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ATI PHARM PROCTORED EXAM LPN 2024/2025 QUESTIONS WITH
100% CORRECT ANSWERS- BEST RATED
“A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client? - CORRECT ANSWER Calcitonin (Miacalcin)"
"The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The
nurse caring for the client anticipates that which diagnostic study will be prescribed? -
CORRECT ANSWER Pulmonary function studies"
"The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which
laboratory value would the nurse specifically monitor during treatment with this medication? -
CORRECT ANSWER Uric acid level"
"The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is assisting in caring for the client during its administration understands that which side effect is
specifically associated with this medication? - CORRECT ANSWER Orthostatic hypotension"
"The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic
medication. When implementing the plan, the nurse tells the client: - CORRECT ANSWER
Consult with health care providers (HCPs) before receiving immunizations" "The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors the client, knowing that which of the following indicates a side effect specific to this medication?
CORRECT ANSWER Numbness and tingling in the fingers and toes"
"The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which of the following is documented in the
client's history? - CORRECT ANSWER Pancreatitis"
"Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understands
that the primary action of this medication is to: - CORRECT ANSWER Compete with estradiol
for binding to estrogen in tissues containing high concentrations of receptors." "The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors
which laboratory value while the client is taking this medication? - CORRECT ANSWER
Calcium level"
"A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adverse effects that the nurse monitors for that are associated with this medication. Select all that
apply. - CORRECT ANSWER 1. Tinnitus
- Ototoxicity
- Nephrotoxicity
- Hypomagnesemia" "A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed
for the client. The nurse determines that this medication has been prescribed to: - CORRECT
ANSWER Treat hypocalcemic tetany."
"A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which information should the nurse teach when carrying out plans for
discharge? - CORRECT ANSWER Rotate the insulin injection sites systematically."
"A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the client, indicates the need
for further teaching? - CORRECT ANSWER Withdraws the NPH insulin first"
"A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin.
The nurse tells the client to: - CORRECT ANSWER Refrigerate the insulin."
"Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces instructions for the client and tells the client to avoid which of the following while taking this
medication? - CORRECT ANSWER Alcohol"
"The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reports
the absence of which symptom? - CORRECT ANSWER Heartburn"
"A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client
indicates the best understanding of the medication regimen? - CORRECT ANSWER "The
medications will kill the bacteria and stop the acid production."" "A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that
which medications are H2-receptor antagonists? Select all that apply. - CORRECT ANSWER 1.
Nizatidine (Axid)
- Administer a second nitroglycerin, 0.4 mg, sublingually." "Nalidixic acid (NegGram) is prescribed for a client with a urinary tract infection. On review of the client's record, the nurse notes that the client is taking warfarin sodium (Coumadin) daily.
Which prescription should the nurse anticipate for this client? - CORRECT ANSWER A
decrease in the warfarin sodium (Coumadin) dosage" "A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the
following should be included in the list of instructions? - CORRECT ANSWER Maintain a
high fluid intake." "Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct the client to report which symptom if it developed during the course of this medication therapy?
