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    Exam Review

    1. A nurse is caring for a client in an outpatient clinic.   Exhibits Complete the following sentence by using the lists of options. The client is at risk for ▾ Increased insulin sensitivity due to ▾ Low body temperature
      Dropdown 1:
      Option 1: Increased insulin sensitivity
      Option 2: Decreased absorption
      Option 3: Hyperkalemia
      Dropdown 2:
      Option 1: Medication interactions
      Option 2: Low body temperature
      Option 3: High-protein diet
    2. A nurse is caring for an adolescent client in a community health clinic. Exhibits Which of the following client statements indicate that the nurse's teaching about the immunization was effective? Select all that apply.(SATA)
      A)"My boyfriend should get this shot too."
      B)"This shot will keep me from getting herpes."
      C)"I need to come back in 2 months for another shot."
      D)"I need to have a blood test when I'm an adult to see if I'm still immune."
      E)"This shot can keep me from getting some kinds of cancer."
      F)"Now I won't need to worry about having Pap smears."
      G)"I will need a booster shot every 10 years."
    3. 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)History of alcohol use disorder
      B)BP 92/60 mm Hg
      C)Recurrent headaches
      D)Hypothyroidism
    4. A nurse is assessing a client prior to administering digoxin. Which of the following findings should the nurse immediately report to the provider?
      A)Bradycardia
      B)Blurred vision
      C)Hypokalemia
      D)Anorexia
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    Exam Review

    1. A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?
      A)Thaw the medication in the vial 30 min before administration.
      B)Dilute the vial of medication with sterile water.
      C)Shake the vial of medication to dissolve particulates.
      D)Discard the vial of medication if the solution is cloudy.
    2. 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)Administers the injection in the abdomen
      B)Aspirates the medication after injection
      C)Massages the site to enhance absorption
      D)Releases the skin fold before injecting the medication
    3. A nurse is reinforcing teaching with a client about levothyroxine. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I will stop taking this medication if I miss a dose."
      B)"I will start to see symptom improvement immediately."
      C)"I will take my antacid medication with this medication."
      D)"I will take this medication at the same time every morning."
    4. A nurse is assessing a client who is taking furosemide to treat heart failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
      A)Decreased blood pressure
      B)Weight loss
      C)Increased heart rate
      D)Distended neck veins
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    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)"You can continue to wear soft contact lenses while taking this medication."
      B)"You should take this medication once each day at bedtime."
      C)"This medication will not interfere with the effectiveness of oral contraceptives."
      D)"Your urine will turn orange while you are taking this medication."
    2. 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)Heart rate 112/min
      B)Blood pressure 108/60 mm Hg
      C)Temperature 38.3° C (101° F)
      D)Respiratory rate 14/min
    3. A nurse is preparing to assist with a procedure that requires moderate (conscious) sedation. Which of the following medications should the nurse expect to be prescribed to sedate the client?
      A)Cyclobenzaprine
      B)Lidocaine
      C)Atropine
      D)Midazolam
    4. A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
      A)Hypothyroidism
      B)Urinary tract infection
      C)Deep-vein thrombosis
      D)Osteoporosis
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    Exam Review

    1. A nurse is assessing a client who is receiving IV magnesium sulfate for treatment of preeclampsia. Which of the following findings should the nurse report?
      A)24 hr urine output 960 mL
      B)Blood pressure 122/88 mm Hg
      C)1+ deep tendon reflexes
      D)Pupils equal, round, react to light, accommodation
    2. A nurse is caring for a client who received succinylcholine IV bolus during an abdominal surgery. The client develops malignant hyperthermia. The nurse should administer which of the following medications?
      A)Dantrolene
      B)Naloxone
      C)Acetylcysteine
      D)Baclofen
    3. A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?
      A)Bradycardia
      B)Hypothermia
      C)Hypokalemia
      D)Dizziness
    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 a bolus of IV fluids.
      B)Administer a dose of IV diphenhydramine.
      C)Administer supplemental oxygen.
      D)Position the client's legs in a dependent position.
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    Exam Review

    1. A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1,000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?
      A)1300
      B)1100
      C)1700
      D)2200
      E)None
      F)None
    2. A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb) since the last visit 2 days ago. Which of the following actions should the nurse take first?
      A)Teach the client about foods low in sodium.
      B)Encourage the client to dangle the legs while sitting in a chair.
      C)Determine medication adherence by the client.
      D)Notify the provider of the client's weight gain.
    3. 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)Acetaminophen
      B)Morphine
      C)Aspirin
      D)Ibuprofen
    4. A nurse is administering medications to a client. Which of the following medications should the nurse plan to administer by a parenteral route?
      A)Osimvastatin
      B)Hydrochlorothiazide
      C)Captopril
      D)Fondaparinux
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    Exam Review

    1. A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?
      A)Severe headache
      B)Rapid rise in temperature
      C)Hypertension
      D)Tachycardia
    2. A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
      A)Vomiting 30 mL of fluid
      B)Urinary output of 20 mL within 1 hr
      C)Respirations deep at a rate of 10/min
      D)Blood pressure 90/60 mm Hg
    3. A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
      A)Ensure the NPH insulin is drawn into the syringe first.
      B)Use two separate syringes to mix the insulin.
      C)Administer the insulin within 20 min of preparing it.
      D)Inject air into the vial to withdraw the short-acting insulin.
    4. A nurse is teaching a newly licensed nurse about administering sodium polystyrene sulfonate to a client. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)"This medication is safe to take with sorbitol."
      B)"Antacids can be taken with this medication."
      C)"I should monitor the client's electrolytes."
      D)"I should administer this medication intravenously."
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