 2 of 17

    Exam Review

    1. A nurse is assessing a client who is receiving nebulized albuterol. The nurse should identify which of the following as an adverse effect of albuterol?
      A)Respiratory rate 14/min
      B)Blood pressure 108/60 mm Hg
      C)Heart rate 112/min
      D)Temperature 38.3° C (101° F)
    2. A nurse is caring for a client who is prescribed warfarin. Which of the following actions should the nurse take?
      A)Monitor the client's prothrombin time.
      B)Increase the client's dietary intake of vitamin K.
      C)Administer protamine sulfate if the client experiences an overdose.
      D)Teach the client that St. John's wort increases the effects of the medication.
    3. A nurse is administering medications to a client. Which of the following medications should the nurse plan to administer by a parenteral route?
      A)Fondaparinux
      B)Simvastatin
      C)Hydrochlorothiazide
      D)Captopril
    4. A nurse is caring for a client who received verapamil 1 hr ago and now has a blood pressure of 80/54 mm Hg. Which of the following actions should the nurse plan to take?
      A)Administer supplemental oxygen.
      B)Position the client's legs in a dependent position.
      C)Administer a bolus of IV fluids.
      D)Administer a dose of IV diphenhydramine.
    Page 3 of 17

    Exam Review

    1. A nurse is monitoring a client who is receiving morphine IV and amitriptyline PO. Which of the following findings indicates an adverse interaction between the prescribed medications?
      A)Diarrhea
      B)Low-grade fever
      C)Tachypnea
      D)Urinary retention
    2. A nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer?
      A)Morphine
      B)Acetaminophen
      C)Ibuprofen
      D)Aspirin
    3. A nurse is preparing to administer a subcutaneous injection of heparin to a client. Which of the following actions should the nurse plan to take?
      A)Monitor INR levels.
      B)Withhold the medication for an elevated platelet count.
      C)Validate the dosage with a second nurse.
      D)Aspirate before administering the medication.
    4. A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?
      A)Recurrent headaches
      B)Hypothyroidism
      C)BP 92/60 mm Hg
      D)History of alcohol use disorder
    Page 4 of 17

    Exam Review

    1. A nurse is teaching a client who is taking intranasal calcitonin to alternate nares daily when administering the medication. Which of the following adverse effects should the nurse expect to improve following the teaching?
      A)Dyspnea on exertion
      B)Warmth of the face
      C)Esophagitis
      D)Rhinitis
    2. A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings should indicate to the nurse the client is experiencing an allergic reaction to the medication?
      A)Laryngeal edema
      B)Diarrhea
      C)Nausea
      D)Cardiac dysrhythmia
    3. A nurse is evaluating a return demonstration of enoxaparin administration by a client. Which of the following client actions indicates an understanding of the teaching?
      A)Releases the skin fold before injecting the medication
      B)Massages the site to enhance absorption
      C)Aspirates the medication after injection
      D)Administers injection in abdomen
    4. A nurse is caring for a client who is experiencing acetaminophen toxicity. The nurse should recognize that which of the following is the antidote used to reverse this toxicity?
      A)Acetylcysteine
      B)Atropine
      C)Prussian blue
      D)Digoxin immune fab
    Page 5 of 17

    Exam Review

    1. A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
      A)"Your urine will turn orange while you are taking this medication."
      B)"This medication will not interfere with the effectiveness of oral contraceptives."
      C)"You should take this medication once each day at bedtime."
      D)"You can continue to wear soft contact lenses while taking this medication."
    2. A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?
      A)Don a protective gown.
      B)Apply gloves.
      C)Wear an N95 mask
      D)Handle in an area with controlled ventilation.
    3. A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
      A)Ginkgo biloba
      B)Coenzyme Q10
      C)Valerian
      D)Probiotics
    4. A nurse is preparing to administer an IM injection to an infant. Which of the following injection sites should the nurse select for administering the medication?
      A)Vastus lateralis
      B)Dorsogluteal
      C)Deltoid
      D)Rectus femoris
    Page 6 of 17