CORRECT ANSWER Sore throat"
"Phenazopyridine hydrochloride (Pyridium) is prescribed for a client for symptomatic relief of
pain resulting from a lower urinary tract infection. The nurse reinforces to the client: -
CORRECT ANSWER That a reddish orange discoloration of the urine may occur"
"Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which
disorder would be a contraindication to the administration of this medication? - CORRECT
ANSWER Urinary strictures"
"A nurse who is administering bethanechol chloride (Urecholine) is monitoring for acute toxicity
associated with the medication. The nurse checks the client for which sign of toxicity? -
CORRECT ANSWER Bradycardia"
"Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder. Which
sign would indicate a possible toxic effect related to this medication? - CORRECT ANSWER
Restlessness" "After kidney transplantation, cyclosporine (Sand immune) is prescribed for a client. Which
laboratory result would indicate an adverse effect from the use of this medication? - CORRECT
ANSWER Elevated blood urea nitrogen level"
"Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. The nurse reviews the client's medical record and should contact the health care provider (HCP) regarding which
documented finding to verify the prescription? - CORRECT ANSWER Renal insufficiency"
"A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following
indicate that this crisis exists? - CORRECT ANSWER Hypertension"
"A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for signs and symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a
cholinergic crisis occurs? - CORRECT ANSWER Atropine sulfate"
"A client with myasthenia gravis becomes increasingly weak. The health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or increasing severity of the disease (myasthenic crisis). An injection of edrophonium (Enlon) is
administered. Which of the following indicates that the client is in cholinergic crisis? -
CORRECT ANSWER A temporary worsening of the condition"
"Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse reactions to the medication. Which of the following indicates that
the client is experiencing an adverse reaction? - CORRECT ANSWER Impaired voluntary
movements" "Phenytoin (Dilantin), 100 mg orally three times daily, has been prescribed for a client for seizure control. The nurse reinforces instructions regarding the medication to the client. Which
statement by the client indicates an understanding of the instructions? - CORRECT ANSWER
"I will use a soft toothbrush to brush my teeth."" "The client with acquired immunodeficiency syndrome has begun therapy with zidovudine (Retrovir, Azidothymidine, AZT, ZDV). The nurse carefully monitors which of the following
laboratory results during treatment with this medication? - CORRECT ANSWER Complete
blood count" "The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immunodeficiency syndrome who is receiving didanosine (Videx). The nurse interprets that the client may have the medication discontinued by the health care provider if which of the following
significantly elevated results is noted? - CORRECT ANSWER Serum amylase"
"The nurse is caring for a postrenal transplant client taking cyclosporine (Sandimmune, Gengraf, Neoral). The nurse notes an increase in one of the client's vital signs, and the client is
complaining of a headache. What is the vital sign that is most likely increased? - CORRECT
ANSWER Blood pressure"
"Amikacin (Amikin) is prescribed for a client with a bacterial infection. The client is instructed to
contact the health care provider (HCP) immediately if which of the following occurs? -
CORRECT ANSWER Hearing loss"
"A client who is taking hydrochlorothiazide (HydroDIURIL, HCTZ) has been started on triamterene (Dyrenium) as well. The client asks the nurse why both medications are required.
The nurse formulates a response, based on the understanding that: - CORRECT ANSWER
Triamterene is a potassium-sparing diuretic, whereas hydrochlorothiazide is a potassium-losing diuretic." "A client who has begun taking fosinopril (Monopril) is very distressed, telling the nurse that he cannot taste food normally since beginning the medication 2 weeks ago. The nurse provides the
best support to the client by: - CORRECT ANSWER Informing the client that impaired taste is
expected and generally disappears in 2 to 3 months" "A nurse is planning to administer amlodipine (Norvasc) to a client. The nurse plans to check
which of the following before giving the medication? - CORRECT ANSWER Blood pressure
and heart rate" "A client with chronic renal failure is receiving ferrous sulfate (Feosol). The nurse monitors the
client for which common side effect associated with this medication? - CORRECT ANSWER
Constipation" "A nurse is preparing to administer digoxin (Lanoxin), 0.125 mg orally, to a client with heart failure. Which vital sign is most important for the nurse to check before administering the
medication? - CORRECT ANSWER Heart rate"
"A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the
intake of which of the following while taking this medication? - CORRECT ANSWER Coffee,
cola, and chocolate" "A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about
the medication if the client states that he or she will: - CORRECT ANSWER Take the daily
dose at bedtime." "A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following
side effects of this medication? - CORRECT ANSWER Drowsiness"
"A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the health care provider's office that a dose was taken this morning. The nurse determines that:
CORRECT ANSWER The client should reschedule the appointment."
"A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a β- blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is made.
