1. A home health nurse is visiting an older adult client who has Alzheimer's disease. His
caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg three
times per day, to the client for restlessness and anxiety during the past few days. For
which of the following adverse effects should the nurse assess the client? -
ANS-Sedation
2. A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3
times daily PO and gabapentin 1,800 mg three times daily to manage pain. The client
tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time."
Which of the following additions should the nurse anticipate to the client's medication
regimen? - ANS-Oral oxycodone
3. A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg
daily but the client reports she has been taking extra doses to promote weight loss.
Which of the following findings should indicate to the nurse that the client is dehydrated?
- ANS-Urine specific gravity 1.035
4. A nurse is administering adenosine via IV bolus for a client who has developed
paroxysmal atrial tachycardia. For which of the following findings should the nurse
assess the client during administration adenosine? - ANS-Dyspnea
5. A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe
urinary tract infection (UTI). The client asks why both medications are needed. Which of
the following responses should the nurse make? - ANS-"Ciprofloxacin hydrochloride
treats the infection, and the phenazopyridine treats pain."
6. A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an
adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of
action of the insulin at which of the following times? - ANS-0745
7. A nurse is administering oral hydroxyzine to a client. Which of the following adverse
effects should the nurse instruct the client to expect? - ANS-Dry mouth
8. A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of
the following findings should alert the nurse that the client is experiencing acute
levothyroxine overdose? - ANS-Tremor
9. A nurse is assessing a client who reports using several herbal and vitamin supplements
daily, including saw palmetto. The nurse should recognize that saw palmetto is a
supplement used by clients to elicit which of the following therapeutic effects? -
ANS-Urinary health promotion
10. A nurse is assessing a client who takes oral theophylline for relief of chronic bronchitis.
The nurse should recognize that which of the following findings indicates toxicity to
theophylline? - ANS-Tremors
11. A nurse is caring for a client and realizes after administering the 0900 medications that
she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin
, 0.125 mg PO. Which of the following actions should the nurse take first? - ANS-Assess
the client's apical pulse.
12. A nurse is caring for a client who has a positive tuberculin skin test and is beginning a
prescription for isoniazid. The nurse should teach the client that which of the following
laboratory values should be monitored while taking isoniazid? - ANS-Aspartate
aminotransferase (AST)
13. A nurse is caring for a client who has alcohol use disorder and is admitted with lower
extremity fractures following a motor-vehicle crash. A few hours after admission, the
client develops restlessness and tremors. Which of the following medications should the
nurse anticipate administering to the client first? - ANS-Chlordiazepoxide
14. A nurse is caring for a client who has congestive heart failure and is taking digoxin. The
client reports nausea and refuses to eat breakfast. Which of the following actions should
the nurse take first? - ANS-Check the client's apical pulse.
15. A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg
daily. For which of the following adverse effects should the client be taught to monitor
and notify the provider if it occurs? - ANS-Tinnitus
16. A nurse is caring for a client who is in preterm labor and has a new prescription for
nifedipine. The client states she is concerned because her father takes nifedipine for his
angina pectoris. The nurse should explain to the client that nifedipine works for clients
who are pregnant by which of the following mechanisms? - ANS-It inhibits uterine
contractions by blocking entry of calcium into uterine cells.
17. A nurse is caring for a client who was brought to the emergency department by friends
who report the client has overdosed on heroin. Which of the following findings should the
nurse expect to assess? - ANS-Pinpoint pupils
18. A nurse is monitoring laboratory values for a male client who has leukemia and is
receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following
laboratory values should the nurse report to the provider? - ANS-Platelets 78,000/mm3
19. A nurse is planning care for a female client who has severe irritable bowl syndrome with
diarrhea (IBS-D) and a new prescription for alosetron. Which of the following
interventions should the nurse include in the plan of care? - ANS-The client must sign an
agreement with the provider before beginning alosetron.
20. A nurse is planning discharge teaching for a client who has major depressive disorder
and a new prescription for phenelzine. Which of the following foods should the nurse
include in the plan as safe for the client to consume while taking phenelzine? -
ANS-Broiled beef steak
21. A nurse is planning to administer chlorothiazide 20 mg/kg/day PO divided equally and
administered twice daily for a toddler who weighs 28.6 lb. The amount available is
chlorothiazide oral suspension 250 mg/5 mL. How many mL should the nurse administer
per dose/ (Round to the nearest tenth) - ANS-2.6 mL
22. A nurse is planning to administer diltiazem via IV bolus to a client who has atrial
fibrillation. When assessing the client, the nurse should recognize that which of the
following findings is a contraindication to administration of diltiazem? - ANS-Hypotension
23. A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is
having an allergic reaction. The client has an IV infusion containing a medication that is
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