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    Exam Review

    1. A nurse in a provider's office is caring for a client. Exhibits For each category below,
      (Highlight — findings requiring follow-up are marked)

      A nurse in a provider's office is caring for a client.

      Exhibits

      For each category below, click to specify the medication the nurse should anticipate the provider to prescribe. Each finding may support more than 1 potential medication prescription.

      Finding

      Potential Medication Description

      Blood pressure

      Losartan Misoprostol

      Moexipril

      Laboratory results

      Mesalamine Metformin

      Liraglutide

       

    2. A nurse is caring for afemale client in an outpatient clinic. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for afemale client in an outpatient clinic.

      Exhibits
      Click to highlight the findings that require immediate follow-up. Tо deselect a finding, click on the finding again.

       

      Nurses' Notes

      Day 1:

      Client is seen by provider for routine follow-up after being started on oxcarbazepine 150mg PO twice a day, last week. Client reports no nausea, headache, dizziness, or ataxia. Provider increased oxcarbazepine to 300 mg PO twice a day. Client is to return for a follow-up in 2 weeks.

      Day 14:

      Client returns for follow-up after increasing oxcarbazepine dosage. Client reports starting to have mild headaches earlier this week. Also states, "Yesterday I was very nauseated and threw up before breakfast." When talking to client they have difficulty remembering the times they are taking their oxcarbazepine. Client reports using oral contraceptives as the only means of birth control.

      Laboratory Results

      Day 14:

      Hct 40% (37% to 47%)

      Hgb 13g/dL (12 to 16g/dL)

      Sodium 124 mEq/L (136 to 145 mEq/L)

      Vitals Signs

      Day 14:

      Temperature 36.3° C (97.4° F)

      Heart rate 86/min

      Blood pressure 110/66 mm Hg

      Respiratory rate 16/min

    3. A nurse is caring for a client on a medical-surgical unit. Complete the following sentence by using the lists of options. Exhibits The nurse should first ▾ stop the IV infusion due to the client’s ▾ anaphylaxis.
      Dropdown 1:
      Option 1: administer epinephrine
      Option 2: stop the IV infusion
      Option 3: request a serum peak drug level
      Dropdown 2:
      Option 1: nephrotoxicity
      Option 2: anaphylaxis
      Option 3: sepsis
    4. A nurse is caring for a client in the emergency department (ED) Exhibits Drag 1 medication and 1 client finding to fill in each blank in the following sentence. The nurse should anticipate a provider prescription for ▾ diltiazem due to the client's ▾ cardiac rhythm.
      Dropdown 1:
      Option 1: diltiazem
      Option 2: dopamine
      Option 3: furosemide
      Option 4: albuterol nebulizer
      Option 5: alprazolam
      Dropdown 2:
      Option 1: edema
      Option 2: blood pressure
      Option 3: anxiety
      Option 4: cardiac rhythm
      Option 5: dyspnea
    Page 1 of 18

    Exam Review

    1. A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)(SATA)
      A)"Drink the elixir using a straw to prevent staining your teeth."
      B)"Take the medication with an antacid if it upsets your stomach."
      C)"Increase your fiber intake to prevent constipation."
      D)"Stop taking the medication if your stools become green or black."
      E)"Increase your intake of dairy products to increase the absorption of this medication.
    2. A nurse is teaching a client who has a new prescription for cromolyn. Which of the following information should the nurse include in the teaching?
      A)"Cromolyn will assist with dilating the bronchioles in your lungs."
      B)"Cromolyn should take effect within 5 minutes."
      C)"Cromolyn should be administered 1 hour after exercising."
      D)"Cromolyn is used to prevent your condition from occurring."
    3. A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?
      A)Liver toxicity
      B)Hemolytic anemia
      C)Hypoglycemia
      D)Bone loss
    4. A nurse is assessing a client who is taking aspirin and reports having tinnitus. Which of the following medications should the nurse expect to administer?
      A)Protamine sulfate
      B)Diphenhydramine
      C)Bicarbonate
      D)Naloxone
    Page 2 of 18