Which of the following assessment data would support this diagnosis? - CORRECT ANSWER
Double vision, loss of appetite, and nausea" "A client is being treated for acute congestive heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is the priority
assessment? - CORRECT ANSWER Monitoring blood pressure"
"Intravenous heparin therapy is prescribed for a client. While implementing this prescription, a
nurse ensures that which of the following medications is available on the nursing unit? -
CORRECT ANSWER Protamine sulfate"
"A client is diagnosed with pulmonary embolism and is to be treated with streptokinase (Streptase). A nurse would report which priority data collection finding to the registered nurse
before initiating this therapy? - CORRECT ANSWER Blood pressure of 198/110 mm Hg"
"A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine
(Sandimmune). Which food item would the nurse instruct the client to avoid? - CORRECT
ANSWER Grapefruit juice"
"Mycophenolate mofetil (CellCept) is prescribed for a client as prophylaxis for organ rejection following an allogeneic renal transplant. Which of the following instructions does the nurse
reinforce regarding administration of this medication? - CORRECT ANSWER Contact the
health care provider (HCP) if a sore throat occurs." "A nurse is reviewing the laboratory results for a client receiving tacrolimus (Prograf). Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of
the medication? - CORRECT ANSWER Blood glucose of 200 mg/dL"
"A client receiving nitrofurantoin (Macrodantin) calls the health care provider's office complaining of side effects related to the medication. Which side effect indicates the need to stop
treatment with this medication? - CORRECT ANSWER Cough and chest pain"
"A client with chronic renal failure is receiving epoetin alfa (Epogen, Procrit). Which laboratory
result would indicate a therapeutic effect of the medication? - CORRECT ANSWER
Hematocrit of 32%"
"Insulin glargine (Lantus) is prescribed for a client with diabetes mellitus. The nurse tells the
client that it is best to take the insulin: - CORRECT ANSWER Once daily, at the same time
each day" "Atenolol hydrochloride (Tenormin) is prescribed for a hospitalized client. The nurse should
perform which of the following as a priority action before administering the medication? -
CORRECT ANSWER Check the client's blood pressure."
"A nurse is preparing to administer furosemide (Lasix) to a client with a diagnosis of heart failure. The most important laboratory test result for the nurse to check before administering
this medication is: - CORRECT ANSWER Potassium level"
"A nurse provides dietary instructions to a client who will be taking warfarin sodium
(Coumadin). The nurse tells the client to avoid which food item? - CORRECT ANSWER
Spinach" "A nurse reviews the medication history of a client admitted to the hospital and notes that the client is taking leflunomide (Arava). During data collection, the nurse asks which question to
determine medication effectiveness? - CORRECT ANSWER "Do you have any joint pain?""
"A client with portosystemic encephalopathy is receiving oral lactulose (Chronulac) daily. The
nurse assesses which of the following to determine medication effectiveness? - CORRECT
ANSWER Blood ammonia level"
"A nurse notes that a client is receiving lamivudine (Epivir). The nurse determines that this
medication has been prescribed to treat which of the following? - CORRECT ANSWER
Human immunodeficiency virus (HIV) infection" "A nurse notes that a client is taking lansoprazole (Prevacid). On data collection, the nurse asks
which question to determine medication effectiveness? - CORRECT ANSWER "Are you
experiencing any heartburn?"" "A nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate for the management of preeclampsia and notes that the client's deep tendon reflexes are
absent. On the basis of this data, the nurse report - CORRECT ANSWER The client is
experiencing magnesium toxicity." "Methylergonovine (Methergine) is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication, the nurse checks which of the following
as the important client parameter? - CORRECT ANSWER Blood pressure"
"A nurse provides medication instructions to a client who had a kidney transplant about therapy with cyclosporine (Sandimmune). Which statement by the client indicates a need for further
instruction? - CORRECT ANSWER "I need to obtain a yearly influenza vaccine.""
