1- A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily,
to relieve joint pain resulting from rheumatoid arthritis. The client tells the nurse
that the medication is causing nausea and indigestion. The nurse should tell the
client to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times - ANSWER-C. Take the
medication with food
2-A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by the
client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - ANSWER-C. "I need to drink
pg. 1
,citrate of magnesia the night before the test and give myself a Fleet enema on the
morning of the test."
Rationale: An upper GI series involves visualization of the esophagus, duodenum,
and upper jejunum by means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium), which is administered in a
flavored milkshake. Films are taken at intervals during the test, which takes about
30 minutes. No special preparation is necessary before a GI series, except that
NPO status must be maintained for 8 hours before the test. After an upper GI
series, the client is prescribed a laxative to hasten elimination of the barium.
Barium that remains in the colon may become hard and difficult to expel, leading
to fecal impaction.
3- Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is
prescribed for a client for the management of anxiety. The nurse prepares the
medication as prescribed and administers the medication over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANSWER-A. 3 minutes Correct
4. The mother of an adolescent with type 1 diabetes mellitus tells the nurse that her
child is a member of the school soccer team and expresses concern about her
child's participation in sports. The nurse, after providing information to the mother
about diet, exercise, insulin, and blood glucose control, tells the mother:
A. To always administer less insulin on the days of soccer games
B. That it is best not to encourage the child to participate in sports activities
pg. 2
,C. That the child should eat a carbohydrate snack about a half-hour before each
soccer game
D. To administer additional insulin before a soccer game if the blood glucose level
is 240 mg/dL or higher and ketones are present - ANSWER-C. That the child
should eat a carbohydrate snack about a half-hour before each soccer game
5.NPO status is imposed 8 hours before the procedure on a client scheduled to
undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
procedure, the nurse checks the client's record and notes that the client routinely
takes an oral antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the
ECT - ANSWER-A. Administer the antihypertensive with a small sip of water
6 An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature ventricular contractions
(PVCs) on the monitor, checks the client's carotid pulse, and determines that the
PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - ANSWER-B. Asking
the ED physician to check the client
pg. 3
, 7 A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor.
Which of the following actions should be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - ANSWER-A. Contacting the
physician Correct
8 A nurse has assisted a physician in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - ANSWER-A. Call the radiography department to obtain a chest
x-ray
9 A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
pg. 4
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