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    Exam Review

    1. A nurse is caring for a client in a clinic. Exhibits Select the 4 findings that indicate an Improvement in the client's condition.(SATA)
      A)Temperature
      B)Mood
      C)Weight
      D)Heart rate
      E)Sleep pattern
      F)Respiratory rate 16/min
    2. A nurse is caring for a client in the emergency department. Exhibits Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing  ▾ Hypokalemia and ▾ Hypotension  
      Dropdown 1:
      Option 1: Hypokalemia
      Option 2: Hypoglycemia
      Option 3: Hypotension
      Option 4: Hypercalcemia
      Option 5: Hypernatremia
      Dropdown 2:
      Option 1: Hypokalemia
      Option 2: Hypoglycemia
      Option 3: Hypotension
      Option 4: Hypercalcemia
      Option 5: Hypernatremia
    3. A nurse is providing teaching to a client who has a new prescription for folic acid. The client states, "I thought that was only given during pregnancy." Which of the following statements should the nurse make?
      A)"Folic acid is important for stimulating the immune system."
      B)"Folic acid is given to increase the absorption of other medications."
      C)"Folic acid is administered to minimize the manifestations of benign prostatic hyperplasia."
      D)"Folic acid is important for the building of blood cells."
    4. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate-release exenatide. Which of the following client statements indicates an understanding of the teaching?
      A)"I will discard the open injector pen after two months.
      B)"I will inject the medication into the muscle of my thigh."
      C)"I will store open injector pens at room temperature."
      D)"I will take this medication one hour before morning and evening meals."
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    Exam Review

    1. A nurse is reviewing the health history of a client who experiences migraine headaches and has asked about a prescription for sumatriptan. Which of the following conditions should the nurse identify as a contraindication for taking sumatriptan?
      A)Asthma
      B)Kidney disease
      C)Rheumatoid arthritis
      D)Coronary artery disease
    2. A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I should not drive while taking this medication."
      B)"This medication will help me cough up the mucus in my chest,"
      C)"I should decrease my dietary fiber intake while taking this medication."
      D)"I can chew this medication if I have difficulty swallowing."
    3. A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication?
      A)Decreased thyroxine levels
      B)Correction of atrial flutter
      C)Reduced intracranial pressure
      D)Increased hemoglobin levels
    4. A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?
      A)Phenytoin
      B)Calcitonin
      C)Buspirone
      D)Fludrocortisone
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    Exam Review

    1. A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching?
      A)"This medication can cause constipation."
      B)"I will contact the provider if my throat becomes sore."
      C)"I will weigh myself once a week while on this medication."
      D)"This medication should be taken as needed when symptoms occur."
    2. A nurse is caring for a client who has benign prostate hyperplasia (BPH) and a new prescription for doxazosin IR. Which of the following actions should the nurse plan to take first?
      A)Instruct the client to limit caffeine.
      B)Instruct the client to report headache.
      C)Measure the client's intake and output.
      D)Administer the medication at bedtime.
    3. A nurse is reviewing laboratory data for a client who is taking simvastatin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy?
      A)Elevated alanine aminotransferase (ALT)
      B)Elevated troponin T
      C)Elevated WBC count
      D)Elevated thyroid-stimulating hormone (TSH)
    4. A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam?
      A)Hyperglycemia
      B)Stomatitis
      C)Fever
      D)Constipation
    Page 3 of 13

    Exam Review

    1. A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching?
      A)"Take the medication immediately after a meal."
      B)"Drink 8 ounces of milk when taking the medication."
      C)"Take the medication before bedtime."
      D)"Take one tablet of the medication on the same date each month.”
    2. A nurse is caring for a client who has been taking lisinopril for several months. The nurse should plan to check which of the following laboratory values to monitor for adverse effects of the medication?
      A)Calcium
      B)Sodium
      C)Potassium
      D)Magnesium
    3. A nurse is providing teaching to a client who is starting to take finasteride for the treatment of male pattern baldness. Which of the following" statements by the client indicates an understanding of the teaching?
      A)"This medication can increase the size of my prostate gland."
      B)"This medication can increase my risk for impotence."
      C)"This medication might increase the amount of ejaculate."
      D)"This medication should increase my hair growth in 1 month."
    4. A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)(SATA)
      A)Contact the provider.
      B)Report the error to the charge nurse.
      C)Place an incident report in the client's chart.
      D)Auscultate the client's lungs.
      E)Check the client for peripheral edema.
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    Exam Review

    1. A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: "Diphenhydramine 50 mg by mouth once, one hour prior to transfusion." The nurse should identify this as which of the following types of prescription?
      A)PRN prescription
      B)Standing prescription
      C)Stat prescription
      D)Single prescription
    2. A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)(SATA)
      A)Glucose
      B)Prothrombin time
      C)Serum creatinine
      D)Cardiac enzymes
      E)WBC count
    3. A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following Instructions should the nurse include in the teaching?
      A)"Take this medication with meals."
      B)"Reduce dietary fiber while taking the medication."
      C)"Administer an antacid with the medication."
      D)"Increase fluid intake while taking the medication."
    4. A nurse is providing teaching to a client who has erectile dysfunction and has a new prescription for tadalafil. Which of the following client statements indicates an understanding of the teaching?
      A)"I should crush this medication if I have difficulty swallowing."
      B)"This medication can decrease my blood pressure."
      C)"I can take this medication up to twice a day."
      D)"The effects of this medication will not last more than 4 hours."
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    Exam Review

    1. A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following findings as an adverse effect of this medication?
      A)Dependent edema
      B)Muscle tenderness
      C)Tremors
      D)Hyperkalemia
    2. A nurse is providing teaching to a client who has a new prescription for Lisinopril. Which of following statements by the client indicates an understanding of the teaching?
      A)"I should report a persistent cough to my provider."
      B)"I should take this medication as needed."
      C)"I should expect to have facial swelling when taking this medication."
      D)"I should increase my intake of potassium-rich foods."
    3. A nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following actions should the nurse take first?
      A)Ask the client to describe their concerns.
      B)Contact the provider who prescribed the immunization.
      C)Provide the client with education about the immunization.
      D)Document the client's refusal of the immunization.
    4. A nurse is caring for a client who has an Infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?
      A)B-type natriuretic peptide (BNP)
      B)Creatinine
      C)Amylase level
      D)Erythrocyte sedimentation rate (ESR)
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