RANDOM QUESTIONS 1

Question 1

A client is prescribed metoprolol to treat hypertension. It is important for the nurse to monitor the client for which condition?
Bradycardia
Hypertension
Ankle edema
Decreased respirations

Answer 1

A

Question 2

A client is prescribed montelukast. The nurse is aware that this medication is given for which purpose?

Maintenance treatment of asthma.
Treatment of an acute asthma attack.
Reversing bronchospasm associated with asthma.
Treatment of inflammation in chronic bronchitis.

Answer 2

A

Question 3

The client is taking digoxin and a loop diuretic. The nurse expects that a low potassium level could have what effect on the digoxin?

Increase the serum digoxin sensitivity level
Decrease the serum digoxin sensitivity level
Not have any effect on the serum digoxin sensitivity level
Cause a low average serum digoxin sensitivity level

Answer 3

A

Question 4

The nurse realizes that beta1 receptor stimulation is differentiated from beta2 stimulation in that stimulation of beta1 receptors leads to which condition?
Increased bronchodilation
Decreased uterine contractility
Increased myocardial contractility
Decreased blood flow to skeletal muscles

Answer 4

C.

Beta-1 receptors are located in the heart. When beta-1 receptors are stimulated they increase the heart rate and increase the heart’s strength of contraction or contractility

Question 5

A client is given an adrenergic agonist (sympathomimetic). The nurse should monitor the client for which condition?
Decreased pulse
Increased peristalsis
Bronchial constriction
Increased blood pressure

Answer 5

D

Question 6

The nurse understands the differences between COX-1 and COX-2 inhibitors, in that ibuprofen is more likely than celcoxib to cause which adverse effect?
Fever
Constipation
Peptic ulcers
Metallic taste

Answer 6

C

Question 7

A client is admitted to the emergency department in respiratory depression following self-injection with morphine. The admitting nurse knows that which drug will reverse respiratory depression caused by opioid overdose?
Fentanyl
Naloxone
Butorphanol
Sufenta

Answer 7

B

Question 8

A selective serotonin reuptake inhibitor (SSRI) is prescribed for a client. The nurse knows that which drug is an SSRI?
Fluoxetine 
Amitriptyline
ondansetron
Valproic acid

Answer 8

A

Question 9

When taking an antidepressant, what should the nurse do?

Monitor the client for suicidal tendencies.
Tell the client that the drug will have an immediate effect.
Advise the client to maintain adequate fluid intake of 2L/day.
Monitor apical heart rate.

Answer 9

A

Question 10

The nurse is administering tetracycline to a client. Which would be appropriate teaching?

Take sunscreen precautions when at the beach.
Take an antacid or milk with the drug to prevent severe GI distress.
Obtain frequent hearing tests for early detection of hearing loss.
Obtain frequent eye checkups for early detection of retinal damage.

Answer 10

A

Question 11

What should the nurse include when teaching a client about gentamicin?

Peak levels will be drawn 30 minutes prior to IV dose.
Client should report any hearing loss.
Client will need to come back for liver tests.
Client can stop taking the gentamicin when they feel better.

Answer 11

B

Question 12

The client is prescribed the decongestant phenylephrine nasal spray. What should the nurse teach the client?

Take this drug at bedtime as a sleep aid.
Directly spray away from the nasal septum and gently sniff.
This drug may be used in maintenance treatment for asthma.
Limit the drug to 5 days of use to prevent rebound nasal congestion.

Answer 12

D

Question 13

A client has been prescribed guaifenesin. The nurse realizes that the purpose of the drug is to accomplish what?

To treat allergic rhinitis and prevent motion sickness.
To loosen bronchial secretions so they can be eliminated by coughing.
To compete with histamine for receptor sites, thus preventing a histamine response.
To stimulate alpha-adrenergic receptors, thus producing vascular constriction of capillaries in nasal mucosa.

Answer 13

B

Question 14

When a client first takes a nitrate, the nurse expects which symptom that often occurs?

Nausea and vomiting
Headaches
Stomach cramps
Irregular pulse rate

Answer 14

C

Question 15

A client is taking hydrochlorothiazide. What type of electrolyte imbalance does the nurse expect to occur?

Hypocalcemia
Hypokalemia
Hyperkalemia
Hypermagnesemia

Answer 15

B Hypokalemia
as well as 
hyponatremia,
hyperglycemia,
dehydration

Question 16

A client who has angina is prescribed nitroglycerin. The nurse reviews which appropriate nursing interventions for nitroglycerin? (Select all that apply)

Have client lie down when taking a nitroglycerin sublingual tablet.
Teach client to repeat taking a tablet in 5 minutes if chest pain persists.
Apply transderm-Nitro patch to a hairy area to protect skin from burning.
Call the health care provider after taking 5 tablets if chest pain persists.
Warn client about orthostatic hypotension.

Answer 16

A, B, E

Question 17

A client is taking warfarin 5 mg/day for atrial fibrillation. The client’s international normalized ration (INR) is 3.8. The nurse would consider the INR to be what?

A. Within normal range
B. Elevated INR range
C. Low INR range
D. Low average INR range

Answer 17

B

Question 18

A client is taking atorvastatin. Which serum level is most important for the nurse to monitor?

Blood urea nitrogen
Complete blood count
Cardiac enzymes
Liver enzymes

Answer 18

D

Question 19

The nurse is preparing to administer an opioid analgesic. Which factors should be assessed before the dose is given? (Select all that apply)

Blood clotting times
The level of pain rated on a scale
Prior analgesic use (time, type, amount, and effectiveness)
Dietary history 
Allergies

Answer 19

B, C, E

Question 20

For the client receiving periodic morphine IV push, which is most critical for the nurse to monitor?

Fever
Diarrhea
Respirations
White blood cell count

Answer 20

C

Question 21

The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges that which is included in the signs and symptoms for digitalis toxicity?

Pulse rate of 100 beats/min
Pulse of 72 with an irregular rate
Pulse greater than 60 beats/min and irregular rate
Pulse below 60 beats/min and irregular rate

Answer 21

D

Question 22

The nurse acknowledges that beta blockers are as effective as antianginals because they do what?

Increase oxygen to the systemic circulation.
Maintain heart rate and blood pressure.
Decrease heart rate and decrease myocardial contractility.
Decrease heart rate and increase myocardial contractility.

Answer 22

C

Question 23

atenolol is prescribed for a client. The nurse knows that what is the primary purpose of the drug?

To increase the beta1 and beta2 receptors in the cardiac tissues.
To increase the flow of oxygen to the cardiac tissues.
To block the beta1-adrenergic receptors in the cardiac tissues.
To clock the beta2-adrenergic receptors in the cardiac tissues.

Answer 23

C

Question 24

Drug half-life is defined as the amount f time required for 50% of a drug to:

Be absorbed by the body.
Reach a therapeutic level.
Exert a response.
Be removed by the body.

Answer 24

D

Question 25

Which would be the greatest priority?

Blood glucose of 68, client alert and oriented X3
Blood pressure 80/50, client dizzy and light-headed
Client taking digoxin, potassium level 3.4, no signs of toxicity
Client on warfarin, with an INR of 1.7

Answer 25

B