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    Exam Review

    1. A nurse is preparing to administer medication to a post-operative client. Which of the following prescriptions should the nurse verify with the provider?
      A)Morphine 4 mg IV every 4 hr PRN pain.
      B)Hydromorphone 2 mg IV every 2 hr PRN severe pain.
      C)Ondansetron 4 mg PO every 8 hr PRN nausea.
      D)Docusate sodium 240 mg PO daily PRN constipation.
    2. A nurse in the emergency department is caring for a client who accidentally doubled their last dose of diazepam. After assessing the client, which of the following medications should the nurse plan to administer?
      A)Disulfiram.
      B)Flumazenil.
      C)Naloxone.
      D)Dantrolene.
    3. A nurse is reviewing the laboratory results for a client who is taking warfarin following orthopedic surgery. Which of the following results should the nurse report to the provider?
      A)PT 15.5 seconds (11 to 12.5 seconds).
      B)aPTT 45 seconds (30 to 40 seconds).
      C)INR 5.2 (0.8 to 1.1).
      D)Platelet count 90,000/mcL (150,000 to 400,000/mcL).
    4. A nurse is caring for a client who is prescribed cyclosporine. Which of the following findings should the nurse report to the provider immediately?
      A)The client requests to have grapefruit juice.
      B)Increased serum bilirubin level.
      C)The client reports hair growth on their body.
      D)Blood pressure 128/82 mm Hg.
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    Exam Review

    1. A nurse is providing teaching to a client about proper administration of a medication regarding meals. The nurse should instruct the client that the presence of food will alter the rate of which of the following pharmacokinetic processes?
      A)Distribution.
      B)Metabolism.
      C)Excretion.
      D)Absorption.
    2. A nurse is providing teaching to a client who is scheduled to receive chemotherapy and has a prescription for ondansetron to control nausea and vomiting. Which of the following information should the nurse include in the teaching?
      A)Restlessness is an expected adverse effect of the medication.
      B)Take the medication 30 minutes after chemotherapy.
      C)Acute nausea resolves within 12 hours of chemotherapy administration.
      D)Additional medications can be required if nausea persists.
    3. A nurse is preparing to administer medications to a client. The client tells the nurse "I will take the pills but not that liquid medication.”. Which of the following actions should the nurse take?
      A)Document the reason for the missed dose of medication in the nurses notes.
      B)Ask an assistive personnel (AP) to ensure the client drinks the medication after breakfast.
      C)Notify the pharmacist that the client is refusing to take the medication.
      D)Mix the medication in juice on the client's breakfast tray.
    4. A nurse is assessing a client who is taking codeine 60 mg PO every 4 hr as necessary to suppress a cough. Which of the following findings is the priority for the nurse to report to the provider?
      A)Constipation.
      B)Dry mouth.
      C)Agitation.
      D)Urinary retention.
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    Exam Review

    1. A nurse in the emergency department is planning care for a client who had a myocardial infarction and is receiving thrombolytic therapy with an IV infusion of alteplase. Which of the following interventions should the nurse include in the plan?
      A)Administer aspirin instead of acetaminophen for fever.
      B)Ambulate the client as often as tolerated.
      C)Administer a sodium phosphate enema for constipation.
      D)Monitor for changes in level of consciousness.
    2. A nurse is planning care for a client who has asthma and a prescription for methylprednisolone. Which of the following laboratory values should the nurse monitor while the client is receiving this medication?
      A)Aspartate aminotransferase (AST).
      B)Fibrin split products.
      C)BUN.
      D)Glucose.
    3. A nurse is providing teaching to a client who has new prescriptions for beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching?
      A)Gargle with water after using beclomethasone.
      B)It is not necessary to shake beclomethasone prior to use.
      C)Use beclomethasone for an acute asthma attack.
      D)Use beclomethasone before using albuterol to increase absorption.
    4. A nurse is preparing to administer ampicillin/sulbactam 1.5 g via intermittent IV bolus. Available is ampicillin/sulbactam 1.5 g in 0.9% sodium chloride 100 mL to infuse over 30 min. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
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    Exam Review

