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    Exam Review

    1. A nurse is caring for a client in an outpatient clinic.   Complete the following sentence by using the lists of options. The client is at risk for ▾ decreased absorption due to ▾ medication interactions
      Dropdown 1:
      Option 1: toxicity
      Option 2: goiter
      Option 3: decreased absorption
      Dropdown 2:
      Option 1: medication interactions
      Option 2: lab results
      Option 3: dosage strength
    2. A nurse is caring for an adolescent client in a community health clinic. Which of the following client statements indicate that the nurse's teaching about the immunization was effective? Select all that apply.(SATA)
      A)"I will need a booster shot every 10 years."
      B)"My boyfriend should get this shot too."
      C)"Now I won't need to worry about having Pap smears."
      D)"I need to come back in 2 months for another shot."
      E)"This shot can keep me from getting some kinds of cancer."
      F)"I need to have a blood test when I'm an adult to see if I'm still immune."
      G)"This shot will keep me from getting herpes."
    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)Hypothyroidism
      B)BP 92/60 mm Hg
      C)History of alcohol use disorder
      D)Recurrent headaches
    4. A nurse is reviewing the medical history of a client who has a new prescription for magnesium hydroxide. Which of the following conditions should the nurse report to the provider?
      A)Metabolic acidosis
      B)Renal failure
      C)Gastroesophageal reflux
      D)Constipation
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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)Shake the vial of medication to dissolve particulates.
      B)Thaw the medication in the vial 30 min before administration.
      C)Discard the vial of medication if the solution is cloudy.
      D)Dilute the vial of medication with sterile water
    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)Massages the site to enhance absorption
      C)Releases the skin fold before injecting the medication
      D)Aspirates the medication after injection
    3. A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following statements should the nurse include?
      A)"It is common to experience excessive salivation while taking this medication."
      B)"Observe for urinary retention such as a distended lower abdomen."
      C)"If a dose is missed, double the dose at the next schedule time."
      D)"The medication can cause liver damage."
    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)Distended neck veins
      C)Weight loss
      D)Increased heart rate
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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)"Your urine will turn orange while you are taking this medication."
      B)"This medication will not interfere with the effectiveness of oral contraceptives."
      C)"You can continue to wear soft contact lenses while taking this medication."
      D)"You should take this medication once each day at bedtime."
    2. A nurse is caring for a client who is receiving 0.9% sodium chloride solution to treat dehydration. Which of the following findings should the identify as an adverse effect of the infusion?
      A)Increased bowel sounds
      B)Dark amber urine
      C)Shortness of breath
      D)Decreased skin turgor
    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)Lidocaine
      B)Midazolam
      C)Atropine
      D)Cyclobenzaprine
    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)Urinary tract infection
      B)Osteoporosis
      C)Hypothyroidism
      D)Deep-vein thrombosis
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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)1+ deep tendon reflexes
      B)Pupils equal, round, react to light, accommodation
      C)Blood pressure 122/88 mm Hg
      D)24 hr urine output 960 mL
    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)Naloxone
      B)Acetylcysteine
      C)Baclofen
      D)Dantrolene
    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)Hypoglycemia
      B)Bradycardia
      C)Hypothermia
      D)Hypokalemia
    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 supplemental oxygen.
      C)Position the client's legs in a dependent position.
      D)Administer a dose of IV diphenhydramine.
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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)1700
      B)2200
      C)1100
      D)1300
    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)Determine medication adherence by the client.
      B)Notify the provider of the client's weight gain.
      C)Encourage the client to dangle the legs while sitting in a chair.
      D)Teach the client about foods low in sodium.
    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)Ibuprofen
      B)Morphine
      C)Aspirin
      D)Acetaminophen
    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)Hydrochlorothiazide
      B)Fondaparinux
      C)Simvastatin
      D)Captopril
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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)Rapid rise in temperature
      B)Hypertension
      C)Tachycardia
      D)Severe headache
    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)Respirations deep at a rate of 10/min
      B)Vomiting 30 mL of fluid
      C)Blood pressure 90/60 mm Hg
      D)Urinary output of 20 mL within 1 hr
    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)Administer the insulin within 20 min of preparing it.
      B)Ensure the NPH insulin is drawn into the syringe first.
      C)Inject air into the vial to withdraw the short-acting insulin.
      D)Use two separate syringes to mix the 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)"I should monitor the client's electrolytes."
      B)"Antacids can be taken with this medication."
      C)"I should administer this medication intravenously."
      D)"This medication is safe to take with sorbitol."
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