Exam 2

Question 1

A diabetic clients BG level is 63. The nurse should prepare to administer which medication?

A. Glargine
B. Glucagon
C. Glipizide
D. Guaifenesin

Answer 1

B. Glucagon

*BG is less than 70
Glucagon elevates BG
Onset: 1 min, peak: 15min, duration: 20min

Question 2

Which medication is an oral anti diabetic?

A. As part
B. Lispro
C. Glargine
D. Metformin

Answer 2

D. Metformin

Question 3

The nurse is caring for a client prescribed prednisone for several years. What test does the nurse anticipate the HCP will order?

A. Bone density scan
B. CT scan of head
C. Heart ultrasound (echocardiogram)
D. Pulmonary function tests

Answer 3

A. Bone density scan (DEXA scan)

Question 4

The use of aspirin in children is limited due to the possibility of what disease?

A. Münchausen syndrome
B. Gillian-barre syndrome
C. Angel an syndrome
D. Reye syndrome

Answer 4

D. Reye syndrome

Question 5

A nurse is caring for a client in the early stage of rheumatoid arthritis. The nurse would expect which medication to be used in the treatment of this client?

A. Acetaminophen
B. Fentanyl
C. Ibuprofen
D. Morphine

Answer 5

C. Ibuprofen

NSAID=helps decrease inflammation

Question 6

A client states, “I take acetaminophen four to five times daily when I’m at home.” Which lab test is the most relevant in evaluating the effect of this practice?

A. Complete blood count
B. Peak and trough
C. Liver enzymes
D. Creatinine and BUN

Answer 6

C. Liver enzymes

Question 7

The nurse is caring for a postoperative client with a history of opioid abuse who has been prescribed a dose of naloxone. Which issue should the nurse be prepared for address?

A. The client may report less pain
B. The client may demonstrate signs of withdrawal
C. Double the standard dose of naloxone may be needed
D. The client will need high dose pain medications to control pain

Answer 7

B. The client may demonstrate sign of withdrawal

Naloxone (Narcan) is the antidote for opioid overdose
— takes away ALL opioid stimulation from opioid receptors leading to withdrawal and increased pain

Question 8

When evaluating the plan of care for a client receiving opioid analgesics for pain managements, the nurse considers the plan successful when that occurs? SATA

A. Client reports pain is reduced
B. Adequate ventilation is maintained
C. Client reports daily BM
D. Urine output is reduced
E. Client reports anorexia
F. Client sleeps all day

Answer 8

A. Client reports pain is reduced
B. Adequate ventilation is maintained
C. Client reports daily BM

Question 9

What potential AE is more likely to develop during cefazolin therapy?

A. Gastrointestinal upset
B. Dry skin and pruritis
C. Drowsiness
D. Orthostatic hypotension

Answer 9

A. Gastrointestinal upset

Question 10

The nurse is giving discharge instructions to a woman who has been prescribed amoxicillin. The nurse teaches the client that which symptoms indications the development of a superinfection and should be reported?

A. Nausea
B. Abdominal pain
C. Vaginal itching and discharge
D. Swelling and itching of the throat

Answer 10

C. Vaginal itching and discharge

Question 11

A nurse is caring for a an adult client dx with bacterial sinusitis. The nurse has cautioned the client against taking prescribed oral erythromycin together with antacids. What is the basis of this instruction?

A. Antacids delay metabolism of the drug
B. Antacids can exacerbate nausea and reflux
C. Antacids cause a dangerous rise in gastric pH
D. Antacids decrease absorption of the drug

Answer 11

D. Antacids decrease the absorption of the drug

Question 12

A client prescribed isoniazid for diagnosis of TB. Which AE effect will result in discontinuation of the medication?

A. Weight gain
B. Jaundice
C. Fever
D. Arthralgia

Answer 12

B. Jaundice

Question 13

When reviewing an older clients most recent lab values, which finding may contraindicate the use of tetracycline?

A. Creatinine of 2.8
B. Potassium of 3.4
C. Hemoglobin of 10.5
D. Leukocyte count of 11.6

Answer 13

A. Creatinine of 2.8

Creatinine OVER 1.3 = bad kidney
Normal levels:
Potassium: 3.5-5.0
Hemoglobin: 11.6-15
Leukocyte: 4.5-11

Question 14

A 71-year-old client with a history of afib, COPD, and type 2 DM has had an antihistamine prescribed. What assessment should the nurse prioritize?

