1. A nurse is administering medications to a client who weighs 132 lb. The prescription reads
chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100mg/mL. How
many mL should the nurse give with each dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.)
7.5 mL
2. A nurse is planning to administer medications to a client who weighs 198 lb. The prescription
reads, “filgrastim 5mcg/kg, subcutaneous, daily.” Available is filgrastim 300 mcg/mL. How many mL
should the nurse plan to give with each dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.)
1.5 mL
3. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should
monitor for which of the following as an indication of an allergic reaction following the injection?
Urticaria
4. A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The
nurse should assess the client for which of the following electrolyte imbalances?
Hyponatremia
5. A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole.
Which of the following conditions should the nurse recognize as an indication for this medication?
Endocarditis
6. A nurse is caring for a client with gingivitis in the clinic.
Vital Signs 1 week ago: Vital Signs today:
Temperature 37ºC (98.6ºF) Temperature 37.2ºC (98.9ºF)
Heart rate 64/min Heart rate: 82/min
Respiratory rate 12/min Respiratory rate: 16/min
Blood pressure 118/72 mm Hg Blood pressure 110/68 mm Hg
Which of the following client statements indicates to the nurse the teaching was effective?
“I will rinse my mouth with saline every 2 hours while awake.”
7. A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by
intermittent IV bolus. Which of the following manifestations should the nurse identify as an
indication of a therapeutic response to the medication?
Decrease in urine output
, 8. A nurse in a provider’s office is caring for a client.
Nurses’ Notes
3 months ago:
Client seen in provider’s office for routine physical.
Today:
Client reports dizziness and light-headedness upon standing. Client reports waking up at night to
void.
What actions should the nurse take? Select all that apply.
Advise the client to change positions slowly.
Check the client for orthostatic hypotension. Monitor the client for dysrhythmias.
9. A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the
following findings should the nurse identify as the priority?
Hypotension
10. A nurse is caring for a client in a provider’s office.
Nurses’ Notes Day 1:
Client presents for evaluation of neurological changes, including stiffness of lower extremities, and
shaking of hands. Client is married, has no known allergies, and no surgical history. Client is a
retired airline pilot and the parent of five adult children.
Day 7:
Client reports having trouble sleeping due to nightmares and states, “I’m not sure this medication
is doing what it’s supposed to do.” Client reports daily nausea.
Which of the following statements should the nurse include when teaching the client about the
prescribed medication? Select all that apply.
“You may notice your urine becomes lighter in color.”
“You may initially notice an increase in involuntary movements.”
“You can experience vivid nightmares.”
“The medication can cause nausea, so take with a meal.”
“This medication can make you light-headed if you stand up too quickly from a seated or lying
position.”
11. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a
client who has diabetes mellitus. Which of the following actions should the nurse take first?
Inject air into the NPH vial.
12. A nurse is caring for a female client in a provider’s office.
Provider Prescriptions
2 days later:
Ferrous Sulfate 325 mg PO every other day
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