    Exam Review

    1. A nurse in an outpatient clinic is providing teaching to a female client who has hyperthyroidism about a new prescription for methimazole. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I know I will need to take methimazole for the rest of my life."
      B)"I should take methimazole 1 hr before eating."
      C)"I should be vigilant with birth control while taking methimazole."
      D)"I should stop taking methimazole when my night sweats go away."
    2. A nurse is assessing a client who has a urinary tract infection and is taking sulfamethoxazole-trimethoprim. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?
      A)Insomnia
      B)Photosensitivity
      C)Hallucinations
      D)Wheezing
    3. A nurse is teaching a client who is taking methotrexate and has stomatitis. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I will limit my alcohol intake to two drinks per day."
      B)"I should avoid eating foods that contain vitamin C."
      C)"I should rinse my mouth with a warm salt solution."
      D)"I will continue to floss my teeth after each meal."
    4. A nurse is preparing to administer ketorolac to a client. Which of the following conditions should the nurse include as a contraindication for taking this medication?
      A)History of gastrointestinal bleeding
      B)Liver impairment
      C)Allergy to codeine
      D)History of glaucoma
    Page 3 of 18

    Exam Review

    1. A nurse is caring for a client who is receiving an IV infusion of potassium chloride. Which of the following complications should the nurse recognize as an indication to discontinue the infusion?
      A)Hypomagnesemia
      B)Neutropenia
      C)Coughing
      D)Hyperkalemia
    2. A nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse effect of this medication?
      A)Weight gain
      B)Constipation
      C)Hypoglycemia
      D)Muscle pain
    3. A nurse is caring for a client who is receiving an intravenous potassium infusion and who has a urine output of 10 mL/hr and a blood urea nitrogen of 50 mg/dL (10 to 20 mg/dL). Which of the following actions should the nurse take?
      A)Obtain a prescription for furosemide.
      B)Prepare the client for a urine culture and sensitivity.
      C)Discontinue the potassium infusion.
      D)Perform a bladder scan.
    4. A nurse is providing discharge teaching to a client who has a new prescription for methimazole to treat Graves' disease. Which of the following information should the nurse include?
      A)"Be sure to sit when you urinate and double flush the toilet with the lid closed."
      B)"Take precautions in crowds to avoid people who are ill."
      C)"It is important that you avoid contact with young children and pregnant people."
      D)"Refrain from returning to work for the first few days of therapy."
    Page 4 of 18

    Exam Review

    1. A nurse is assessing a client who is withdrawing from opioid use. Which of the following findings should the nurse expect?
      A)Bradypnea
      B)Constipation
      C)Miosis
      D)Sneezing
    2. A nurse is preparing to administer an intradermal injection for a tuberculin screening. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)Insert the needle into the dermis layer of skin.3
      B)Inject the medication slowly with the skin pulled taut.4
      C)Cleanse the skin using a circular motion.1
      D)Produce a small wheal on the surface of the skin.5
      E)Hold the needle with the bevel facing up.2
    3. A nurse is evaluating a client's response after initiating an intermittent IV bolus of vancomycin. Which of the following findings indicates the client is experiencing an allergic reaction to the medication?
      A)Hypertension
      B)Dyspnea
      C)Tetany
      D)Headache
    4. A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
      A)Estrogen-progestin combination
      B)Nicotine transdermal system
      C)Diphenhydramine
      D)Beclomethasone
    Page 5 of 18

    Exam Review

    1. A nurse is reviewing the laboratory findings of a client who is taking erythropoietin. Which of the following results indicates the medication is effective?
      A)Decreased white blood cells
      B)Increased calcium
      C)Increased hemoglobin
      D)Decreased BUN
    2. A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following manifestations should the nurse expect?
      A)Weight gain
      B)Yawning
      C)Constipation
      D)Somnolence
    3. A nurse is providing teaching to a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching?
      A)Take the medication in the morning.
      B)Report muscle tenderness.
      C)This medication can cause kidney damage.
      D)Avoid drinking grapefruit juice for 3 hr after taking this medication.
    4. A nurse is evaluating a client who received subcutaneous sumatriptan 1 hour ago. Which of the following findings should the nurse identify as an adverse effect of the medication?
      A)Visual disturbances
      B)Pressure in the chest
      C)Phonophobia
      D)Numbness of the tongue
    Page 6 of 18