A. Auscultation of apical heart rate and rhythm
B. Chest auscultation and assessment of resp rate
C. Q4 BG checks
D. Assessment of orientation and LOC

Answer 14

A. Auscultation of apical heart rate and rhythm

Antihistamines have been associated with prolonged QT intervals, which can lead to potentially fatal cardiac arrhythmias

Question 15

A patient with sinus pressure and pain related to seasonal rhinitis would benefit from taking which agent?

A. Dextromethorphan
B. Codeine
C. Pseudoephedrine
D. Guaifenesin

Answer 15

C. Pseudoephedrine

Question 16

A client is instructed to take diphenhydramine after an allergic reaction? Which statement by the client indicates successful teaching concerning the safe and effective use?

A. “I will be able to have my after-dinner drink with this medication”
B. “I will eat a diet low in sodium while taking this medication”
C. “I should not drive my car while taking this medication”
D. “I can take this medication every 2 hours until I feel better”

Answer 16

C. “I should not drive my car after taking this medication”

Diphenhydramine (Benadryl) is a generation 1 antihistamine meaning increased risk for sedation and drowsiness

Question 17

The nurse is working with parents who are treating their child’s cold and flu symptoms using OTC medications. What guidance should the nurse provide?

A. “Read the labels clearly to make sure you’re not giving the same drug in two different preparations”
B. “It’s generally safer to give herbal preparations rather than OTC drugs”
C. “Many OTC products do actually not contain any effective drugs”
D. “OTC medications aren’t recommended for anyone younger than 12”

Answer 17

A. “Read the labels clearly to make sure you’re not giving the same drug in two different preparations”

Question 18

A client dx with hypothyroidism is taking Levothyroxine. The client returns to the clinic 1 week after beginning the medication and tells the nurse that the medication has not helped. What is the appropriate response to the client?

A. A higher dosage is required
B. The medication may need to be changed
C. Full therapeutic effect may take 1-3 weeks
D. Full therapeutic affect may take up to 4 months

Answer 18

C. Full therapeutic effect may take 1-3 weeks

Question 19

A client arrives at the clinic c/o fatigue, lack of energy, constipation, and depression. Hypothyroidism is dx, and Levothyroxine is prescribed. What is the expected outcome of the medication?

A. Alleviate depression
B. Increase energy levels
C. Increase blood glucose
D. Achieve normal thyroid hormone levels

Answer 19

D. Achieve normal thyroid hormone levels

Question 20

The nurse is providing instructions to a client with a dx of Addison’s disease regarding the admin of prescribed glucocorticoids. The nurse should provide which instruction?

A. Stop the medication if side effects occur
B. Avoid taking the medication if nausea occurs
C. Minimal side effects will occur with use of medication
D. Increased dose of medication may be needed during times of stress

Answer 20

D. Increased dose of medication may be needed during times of stress

Question 21

The nurse is caring for a client in the ED who has been dx with Bell’s Palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which anti dose should the nurse prepare to administer?

A. Pentostatin
B. Auranofin
C. Fudarabine
D. Acetylcysteine

Answer 21

D. Acetylcysteine

Question 22

The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication?

A. Monitor radial pulse
B. Monitor bowel activity
C. Monitor apical heart rate
D. Monitor peripheral pulses

Answer 22

B. Monitor bowel activity

Question 23

The nurse is collecting data from a client and notes that the client is taking aspirin 5g daily in divided doses. The nurse determines that this medication has been prescribed to treat which condition?

A. Backache
B. Muscle aches
C. Frequent headaches
D. Rheumatoid arthritis

Answer 23

D. Rheumatoid arthritis

Question 24

A client has a prescription to take Guaifenesin. The nurse should conclude that the client understand the most effective use of this medication if the client states that they need to take which action?

A. Watch for irritability as a side effect
B. Take the tablet with a full glass of water
C. Take an extra dose of the cough is accompanied by fever
D. Crush the sustained-release tablet if immediate relief is needed

Answer 24

B. Take the tablet with full glass of water

Question 25

The clinical nurse develops a plan of care for a client with emphysema who will be started on long-term corticosteroid therapy. Which specific instruction should the nurse include in the plan of care?

A. Instruct the client to maintain a low-potassium diet
B. Encourage the client to consume a fluid intake of 3000ml/day
C. Encourage client to increase amount of sodium intake
D. Instruct the client to return to the clinic for monitoring of BG levels

Answer 25

D. Instruct the client to return to the clinic for monitoring of BG levels

Question 26

Aspirin has been prescribed for a client with angina, and the client asks the nurse how the medication will help. The nurse responds that this medication has been prescribed for which purpose?

A. Reduce pain
B. Reduce inflammation
C. Inhibit platelet aggregation
D. Maintain normal body temp

Answer 26

C. Inhibit platelet aggregation