A nurse is preparing to administer medication to a client who has gout.

The nurse discovers that

an error was made during the previous shift in the client received atenolol all instead of
allopurinol which of the following actions should the nurse take first? Enter next line
obtain the clients blood pressure
a nurse is planning care for a client who is prescribed metoclopramide following bowel surgery
for which of the following adverse effects should the nurse monitor
sedation
a nurse is preparing to administer a schedule at the antibiotic at zero 800 to a client and
discovers the antibiotic is not present in the client's medication drawer the nurse should
identified that the administration of the medication can occur at which of the following time
periods without requiring an incident report?
8:30
capital a nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse
should report which of the following findings to the provider as a manifestation of neuroleptic
malignant syndrome an Ms?
Temperature of 39.7 degrees Celsius
a nurse is caring for a client who is receiving heparin therapy be a continuous Ivy infusion to
treat a pulmonary embolism. Which of the following findings should the nurse identify as an
adverse effect of the medication and report to the provider?

Blood in the urine

a nurse is caring for a client who has cancer and is taking oral morphine and occus 8 sodium the
nurse should instruct the client that taking the doc you state sodium daily can minimize which
of the following adverse effects of morphine?
Constipation
a nurse is providing teaching to a client who is to start treatment for asthma with
beclomethasone an albuterol inhalers which of the following instructions should the nurse
include in the teaching?
Rinse your mouth after inhaling the beclomethasone.
A nurse is caring for a client who received 0.9% sodium chloride one capital L over 4 hours
instead of over 8 hours as prescribed. Which of the following information should the nurse
enter as a complete documentation of the incident
? 0 . 9% sodium chloride one capital L Ivy infused over 4 hours. Vital signs stable, provider
notified.
A nurse is teaching a client about war friend the client asks if they can take aspirin while taking
the war friend which of the following responses should the nurse make? Aspirin will increase
the risk of bleeding.
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for
pain. Which of the following information should the nurse include in the teaching?
Decreased respirations might occur.
A nurse in an emergency Department is caring for a client who has myasthenia gravis and is in a
cholinergic crisis. Which of the following medication should the nurse plan to administer?
Atropine.
A nurse is reviewing the medication administration record of a client who has hypocalcemia and
a new prescription for Ivy calcium gluconate. The nurse should identify which of the following
medications can interact with calcium gluconate?
Digoxin
a nurse is caring for a client who is receiving filgrastim. Which of the following findings should
the nurse document to indicate the effectiveness of the therapy?
Increased neutrophil count
a nurse is reviewing the E CG of a client who is receiving IV furosemide for heart failure. The
nurse should identify which of the following findings as an indication of hypokalemia?
Presence of you waves
a nurse is collecting a medication history from a client who has a new prescription for lithium.
The nurse should identify that the client should discontinue which of the following over-the-
counter medications?
Ibuprofen
a nurse is caring for a client who has acute acetaminophen toxicity the nurse should anticipate
administering which of the following medications?
Acetyl cysteine
a nurse is teaching a group of unit nurses about medication reconciliation period which of the
following information should the nurse include in the teaching?
A transition and care requires the nurse to conduct medication reconciliation

a nurse is planning care for a client who has hypertension an is to start taking metoprolol which
of the following interventions should the nurse include in the plan of care?
Determine apical pulse prior to administering.