"A health care provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The
nurse teaches the client about the medication and tells the client that it is important to: -
CORRECT ANSWER Withhold the medication and call the HCP if the pulse is less than 60
beats per minute" "A client is taking ticlopidine hydrochloride (Ticlid). The nurse tells the client to avoid which of
the following while taking this medication? - CORRECT ANSWER Acetylsalicylic acid
(aspirin)" "A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse administers a sublingual nitroglycerin tablet to the client. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Which of the following vital signs is most important for the nurse to check before administering the
medication? - CORRECT ANSWER Blood pressure"
"A client who received a kidney transplant is taking azathioprine (Imuran), and the nurse provides instructions about the medication. Which statement by the client indicates a need for
further instructions? - CORRECT ANSWER "I need to discontinue the medication after 14
days of use."" "A nurse preparing a client for surgery reviews the client's medication record. The client is to be nothing per mouth (NPO) after midnight. Which of the following medications, if noted on the
client's record, should the nurse question? - CORRECT ANSWER Prednisone"
"Which of the following herbal therapies would be prescribed for its use as an antispasmodic?
Select all that apply. - CORRECT ANSWER 4.Chamomile
5.Peppermint oil" "A nurse prepares to administer sodium polystyrene sulfonate (Kayexalate) to a client. Before administering the medication, the nurse reviews the action of the medication and understands
that it: - CORRECT ANSWER Releases sodium ions in exchange for primarily potassium ions"
"A clinic nurse prepares to administer an MMR (measles, mumps, rubella) vaccine to a child.
How is this vaccine best administered? - CORRECT ANSWER Subcutaneously in the outer
aspect of the upper arm"
indicates an accurate understanding of the use of this medication? - CORRECT ANSWER "I
will apply the ointment once a day and cover it with a sterile dressing."" "Coal tar has been prescribed for a client with a diagnosis of psoriasis, and the nurse provides instructions to the client about the medication. Which statement by the client indicates a need for
further instructions? - CORRECT ANSWER "The medication can cause systemic effects.""
"A nurse is applying a topical glucocorticoid to a client with eczema. The nurse monitors for systemic absorption of the medication if the medication is being applied to which of the following
body areas? - CORRECT ANSWER Axilla"
"A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the
use of the medication. The nurse tells the client to: - CORRECT ANSWER Leave the cream on
for 8 to 12 hours and then remove by washing."
"A nurse is preparing to administer eardrops to an infant. The nurse plans to: - CORRECT
ANSWER Pull down and back on the ear and direct the solution toward the wall of the canal."
"A nurse is collecting data from a client about medications being taken, and the client tells the nurse that he is taking herbal supplements for the treatment of varicose veins. The nurse
understands that the client is most likely taking which of the following? - CORRECT ANSWER
Bilberry" "A nurse is preparing to give the postcraniotomy client medication for incisional pain. The family asks the nurse why the client is receiving codeine sulfate and not "something stronger." In
formulating a response, the nurse incorporates the understanding that codeine: - CORRECT
ANSWER Does not alter respirations or mask neurological signs as do other opioids"
"A client receives a dose of edrophonium (Enlon). The client shows improvement in muscle strength for a period of time following the injection. The nurse interprets that this finding is
compatible with: - CORRECT ANSWER Myasthenia gravis"
"A nurse is assisting in preparing to administer acetylcysteine (Mucomyst) to a client with an
overdose of acetaminophen (Tylenol). The nurse prepares to administer the medication by: -
CORRECT ANSWER Mixing the medication in a flavored ice drink and allowing the client to
drink the medication through a straw"
"A client is receiving baclofen (Lioresal) for muscle spasms caused by a spinal cord injury. The nurse monitors the client, knowing that which of the following is a side effect of this medication?