    1. A nurse is reviewing the medication list of a client who has a new prescription for clopidogrel after undergoing coronary artery stenting. Which of the following findings should the nurse report to the provider?
      A)The client is taking acetaminophen.
      B)The client is taking valerian.
      C)The client is taking vitamin B.
      D)The client is taking ginkgo biloba.
    2. A nurse is caring for a client who is taking lovastatin and has a new prescription for ezetimibe to lower cholesterol levels. Which of the following laboratory values should the nurse monitor?
      A)Calcium.
      B)Creatinine clearance.
      C)Thyroid stimulating hormone (TSH).
      D)Alanine aminotransferase (ALT).
    3. A nurse is preparing to administer topotecan IV for a client who has metastatic ovarian cancer. Which of the following medications should the nurse expect to administer to control the adverse effects of topotecan?
      A)Insulin lispro via subcutaneous injection.
      B)Granisetron via transdermal patch.
      C)Magnesium sulfate via intermittent IV bolus.
      D)Prednisone via oral administration.
    4. A nurse is assessing a client who has Parkinson's disease and is taking levodopa/carbidopa. The nurse observes that the client has tremors and twitching. Which of the following medications should the nurse anticipate administering?
      A)Metoprolol.
      B)Bethanechol.
      C)Amantadine.
      D)Gabapentin.
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    Exam Review

    1. A nurse is planning care for a client who has a prescription for acetazolamide. Which of the following findings should the nurse plan to monitor for as an adverse effect of this medication?
      A)Bronchospasm.
      B)Constipation.
      C)Diplopia.
      D)Electrolyte imbalance.
    2. A nurse is administering haloperidol to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor?
      A)Gingival hyperplasia.
      B)Muscle rigidity.
      C)Polyuria.
      D)Bruising.
    3. A nurse is assessing a client prior to administration of atenolol and finds that the client's apical heart rate is 61/min. Which of the following actions should the nurse take?
      A)Administer half the dose now and the other half in 30 min.
      B)Withhold the medication and contact the provider for further instructions.
      C)Administer the prescribed dose to the client.
      D)Prepare to administer atropine to the client.
    4. A nurse is monitoring a client who is receiving warfarin and has an INR of 4 (0.8 to 1.1). Which of the following medications should the nurse plan to administer?
      A)Vitamin K.
      B)Protamine.
      C)Calcium gluconate.
      D)Epinephrine.
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    Exam Review

    1. A nurse is assessing a client who is receiving IV furosemide for peripheral edema. Which of the following findings should the nurse identify as an indication that the client is developing dehydration?
      A)Urine output of 240 mL in a 12-hr period.
      B)BUN 18 mg/dL (10 to 20 mg/dL).
      C)Weight loss of 0.61 Kg (1.34 Ib) in 24 hr.
      D)Blood pressure 100/70 mm Hg.
    2. A nurse is providing teaching to an adolescent who has a prescription for cromolyn for the management of asthma. Which of the following statements by the adolescent indicates an understanding of the teaching?
      A)"I use this medication every day, even when I have no symptoms.”.
      B)"I should use this medication as soon as I feel like I am going to start to wheeze.”.
      C)"I will be sure to call the doctor if I don't feel better in a week.”.
      D)"When I know I am going to play softball, I use the medication 2 hours before I start.”.
    3. A nurse is assessing a client who is receiving androgen therapy to treat endometriosis. For which of the following adverse effects should the nurse monitor?
      A)Weight loss.
      B)Hypotension.
      C)Muscle hypertrophy.
      D)Edema.
    4. A nurse is caring for a client who has a new prescription for an ipratropium inhaler to control COPD bronchospasm. For which of the following adverse effects should the nurse monitor?
      A)Xerostomia.
      B)Periorbital edema.
      C)Bradycardia.
      D)Dental caries.
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