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has

hyperkalemia. Which of the following actions should the nurse plan to take?
Monitor the client for Constipation.
A nurse is planning care for a client who is receiving man at all via continuous Ivy infusion. The
nurse should monitor the client for which of the following adverse effects? Bibasilar crackles
a nurse is assessing a client one hour after administering morphine for pain. Then you should
identify which of the following findings as the best indication that the morphine has been
effective?
The client rates pain as three on a scale from zero to 10
A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for
severe nodulocystic acne vulgaris. Before the client can obtain a refill the nurse should advise
the client that which of the following tests is required?
Pregnancy test
A nurse is administering donepezil a pill to a client who has Alzheimer's disease. Which of the
following findings should the nurse report to the provider immediately?
Dyspnea
A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous Ivy
infusion with a maintenance Ivy solution. The external FHR monitor indicates late decelerations.
Which of the following actions should the nurse take first?
Turn the client to a sideline position.
This is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the
following findings should indicate to the nurse at the client is experiencing an adverse effect?
Miosis
A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV
infusion for deep vein thrombosis. The nurse should discontinue the medication infusion for
which of the following client findings?
Platelets 96,000 slash millimeters cubed
A nurse is providing teaching to a client who has peptic ulcer disease Ann is to start a new
prescription for sulcrafate. Which of the following actions of sulcrafate should the nurse include
in the teaching?
Forms a protective barrier over ulcers
A nurse is assessing a client who is postoperative following an outpatient and endoscopy
procedure using midazolam. The nurse should monitor for which of the following findings as an
indication that the client is ready for discharge?
Their clients capnography has returned to baseline
A nurse is reviewing the laboratory results of a client who is taking digoxin for heart failure.
Which of the following results should the nurse report to the provider?
Potassium level two period 8 me Q slash L
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary
incontinence. Which of the following adverse effects should the nurse include in the teaching?
Select all that apply.
Dry mouth. Blurred vision. Dry eyes.
A nurse on the acute care unit is caring for a client who is receiving gentamicin Ivy. The nurse
should report which of the following findings to the provider as an adverse effect of the
medication?
Tinnitis
A nurse in an emergency Department is caring for a client whose family reports the client has
taken large amounts of diazepam. Which of the following medications should the nurse
anticipate administering?
Flumazenil
A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to
treat migraine headaches. Which of the following information should the nurse include in the
instructions?
Take 1 tablet at onset of migraine.
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes
the client has anxiety, hypertension, and dyspnea. Which of the following medications should
the nurse administer first?
Epinephrine
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer.
Which of the following adverse effects should the nurse include in the teaching?
Hot flashes
a nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking which
of the following findings should the nurse identify as an adverse effect of the medication?
Insomnia
A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for
methyl prednisone. Which of the following instruction should the nurse include? Select all that
apply.
Blood glucose levels will be monitored during therapy. Avoid contact with people who have
known infections. Grapefruit juice can increase the effects of the medication.

A nurse is reviewing the medication list of a client who wants to begin taking oral
contraceptives. The nurse should identify that which of the following client medications will
interfere with the effectiveness of oral contraceptives?
Carbamazepine

A nurse in an emergency Department is caring for a client who has heroin toxicity. The nurse
the client is unresponsive with pinpoint pupils and respiratory rate of 6 per minute . Which of
the following medications should the nurse plan to administer?
Naloxone

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements
should indicate to the nurse of the teaching is effective? I will taper off the medication before
discontinuing it.

A nurse is providing discharge teaching about handling medication to a client who is to continue
taking oral transmucosal fentanyl Raspberry flavored lozenges on a stick. Which of the following
information should the nurse include in the teaching? Storing used medication sticks in a
storage container.

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of

the following statements by the client indicates an understanding of the teaching? I will take
the Patch off right after my evening meal.

A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. for
which of the following adverse effects should the nurse instruct the client to monitor and
report? Tingling of fingers.

A nurse is preparing to administer medications to a client who tells the nurse I don't want to
take my fluid pill until i get home today. Which of the following actions should the nurse take?
Document the refusal and informed the clients provider.

A nurse is preparing to administer dextrose 5% in water 400 milliliters IV to infuse over one
hour the drop factor of the manual Ivy tubing is 15 GTT backslash ML. The nurse should set the
manual Ivy infusion to deliver how many GTT backslash minute? 100GT TT back slash minute
A nurse is planning to teach about the use of a spacer to a child who has a new prescription for
flucticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases
the risk for which of the following adverse effects of the medication? Oral Candidiasis
A nurse receives a verbal order from the provider to administer morphine 5 milligrams every
four hours subcutaneously for severe pain as needed. The nurse should identify which of the
following entries as the correct format for the medication administration record Mar?
Morphine 5MG subcut 4 hour PRN severe pain

A nurse is caring for the parent of a newborn. The parent asked the nurse when their newborn
should receive their first diphtheria tetanus and pertussis vaccine. The nurse should instruct the
parent that their newborn should receive the immunization at which of the following ages? Two
months

A nurse at an urgent care clinic is collecting history from a female client who has a urinary tract
infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that
which of the following client statements indicates a contraindication for administering this
medication? I have tendonitis so I haven't been able to exercise.

A nurse administers a dose of metformin to a client instead of the prescribed dose of

metoclopramide. Which of the following action should the nurse take first? Check the clients
blood glucose

A nurse is caring for a client who is experiencing acute alcohol withdrawal period for which of
the following client outcomes should the nurse administer chloradiazepoxide? Prevent delirium
tremens

A nurse is assessing a client vital signs prior to the administration of PO digoxin the client's
blood pressure is 144/86MM HG, heart rate is 55/ minute an respiratory rate is 20 minute. The
first the nurse should withhold the medication and contact the provider for which of the
following findings? Heart rate