CORRECT ANSWER Slurred speech"
"A client is suspected of having myasthenia gravis, and the health care provider administers edrophonium (Enlon) to determine the diagnosis. After administration of this medication, which
of the following would indicate the presence of myasthenia gravis? - CORRECT ANSWER An
increase in muscle strength" "A client with myasthenia gravis verbalizes complaints of feeling much weaker than normal. The health care provider plans to implement a diagnostic test to determine if the client is experiencing a myasthenic crisis and administers edrophonium (Enlon). Which of the following
would indicate that the client is experiencing a myasthenic crisis? - CORRECT ANSWER A
temporary improvement in the condition" "A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which of the following would indicate that the client is experiencing a side
effect related to this medication? - CORRECT ANSWER Drowsiness"
"Dantrolene (Dantrium) is prescribed for a client with a spinal cord injury for discomfort resulting from spasticity. The nurse tells the client about the importance of follow-up and the
need for which blood study? - CORRECT ANSWER Liver function studies"
"A client with epilepsy is taking the prescribed dose of phenytoin (Dilantin) to control seizures. A phenytoin blood level is drawn, and the results reveal a level of 35 mcg/ml. Which of the
following symptoms would be expected as a result of this laboratory result? - CORRECT
ANSWER Slurred speech"
"Mannitol (Osmitrol) is being administered to a client with increased intracranial pressure following a head injury. The nurse assisting in caring for the client knows that which of the
following indicates the therapeutic action of this medication? - CORRECT ANSWER Induces
diuresis by raising the osmotic pressure of glomerular filtrate, thereby inhibiting tubular reabsorption of water and solutes" "A client is admitted to the hospital with complaints of back spasms. The client states, "I have been taking two or three aspirin every 4 hours for the past week and it hasn't helped my back." Aspirin intoxication is suspected. Which of the following complaints would indicate aspirin
intoxication? - CORRECT ANSWER Tinnitus"
"A health care provider initiates carbidopa/levodopa (Sinemet) therapy for the client with Parkinson's disease. A few days after the client starts the medication, the client complains of
"Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine. Which medication would the nurse prepare in anticipation of being prescribed to treat this adverse
effect related to the use of chlorpromazine? - CORRECT ANSWER Bromocriptine (Parlodel)"
"A nursing student is assigned to care for a client with a diagnosis of schizophrenia. Haloperidol (Haldol) is prescribed for the client, and the nursing instructor asks the student to describe the action of the medication. Which statement by the nursing student indicates an understanding of
the action of this medication? - CORRECT ANSWER It blocks the binding of dopamine to the
postsynaptic dopamine receptors in the brain." "A client receiving lithium carbonate (Lithobid) complains of loose, watery stools and difficulty
walking. The nurse would expect the serum lithium level to be which of the following? -
CORRECT ANSWER 1.7 mEq/L"
"When teaching a client who is being started on imipramine hydrochloride (Tofranil), the nurse
would inform the client that the desired effects of the medication may: - CORRECT ANSWER
Not occur for 2 to 3 weeks of administration" "A client receiving an anxiolytic medication complains that he feels very "faint" when he tries to
get out of bed in the morning. The nurse recognizes this complaint as a symptom of: - CORRECT
ANSWER Postural hypotension"
"A client who is taking lithium carbonate (Lithobid) is scheduled for surgery. The nurse informs
the client that: - CORRECT ANSWER The medication will be discontinued 1 to 2 days before
the surgery and resumed as soon as full oral intake is allowed." "A client is placed on chloral hydrate (Somnote) for short-term treatment. Which nursing action
indicates an understanding of the major side effect of this medication? - CORRECT ANSWER
Instructing the client to call for ambulation assistance" "A client admitted to the hospital gives the nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. What behaviors observed
in the client would validate noncompliance with this medication? - CORRECT ANSWER
Frequent handwashing with hot, soapy water" "A client in the mental health unit is administered haloperidol (Haldol). The nurse would check
which of the following to determine medication effectiveness? - CORRECT ANSWER The
client's orientation and delusional status"
"Diphenhydramine hydrochloride (Benadryl) is used in the treatment of allergic rhinitis for a hospitalized client with a chronic psychotic disorder. The client asks the nurse why the
medication is being discontinued before hospital discharge. The nurse responds, knowing that: -
CORRECT ANSWER Addictive properties are enhanced in the presence of psychotropic
medications." "A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. At
lunchtime, a tray is delivered to the client. Which food item on the tray will the nurse remove? -
CORRECT ANSWER Yogurt"
"A tricyclic antidepressant is administered to a client daily. The nurse plans to monitor for the
common side effects of the medication and includes which of the following in the plan of care? -
CORRECT ANSWER Offer hard candy or gum periodically."
