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    Exam Review

    1. A nurse is assessing a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse recognize as a therapeutic effect?
      A)Decreased dysrhythmias
      B)Increased urine output
      C)Increased pulse
      D)Decreased blood pressure
    2. A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?
      A)Prevents dysrhythmias
      B)Dissolves blood clots
      C)Slows intestinal motility
      D)Relieves pain
    3. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?
      A)Blurred vision
      B)Muscle weakness
      C)Orthostatic hypotension
      D)Urinary retention
    4. A 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)Atropine
      B)Vitamin K
      C)Epinephrine
      D)Protamine
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    Exam Review

    1. A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide?
      A)Do not use salt substitutes while taking this medication.
      B)Take the medication with food.
      C)Count your pulse rate before taking the medication.
      D)Expect to gain weight while taking this medication.
    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 providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
      A)"Now I will not have to diet to lose weight"
      B)"The extra letters after the name of medication means it is a stronger dose."
      C)"With the new medication, I should experience fewer side effects."
      D)"I will not have to do anything different because it is the same medication."
    4. A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?
      A)Migraines
      B)Asthma
      C)Glaucoma
      D)Depression
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    Exam Review

    1. A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer?
      A)Potassium iodide
      B)Furosemide
      C)Lisinopril
      D)Digoxin
    2. A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?
      A)Vitamin K
      B)Acetylcysteine
      C)Deferasirox
      D)Protamine sulfate
    3. A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?
      A)Hyperthermia
      B)Muscle pain
      C)Ototoxicity
      D)Hypotension
    4. A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
      A)Systolic blood pressure is increased
      B)Urine output is reduced
      C)Apical heart rate is increased
      D)Cardiac output is reduced
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    Exam Review

    1. A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
      A)"The oral medication you will take after this IV will dissolve the clot."
      B)"A pharmacist is the person to answer that question."
      C)"It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
      D)"Heparin does not dissolve clots. It stops new clots from forming."
    2. A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?
    3. A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?
      A)"I take this medication at the same time each day."
      B)"I had my INR checked three weeks ago."
      C)"I eat a green salad every night with dinner."
      D)"I have started taking ginger root to treat my joint stiffness."
    4. A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?
      A)"I've had a backache for several days."
      B)"I can walk a mile a day."
      C)"I am urinating more frequently."
      D)"I feel nauseated and have no appetite."
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    Exam Review

    1. A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
      A)Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion.
      B)Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side.
      C)Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body.
      D)Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body.
    2. 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)Liver function tests
      B)Hearing test
      C)Papanicolaou test
      D)Dental examination
    3. A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client indicates an understanding of the teaching?
      A)"It is not necessary to have routine lab tests done."
      B)"I will avoid drinking grapefruit juice."
      C)"I should take this medication without food."
      D)"I should expect my stools to turn clay-colored."
    4. A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
      A)Hemoglobin (Hgb)
      B)Prothrombin time (PT)
      C)Bleeding time
      D)Activated partial thromboplastin time (aPTT)
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    Exam Review

    1. A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is preparing to administer atenolol 25 mg PO every 12 hr. The amount available is atenolol 50 mg/tab. How many tablets 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.)
    3. A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?
      A)Insert the needle at a 45° angle.
      B)The nurse should not expel the air bubble in the prefilled syringe.
      C)Administer the medication 2.54 cm (1 in) from the umbilicus.
      D)Aspirate for a blood return before depressing the plunger.
    4. A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer? (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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