1. A nurse is assisting with the care of a client who has a myasthenia
gravis and is experiencing a cholinergic crisis. Which of the following
medications should the nurse expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine: Atropine
2. A nurse is caring for a client who has bipolar disorder and a new
prescription for lithium. Which of the following laboratory values should the
nurse plan to monitor for potential adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium: Sodium
3. A nurse is reinforcing teaching with a client who has a prescription for
rosuvastatin to treat high cholesterol levels. For which of the following
adverse effects should the nurse instruct the client to monitor and report to
the provider immediately?
,4. A nurse is reinforcing teaching with a newly licensed nurse regarding
safe procedures for medication administration. Which of the following
statements by the newly licensed nurse indicates an understanding of the
teaching?
"I will identify the client by verifying the client's name using the room
number."
"I can administer antibiotics 1 hour before the scheduled time."
"I will check the label on the client's medication three times before
administering it."
"I will leave the client's medication at the client's bedside.": "I will check the
label on the client's medication three times before administering it."
5. A nurse is preparing to administer Lactated Ringer's solution 350 mL to
infuse over 1 hr. The drop factor of the tubing is 10 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min? (Round answer to
the nearest whole number.): ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 = 58.333
6. A nurse is collecting data from a client who is receiving morphine to
relieve postoperative pain. The client's respiratory rate is 9/min. The nurse
should notify the provider and expect a stat prescription for which of the
following medications?
Naloxone
Glucagon
Flumazenil
Protamine: Naloxone
7. A nurse is reinforcing teaching with a client who has a new prescription
for insulin. The client is taking propranolol. The nurse should teach the
client to monitor for which of the following findings as a manifestation of
hypoglycemia?
, 8. A nurse is reinforcing dietary teaching with a client who is taking
furosemide. Which of the following foods should the nurse recommend as
the best source of potassium?
1 cup baked potatoes
1 cup fresh blueberries
1 cup fresh watermelon
1 cup raw chopped cabbage: 1 cup baked potatoes
9. A nurse is reinforcing teaching with a client who has been prescribed
isoniazid. Which of the following client statements indicates an
understanding of the teaching?
"I should expect my urine to turn reddish in color."
"I will have a skin test to determine when I am no longer contagious."
"I should notify my provider if I develop numbness in my feet."
"I should expect to take this medication for 6 weeks.": "I should notify my
provider if I develop numbness in my feet."
10. A nurse is assisting with the care of a client who has oral
benzodiazepine toxicity. The client has an IV infusing and is nonresponsive.
Which of the following interventions should the nurse anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation: Administering IV flumazenil
11. A nurse is reinforcing teaching with a client who has chronic stable
angina and a prescription for sublingual nitroglycerin tablets. Which of the
following instructions should the nurse include in the teaching?
"Replace your bottle of tablets every 3 months for best effectiveness."
"Place one tablet under the tongue 30 minutes before exercise to prevent
angina chest pain."
"Call 911 if chest pain is not relieved within 20 minutes of taking
nitroglycerin." " As soon as chest pain occurs, place one tablet under the
tongue.": " As soon as chest pain occurs, place one tablet under the tongue."
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