"A client is being treated for depression with amitriptyline hydrochloride. During the initial
phases of treatment, the most important nursing intervention is: - CORRECT ANSWER
Getting baseline postural blood pressures before administering the medication and each time the medication is administered" "A client who is on lithium carbonate (Lithobid) will be discharged at the end of the week. In formulating a discharge teaching plan, the nurse will instruct the client that it is most important
to: - CORRECT ANSWER Check with the psychiatrist before using any over-the-counter
(OTC) medications or prescription medications." "Ribavirin (Virazole) is prescribed for the hospitalized child with respiratory syncytial virus
(RSV). The nurse prepares to administer this medication via which of the following routes? -
CORRECT ANSWER Via face mask"
"Which of the following precautions will the nurse specifically take during the administration of
ribavirin (Virazole) to a child with respiratory syncytial virus (RSV)? - CORRECT ANSWER
Wearing goggles" "A client with Parkinson's disease has been prescribed benztropine (Cogentin). The nurse
monitors for which gastrointestinal (GI) side effect of this medication? - CORRECT ANSWER
Dry mouth" "A client with a history of simple partial seizures is taking clorazepate (Tranxene), and asks the nurse if there is a risk of addiction. The nurse's response is based on the understanding that
clorazepate: - CORRECT ANSWER Leads to physical and psychological dependence with
prolonged high-dose therapy"
"A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the
client is taking which medication? - CORRECT ANSWER Vitamin A"
"The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the potential for increased systemic absorption of the medication if the medication were being
applied to which of the following body areas? - CORRECT ANSWER Axilla"
"The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would
suspect that the client is being treated for: - CORRECT ANSWER Acne"
"The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-thickness burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing information to the client about the medication. Which statement made by the client
indicates a lack of understanding about the treatments? - CORRECT ANSWER "The
medication will permanently stain my skin."" "A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. During an inspection of the site, the nurse notes redness and swelling and that the rate of infusion of the
medication has slowed. The nurse should take which appropriate action? - CORRECT
ANSWER Notify the registered nurse."
"Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the client's medical record and would question the prescription if which of the following is noted in
the client's history? - CORRECT ANSWER Use of nitroglycerin"
"The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. The nurse knows that which of the following is the appropriate
intervention? - CORRECT ANSWER The medication is withheld and the HCP is called to
question the prescription for the client." "A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the client and tells the client that the most likely time for a hypoglycemic reaction to occur is:
CORRECT ANSWER 4 to 12 hours after administration"
"A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide (DiaBeta) daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added to the client's regimen, may
have contributed to the hyperglycemia? - CORRECT ANSWER Prednisone"
"A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for the client and the nurse reinforces teaching for the client about the medication.
Which statement, if made by the client, indicates that further teaching is necessary? -
CORRECT ANSWER "I can take aspirin or my antihistamine if I need it.""
"Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus. The nurse
monitors the client after medication administration for which therapeutic response? -
CORRECT ANSWER Decreased urinary output"
"The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin (Glucophage) and asks the nurse to explain these medications. The nurse should reinforce which instructions to the
client? Select all that apply. - CORRECT ANSWER 1. Diarrhea can occur secondary to the
metformin.
- The repaglinide is not taken if a meal is skipped.
- The repaglinide is taken 30 minutes before eating.
- Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes." "A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). The nurse assisting in caring for the client should take which action to monitor the effectiveness of
treatment? - CORRECT ANSWER Checking the frequency and consistency of bowel
movements" "The client has a PRN prescription for loperamide hydrochloride (Imodium). The nurse
understands that this medication is used for which condition? - CORRECT ANSWER An
episode of diarrhea" "The client has a PRN prescription for ondansetron (Zofran). For which condition should this
medication be administered to the postoperative client? - CORRECT ANSWER Nausea and
vomiting" "The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
CORRECT ANSWER Reduction of steatorrhea"
"An older client recently has been taking cimetidine (Tagamet). The nurse monitors the client for
which most frequent central nervous system side effect of this medication? - CORRECT
ANSWER Confusion"
