Question Number 1 of 40

The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. Which of the following statements suggests that further teaching is needed? A) B) C) D) "Sometimes I take my medicine with fruit juice." "My mother makes me take my medicine right after school." "Sometimes I take the pills in the morning and at night." "I am feeling much better than I did last week."

Question Number 2 of 40

A nurse is assigned to perform well child assessments at a day care center. A staff member interrupts the examinations to ask for assistance. They find a crying 3 year-old child on the floor with her mouth wide open and gums bleeding. Two unlabeled open bottles lie next to her. The nurse's first action should be A) B) C) D) Call the poison control center, then 911 Administer syrup of Ipecac to induce vomiting Give the child milk to coat her stomach Ask the staff about the contents of the bottles

Question Number 3 of 40

The nurse is providing education for a client with newly diagnosed tuberculosis. Which statement should be included in the information that is given to the client? "Isolate yourself from others until you are finished taking your medication." "Follow up with your primary care health care provider in 3 B) months." "Continue to take your medications even when you are feeling C) fine." D) "Continue to get yearly tuberculin skin tests." A)

Question Number 4 of 40

In providing care for a client with pain from a sickle cell crisis, which one of the following medication orders for pain control should be questioned by the nurse? A) B) C) D) Demerol Morphine Methadone Codeine

Question Number 5 of 40

The health care provider has written "Morphine sulfate 2 mgs IV every 3-4 hours prn for pain" on the chart of a child weighing 22 lb. (10 kg). What is the nurse's initial action?

A) B) C) D)

Check with the pharmacist Hold the medication and contact the health care provider Administer the prescribed dose as ordered Give the dose every 6-8 hours

Question Number 6 of 40

The nurse is caring for a 10 year-old client who will be placed on heparin therapy. Which assessment is critical for the nurse to make before initiating therapy A) B) C) D) Vital signs Weight Lung sounds Skin turgor

Question Number 7 of 40

The nurse is caring for a client who is receiving procainnamide (Pronestyl) intravenously. It is important for the nurse to monitor which of the following parameters? A) B) C) D) Hourly urinary output Serum potassium levels Continuous EKG readings Neurological signs

Question Number 8 of 40

The health care provider orders an IV aminophylline infusion at 30 mg/hr. The pharmacy sends a 1,000 ml bag of D5W containing 500 mg of aminophylline. In order to administer 30 mg per hour, the RN will set the infusion rate at: A) B) C) D) 20 ml per hour 30 ml per hour 50 ml per hour 60 ml per hour

Question Number 9 of 40

A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the nurse to perform? A) B) C) D) Monitor blood pressure every 4 hours Measure apical pulse prior to administration Maintain accurate intake and output records Record an EKG strip after administration

Question Number 10 of 40

A client confides in the RN that a friend has told her the medication she takes for depression, Wellbutrin, was taken off the market because it caused seizures. What is an appropriate response by the nurse? A) Ask your friend about the source of this information. B) Omit the next doses until you talk with the doctor. C) There were problems, but the recommended dose is changed.

D) Your health care provider knows the best drug for your condition.

Question Number 11 of 40

A client with anemia has a new prescription for ferrous sulfate. In teaching the client about diet and iron supplements, the nurse should emphasize that absorption of iron is enhanced if taken with which substance? A) B) C) D) Acetaminophen Orange juice Low fat milk An antacid

Question Number 12 of 40

The use of atropine for treatment of symptomatic bradycardia is contraindicated for a client with which of the following conditions? A) B) C) D) Urinary incontinence Glaucoma Increased intracranial pressure Right sided heart failure

Question Number 13 of 40

The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse's immediate action? A) B) C) D) Stomatitis lesion in the mouth Severe nausea and vomiting Complaints of pain at site of infusion A rash on the client's extremities

Question Number 14 of 40

The nurse is teaching a group of women in a community clinic about prevention of osteoporosis. Which of the following over-the-counter medications should the nurse recognize as having the most elemental calcium per tablet? A) B) C) D) Calcium chloride Calcium citrate Calcium gluconate Calcium carbonate

Question Number 15 of 40

A post-operative client has a prescription for acetaminophen with codeine. What should the nurse recognizes as a primary effect of this combination? A) B) C) D) Enhanced pain relief Minimized side effects Prevention of drug tolerance Increased onset of action

Question Number 16 of 40

A child presents to the Emergency Department with documented Acetaminophen poisoning. In order to provide

counseling and education for the parents, which principle must the nurse understand? A) B) C) D) The problem occurs in stages with recovery within 12-24 hours Hepatic problems may occur and may be life-threatening Full and rapid recovery can be expected in most children This poisoning is usually fatal, as no antidote is available

Question Number 17 of 40

The nurse is teaching a parent how to administer oral iron supplements to a 2 year-old child. Which of the following interventions should be included in the teaching? A) B) C) D) Stop the medication if the stools become tarry green Give the medicine with orange juice and through a straw Add the medicine to a bottle of formula Administer the iron with your child's meals

Question Number 18 of 40

A client is ordered Atropine to be administered preoperatively. Which physiological effect should the nurse monnitor for? A) B) C) D) Elevate blood pressure Dry secretions Reduce heart rate Enhance sedation

Question Number 19 of 40

The health care provider has ordered transdermal nitroglycerin patches for a client. Which of these instructions should be included when teaching a client about how touse the patches? A) B) C) D) Remove the patch when swimming or bathing Apply the patch to any non-hairy area of the body Apply a second patch with chest pain Remove the patch if ankle edema occurs

Question Number 20 of 40

A client is receiving erythromycin 500mg IV every 6 hours to treat a pneumonia. Which of the following is the most common side effect of the medication? A) B) C) D) Blurred vision Nausea and vomiting Severe headache Insomnia