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    Exam Review

    1. A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
      A)"I've been taking an antacid to help with indigestion."
      B)"I signed up for a swimming class."
      C)"The naproxen is easier to take when I crush it and put it in applesauce."
      D)"I've lost 2 pounds since my appointment 2 weeks ago."
    2. Which of the following skin conditions is characterized by depigmentation from the loss of cutaneous melanocytes in the skin?
      A)Eczema
      B)Vitiligo
      C)Psoriasis
      D)Rosacea
    3. A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?
      A)Suppresses the urge to cough
      B)Stimulates secretions
      C)Reduces inflammation
      D)Dries mucous membranes
    4. A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?
      A)Give the ordered KCL as prescribed.
      B)Call the lab to verify the client's results.
      C)Omit the KCL dose and document that it was not given.
      D)Hold the prescribed dose and notify the provider of the serum potassium level.
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    Exam Review

    1. A nurse is assessing a patient with chest pain. Which action is most appropriate to determine if the patient is experiencing a myocardial infarction?
      A)Perform a 12 lead EKG
      B)Check the patient's blood pressure
      C)Auscultate the patient's heart sounds
      D)Determine is the pain radiates to the left arm
    2. A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?
      A)"You should change positions slowly."
      B)"You should limit alcohol intake to 12 ounces daily."
      C)"You should take the medication on an empty stomach to prevent nausea."
      D)"You should expect to experience diarrhea while taking this medication."
    3. A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
      A)Eat foods that contain plenty of potassium.
      B)Take the medication at bedtime.
      C)Expect some swelling in the hands and feet.
      D)Take aspirin if headaches develop.
    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)Prevention of bipolar manic episodes
      B)Decreased blood pressure
      C)Improved sexual function
      D)Increase of HDL cholesterol
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    Exam Review

    1. Which of the following best describes heart failure?
      A)Normal cardiac output with impaired filling ability of the heart
      B)Normal cardiac output with impaired electrical conduction of the heart
      C)Decreased cardiac output due to impaired pumping ability of the heart
      D)Increased cardiac output due to excessive pumping ability of the heart
    2. What is a collapsed lung caused by escape of air into the pleural cavity called?
      A)Pneumothorax
      B)Pulmonary edema
      C)Bronchiectasis
      D)Emphysema
    3. Your patient is experiencing an asthmatic attack. Their respiratory rate is 30, 02 sats are 90% on room air and they are anxious. Which acid-base imbalance are you expecting to see when the ABG's result?
      A)Metabolic alkalosis
      B)Respiratory alkalosis
      C)Respiratory acidosis
      D)Metabolic acidosis
    4. A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
      A)Muscle pain
      B)Tinnitus
      C)Jaundice
      D)Hyperglycemia
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    Exam Review

    1. What are characteristics of a child born with trisomy 21?
      A)High muscle tone and advanced motor skills
      B)Tall stature and rapid weight gain
      C)Distinct facial characteristics and delayed physical development
      D)Normal cognitive development and speech abilities
    2. A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
      A)"Crushing is unsafe, as it destroys the ingredients in the medication."
      B)"Crushing the medication might cause you to have a stomachache or indigestion."
      C)"Crushing the medication is a good idea, and I can mix it in some ice cream for you."
      D)"Crushing the medication would release all the medication at once, rather than over time."
    3. A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching?
      A)"I will take morphine during sickle cell crisis."
      B)"I will take propranolol to manage high blood pressure."
      C)"I will take aspirin to reduce pain from my peptic ulcer.
      D)"I will take ibuprofen for arthritis."
    4. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?
      A)"If the medicine causes an upset stomach, take an antacid at the same time."
      B)"You should report any tendon discomfort you experience while taking this medication."
      C)"Limit your daily fluid intake while taking this medication."
      D)"This medication can cause photophobia, so be sure to wear sunglasses outdoors."
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    Exam Review

    1. A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?
      A)Take the medication early in the day.
      B)Muscle pain is an expected adverse effect.
      C)Take the medication on an empty stomach.
      D)Weigh weekly to monitor therapeutic effect.
    2. A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?
      A)Elevate the head of the bed.
      B)Call the client's provider.
      C)Auscultate the client's breath sounds.
      D)Stop the infusion.
    3. A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?
      A)Discard the extra medication in a sharps container.
      B)Send the waste amount to the pharmacy.
      C)Save the extra medication for a later dosing.
      D)Have another nurse witness the disposal of the extra medication.
    4. A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?
      A)Instruct the client to report agitation.
      B)Administer the medicine with food.
      C)Limit the client's fluid intake.
      D)Monitor the serum medication levels.
    Page 5 of 10

    Exam Review

    1. Based on your patient's ABG's what acid-base imbalance is present? pH 7.30 HCO3 23 PaCO2 49.
      A)Respiratory alkalosis
      B)Respiratory acidosis
      C)Metabolic alkalosis
      D)Metabolic acidosis
    2. A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes chlorpromazine 50 mg IM every 4 hr as needed. Available is chlorpromazine injection 25 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider?
      A)Dry oral mucous membranes
      B)Increased appetite
      C)Sedation
      D)White coating in the mouth
    4. Select the answer that is NOT a possible complication from a severe burn
      A)Respiratory distress
      B)Hypovolemic shock
      C)Heart failure
      D)Infection
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